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All Journal Indonesian Journal of Obstetrics & Gynecology Science SRIWIJAYA JOURNAL OF MEDICINE Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal RSMH Palembang Conferences of Medical Sciences Dies Natalis
Fatimah Usman
Bagian Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Sriwijaya, Palembang, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Abnormal Uterine Bleeding in Adolescent Kms Yusuf Effendi; Rizani Amran; Iskandar Zulqarnain; Heriyadi Manan; Adnan Abadi; Fatimah Usman; Awan Nurtjahyo; Cindy Kesty; Siti Chodijah; Selly Rizany
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 1 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v6i1.431

Abstract

Abnormal uterine bleeding (AUB) is defined as the abnormal bleeding from the uterine corpus in term of duration, volume, frequency and/or regularity. This condition occurs in 37% of adolescents and may affect the quality of life and increased hospitalization. Etiology is divided into structural and non-structural causes, known as PALM-COEIN. The most common etiology in adolescents is anovulatory menstruation due to immature hypothalamus-hypophysis axis. Diagnostic evaluation should include investigation in the etiology of AUB, anemia signs, and hemodynamic status. Treatment of AUB consists of hormonal and non-hormonal therapy. Therapy in adolescent is given based on the severity of bleeding, grading of anemia, and hemodynamic stability. Follow-up is required after therapy. Understanding AUB in adolescents can help clinicians deliver appropriate and comprehensive treatment. This review was aimed to explain about definition, epidemiology, etiology, pathophysiology, diagnosis, and treatment of abnormal uterine bleeding in adolescent.
Cortisol Level Related to Depression in Women with Endometriosis Adnan Abadi; Aria Indrabrata; Iskandar Zulqarnain; Theodorus; Abdullah Sahab; Kemas Yusuf Effendi; Heriyadi Manan; Fatimah Usman; Awan Nurtjahyo; Cindy Kesty
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 6 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i6.537

Abstract

Background: Several main symptoms of endometriosis can lead to physical and psychological stress and also hormonal disturbances as the result of prolonged stress. Cortisol was associated with the onset of depression. This study aimed to determine the relationship between cortisol levels and depression in women with endometriosis at the Department of Obstetrics and Gynecology at Dr. Mohammad Hoesin General Hospital (RSMH) Palembang. Methods: A cross-sectional study was performed at the Reproductive Endocrinology and Infertility outpatient clinic and inpatient ward, Department of Obstetrics and Gynecology at Dr. Mohammad Hoesin General Hospital Palembang, from January to November 2020. There were 74 samples of endometriosis patients who met the inclusion criteria. The blood cortisol level was examined using the ELISA method. The determination of depression level was performed by filling out the Beck Depression Inventory questionnaire. Data were analyzed using SPSS version 22.0. Results: Seventy-four samples met the inclusion criteria. As many as 44 patients (59.5%) without depression, 20 patients (27%) with mild depression, 8 patients (10.8%) with moderate depression, and only 2 patients (2.7%) with severe depression. There were no differences in age, marital status, parity, menstrual cycle, and duration of treatment between endometriosis patients with and without depression (p > 0.05). There was a significant difference in cortisol levels between endometriosis patients with and without depression (p = 0.017). Endometriosis patients with cortisol levels ≤ 7.4 mg/dl were three times more at risk of depression than endometriosis patients with cortisol levels > 7.4 mg/dl. In addition, there was a significant relationship between cortisol level and depression status (OR = 3.023 (95% CI 1.153–7.942; p = 0.041). This study also found a significantly low negative correlation between cortisol levels and BDI scores (r = -0.249; p = 0.032). Conclusion: There was a significant relationship between serum cortisol levels and depression in women with endometriosis. Endometriosis patients with depression had significantly lower cortisol levels than endometriosis patients without depression.
The Role of Low Dosage Combined Oral Contraceptive Pill in Perimenopausal Women A. Abadi; Fatimah Usman; Awan Nurtjahyo; Cindy Kesty
Jurnal RSMH Palembang Vol. 2 No. 1 (2021): Jurnal RSMH Palembang
Publisher : RSUP Dr Moh Hoesin Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.726 KB) | DOI: 10.37275/jrp.v2i1.13

