Background: Preterm birth is a major contributor to perinatal morbidity and mortality, with substantial immediate and long-term consequences for newborns. The present study was undertaken to assess the association between multiple pregnancy and preterm birth and to compare gestational age at delivery between singleton and multiple pregnancies among women attending a tertiary-care hospital in Bangladesh. Methods: This hospital-based observational study was conducted at the Department of Obstetrics and Gynaecology, Dhaka Medical College Hospital, Dhaka, Bangladesh, from January to June 2019 among 60 pregnant women. Sociodemographic and pregnancy-related data were collected, and preterm birth was defined as delivery before 37 completed weeks. Data were analyzed using frequencies, percentages, and the chi-square test, with p<0.05 considered statistically significant. Results: Among 60 participants, most were aged 21–25 years (35.0%), urban residents (56.7%), had secondary education (41.7%), and were multigravida (55.0%). Singleton pregnancies comprised 75.0%, while multiple pregnancies comprised 25.0%. Overall, 41.7% delivered preterm, predominantly at 32–36 weeks (28.3%). Preterm birth was significantly higher in multiple than singleton pregnancies (80.0% vs. 28.9%, p<0.001), with multiple pregnancies showing a greater concentration of deliveries before 37 weeks. Conclusion: Multiple pregnancy was significantly associated with an increased risk of preterm birth and earlier gestational age at delivery.

Infertility affects a significant proportion of reproductive-age couples worldwide, with multifactorial etiologies including hormonal imbalance, structural abnormalities, endometriosis, and psychosocial stress. Despite advancements in assisted reproductive technologies such as in vitro fertilization (IVF), repeated implantation failure remains a major clinical concern, often associated with both physiological and psychological determinants. This case report describes a 31-year-old female with primary infertility and underlying endometriosis who experienced two unsuccessful IVF cycles. Prior to a subsequent IVF attempt, corrective hysteroscopic intervention for cervical factors was performed. In addition, Yoga Prana Vidya (YPV), a non-touch, biofield-based complementary therapy, was introduced alongside conventional treatment. The YPV intervention included structured energy-based protocols aimed at emotional regulation, stress reduction, and targeted energizing of reproductive-related energy centers. During this cycle, the patient demonstrated improved psychological stability and reduced perceived stress. The third IVF cycle resulted in successful conception. The observed temporal association suggests that YPV may have a supportive role in modulating psychophysiological parameters relevant to implantation success

Background: Infertility affects approximately one in seven couples worldwide. IUI is a commonly used assisted reproductive technique, with success influenced by maternal age, ovarian response, infertility duration, and sperm quality. As evidence on age-related IUI outcomes in Bangladesh is limited, this study assessed IUI success according to maternal age among patients attending an infertility center in Rangpur. Methods: A retrospective observational study was conducted at LAB a One Infertility and IUI Center, Rangpur, Bangladesh, from July 2025 to June 2026. A total of 48 women aged 21–40 years undergoing IUI were included. Ovarian stimulation was performed using letrozole, clomifene, or FSH/HMG, followed by hCG triggering. Post-wash sperm count and motility were recorded. Maternal age was categorized as <30 and ≥30 years, and pregnancy following IUI was the primary outcome. Data were analyzed using IBM SPSS Statistics version 27 and presented as frequencies and percentages; p<0.05 was considered statistically significant. Results: Among 48 patients, 62.5% were <30 years, with 25–29 years being the most common age group (47.9%). Letrozole-based stimulation was most frequently used (52.1%), followed by clomifene (27.1%) and FSH/HMG (20.8%); all patients received hCG triggering. The overall pregnancy rate was 20.8%, with a higher rate among women <30 years than those ≥30 years (26.7% vs. 11.1%). Of the 10 pregnancies, 80.0% occurred in women <30 years. Overall, younger women showed more favorable observed IUI pregnancy outcomes. Conclusion: IUI demonstrated a 20.8% overall pregnancy rate, with more favorable outcomes observed among women younger than 30 years. Maternal age may be an important consideration when counseling couples regarding expected IUI success.

Background: Abnormal uterine bleeding describes any variation from normal bleeding patterns in nonpregnant, reproductive-aged women beyond menarche lasting for at least 6 months. The management of abnormal bleeding can involve many decisions about diagnosis, aetiology and treatment, which often occur simultaneously and without the benefit of comprehensive, evidence-based guidelines. The purpose of the study was to evaluate and detect the causes of Abnormal Uterine Bleeding and its Management in a Tertiary Level Hospital. Methods: This is a cross-sectional type of descriptive study, conducted in Shaheed Suhrawardy Medical College Hospital over six-month duration. Sample was selected by purposive sampling technique. Women with abnormal uterine bleeding admitted in Obstetrics and Gynaecology Department, Shaheed Suhrawardy Medical College Hospital were included. Total100 patients were included. Results: In this study, the maximum numbers of cases (52.0%) were between 36-45 years age group. Mean age was 34.57 ± 9.27 years. Per vaginal bleeding was most common symptoms, present in 100% cases; next common symptoms were abdominal pain (76%), lump in lower abdomen (26%). On evaluation of types & causes of AUB, maximum patient belongs to AUB-L (leiomyoma) group (40%) followed by AUB-A (adenomyosis) (20%); AUB-P (polyp) (8%); AUB-O (ovulatory) (30%) and AUB-M (malignancy) (2%). Total abdominal hysterectomy only done in 31.0% patients, total abdominal hysterectomy with unilateral salpingo-oophorectomy was done in 9.0% patients and total abdominal hysterectomy with bilateral salpingo-oophorectomy was done in 60% patients. Conclusion: Present study concluded that most common cause of AUB was leiomyoma followed by adenomyosis. This classification system helps in understanding various exact etiological causes of AUB and can be used by the clinicians, investigators and even patients themselves to facilitate communication, clinical care and research. For this reason we strongly recommend adoption of this classification for AUB and HMB.