Person: ATEŞ, SEDA
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- PublicationMetadata onlyCardiometabolic profiles in women with adenomyosis(2022-07-01T00:00:00Z) ATEŞ, SEDA; Aydin, Serdar; ÖZCAN, PINAR; ATEŞ, SEDA; ÖZCAN, PINARThe aim of this study was to investigate the reproductive profiles, metabolic parameters and cardiometabolic risk assessed by surrogate indexes in women with adenomyosis. Ninety-six premenopausal women who were diagnosed with adenomyosis by transvaginal ultrasound and 97 age-body mass index (BMI) matched controls with normal ultrasound during routine examination were included. Women with adenomyosis were more likely to have higher gravidity and had more abortions than women without adenomyosis. Regarding the individual metabolic syndrome components, the adenomyosis group was more likely to have higher prevalence of hypertension, low HDL-C and central obesity. No significant difference was found between the groups in terms of visceral adiposity index, lipid accumulation product and fatty liver index. Only higher blood pressure (BP) remained statistically significant after adjustment for confounding factors in multivariate analysis. Women with adenomyosis had remarkably high risk of hypertension. It may be advisable to monitor their BP closely.Impact Statement What is already known on this subject? The only anthropometric characteristic assessed in women in relation to adenomyosis is body mass index (BMI). A case-control study showed that women who are obese are more likely to have adenomyosis. The gravidity, number of spontaneous abortions and previous uterine surgeries such as dilatation and curettage (D&C) and caesarean section were found significantly associated with adenomyosis. What do the results of this study add? A remarkable finding of our study was the increased incidence of higher systolic BP in women with adenomyosis. No difference was observed in adiposity indices between women with and without adenomyosis. Higher prevalence of central obesity and lower HDL-C levels were seen in women with adenomyosis. What are the implications of these findings for clinical practice and/or further research? The study identifies that adenomyosis is associated with an increased risk of hypertension, and women with adenomyosis may be monitored closely for blood pressure changes. Our report also provides novel information about the metabolic risk profiles associated with adenomyosis.
- PublicationMetadata onlyClinical and metabolic characteristics of adolescents with different phenotypes of polycystic ovary syndrome(2016-05-21T00:00:00Z) ATEŞ, SEDA; AYDIN, SERDAR; ÖZCAN, PINAR; SOYMAN, ZEYNEP; ŞEVKET, OSMAN; ATEŞ, SEDA; AYDIN, SERDAR; ÖZCAN, PINAR; ŞEVKET, OSMAN
- PublicationMetadata onlySleep, depression, anxiety and fatigue in women with premature ovarian insufficiency(2022-05-01T00:00:00Z) ATEŞ, SEDA; Aydin, Serdar; ÖZCAN, PINAR; BAKAR, Rabia Zehra; ÇETİN, ÇAĞLAR; ATEŞ, SEDA; ÖZCAN, PINAR; BAKAR, RABIA ZEHRA; ÇETİN, ÇAĞLARPurpose To assess sleep disturbances, levels of anxiety, depression and fatigue in women with premature ovarian insufficiency (POI). Materials and methods The study included 62 women with POI and 62 age-matched controls. Women in both groups completed questionnaires. Pittsburgh Sleep Quality Index, Insomnia severity index, Epworth Sleepiness Scale, Hospital Anxiety and Depression Scale and Fatigue Severity Scale were used. Results We found poor sleep quality, higher levels of insomnia in women with POI than in controls. Depression was much more prevalent and severe in POI women. Total anxiety score, the severity of anxiety and fatigue did not differ significantly between the groups. According to the multivariable logistic regression analysis, being married and having POI were associated with worse quality of sleep, and having more children was associated with an increase in depression levels in the whole cohort. Backward analysis showed that when POI status was taken as a reference, married women were at 6.5 fold increased risk of poor sleep quality. Conclusions Women with premature ovarian failure are more likely to suffer from poor sleep quality, insomnia and depression than healthy women.
