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Papers by shivangini sahay
Journal of South Asian Federation of Obstetrics and Gynaecology, 2022
Background: Coronavirus disease-2019 (COVID-19) has claimed innumerous lives globally resulting i... more Background: Coronavirus disease-2019 (COVID-19) has claimed innumerous lives globally resulting in increased stress affecting woman's menstrual, sexual, and mental health, an area of significant concern. The study was aimed to understand the effect of COVID-19 severity on menstrual and mental health. Method: A cross-sectional survey using a closed-ended questionnaire was conducted on COVID-19 positive women of reproductive age (18-45 years), admitted at School of Medical Sciences and Research, Greater Noida, during the period of April 1, 2021, to May 31, 2021. One-hundred and thirteen patients were enrolled to evaluate any change in a menstrual pattern along with alteration in sleep and sexual drive. Depression Anxiety Stress Scale-21 was used to assess mental health. Results were analyzed using the Chi-square test. Results: Nearly, 52.2% of patients reported changes in their menstrual patterns. Change in cycle length was observed in 37.8% of patients, 18% of cases reported heavy or decreased flow while 16.2% of patients had prolonged or short cycles. Patients with moderate-to-severe disease had statistically increased incidence of infrequent cycles, scanty flow, and short cycles and significantly correlated with increased levels of depression, anxiety, and stress. Conclusion: This study highlights the implication of COVID-19 severity on emotional and menstrual disturbances, an aspect which is least addressed and discussed. It also emphasized the need for more frequent post-COVID counseling sessions to improve women's health.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2021
Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of... more Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of the adnexa around its ovarian vascular axis that may cause an interruption in the ovarian blood ow.1 With a reported prevalence of 2.7% in all cases of acute abdominal pain, adnexal torsion is the fth most common gynecological emergency.2 Early diagnosis is extremely important in all cases for the vitality of ovary but is more signicant in young women since it may dictate future fertility. Diagnosis of ovarian torsion is extremely challenging. Patients can have variable and nonspecic clinical symptoms making the differential diagnosis enigmatic. Hence clinical suspicion and timely intervention are very crucial .We report a case where there was failure to recognize ovarian torsion as a differential diagnosis during initial assessment.
Journal of South Asian Federation of Obstetrics and Gynaecology, 2022
Background: Coronavirus disease-2019 (COVID-19) has claimed innumerous lives globally resulting i... more Background: Coronavirus disease-2019 (COVID-19) has claimed innumerous lives globally resulting in increased stress affecting woman's menstrual, sexual, and mental health, an area of significant concern. The study was aimed to understand the effect of COVID-19 severity on menstrual and mental health. Method: A cross-sectional survey using a closed-ended questionnaire was conducted on COVID-19 positive women of reproductive age (18-45 years), admitted at School of Medical Sciences and Research, Greater Noida, during the period of April 1, 2021, to May 31, 2021. One-hundred and thirteen patients were enrolled to evaluate any change in a menstrual pattern along with alteration in sleep and sexual drive. Depression Anxiety Stress Scale-21 was used to assess mental health. Results were analyzed using the Chi-square test. Results: Nearly, 52.2% of patients reported changes in their menstrual patterns. Change in cycle length was observed in 37.8% of patients, 18% of cases reported heavy or decreased flow while 16.2% of patients had prolonged or short cycles. Patients with moderate-to-severe disease had statistically increased incidence of infrequent cycles, scanty flow, and short cycles and significantly correlated with increased levels of depression, anxiety, and stress. Conclusion: This study highlights the implication of COVID-19 severity on emotional and menstrual disturbances, an aspect which is least addressed and discussed. It also emphasized the need for more frequent post-COVID counseling sessions to improve women's health.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2021
Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of... more Adnexal torsion is a gynecological emergency. It is dened as the partial or complete rotation of the adnexa around its ovarian vascular axis that may cause an interruption in the ovarian blood ow.1 With a reported prevalence of 2.7% in all cases of acute abdominal pain, adnexal torsion is the fth most common gynecological emergency.2 Early diagnosis is extremely important in all cases for the vitality of ovary but is more signicant in young women since it may dictate future fertility. Diagnosis of ovarian torsion is extremely challenging. Patients can have variable and nonspecic clinical symptoms making the differential diagnosis enigmatic. Hence clinical suspicion and timely intervention are very crucial .We report a case where there was failure to recognize ovarian torsion as a differential diagnosis during initial assessment.