Abstract

The perimenopausal period refers to the time period of the menstrual cycle and endocrine changes. Usually, it starts with a variation in the menstrual cycle length and ending with FMP. The rates of unwanted pregnancies for these women are reported to be around 40–45%. Thus, contraceptive counselling and contraceptive use among perimenopausal women are important aspects of their overall health care if they are sexually active and do not wish to become pregnant. One of them is by using low dose combined oral contraceptive pill containing ethynylestradiol (EE) containing less than 50 µg EE/day. It acts by supressing gonadotropin. There are several positive effects of COC, namely pregnancy prevention; regulation of menstrual cycle; relieving menopausal symptoms; bone protection; protection against ovarian, endometrial and colorectal cancer; lipid metabolism; and blood pressure lowering effect. In contrast, the negative effects of COC are increases the risk of breast cancer, venous thromboembolism, and myocardial infarction. We presented a literature review to describe the usage of low dosage combined oral contraceptive pill as one of contraception method in perimenopausal women, including its positive and negative effects.
Tatalaksana Praktis Gangguan Haid di Praktek Sehari-hari Fatimah Usman
Conferences of Medical Sciences Dies Natalis Vol. 1 No. 1 (2019): Conferences of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sr
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (739.724 KB)

Abstract

Menstrual disorders are the most common disorders in women of childbearing age and the most common complaint in gynecological outpatient practices in several hospitals. Besides disrupting activities, menstrual disorders can be a serious problem as a life threatening condition. Menstrual disorders can be divided based on the duration and the etiology. Based on the duration of occurrence, acute and chronic can be distinguished. Etiology can be distinguished based on abnormal uterine bleeding criteria (PALM-COEIN). The management of this kind of disorder depends on the type of cause of abnormal uterine bleeding. Surgical and non-surgical management can be used as an option in the treatment of menstrual disorders. Hormonal therapy options are the most popular treatment options at present with minimal side effects and relatively affordable prices. Management of abnormal uterine bleeding aims to improve the general condition, stop bleeding, and restore the function of reproductive hormones. Stopping bleeding can be done with medical, dilatation and curettage, as well as operative measures.
INFERTILITY SCREENING Rizani Amran; Kms Yusuf Effendi; Iskandar Zulqarnain; Heriyadi Manan; Fatimah Usman; M Komarul Hakim; Vicela Patricia; Selly Rizany; Anton Rama; Achmad Fachroni
Conferences of Medical Sciences Dies Natalis Vol. 3 No. 1 (2021): Conference of Medical Sciences Dies Natalis Faculty of Medicine Universitas Sri
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.803 KB)

Abstract

Infertility is a common condition caused by the female factor, male factor, or both. Infertility problems can have a significant impact on married couples who experience them. In addition to causing medical problems, infertility can also cause economic and psychological problems. Couples who experience infertility will undergo a long process of evaluation and treatment, where this process can be both physical and psychological for the infertile couple. The aim of this article is presenting a literature study on infertility screening. Infertility affects millions of people of reproductive age worldwide and impacts family and community life. Estimates suggest that between 48 million couples and 186 million people are living with infertility. Infertility occurs in 15% of couples. Female factors cause infertility in 50-70%, and malefactors are the cause of infertility in 40-50% of couples. Given the high prevalence of malefactors in infertility heterosexual couples, medical history and early evaluation of male partners are needed. Ovulation dysfunction was defined as a history of oligomenorrhea or amenorrhea, recurrent luteal progesterone levels of less than 3 ng/mL, or both. For many women, a menstrual history is sufficient to assess ovulatory function. The clinical history can be used to assess the ovulatory cycle as most women will have regular menstrual cycles every 25–35 days. Anovulation may be associated with obesity, hypothalamic and pituitary dysfunction, PCOS, and other etiologies. Polycystic ovary syndrome is the most common cause of ovulatory infertility. Women with PCOS who have been diagnosed are at increased risk of the metabolic syndrome associated with cardiovascular events and negatively impacting pregnancy. Infertility is the failure of a couple to get pregnant for at least 12 months having regular sex without contraception, or also known as primary infertility. Secondary infertility is the inability of a person to have children or maintain a pregnancy. Idiopathic infertility refers to infertile couples who have undergone standard examinations, including ovulation tests, tubal patency, and semen analysis with normal results.
Hubungan Pola Makan dengan Risiko Terjadinya Sindrom Ovarium Polikistik pada Remaja Angela Irene; Syifa Alkaf; Eka Febri Zullisetiana; Fatimah Usman; Veny Larasaty
Sriwijaya Journal of Medicine Vol. 3 No. 1 (2020): Vol 3, No 1, 2020
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i1.66

