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All Journal Majalah Kedokteran Bandung Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Majalah Obstetri dan Ginekologi The Indonesian Biomedical Journal Universa Medicina Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) eJournal Kedokteran Indonesia Jurnal Kedokteran Meditek
Achmad Kemal Harzif
Obstetric And Gynecology Department, Faculty Of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Detection of Uterine Cavity Pathology in Subfertile Women Prior to In Vitro Fertilization Using Transvaginal Sonography and Office Hysteroscopy Nadya Lusiana; Retno Asti Werdhani; Mila Maidarti; Achmad Kemal Harzif; Kanadi Sumapraja; Atika Mahira Yanfaunnas; Irfan Arieqal Hatta Ampri; Natasha Talya; Gita Pratama
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2795

Abstract

Objective: To compare transvaginal sonography (TVS) and office hysteroscopy in detecting uterine cavity pathology in subfertile women prior to in vitro fertilization (IVF).Methods: This retrospective cross-sectional study included 104 subfertile women who underwent both TVS and office hysteroscopy at the Yasmin IVF Clinic, Dr. Cipto Mangunkusumo Kencana Hospital, Jakarta. Findings from TVS and hysteroscopy were compared with histopathological results for chronic endometritis, endometrial polyps, submucosal fibroids, and endometrial hyperplasia. Findings of uterine septum and intrauterine synechiae on TVS were compared with hysteroscopy as the reference standard. Results: Office hysteroscopy detected chronic endometritis in 16.3% of subjects, with a sensitivity of 33% and specificity of 68%, whereas TVS did not identify any cases. Submucosal fibroids were detected by both modalities with identical specificity (100%) and sensitivity (75%). Endometrial polyps were identified in 47.1% of cases by hysteroscopy and 15.4% by TVS. TVS demonstrated higher specificity (88% vs. 35%), although both modalities showed low sensitivity (15% for TVS vs. 50% for hysteroscopy). Both methods accurately detected endometrial hyperplasia, showing high specificity (97%). Uterine septum and intrauterine synechiae were detected exclusively by hysteroscopy. Conclusion: Both TVS and office hysteroscopy are effective in detecting submucosal fibroids and endometrial hyperplasia. However, only hysteroscopy can identify chronic endometritis, uterine septum, and intrauterine synechiae, while TVS demonstrates higher specificity for detecting endometrial polyps. Histopathology remains the gold standard, and office hysteroscopy provides important complementary diagnostic value prior to IVF. Keywords: in vitro fertilization, office hysteroscopy, sub-fertility, transvaginal sonography
Impact of dysmenorrhea on exam performance, concentration, school activities and absenteeism on female high school students in Jakarta, Indonesia Achmad Kemal Harzif; Aisyah Retno Puspawardani; Nafi’atul Ummah; Thalia Amila Elsiyana; Sabihisma Nafsiah Putri Hermawan; Patricia Alika Kurniawan; Intan Indah Permatasari
Majalah Obstetri & Ginekologi Vol. 34 No. 2 (2026): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I22026.165-172

Abstract

HIGHLIGHTS More than half of the female students experienced moderate to severe dysmenorrhea, which significantly affected their exam performance, concentration, school participation, and daily activities. Early management and supportive interventions are essential to reduce the negative academic and functional impact of dysmenorrhea among adolescent students.   ABSTRACT Objective: This study aimed to assess how dysmenorrhea affects exam performance, concentration, school participation, absenteeism, and daily activities among female high school students in Jakarta. Materials and Methods: This cross-sectional study was conducted at Senior High School 61 Jakarta and involved students from the first and second grades. Eligible participants were those who had experienced menarche, while students with regular analgesic use or chronic medical conditions that could affect academic performance were excluded. A modified questionnaire assessed menstrual perceptions and menstrual impact. Demographic data were presented, and relationships between dysmenorrhea and exam performance, concentration, school participation, absenteeism, and daily activities were analyzed using Spearman’s rank correlation. Results: A total of 130 participants were included in the study; regular menstrual cycles were reported by 70.8% of participants, 72.3% had normal cycle lengths, and 80% had normal menstrual duration. Moderate to very severe dysmenorrhea was reported, most commonly described as a squeezing sensation (52.3%), and 93% of female students perceived dysmenorrhea as normal. Dysmenorrhea affected exam performance (19.2%), concentration (11.5%), school participation (32.3%), and daily activities (15.4%), while absenteeism was mostly absent (86.9%). Pain intensity of dysmenorrhea showed significant negative correlations with exam performance (r = 0.181, p = 0.040), concentration (r = 0.312, p < 0.001), school participation (r = 0.227, p = 0.009), absenteeism (r = 0.230, p = 0.009), and daily activities (r = 0.242, p = 0.006). Conclusion: Dysmenorrhea is highly prevalent among adolescent students and significantly affects their academic performance, concentration, school participation, and daily activities, emphasizing the importance of early management and supportive interventions to minimize its impact on overall well-being.
Co-Authors Agustina, Elizabeth Aisyah Retno Puspawardani Amalia Shadrina Ampri, Irfan Arieqal Hatta Andon Hestiantoro Anton Tanjung Aprilia Asthasari Siregar Atika Mahira Yanfaunnas Bagastoro, Aswan Budi Wiweko Chiprion, Ariel Timy Christopher Yo, Edward Faradina, Anindita Abigail Ferry Sandra Franciska, Shelly Gita Pratama Handika Zulimartin Intan Indah Permatasari Irfan Arieqal Hatta Ampri Irzanti, Alisha Nurdya Juliana Sari Harahap Kanadi Sumapradja Kanadi Sumapraja Kartiwa Hadi Nuryanto Lethulur, Shindie Dona Kezia Mila Maidarti Muharam, R Muthalib, Aidrus Mutia, Heidi Dewi Nadya Lusiana Nafi’atul Ummah Natasha Talya Nurbaeti, Putri Nurdya Irzanti, Alisha Patricia Alika Kurniawan Prasetya, David Eka Prini Diandara Garinasih Puspawardani, Aisyah Retno R. Muharam R. Muharam Raden Muharam Natadisastra Raymond Surya Retno Asti Werdhani Riyan Hari Kurniawan Sabihisma Nafsiah Putri Hermawan Saraswati, Jaya Sayogo, Atikah Silvana, Vita Silvia werdhy lestari Talya, Natasha Thalia Amila Elsiyana Tyagitha, Galuh Anindya Ummah, Nafi'atul Yanfaunas, Atika Mahira Yanfaunnas, Atika Mahira Yo, Edward Christopher