A Novel Technique for Essure Reversal.
Conclusion: Essure reversal is a feasible technique for removing the device and restoring tubal patency; however, more data are needed on pregnancy outcomes following this novel procedure. PMID: 30846897 [PubMed - in process]
Abstract Objectives: In Slovenia, first-trimester abortion is performed at the woman's request, either surgically under general anaesthesia or medically with mifepristone and misoprostol, in a public hospital. Our study aimed to evaluate pre-abortion counselling and to reveal differences in acceptability and satisfaction with the two abortion methods. Methods: A cross-sectional study was carried out at Ljubljana University Medical Centre between January and June 2015. Women requesting termination of a pregnancy up to 10 weeks' gestation voluntarily completed an anonymous questionnaire after the procedure and ...
Conclusions: Severe malaria is a highly frequent event in pregnant women, without differences by Plasmodium species. It shows early recognizable dangers signs. Hospital under-reporting was identified in 88% of severe cases as well as a lack of laboratory tests for a more comprehensive diagnosis. A protocol for the clinical diagnosis of pregnant women with malaria is required. PMID: 31529822 [PubMed - in process]
Conclusion: We identified a subgroup of patients at higher risk of being infertile after the diagnosis of isthmocele and a subgroup of patients who could benefit the most in terms of fertility after minimally invasive hysteroscopic surgery. PMID: 31528130 [PubMed]
CONCLUSIONS: Our data demonstrates no association between the presence of intrauterine haematoma in the first trimester and first trimester miscarriage. However, a relationship with preterm birth independent of the presence of symptoms of pain and bleeding is evident. These women should be counseled about their increased risk of preterm birth and possibly be offered increased surveillance during their pregnancies. This article is protected by copyright. All rights reserved. PMID: 31483898 [PubMed - as supplied by publisher]
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of an excessive number of neutrophils and plasma cells in the endometrial stroma [1 –3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge, or pain during intercourse . It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation .
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of excessive number of neutrophils and plasma cells in the endometrial stroma [1-3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge or pain during intercourse . It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation .
Rationale Abdominal pain in pregnancy represents a demanding diagnostic challenge in the emergency department (ED) due to the extensive list of differential diagnoses to be considered, coupled with the possibility of each disease having nonclassical, atypical signs and symptoms, resultant from the patient's pregnant state. Additionally, emergency physicians (EPs) face limitations on investigative imaging modalities because of the need to minimize fetal radiation exposure. EPs have to tackle this diagnostic challenge while performing a balancing act to maximize both maternal and fetal outcomes in a time-sensitive manner, ...
Although adolescent pregnancy and birth rates have been declining since the early 1990s, the rate of intrauterine device (IUD) use in adolescents remain low. IUDs are a highly effective contraceptive method with a failure rate of less than 1%. There are currently 5 IUDs available and marketed in the United States: the nonhormonal copper-containing IUD (Paragard Copper T380A; Ortho-McNeil) and 4 hormonal levonorgestrel-releasing intrauterine systems (LNG-IUDs). IUDs can be used in adolescents, and the LNG-IUD has many noncontraceptive benefits including the treatment of heavy menstrual bleeding, dysmenorrhea, pelvic pain/en...
ConclusionCEP is a variant of EP with low or absent trophoblast activity. A prolonged clinical course is typical and surgery is the mainstay of treatment.
ConclusionThis review suggests a potential benefit for HIFU in the treatment of adenomyosis-related symptoms, however findings of the metanalysis were based on fewer, non-uniform studies, which did not equally account for each specific symptom/parameter across the board. Results showed there appears to be a potential of HIFU in the treatment of adenomyosis-related symptoms. To date, there are no comparative and randomized clinical trials comparing HIFU technique to other conservative treatment options. There is as yet insufficient data regarding fertility and pregnancy outcomes.