Abnormal aminotransferase activity in women with polycystic ovary syndrome

Alanine aminotransferase (ALT) activity was abnormal in 30% of 70 female infertility patients with polycystic ovary syndrome in whom causes other than nonalcoholic fatty liver disease were excluded by history and serum testing. Women with elevated ALT had significantly higher body mass index, waist circumference, serum triglycerides, total cholesterol-to-HDL-cholesterol ratio, and degree of insulin resistance.

Familial premature ovarian failure

Premature menopause, ovarian failure younger than 40 years of age, is relatively rare but may preclude childbearing for some women who delay attempts at fertility. We present five kindreds in which a genetic association for premature ovarian failure is strongly suggested. Transmission is either autosomal or (less likely) X-linked dominant in these examples. Chromosomal abnormalities, history of diseases, and toxic chemical or viral exposures previously associated with premature ovarian failure could not be demonstrated in these women. This suggests that these kindreds all represent familial idiopathic premature ovarian failure. These data support the need for menopausal histories on both sides of the family for women seeking to postpone reproduction, as well as for patients with ovarian failure.

Sinusoidal fetal heart rate pattern with intrapartum fetal death

A case of sinusoidal fetal heart rate pattern with intrapartum fetal death is presented. This pattern has been observed infrequently during both the antepartum and intrapartum periods. Not all sinusoidal patterns may be ominous. A reasonable plan of management includes maternal position change, oxygen administration, scalp sampling and preparation for immediate delivery.