Abstract

Sindrom Ovarium Polikistik (SOPK) merupakan gangguan endokrin yang paling umum terjadi pada wanita dengan konsekuensi luas yang memengaruhi setiap aspek kehidupan wanita, dengan angka kejadian SOPK pada remaja kurang lebih 11-26%. Lebih dari 50% pasien SOPK dikaitkan dengan sindrom metabolik termasuk obesitas, resistensi insulin, dan dislipidemia. Penelitian-penelitian terdahulu mengatakan bahwa pola makan memerankan peranan penting sebagai faktor risiko terjadinya SOPK pada remaja. Maka dari itu pengaturan pola makan sangat penting untuk memperbaiki gangguan hormonal dan efek jangka panjang akibat SOPK, sehingga perlu dilakukan analisis lebih lanjut mengenai hubungan pola makan dengan risiko terjadinya SOPK pada remaja yang berusia 15-19 tahun di Kota Palembang. Penelitian ini merupakan penelitian observasional dengan desain potong-lintang. Data yang diambil merupakan data primer pada remaja berusia 15-19 tahun di Kota Palembang. Pengambilan data pola makan pada responden dilakukan dengan kuesioner food recall. Perhitungan kalori dan makronutrien menggunakan software nutrisurvey. Diagnosis SOPK ditegakkan dengan temuan dua dari tiga kriteria Rotterdam. Dari total 150 sampel, sebagian besar dengan siklus menstruasi normal, IMT yang overweight/obese, intake kalori, konsumsi karbohidrat, dan lemak yang berlebih, konsumsi protein yang cukup, serta konsumsi serat yang kurang. Terdapat sebanyak 38 sampel (25,3%) dengan kejadian SOPK. Sampel yang mengalami SOPK, sebagian besar dengan IMT yang overweight/obese (p<0,05), intake kalori, konsumsi karbohidrat, protein, lemak yang berlebih (p<0,05), serta konsumsi serat yang kurang (p>0,05). Terdapat hubungan yang bermakna antara intake kalori, konsumsi karbohidrat, protein, dan lemak yang berlebih, serta konsumsi serat yang kurang dan risiko terjadinya Sindrom Ovarium Polikistik (SOPK) pada remaja yang berusia 15-19 tahun di Kota Palembang.
The Relationship between Menstrual Patterns and Pain Scale in Endometriosis Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia Fatimah Usman; Megan Reginia Rusli; Eka Handayani Oktharina; Kemas Yusuf Effendi; Syifa Alkaf
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 17 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i17.714

