Infertility

A 50 year old female presented with acute urinary retention. The patient said that she experienced an episode of urinary retention for the first time 2 days before. She noticed voiding dysfunction with frequency and urging for urination even by small amount of urine. She reported no problem with defecation. The cystoscopic evaluations showed no pathologic changes. In urinary bladder there was about 1000 ml rest urine.

23 Yrs Female Pain in perineum off n on - 3Yrs (H/o-LSCS 3Yrs back) Cervical Pap Smear Study

45 yes old female comes with the c/o pain in RT flank radiating to RT iliac fossa with h/o spotting in between. As such regular mens before 4&1/2 mths,white discharge of &on since 6 mths. o/h G4p4 all ftnd. No past history of any major illness. No h/o DM,HT Spot Diagnosis.

A 28-year-old G3P2Pt0Ab0LC2 came with cramping and vaginal bleeding. She reported being diagnosed with a missed abortion at an outside facility and presented today for a second opinion. Transvaginal ultrasonography (TVUS) was performed and showed a fetal pole with a crown-to-rump length consistent with a gestational age of approximately 9 weeks (Figure 1). Two physicians confirmed the absence of fetal cardiac activity. At this time, the patient opted for medical management; she was given misoprostol and was discharged to home. Patient return for follow up 2 months. No abnormal vaginal bleeding. TVUS was repeated (Figure 2), which was concerning for a 6-cm heterogenous, hypervascular intrauterine mass. What are your views?

A 25 year old female with 5 children presented with vaginal lesions. VIA screening detected an aceto-white lesion of the cervix. What management would you advice?