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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Indonesian Journal of Obstetrics & Gynecology Science Media Penelitian dan Pengembangan Kesehatan
Dian Tjahyadi
Department Of Obstetric And Gynaecology, Faculty Of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Medicine & Pharmacology Public Health

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The Relationship of Age, Parity and Body Mass Index as Risk Factors to the Incidence of Uterine Myoma in Dr. Hasan Sadikin General Hospital Ilma, Nurul; Tjahyadi, Dian; Judistiani, Tina Dewi
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.167 KB)

Abstract

Background: Uterine myoma is a benign gynecological tumor which is commonly occurred in women. The incidence of uterine myoma in the world is 20–35% while in Indonesia is about 2.4–11.7%. Age, parity, and body mass index are correlated with the incidence of uterine myoma. This study aimed to determine the relationship among those factors towards uterine myoma, and to identify the prognostic value of body mass index in order to prevent uterine myoma.Methods: A case-control study was conducted to examine 394 medical records of patients with uterine myoma at Department of Obstetrics and Gynecology Dr. Hasan Sadikin General Hospital Bandung from 2006 to 2011.  The case group were 133 and the control group were 261. The data were the subject’s weight, height, age, and parity. The correlation among all variable and the occurrence of uterine myomas were conducted using multiple logistic regression analysis.Results: There was no different range of age between the two groups. The incidence rate ratio of parity was 2.254 (95% confidence interval:1.310–3.876), followed by body mass index>33.0 incidence rate ratio was 1.691 (95% confidence interval: 0.477–5.994). From the receiver operating characteristic curve, it could be seen that the cut-off points for body mass index was 20.44 kg/m², and the risk of uterine myomas scaled up as the increase of body mass index.Conclusions: Parity and BMI can affect the risk of uterine myomas. To prevent the incident of uterine myomas, parity must be limited and BMI must be below the cut-off points (20.44 kg/m²). DOI: 10.15850/amj.v2n3.485
The Relationship of Age, Parity and Body Mass Index as Risk Factors to the Incidence of Uterine Myoma in Dr. Hasan Sadikin General Hospital Nurul Ilma; Dian Tjahyadi; Tina Dewi Judistiani
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.167 KB)

Abstract

Background: Uterine myoma is a benign gynecological tumor which is commonly occurred in women. The incidence of uterine myoma in the world is 20–35% while in Indonesia is about 2.4–11.7%. Age, parity, and body mass index are correlated with the incidence of uterine myoma. This study aimed to determine the relationship among those factors towards uterine myoma, and to identify the prognostic value of body mass index in order to prevent uterine myoma.Methods: A case-control study was conducted to examine 394 medical records of patients with uterine myoma at Department of Obstetrics and Gynecology Dr. Hasan Sadikin General Hospital Bandung from 2006 to 2011.  The case group were 133 and the control group were 261. The data were the subject’s weight, height, age, and parity. The correlation among all variable and the occurrence of uterine myomas were conducted using multiple logistic regression analysis.Results: There was no different range of age between the two groups. The incidence rate ratio of parity was 2.254 (95% confidence interval:1.310–3.876), followed by body mass index>33.0 incidence rate ratio was 1.691 (95% confidence interval: 0.477–5.994). From the receiver operating characteristic curve, it could be seen that the cut-off points for body mass index was 20.44 kg/m², and the risk of uterine myomas scaled up as the increase of body mass index.Conclusions: Parity and BMI can affect the risk of uterine myomas. To prevent the incident of uterine myomas, parity must be limited and BMI must be below the cut-off points (20.44 kg/m²). DOI: 10.15850/amj.v2n3.485
Comparison between Two-Layer Density Gradient and Three-Layer Density Gradient Technique for Sperm Preparation at Aster Fertility Clinic, Dr. Hasan Sadikin General Hospital Nanang Winarto Astarto; Dian Tjahyadi; Sintya Jatnikasari
International Journal of Integrated Health Sciences Vol 2, No 1 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Objective: To compare the efficacy of sperm preparation techniques modified by two layer density gradient technique (80%, 40%).     Methods: Sperm preparation was performed by two- and three-layer density gradient technique by centrifugation at 500 rpm for 20 minutes using SpermGrad (Vitrolife, Sweden).    Results: The average concentration of total sperm preparation by two-layer density gradient was 23.19 million with a standard deviation of 11.9 million while the result of three-layer density gradient preparation obtained a mean total sperm concentration of 19.64 million with a standard deviation of 10.033 million. The mean total concentration of sperm in three-layer was lower than two-layer density gradient with p <0.001.Conclusions: This study concludes that there was a significant difference between the concentration of sperm prepared using two-layer and three-layers density gradient technique.Keywords: Density gradient, spermatozoa DOI: 10.15850/ijihs.v2n1.286
Perbedaan Morfologi dan Fragmentasi DNA Sperma sebelum dan sesudah Kriopreservasi dengan Metode Slow Cooling di Klinik Aster RSUP Dr. Hasan Sadikin Bandung Faizal Arif Caropeboka; Tono Djuwantono; Dian Tjahyadi; Jusuf Sulaeman Effendi; Anita Deborah Anwar; Amillia Siddiq
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 2 September 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1681.499 KB) | DOI: 10.24198/obgynia.v1n2.75