Abstract

Background: Endometriosis is a disease characterized by the presence of tissue resembling the endometrium (uterine lining) outside the uterus. This causes a chronic inflammatory reaction that can result in the formation of scar tissue in the pelvis and other parts of the body. Pain is the most common clinical complaint in cases of endometriosis. Pain during menstruation is often confused with pain due to endometriosis, so treatment delays often occur. This study aimed to determine the relationship between menstrual patterns and pain in endometriosis patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. Methods: This was cross-sectional analytic observational study. A total of 55 research subjects participated in this study. Data analysis was carried out with the help of SPSS version 25 software in univariate and bivariate. Results: Menstrual cycle, duration, color, and volume of menstrual blood are not related to pain intensity in endometriosis patients. Conclusion: There is no relationship between menstrual patterns and pain in endometriosis patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.
The Correlation Between CYP19 Levels, VAS of Dysmenorrhea, and the Grading Score ASRM of Endometriosis Fatimah Usman; Muhammad Komarul Hakim; Heriyadi Manan; Mgs. Irsan Saleh
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 2 Juli 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v6.n2.503

Abstract

Objective: We aim to assess the correlation between the CYP19 level, the visual analogue scale (VAS) pain and endometriosis American Society for Reproductive Medicine (ASRM)  grading scale.Method: An observational analytic study with a cross–sectional design was conducted at the Obstetrics/Gynecology Department, RSUP Dr. Moh Hoesin Palembang, Laboratory of Biomedical and Biomolecular of the Faculty of Medicine, Universitas Sriwijaya from July–December 2022. Subjects who were diagnosed with endometriosis and met the inclusion and exclusion criteria underwent a histopathological examination to measure the degree of disease according to ASRM. Using the same sample, the CYP19 levels were assessed by enzyme linked immunosorbent assay (ELISA). Univariate and bivariate statistical analyses were performed to see the correlation.Results: This study involved 37 subjects aged 20–48 (Mean: 32 years). We found there was a significant correlation between the degree of VAS score and ASRM grading (p<0.001). In addition, although CYP19 expression was found in ectopic endometrial tissue, there was no significant correlation between the level of CYP19 expression in the tissue and the VAS score dysmenorrhea (p= 0,618) and ASRM grading (p=0.604).Conclusion: There is no significant correlation between CYP19 levels and the degree of pain in VAS or ASRM grading in patients.Hubungan Kadar CYP19, Visual Analogue Score (VAS) Dismenorea, dan Grading Score American Society for Reproductive Medicine (ASRM) Endometriosis Abstrak    Tujuan: Penelitian ini bertujuan untuk menilai hubungan kadar CYP19, skala nyeri visual analogue scale (VAS) dan grading berdasarkan American Society for Reproductive Medicine (ASRM) pada pasien endometriosis.Metode: Sebuah studi analitik observasional dengan rancangan cross–sectional dilakukan di Bagian/KSM Obstetri Ginekologi, RSUP Dr. Moh Hoesin Palembang dan Laboratorium Biomedis dan Biomolekuler Fakultas Kedokteran Universitas Sriwijaya, pada periode Juli–Desember 2022. Subjek penelitian yang terdiagnosis endometriosis dan memenuhi kriteria inklusi dan eksklusi, dilanjutkan pemeriksaan histopatologis untuk mengukur derajat penyakit sesuai rASRM. Dengan menggunakan sampel yang sama dilakukan penilaian kadar CYP19 melalui pemeriksaan enzyme linked immunosorbent assay (ELISA). Analisis statistik univariat dan bivariat dilakukan untuk melihat hubungan tersebut. Hasil: Penelitian ini melibatkan 37 subjek dengan rentang usia 20–48 (Median: 32 tahun). Pada penelitian, terdapat hubungan yang bermakna antara derajat nyeri VAS endometriosis terhadap derajat endometriosis (p<0,001). Selain itu, walaupun ditemukan adanya ekspresi CYP19 pada jaringan endometrium ektopik, namun tidak terdapat hubungan yang bermakna antara tingkat kadar CYP19 pada jaringan dengan derajat VAS score dismenorea (p=0,618) dan derajat ASRM endometriosis (p=0,604).Kesimpulan: Tidak terdapat hubungan bermakna antara kadar CYP19 dengan derajat nyeri VAS maupun derajat ASRM endometriosis pada pasien.Kata kunci: ASRM, Kadar CYP19, Endometriosis
Distribution and Clinical Characteristics of Endometriosis in a Tertiary Referral Hospital in Indonesia: A Cross-Sectional Study Salsabilah Aisyah Putri; Yusuf Effendi; Abarham Martadiansyah; Fatimah Usman; Sonia Prima Arisa Putri
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 2 July 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i2.1094