- PublicationMetadata onlyCytogenetic analysis of 65 women with premature ovarian insufficiency Prematür Over Yetmezliği Tanısı Alan 65 Kadında Genetik Analiz Sonuçları(2016-09-01) ATEŞ, SEDA; ÖZCAN, PINAR; YEŞİL, GÖZDE; ATEŞ, SEDA; ÖZCAN, PINAR; YEŞİL, GÖZDE
- PublicationMetadata onlyPrematür Over Yetmezliği Tanısı Alan Kadınlarda Genetik Analiz Sonuçları(2015-05-28T00:00:00Z) ATEŞ, SEDA; ÖZCAN, PINAR; YEŞİL, GÖZDE; ATEŞ, SEDA; ÖZCAN, PINAR; YEŞİL, GÖZDE
- PublicationMetadata onlyBENİGN NEDENLERLE HİSTEREKTOMİ YAPILAN OLGULARIN HİSTOPATOLOJİK KORELASYONU(2015-05-11T00:00:00Z) ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR; SARIOĞLU YARDIMCI, ELİF ASLI; ŞEVKET, OSMAN; ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR; SARIOĞLU YARDIMCI, ELİF ASLI; ŞEVKET, OSMAN
- PublicationMetadata onlyHistopathological Analysis of 422 Nononcological Hysterectomies in a University Hospital(2015-05-01) ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR; SARIOĞLU YARDIMCI, ELİF ASLI; KARACA, NİLAY; KILIÇ, GÖKHAN; ŞEVKET, OSMAN; ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR; SARIOĞLU YARDIMCI, ELİF ASLI; KILIC, GÖKHAN; ŞEVKET, OSMAN
- PublicationMetadata onlyIs cephalad caudad blunt expansion of the low transverse uterine incision really associated with less uncontrolled extensions to decrease intra operative blood loss A prospective randomised controlled trial(2016-06-01) CAN GÜNER, MELTEM; ÖZCAN, PINAR; ATEŞ, SEDA; BATMAZ, GONCA; KILIÇ, GÖKHAN; ÖZCAN, PINAR; ATEŞ, SEDA; KILIC, GÖKHANObjective: To determine which type of blunt expansion of a low transverse uterine incision during operative delivery is associated with decreased blood loss and intra- and post-operative morbidity for a caesarean section (CS).Methods: The prospective randomised-controlled trial was conducted at the Department of Obstetrics and Gynecology, Bezmialem University Hospital. The patients were randomly assigned to a group that received a cephalad-caudad (n=55) or transverse (n=57) blunt expansion of the low transverse uterine incision. Intra- and post-operative morbidity at caesarean delivery in short-term including blood loss, operating time, post-operative pain with the faces pain rating scale, and post-operative morbidity were analysed.Results: The changes in both haemoglobin (p0.05, 95% CI 0.19, 1.63).Conclusion: Our findings suggest that cephalad-caudad blunt expansion of the low transverse uterine incision decreases blood loss compared to transverse blunt dissection.
- PublicationMetadata onlyDifferences in clinical characteristics for the determination of adenomyosis coexisting with leiomyomas(2015-10-28T00:00:00Z) ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR; KARACA, NİLAY; ATEŞ, SEDA; ÖZCAN, PINAR; AYDIN, SERDAR
- PublicationOpen AccessVitamin D status in the first-trimester: effects of Vitamin D deficiency on pregnancy outcomes(2016-01-01) Ates, SEDA; Sevket, OSMAN; ÖZCAN, PINAR; ÖZKAL, Fulya; Kaya, MEHMET ONUR; Dane, Banu; ATEŞ, SEDA; ŞEVKET, OSMAN; ÖZCAN, PINAR; KAYA, MEHMET ONUR; KILIÇOĞLU DANE, PAKİZER BANUObjective: To assess serum levels of 25-hydroxyvitamin D [25(OH)D] in the first trimester and to determine the factors affecting deficiency levels and its association with pregnancy outcomes. Methods: Serum 25(OH)D concentrations were measured at 11-14 weeks' gestation in 229 singleton pregnancies using liquid chromatography-tandem mass spectrometry. Results: The median serum 25(OH)D concentration was 10.8 ng/mL and 45.9% of women had severe vitamin D deficiency with concentrations of <10 ng/mL. Logistic regression analysis revealed that covered dressing style, lack of multivitamin intake, season of blood sampling (November-April) were factors associated with 25(OH)D deficiency. There was a negative correlation between 25(OH)D levels and gestational age at sampling. Low 25(OH)D levels were not associated with adverse pregnancy outcomes. Higher rate of cesarean section (CS) was noted in women with 25(OH)D ≥10 ng/mL compared to those with 25(OH)D < 10mg/ml (p= 0.01). Conclusion: A high prevalence of vitamin D deficiency was observed in early pregnancy which was related to dress code, use of multi-vitamins and season at sampling. Low 25(OH)D levels were not related with adverse pregnancy outcomes. Women with severe vitamin D deficiency were more likely to deliver vaginally.