Abstract

AbstrakTujuan: Penelitian ini bertujuan untuk mengetahui perbedaan parameter fragmentasi DNA, morfologi sperma pasca proses pembekuan dengan metode slow cooling. Metode: Penelitian ini merupakan penelitian obervasional analitik dengan pendekatan pre-post design. Subjek penelitian adalah sperma dengan hasil analisis yang normal sesuai dengan standar WHO (n=25). Penelitian dilakukan di Klinik Aster RSUP Dr. Hasan Sadikin Bandung pada bulan Juli hingga Agustus 2017.Hasil: Setelah proses kriopreservasi, terdapat peningkatan fragmentasi DNA tiga kali lipat (nilai p<0,05) dan terdapat penurunan jumlah morfologi normal sebesar 50% (nilai p<0,05).Kesimpulan: Terdapat penurunan kualitas sperma pasca proses kriopreservasi dengan metode slow cooling.Difference of DNA Fragmentation, Morphology Sperm before and after Cryopreservation with Slow Cooling Method in Aster Fertility Clinic Dr. Hasan Sadikin General Hospital BandungAbstractObjective: Of this study was to compare sperm quality parameters including DNA fragmentation and morphology after cryopreservation with slow-cooling method.Method: This was an analytical observational study with pre and post design. Subjects were men whose sperm analysis met the WHO criteria of being normal (n=25). The study was conducted at the Aster Clinic of Dr. Hasan Sadikin General Hospital Bandung from July to August 2017.Results: After cryopreservation, there was a three fold increase of DNA fragmentation (with p value <0.05) and a decrease in morphology 50% (with p value <0.05).Conclusion: There is a decrease in sperm quality after cryopreservation with slow-cooling method.Key words: DNA fragmentation, morphology, slow cooling, spermatozoa
Diskrepansi Diagnosis Preoperatif dan Hasil Patologi Anatomi Postoperatif Serta Gangguan Pola Haid Pada Tuberkulosis Genital Sandi Deviano; Tono Djuwantono; Eppy Darmadi Achmad; Dian Tjahyadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 1 Maret 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n1.346