Abstract

Objective: The objective of this study is to describe the prevalence and distribution of demographic and reproductive characteristics among patients diagnosed with endometriosis at a tertiary referral hospital in Palembang, Indonesia.Methods: This is a descriptive cross-sectional study that was conducted on secondary medical record data of women with histopathologically-confirmed endometriosis between the period of July 2022 to December 2024 to achieve the objective mentioned previously by applying total sampling. Variables analyzed included age, age at menarche, menstrual cycle pattern, disease stage based on the revised American Society for Reproductive Medicine classification, marital status, parity, and body mass index. Data were then summarized using descriptive statistics.Results: A total of 507 patients were included. The highest number of cases occurred in 2024 (57.2%). Most patients were aged between 15 – 49 years (98.4%), had menarche at 8 – 15 years (98.8%), and regular menstrual cycles (98.0%). Stage IV was predominant (61.1%). Nearly half were nulliparous (49.5%), were married (94.1%), and had normal body mass index (38.5%).Conclusion: Most patients with endometriosis in this study were of reproductive age and were predominantly diagnosed at an advanced stage with nulliparity frequently observed.Distribusi dan Karakteristik Klinis Endometriosis di Rumah Sakit Rujukan Tersier di Indonesia: Studi Potong LintangAbstrakTujuan: Penelitian ini bertujuan untuk mendeskripsikan prevalensi dan distribusi karakteristik demografi serta reproduksi pasien endometriosis di rumah sakit rujukan tersier di Palembang, Indonesia.Metode: Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan desain potong lintang menggunakan data sekunder rekam medis pasien endometriosis yang terkonfirmasi secara histopatologi periode Juli 2022 hingga Desember 2024. Variabel yang dianalisis meliputi usia, usia menarche, pola siklus menstruasi, derajat berdasarkan klasifikasi Revised American Society for Reproductive Medicine, status pernikahan, paritas, dan indeks massa tubuh. Data dianalisis menggunakan statistik deskriptif.Hasil: Hasil penelitian menunjukkan bahwa sebanyak 507 pasien memenuhi kriteria. Kasus terbanyak ditemukan pada tahun 2024 (57,2%). Mayoritas pasien berusia 15 – 49 tahun (98,4%), usia menarche 8 – 15 tahun (98,8%), dan siklus menstruasi teratur (98,0%). Stadium IV mendominasi (61,1%). Sebanyak 49,5% pasien merupakan nulipara, 94,1% telah menikah, dan 38,5% memiliki indeks massa tubuh normal.Kesimpulan: Sebagian besar pasien endometriosis dalam penelitian ini merupakan wanita usia reproduktif dan terdiagnosis pada stadium lanjut dengan nuliparitas sebagai karakteristik yang sering ditemukan. 
Co-Authors A. Abadi Abarham Martadiansyah Abdullah Sahab Achmad Fachroni Adnan Abadi Angela Irene Anton Rama Aria Indrabrata Awan Nurtjahyo Cindy Kesty Eka Febri Zullisetiana Eka H. Oktharina Heriyadi Manan Heriyadi Manan Iskandar Zulqarnain Iskandar Zulqarnain Kemas Yusuf Effendi Kms Yusuf Effendi Kms Yusuf Effendi M Komarul Hakim Megan Reginia Rusli Mgs. Irsan Saleh Muhammad Komarul Hakim Rizani Amran Rizani Amran Salsabilah Aisyah Putri Selly Rizany Selly Rizany Siti Chodijah Sonia Prima Arisa Putri Syifa Alkaf Syifa Alkaf Theodorus Veny Larasaty Vicela Patricia