BACKGROUND In a previous study on the effect of electro-acupuncture (EA) in combination with a paracervical block (PCB) as an analgesic method during oocyte aspiration in IVF treatment, EA appeared to increase the pregnancy rate. This study was designed to test the hypothesis that EA as an analgesic during oocyte aspiration would result in: (i) a better IVF pregnancy rate than with alfentanil; ...

The patient was an 81-year-old woman who had hypertension, dyslipidemia, asthma and limited systemic sclerosis (LSS). Scleroderma was diagnosed 5 years prior due to finger calcinosis, sclerodactylia and positive anticentromere antibodies. She had no Raynaud’s phenomenon or any other clinical data and was not followed by rheumatology. She came to the clinic due to inflammatory neck pain that did...

Objective: The purpose of this study was to determine the incidence of new-onset pelvic pain within 2 years after either radiofrequency (RF) or thermal balloon (TB) endometrial ablation for menorrhagia. Study design: This study was a retrospective cohort study of consecutive patients treated by radiofrequency or thermal balloon global endometrial ablation (GEA) between 2003 and 2008. Setting: T...

OBJECTIVE To estimate the effect of oral midazolam on patient pain and anxiety perception during first-trimester surgical abortion. METHODS Between May and December 2013, we conducted a randomized, double-blind, placebo-controlled trial. Patients between 6 0/7 and 10 6/7 weeks of gestation received 10 mg oral midazolam or placebo 30-60 minutes before surgical abortion. All patients received i...

a further improvement may be obtained in survival rate. The disease, starting in the cervical canal or on a lip of the cervix, spreads by direct extension into the paracervical tissues and by lymphatic drainage into the broad ligaments and regional lymphatic glands. This spread of the disease may be either generalised or confined to one or other fornix with or without spread on to the vaginal w...

OBJECTIVE To compare the efficacy, safety and cost-effectiveness of Manual vacuum aspiration (MVA) with Electrical vacuum aspiration (EVA) in the management of first trimester pregnancy loss. METHODS A single-centre randomized controlled trial (RCT) was conducted at Maternal and Child Health Centre (MCHC), Unit-I, Pakistan Institute of Medical Sciences (PIMS), Islamabad from April 2007-Dec 20...