Abstract

Tujuan: Mengevaluasi diskrepansi diagnosis preoperatif dan hasil patologi anatomi postoperatif pada kasus tuberkulosis genital dan mengevaluasi gangguan pola haid yang terjadi.Metode: Penelitian ini merupakan studi deskriptif dengan pendekatan potong lintang terhadap pasien yang terdiagnosis tuberkulosis genital berdasarkan hasil patologi anatomi. Populasi diambil dari rekam medis pasien  dengan diagnosis tuberkulosis genital berdasarkan kode ICD 10 yang sesuai dalam kurun Januari 2017 hingga Juni 2021. Sampel penelitian didapat secara total sampling, sesuai kriteria inklusi dan eksklusi yang ditetapkan. Dilakukan pembandingan diagnosis preoperatif terhadap hasil patologi anatomi postoperatif. Pasien dengan hasil histopatologi tuberkulosis genital kemudian diwawancara melalui telepon untuk memnetukan pola gangguan menstruasi berdasarkan kriteria FIGO 2018.Hasil: Terdapat 11 pasien dalam studi ini. Terdapat diskrepansi diagnosis preoperatif dengan hasil patologi anatomi postoperatif pada 6 pasien (54,55%). Pada pasien tuberkulosis genital ditemukan gangguan menstruasi berupa amenorea dan oligomenorrhea. Terapi tuberkulosis lini 6 bulan diberikan kepada 3 dari 5 pasien yang terkonfirmasi tuberkulosis genital. Kesimpulan: Terdapat diskrepansi pada penegakan diagnosis preoperatif dengan hasil patologi anatomi postoperatif pada tuberkulosis genitalia. Diskrepansi ini berdampak terhadap pilihan pengobatan pasca-operasi yang adekuat. Gangguan menstruasi yang terjadi pada tuberkulosis berupa oligomenore diikuti oleh amenore. Perbaikan pola mentruasi terjadi pada pasien yang mendapatkan anti-tuberkulosis.Discrepancy of Pre Operative Diagnosis and Post Operative Pathology Result of Genital Tuberculosis and Related Menstruation AbnormalitiesAbstractObjective: To evaluate the discrepancy between preoperative diagnosis and postoperative histopathological results in genital tuberculosis cases and evaluate the related changes of  menstrual pattern. Methods: This was a descriptive study with cross-sectional approach to patients diagnosed with genital tuberculosis based on histopathological examination. Study population was taken from medical records of patients diagnosed with genital tuberculosis based on ICD 10 from January 2017 to June 2021. Total sampling method was used, with determined inclusion and exclusion criteria. Preoperative diagnosis was compared with postoperative histopathological results. Patients with histopathological result of genital tuberculosis were then interviewed via call to determine menstrual disorder patterns according to FIGO 2018 criteria.Results: There were 11 patients included in this study. Discrepancy in preoperative diagnosis and histopathological restult was found in 6 patients (54.55%). Menstrual disorders in the form of amenorrhea and oligomenorrhea were found in genital tuberculosis patients. Six-month first line tuberculosis therapy regimen was given to 3 out of 5 patients with confirmed genital tuberculosis.Conclusion: There is a large discrepancy between preoperative diagnosis and postoperative histopathological result of genital tuberculosis. This discrepancy impacted postoperative treatment options and delayed adequate tuberculosis therapy. Oligomenorrhea, followed by amenorrhea are the two main menstrual disorders in tuberculosis. Improvements in menstrual pattern were found in patients receiving complete anti-tuberculosis therapy. Key words: Uterine bleeding, Diagnostic discrepancy, Genital tuberculosis, Treatment of genital tuberculosis.
Maturation of Vaginal Epithelium and Dyspareunia Symptoms in Equol Producing and Non-Producing Menopausal Women Tita Husnitawati Madjid; Nurlina Juniar; Dian Tjahyadi; Birgitta M. Dewayani; Wiryawan Permadi; Benny Hasan Purwara; Hadi Susiarno
Indonesian Journal of Obstetrics & Gynecology Science Volume 3 Nomor 1 Maret 2020
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.013 KB) | DOI: 10.24198/obgynia/v3n1.194

