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Papers by Dr.Samira Areen

Research paper thumbnail of Successful Management of Early Cervical Ectopic Pregnancy with Single Dose Methotrexate

Delta Medical College journal, Feb 7, 2024

Research paper thumbnail of Optimizing Polycystic Ovarian Disorder (PCOD) Treatment with Personalized Lifestyle and Nutrition Strategies

Journal of Clinical Medical Research, Oct 24, 2023

Introduction: Polycystic Ovarian Disorder (PCOD) is a prevalent endocrine illness in women of rep... more Introduction: Polycystic Ovarian Disorder (PCOD) is a prevalent endocrine illness in women of reproductive age. It has hormonal abnormalities, irregular menstrual cycles and tiny ovarian cysts. Lifestyle and food affect PCOD development and maintenance, coupled with medical therapies. Lifestyle, diet and PCOD are interconnected in this thorough assessment. Methodology: The evaluation comprises PCOD, lifestyle, diet, exercise, stress management and nutrition research published between January 1, 2000 and May 1, 2023. Result: PCOS management requires lifestyle changes including frequent exercise, a healthy weight, nutritious diet and no cigarettes. While lifestyle modifications cannot substitute medical care, they improve well-being. Low-GI, ketogenic and omega-3 fatty acid diets may reduce insulin resistance and PCOS symptoms. Eating no Saturated Fats (SFAs) is also important. Exercise improves insulin sensitivity, but high-intensity sessions improve cardiorespiratory fitness, insulin resistance and body composition more. We propose intense aerobic and strength training. PCOS might worsen insulin resistance due to sleep disruptions. Getting enough sleep is important for metabolism. PCOS sufferers may have reduced melatonin, which regulates the body's 24-hour schedule, underlining the significance of sleep. Vitamin D, inositol, folate, B-group vitamins, vitamin K and vitamin E may improve insulin sensitivity and hormonal balance. Vitamins including bioflavonoids, carnitine and alphalipoic acid and minerals like chromium picolinate, calcium, magnesium, selenium and zinc may also help PCOS sufferers. More study is required to prove their effectiveness. Conclusion: PCOD is complicated and needs comprehensive treatment. Lifestyle, food and medical therapies should be combined for best outcomes. Healthcare practitioners and PCOD patients must collaborate to create tailored lifestyle, diet and supplement recommendations. Improve these remedies for the PCOD community with further study.

Research paper thumbnail of Evaluation of Causes of Post-Menopausal Bleeding: A Hospital-Based Study

Scholars International Journal of Obstetrics and Gynecology

Midline cerebral congenital malformations, despite their relative rarity in the general populatio... more Midline cerebral congenital malformations, despite their relative rarity in the general population, with their high rate of Introduction: Postmenopausal bleeding is frequent in gynecology and occurs approximately in 5% to 10% of postmenopausal women. But most of the causes of post-menopausal bleeding are benign and treated conservatively. Women with postmenopausal bleeding have a primary or secondary malignancy of about 10%. So before starting treatment malignancy must be excluded. Common malignancies among them are endometrial or cervical carcinoma and rarely, ovarian cancer. The incidence of malignancy in the postmenopausal period remains sufficiently high, so it requires immediate investigations for early diagnosis, prompt treatment, and vigilant follow-up. The objective of the study is to evaluate the causes of postmenopausal bleeding in tertiary care hospitals in Dhaka city. Methods: This retrospective study was conducted at the Department of Obstetrics and Gynecology in Delta ...

Research paper thumbnail of Clinicopathological analysis of ovarian neoplasm

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: Ovarian neoplasm is a type of cancer caused by uncontrolled growth and division of ce... more Background: Ovarian neoplasm is a type of cancer caused by uncontrolled growth and division of cells within the ovary. It is a common type of gynecological cancer that affects a wide range of ages and can have various clinical, morphological, and histological features. This study aimed to examine the relationship between clinical presentation and histological pattern of ovarian neoplasm. Methods: This cross-sectional study conducted among 45 patients admitted to department of gynecology at Shaheed Suhrawardy medical college and hospital with features of ovarian neoplasm from February 2013 to February 2014. Results: The 82.3% of cases were benign tumors, 15.5% were malignant tumors, and 2.2% were borderline tumors. Benign tumors were more common in the 3rd decade, while malignant tumors were more common in the 4th to 6th decade. Symptoms of benign tumors included abdominal lumps and pain, while malignant tumors presented with abdominal pain, GIT-related symptoms, and ascites in some...

Research paper thumbnail of Unusual Presentation of Precocious Puberty Associated with Primary Hypothyroidism in a 8.5 Years Old Girl

Delta Medical College Journal, 2018

Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidi... more Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidism generally have delayed pubertal development. But primary hypothyroidism is one of the rare causes of precocious puberty especially in long standing untreated patients. Bilateral ovarian enlargement due to multiple cystic ovaries is a rare complication of primary hypothyroidism. For ovarian enlargement no treatment is required at all. This is a case report of an 8.5 years old girl diagnosed as a case of precocious puberty with benign ovarian tumour at a peripheral hospital and was being prepared to undergo laparotomy. When patient was admitted at Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh, after thorough investigations primary hypothyroidism was diagnosed. She was given thyroxin replacement and close monitoring was done by doing USG of uterus and adnexae, thyroid function test at monthly interval. USG after 2 months revealed significant reduction of ovarian volume and at 6 month ovarian volume reduced to normal. It was also noticed that the rate of reduction of ovarian volume corresponds to the rate of reduction of serum TSH level measured serially at every 2 months interval.

