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Fulltext Antenatal myomectomy: is it safe?

Nor Amirawati, A., Anizah, A., Shafiee, M,N.

Journal of Surgical Academia, 2017;7(2):46-48.
MyJurnal

Myomectomy is rarely performed in pregnancy due to risk of miscarriage or pregnancy loss, bleeding and possible
hysterectomy. Myomectomy is mainly reserved for unavoidable indications such as rapidly growing fibroid or severe
pain with possiblity of red degeneration for which medical treatment failed. However, good outcome had been
reported in selective second trimester myomectomies.
Fulltext The puberty profile of female adolescents in Cheras, Malaysia

Zainuddin, A.A., Anizah, A., Fong, A.H., Nur Azurah, A.G., Aiman, H., Siti Nazirah, M.S., et al.

JUMMEC, 2018;21(2):64-69.
MyJurnal

Objectives: The objectives of our study were to determine the mean age of onset of thelarche and menarche,
to determine the ages of each stage of puberty and to investigate if there are any ethnic differences in these
ages amongst female adolescents in Kuala Lumpur, Malaysia.
Methods: This was a cross-sectional study involving three secondary schools in Cheras, Kuala Lumpur. A total of
730 students were recruited via stratified random sampling. Self-administered survey forms on menstruation
and puberty were used.
Results: Out of 730 recruited respondents, 385 (52.74%) completed the survey and informed consents were
obtained from their parents/legal guardians. Our respondents’ ages ranged between 13 to 17 years old with
the median (IQR) age of 14.00(2.00) years. With regards to ethnicity, 329 (85.50%) were Malay, 46 (11.90%)
were Chinese, 9 (2.30%) were Indian and 1(0.30%) was a Bajau. The mean age for breast development
(thelarche) and menarche were 11.72 ±1.10 and 11.97±1.11 years respectively. The majority, 363 (94.30%),
out of 385 respondents had attained menarche. There appeared to be a later onset of puberty amongst
Malays comparatively.
Conclusion: The mean ages of pubertal onset and menarche amongst female adolescents in the Cheras area
are similar to those reported worldwide.
The Missing Uterus, the Missed Diagnosis, and the Missing Care. Mayer-Rokitansky-Küster-Hauser Syndrome in the Lives of Women in Malaysia

Hatim H, Zainuddin AA, Anizah A, Kalok A, Daud TIM, Ismail A, et al.

J Pediatr Adolesc Gynecol, 2021 Apr;34(2):161-167.
PMID: 33189898 DOI: 10.1016/j.jpag.2020.11.009

STUDY OBJECTIVE: To explore the effect of the diagnosis of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome on affected Malaysian women.
DESIGN: Qualitative study with a quantitative component.
SETTING: Pediatric and adolescent gynecology unit at Universiti Kebangsaan Malaysia Medical Centre, Malaysia.
PARTICIPANTS: Twelve women with MRKH.
INTERVENTIONS: Face-to-face interview and short questionnaire.
MAIN OUTCOME MEASURES: Thematic analysis was used to understand participants' experiences.
RESULTS: There were 7 themes identified: (1) delayed diagnoses; (2) doctors' roles and attitudes; (3) gender identity; (4) family and society's response; (5) reaction toward infertility; (6) managing sexual intimacy; and (7) coping mechanisms. Several participants consulted their physicians regarding their primary amenorrhea at an opportunistic setting. When they were referred to the gynecologists, they were dismayed at the lack of information given. The term, "MRKH" plays an important role to ease information-seeking. Participants felt that the doctors were insensitive toward them. Mental illness is a significant complication of MRKH. All participants acknowledged that infertility was the hardest part of the condition. The importance of blood lineage affects their outlook on childbearing options. Some were afraid of sexual intimacy and worried that they would not be able to satisfy their partners. Participants gained support and bonded with their counterparts in the MRKH support group.
CONCLUSION: A multidisciplinary approach including medical, psychological, and social support is essential for the management of MRKH. Adequate information and sexual education plays the utmost importance in preventing social-related complications of MRKH.

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