Abstract

Introduction: Equol is a metabolite of soy isoflavon called daidzein which is produced by gastrointestinal tract bacteria. This research aims to analyze the maturation of vaginal epithelium and dyspareunia symptoms in producing and non-producing equol menopausal women.Method: This is a cross sectional research. Subject was a community of menopausal women who fulfilled inclusion criteria. Subjects were asked to sign a written informed consent. Subjects underwent vaginal epithelium maturation assessment and were asked whether she experienced dyspareunia. Research was conducted in January 2017.Result: There was a significant difference on the maturation of vaginal epithelium and dyspareunia symptoms between equol producing and non-producing women (p < 0.05). This research found that in equol producing menopausal women, there was a shift-to-the-right vaginal epithelium maturation with more superficial cells compared to parabasal cells produced and less dyspareunia. Meanwhile, in women who did not produce equol, there was a shift-to-the-left vaginal epithelium maturation with more parabasal cells compared to superficial cells produced and more dyspareunia.Conclusion: In equol producing menopausal women, vaginal epithelium will undergo a shift-to-the-right maturation, with more superficial cells produced compared to women who did not produce equol.Maturasi Epitel Vagina dan Gejala Dispareunia pada Wanita Menopause yang Menghasilkan Equol dan Wanita yang Tidak Menghasilkan EquolAbstrakPendahuluan: Equol adalah metabolit isoflavon kedelai yang disebut daidzein yang diproduksi oleh bakteri saluran pencernaan. Penelitian ini bertujuan untuk menganalisis maturasi epitel vagina dan gejala dispareunia pada wanita menopause yang memproduksi dan tidak memproduksi equol.Metode: Penelitian ini merupakan penelitian cross sectional. Subjek penelitian adalah sekelompok wanita menopause yang memenuhi kriteria inklusi. Subjek diminta untuk menandatangani persetujuan tertulis dan menjalani penilaian maturasi epitel vagina dan ditanya apakah mengalami dispareunia. Penelitian dilakukan pada Januari 2017.Hasil: Terdapat perbedaan yang signifikan pada maturasi epitel vagina dan gejala dispareunia antara wanita yang memproduksi equol dan yang tidak memproduksi (p <0,05). Pada wanita menopause yang memproduksi equol, terjadi pematangan epitel vagina shift-to-the-right disertai produksi sel superfisial yang lebih banyak dibandingkan sel parabasal dan lebih sedikit gejala dispareunia. Sementara itu, pada wanita yang tidak menghasilkan equol, terjadi pergeseran shift-to-the-left maturasi epitel vagina dengan produksi sel parabasal lebih banyak dibandingkan sel superfisial dan lebih sering gejala dispareunia.Kesimpulan: Wanita menopause yang memproduksi equol mengalami maturasi epitel vagina shift-to-the-right disertai produksi sel superfisial yang lebih banyak dibandingkan dengan wanita menopause yang tidak memproduksi equol.Kata kunci: Dyspareunia; equol; maturasi epitel vagina
Evaluasi Rasionalisme Penggunaan Antibiotik dengan Metode Gyssens pada Pasien Seksio Sesarea di RSUP Dr. Hasan Sadikin Bandung Periode Januari – Desember 2018 Aditya Wibowo; Muhammad Alamsyah Aziz; Jusuf Sulaeman Effendi; Dian Tjahyadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 3 Nomor 2 September 2020
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v3n2.203

Abstract

Tujuan: Mengevaluasi penggunaan antibiotik dengan metode Gyssens pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengevaluasi ketepatan waktu penggunaan antibiotik profilaksis pada pasien seksio sesarea di RSUP Hasan Sadikin Bandung pada periode Januari–Desember 2018. Mengetahui keuntungan penghematan yang diperoleh jika metode Gyssens digunakan pada periode Januari– Desember 2018.Metode: Penelitian ini merupakan penelitian deskriptif eksploratif retrospektif yang dilaksanakan di RSUP dr. Hasan Sadikin Bandung pada pasien yang dilakukan seksio sesarea. Data diambil dari rekam medis bulan Januari–Desember 2018Hasil: Pasien yang sesuai dengan metode Gyssens sebanyak 451 atau sebesar 59,5%. Untuk pasien yang menggunakan antibiotik profilaksis pre-op sebanyak 722 atau sebesar 95,3%. Sedangkan ketepatan antibiotik profilaksis yang diberikan 30 menit sebelum operasi seksio sesarea 618 pasien atau 81,5%. Penghematan yang dapat diperoleh selama tahun 2018 jika menerapkan metode Gyssens sebesar Rp 73.144.200. Kesimpulan: Penggunaan antibiotik ditemukan masih banyak yang tidak rasional, sehingga kualitas penggunaan antibiotik pada bagian obstetri Rumah Sakit dr. Hasan Sadikin Bandung masih perlu ditingkatkan.Rationalism Evaluation of the Use of Antibiotics with the Gyssens Method in Caesarean Section Patients at Hasan Sadikin General Hospital BandungPeriod January - December 2018AbstractObjective: To evaluate the use of antibiotics by the Gyssens method in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. Evaluate the timeliness of prophylactic antibiotic use in cesarean section patients at Hasan Sadikin General Hospital Bandung in the January-December 2018 period. which is obtained if the Gyssens method is used in the period January - December 2018.Method: This research was a retrospective explorative descriptive study carried out at the RSUP dr. Hasan Sadikin Bandung in patients who performed cesarean section. Data is taken from medical records from January to December 2018.Result: 451 patients or 59.5% according to Gyssens V method. For patients using prophylaxis antibiotic were 722 or 95.3%. While the accuracy of prophylactic antibiotics given 30 minutes before cesarean section was 618 patients or 81.5%. The savings that can be obtained during 2018 if applying the gyssens method is Rp. 73,144,200.Conclusion: The use of antibiotics was found to still be a lot of irrational, so that the quality of antibiotic use in the obstetrics department of Dr. Hasan Sadikin Bandung still needs to be improved.Key words: Antibiotics, quality of antibiotic use, Gyssen
Anxiety (DASS21) and the Quality of Life (FertiQol) of Infertile Women Underwent In Vitro Fertilization Dian Tjahyadi; Bayu Indrayana Irsyad; Ahmad Yogi Pramatirta; Santi Andayani
Majalah Kedokteran Bandung Vol 55, No 2 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n2.2934

