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Genital Ambiguity in a 46, XY individual : a Rare Case Zata Yuda Amaniko; Yuad, Haviz
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.153-160.2025

Abstract

Introduction: Ambiguous genitalia/disorders of sexual development (DSD) is a disorder of sexual development that is atypical chromosomally, gonadally and anatomically, which is generally characterized by the presence of unclear external genitalia, which can cause biological, social and psychological problems in the patient. as well as family. Objective: To report a rare case of 46 XY disorders of sexual development. Case Report: A 20 years old patient was reported with complaints of primary amenorrhea, breasts that had not yet grown and genitals resembling male genitals. Through physical examination, fine hair appeared above the lips, acne, prominent thyroid cartilage, mammary tanner stage M1, and a structure resembling a penis on the genitalia. The patient was examined according to the algorithm for patients with DSD, namely an ultrasound examination with the result that no gonads were found, then the patient underwent a karyotyping examination with results of 46 XY. In the investigation, it revealed LH: 58.45 mIU/ml, FSH: 57.74 mIU/ml, testosterone: 228 ng/dl. Next, the patient is planned for further imaging examinations. Conclusions: DSD is genetically heterogeneous and careful assessment by a multidisciplinary team is essential to accurately diagnose DSD. Many forms of DSD go undiagnosed. It is important for physicians to have a clear decision-making pathway in evaluating patients with DSD Keywords: Disorders of Sexual Development, Ambiguous Genitalia, 46 XY
Comparison of Vaginal Microbiota Profiles in Patients With Endometriosis and Without Endometriosis Sef Zani Meria; Yuad, Haviz; Putra, Andani Eka
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.74-85.2025

Abstract

Introduction: Endometriosis is a complex gynecological disease affect 10% of women in reproductive age, involving inflammation and immune regulation. Diversity of vaginal microbiota is an integral part of vaginal microecology with vaginal anatomy, endocrine system and local vaginal immunity. The disruption in microecology, dysbiosis, is known to trigger inflammatory diseases. The relationship between vaginal dysbiosis and endometriosis remains controversial Objective: To determine the comparison of vaginal microbiota profiles in patients with and without endometriosis Method: The study was case-control design on patients with and without endometriosis at Dr. M. Djamil Hospital, conducted from December 2023 to June 2024 at Dr. M. Djamil Hospital Polyclinic and the Center for Infectious Disease Diagnostic and Research Laboratory. The diagnosis of endometriosis was confirmed via ultrasonography and histology. Microbiota were measured with miSeq Illumina Next Generation Sequencing. A comparison of microbiota profiles was carried out using the Mann-Whitney test. Results: There were 40 respondents, with endometriosis (n=20) and without endometriosis (n=20). At the phylum level, the vaginal microbiota profile in the endometriosis group was dominated by Firmicutes, Proteobacteria, Actinobacteria, and Bacteroidetes, while in without endometriosis group dominated by Firmicutes, Actinobacteria, Bacteroidetes, and Proteobacteria. At the genus level, the endometriosis group was dominated by Lactobacillus sp., Desulfovibrio sp., Flavobacterium sp., and Gardnerella sp., while without endometriosis group were Lactobacillus sp., Prevotella sp., Desulfovibrio sp., and Bifidobacterium sp. There was no difference in the abundance of microbiota (p>0.05) Conclusion: There was no difference in the abundance of microbiota between endometriosis group and without endometriosis group.   Keywords: Endometriosis, dysbiosis, vaginal microbiota, Lactobacillus, Flavobacterium, Firmicutes, Proteobacteria