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    Hormone replacement therapy process and effects of reproductive factors on bone mineral density in postmenopausal women
    (Aves Yayincilik, Ibrahim Kara, 2007) Balkanli-Kaplan, Petek; Oezden, Guelsah; Tokuc, Burcu; Yuece, M. Ali
    Objectives: The effects,of hormone replacement therapy (HRT) and reproductive factors such as parity, age of menopause, and duration of menopause on bone mineral density (BMD) in postmenopausal women were investigated. Patients and Methods: Age, reproductive history and HRT data of 322 postmenopausal women (mean age 52.4 +/- 6.2 years; range 3876) who applied to the outpatient menopause clinic of Trakya University Medical Faculty were gathered from the medical archives of the outpatient clinic. Patients were grouped according to the duration and current status of estrogen therapy and the effects of these variables on BMD were analysed. Bone mineral densities of lumbar spine, femur, trochanter, and Ward's triangle sites were measured by Dual Energy X-ray Absorptiometry (DEXA). Results: Bone mineral densities of trochanter, and Ward's triangle sites of postmenopausal women who received HRT for more than 3 years were found to be significantly higher than those women who were treated for less than 3 years. Vertebral bone densities were significantly higher in postmenopausal women who received HRT for more than 3 years, compared to those women who were never treated with HRT Ward's triangle and vertebral bone densities were significantly higher in postmenopausal Women who received HRT for more than 3 years and those currently on HRT, compared to those women who never received HRT BMD values of women who started but interrupted their HRTs, were similar to the values found in women who never received HRT Increasing parity and duration of menopause were the factors that reduced BMD values. Conclusion: It appeared that BMD of hip and spine increased in postmenopausal women after the third or more years on HRT and during the period of treatment with HRT. Parity and duration of menopause were identified as factors which increase the risk of osteoporosis.
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    Placenta percreta diagnosed after first-trimester pregnancy termination - A case report
    (Sci Printers & Publ Inc, 2006) Balkanli-Kaplan, Petek; Gucer, Fatih; Oz-Puyan, Fulya; Yuce, M. Ali; Kutlu, Kemal
    BACKGROUND: Placenta percreta in early pregnancy has been documented in only a few cases. This is the first report of placenta percreta diagnosed after an extended period from pregnancy termination. CASE: A woman with a history of a previous cesarean section presented with heavy and irregular vaginal bleeding beginning immediately after pregnancy termination at 7 weeks' gestation. Failed response to hormonal treatment and curettage necessitated hysterectomy. Histologic examination revealed a placenta percreta. CONCLUSION: Although placenta percreta is an uncommon occurrence, clinicians should consider it in patients who have a uterotomy scar and complain of longterm metrorrhagia following pregnancy termination.