Abstract

Infertility affects physical and mental health and has various consequences. In vitro fertilization (IVF) is one of the Assisted Reproductive Technology (ART) programs that include several phases, requiring longer time, more patience, and is expensive. This may make women who undergo the ART program to have higher stress level, especially anxiety. This study aimed to determine the relationship between anxiety and quality of life in infertile patients undergoing assisted reproductive technology programs. This was a cross-sectional observational analytic study performed at Aster Fertility Clinic, Dr. Hasan Sadikin General Hospital and Bandung Fertility Center, Limijati Hospital Bandung, Indonesia, from February until April 2020. The analysis was performed using the DASS21 scale and FertiQol count on 27 subjects undergoing the IVF program and 30 control subjects who were pregnant without IVF program. The statistical analyses used to determine the condition of anxiety and the condition of quality of life were the Chi-square and the Mann-Whitney tests, while the relationship between anxiety and quality of life as the main subject was measured using the Spearman correlation test. The anxiety level as measured with the DASS21 instrument in the subject and control groups was 6.2 vs 0.7 with p<0.001. From the analysis of the FertiQol instrument in the subject and control groups, the scores were 79.6 vs. 98.9 for the mind-body domain (p<0.001); 68.8 vs 98.5 for the emotional domain (p < 0.001); 83.2 vs 95.7 for the relational domain (p<0.001); and 77.6 vs 97.6 for the social domain (p<0.001). For the overall FertiQol core domains, the score was 77.3 vs 97.7 (p<0.001). The correlation between anxiety and the FertiQol total core domains were evident from the results of the Spearman correlation test, with an r-value of -0.479 (p<0.001). Therefore, there is a significant negative correlation between anxiety and quality of life.
Tubal Pathology in Infertility Tjahyadi, Dian
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.845

Abstract

Infertility is a complex reproductive issue which requires thorough evaluation and targeted intervention. A key cause of female infertility is fallopian tube dysfunction, which plays role in egg transport and fertilization. Structural damage to the tubes, including blockages, adhesions, and deformities, significantly reduces fertility potential. One major cause of tubal disease is sexually transmitted infections, especially Chlamydia trachomatis and Neisseria gonorrhoeae, which can lead to pelvic inflammatory disease (PID). 1 In regions where Mycobacterium tuberculosis infection is still prevalent, genital tuberculosis is another contributor to tubal disease, causing inflammation and eventual obstruction. Chronic infection promotes scarring, narrowing, and complete obstruction of the fallopian tubes. Additionally, endometriosis can also exacerbate tubal dysfunction by creating adhesions and disrupting normal tube anatomy
Recurrent Gonococcal Vulvovaginitis in Child: An Interesting Case Report Harjito, Vanessa Natasha; Tjahyadi, Dian; Syam, Hanom Husni; Susilo, Artha Falentin Putri
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.769