Research paper thumbnail of Successful Management of Early Cervical Ectopic Pregnancy with Single Dose Methotrexate

Delta Medical College journal, Feb 7, 2024

Research paper thumbnail of Optimizing Polycystic Ovarian Disorder (PCOD) Treatment with Personalized Lifestyle and Nutrition Strategies

Journal of Clinical Medical Research, Oct 24, 2023

Introduction: Polycystic Ovarian Disorder (PCOD) is a prevalent endocrine illness in women of rep... more Introduction: Polycystic Ovarian Disorder (PCOD) is a prevalent endocrine illness in women of reproductive age. It has hormonal abnormalities, irregular menstrual cycles and tiny ovarian cysts. Lifestyle and food affect PCOD development and maintenance, coupled with medical therapies. Lifestyle, diet and PCOD are interconnected in this thorough assessment. Methodology: The evaluation comprises PCOD, lifestyle, diet, exercise, stress management and nutrition research published between January 1, 2000 and May 1, 2023. Result: PCOS management requires lifestyle changes including frequent exercise, a healthy weight, nutritious diet and no cigarettes. While lifestyle modifications cannot substitute medical care, they improve well-being. Low-GI, ketogenic and omega-3 fatty acid diets may reduce insulin resistance and PCOS symptoms. Eating no Saturated Fats (SFAs) is also important. Exercise improves insulin sensitivity, but high-intensity sessions improve cardiorespiratory fitness, insulin resistance and body composition more. We propose intense aerobic and strength training. PCOS might worsen insulin resistance due to sleep disruptions. Getting enough sleep is important for metabolism. PCOS sufferers may have reduced melatonin, which regulates the body's 24-hour schedule, underlining the significance of sleep. Vitamin D, inositol, folate, B-group vitamins, vitamin K and vitamin E may improve insulin sensitivity and hormonal balance. Vitamins including bioflavonoids, carnitine and alphalipoic acid and minerals like chromium picolinate, calcium, magnesium, selenium and zinc may also help PCOS sufferers. More study is required to prove their effectiveness. Conclusion: PCOD is complicated and needs comprehensive treatment. Lifestyle, food and medical therapies should be combined for best outcomes. Healthcare practitioners and PCOD patients must collaborate to create tailored lifestyle, diet and supplement recommendations. Improve these remedies for the PCOD community with further study.

Research paper thumbnail of Evaluation of Causes of Post-Menopausal Bleeding: A Hospital-Based Study

Scholars International Journal of Obstetrics and Gynecology

Midline cerebral congenital malformations, despite their relative rarity in the general populatio... more Midline cerebral congenital malformations, despite their relative rarity in the general population, with their high rate of Introduction: Postmenopausal bleeding is frequent in gynecology and occurs approximately in 5% to 10% of postmenopausal women. But most of the causes of post-menopausal bleeding are benign and treated conservatively. Women with postmenopausal bleeding have a primary or secondary malignancy of about 10%. So before starting treatment malignancy must be excluded. Common malignancies among them are endometrial or cervical carcinoma and rarely, ovarian cancer. The incidence of malignancy in the postmenopausal period remains sufficiently high, so it requires immediate investigations for early diagnosis, prompt treatment, and vigilant follow-up. The objective of the study is to evaluate the causes of postmenopausal bleeding in tertiary care hospitals in Dhaka city. Methods: This retrospective study was conducted at the Department of Obstetrics and Gynecology in Delta ...

Research paper thumbnail of Clinicopathological analysis of ovarian neoplasm

International Journal of Reproduction, Contraception, Obstetrics and Gynecology

Background: Ovarian neoplasm is a type of cancer caused by uncontrolled growth and division of ce... more Background: Ovarian neoplasm is a type of cancer caused by uncontrolled growth and division of cells within the ovary. It is a common type of gynecological cancer that affects a wide range of ages and can have various clinical, morphological, and histological features. This study aimed to examine the relationship between clinical presentation and histological pattern of ovarian neoplasm. Methods: This cross-sectional study conducted among 45 patients admitted to department of gynecology at Shaheed Suhrawardy medical college and hospital with features of ovarian neoplasm from February 2013 to February 2014. Results: The 82.3% of cases were benign tumors, 15.5% were malignant tumors, and 2.2% were borderline tumors. Benign tumors were more common in the 3rd decade, while malignant tumors were more common in the 4th to 6th decade. Symptoms of benign tumors included abdominal lumps and pain, while malignant tumors presented with abdominal pain, GIT-related symptoms, and ascites in some...

Research paper thumbnail of Unusual Presentation of Precocious Puberty Associated with Primary Hypothyroidism in a 8.5 Years Old Girl

Delta Medical College Journal, 2018

Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidi... more Precocious puberty is one of the gynaecological problems in childhood. Children with hypothyroidism generally have delayed pubertal development. But primary hypothyroidism is one of the rare causes of precocious puberty especially in long standing untreated patients. Bilateral ovarian enlargement due to multiple cystic ovaries is a rare complication of primary hypothyroidism. For ovarian enlargement no treatment is required at all. This is a case report of an 8.5 years old girl diagnosed as a case of precocious puberty with benign ovarian tumour at a peripheral hospital and was being prepared to undergo laparotomy. When patient was admitted at Shaheed Suhrawardy Medical College Hospital (ShSMCH), Dhaka, Bangladesh, after thorough investigations primary hypothyroidism was diagnosed. She was given thyroxin replacement and close monitoring was done by doing USG of uterus and adnexae, thyroid function test at monthly interval. USG after 2 months revealed significant reduction of ovarian volume and at 6 month ovarian volume reduced to normal. It was also noticed that the rate of reduction of ovarian volume corresponds to the rate of reduction of serum TSH level measured serially at every 2 months interval.