Abstract

Introduction: Vulvovaginitis is a common complaint found in gynecology outpatient clinics in prepubertal children. Gonorrhea infection in children often manifests as vulvovaginitis. The etiology of vulvovaginitis in children can be infectious and non-infectious. Complete anamnesis, appropriate physical examination, and supporting laboratory examinations are needed to determine the etiology of vulvovaginitis in patients so that therapy can be given according to the etiology.Case presentation: A 7-year-old girl was diagnosed with recurrent gonorrhea vulvovaginitis. The patient has received therapy according to the guidelines for the management of uncomplicated gonorrhea, namely single-dose ceftriaxone, single-dose cefixime, and single-dose azithromycin, but re-infection occurred. The complication in the patient was malnutrition. The patient had a history of enterobiasis and complained of worms coming out of the vagina. Therefore, fistulography and vaginoscopy procedures were performed with normal results. Conclusion: Comprehensive and multidisciplinary management of gonorrhea vulvovaginitis in children is needed to prevent recurrence and anticipate complications that may occur later. Appropriate guidance and counseling should be provided, and prevention of future episodes should be considered.Vulvovaginitis Gonore Rekuren pada Anak: Sebuah Laporan Kasus Menarik di Rumah Sakit Hasan Sadikin BandungAbstrakPendahuluan: vulvovaginitis merupakan keluhan yang sering ditemukan pada anak prepubertas di poliklinink ginekologi. Infeksi gonore pada anak-anak sering bermanifestasi sebagai vulvovaginitis. Etiologi vulvovaginitis pada anak dapat berupa infeksi dan non-infeksi. Anamnesis lengkap, pemeriksaan fisik yang sesuai, dan pemeriksaan penunjang laboratorium diperlukan untuk menentukan etiologi vulvovaginitis pada pasien sehingga dapat diberikan terapi sesuai dengan etiologinya. Presentasi kasus: seorang anak perempuan berusia 7 tahun didiagnosis dengan vulvovagitis gonore rekuren. Pasien telah mendapatkan terapi sesuai dengan pedoman tata laksana gonore non-komplikata, yaitu ceftriaxone dosis tunggal, cefixime dosis tunggal, dan azitromisisn dosis tunggal, namun terjadi re-infeksi. Penyulit pada pasien adalah malnutrisi. Pasien memiliki riwayat enterobiasis dan mengeluhkan keluar cacing dari vagina. Oleh karena itu, dilakukan prosedur fistulografi dan vaginoskopi dengan hasil normal. Kesimpulan: tata laksana vulvovaginitis gonore pada anak yang komprehensif dan multidisiplin diperlukan untuk mencegah terjadinya rekurensi dan mengantisipasi komplikasi yang mungkin terjadi di kemudian hari. Panduan dan konseling yang tepat harus diberikan, serta pencegahan episode di masa depan harus dipertimbangkan.Kata Kunci: Anak, Infeksi Gonore Rekuren, Vulvovaginitis
Co-Authors Aditya Wibowo Adlino, Luky Ahmad Yogi Pramatirta Aisyah Riseta Aini Hendrana, Aisyah Riseta Aini Alamsyah Aziz Amillia Siddiq, Amillia Anita Deborah Anwar Bayu Indrayana Irsyad Benny Hasan Purwara Birgitta M. Dewayani Djuwatono, Tono Eppy Darmadi Achmad Faizal Arif Caropeboka Fathia, Alia Salma Nour Gifari, Muhammad Aulia Hanom Husni Syam Harjito, Vanessa Natasha Hartanto Bayuaji Heriyanto, Agus Jusuf Sulaeman Effendi Jusuf Sulaeman Effendi Nanang Winarto Astarto Nurlina Juniar Nurul Ilma Nurul Ilma, Nurul Pradoto, Muhammad Edo Antariksa Prasetyo, Nogi Eko Rachmawati, Anita Raden Tina Dewi Judistiani Sandi Deviano Santi Andayani Sintya Jatnikasari Susiarno, Hadi Susilo, Artha Falentin Putri Sutrisno, Sutrisno Tita Husnitawati Madjid Tono Djuwantono Tono Djuwantono Wiryawan Permadi