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The Advantages and Disadvantages of Uterine Artery Embolization in Women with Adenomyosis: What ’s New?
AbstractPurpose of ReviewThis review will examine the use of uterine artery embolization (UAE) for the management of adenomyosis (AUB-A) and evaluate its advantages and disadvantages.Recent FindingsIn the last 5  years, 8 articles have described UAE for the management of AUB-A. These include 2 prospective and 5 retrospective studies and 1 systematic review and meta-analysis. There are no randomised controlled trials for UAE as a treatment of adenomyosis. Recent data report a reduction in heavy menstrual bl eeding (HMB) in 80–88% of patients and a reduction in dysmenorrhoea in 76–80% of those undergoing UAE. Quality of...
Source: Current Obstetrics and Gynecology Reports - September 14, 2021 Category: OBGYN Source Type: research

Current Approach to Surgical Treatment of Ectopic Pregnancy
AbstractPurpose of ReviewThe purpose of this review is to update readers on recent surgical treatment modalities of ectopic pregnancies (EP) and their advantages vs disadvantages.Recent FindingsEP was generally managed with surgical treatment, and of the available applications, methotrexate (MTX) may be preferred for selected patients. “Wait-and-see” can be another treatment method, depending on preference or need. Surgical treatment indications are haemodynamic instability, suspected or risk of rupture, contraindications for MTX, or failure of medical treatment.SummarySalpingostomy or salpingectomy is generally the fi...
Source: Current Obstetrics and Gynecology Reports - August 30, 2021 Category: OBGYN Source Type: research

Single Versus Two-Dose Methotrexate in Ectopic Pregnancy Treatment: Meta-analysis
AbstractPurpose of Review The purpose of this meta-analysis is to compare the efficacy, success, and side effects of single-dose and two-dose methotrexate (MTX) protocols, which are two extensively administered medical protocols in ectopic pregnancy (EP) treatment.Recent Findings Two-dose protocol is relatively new proposed protocol, and especially it could be advised to decrease single-dose MTX failure rate, which is 20%. Two-dose protocol resulted in a significantly higher odds of treatment success and lower odds of treatment failure.SummaryTotally 8 publications were selected according to the predetermined eligibi...
Source: Current Obstetrics and Gynecology Reports - August 16, 2021 Category: OBGYN Source Type: research

Reproductive Aging Among Sexual Minority Women
AbstractPurpose of ReviewThe purpose of this review is to provide readers with an overview of research on reproductive aging among sexual minority women (SMW; women who do not identify as exclusively heterosexual, and report same-sex sexual behaviors or same-sex attraction).Recent FindingsSMW report health behaviors and risk profiles suggesting they may experience earlier onset of menopause and more severe menopause-related symptoms than heterosexual women. SMW may also have unique forms of resilience related to their sexual orientation that buffer the social-psychological stressors associated with menopause.SummaryNo syst...
Source: Current Obstetrics and Gynecology Reports - June 12, 2021 Category: OBGYN Source Type: research

Premature Luteinization May Impact In Vitro Fertilization Outcomes Through Dual Action on Both Uterus and Embryos
AbstractPurpose of ReviewThis review aims to provide the up-to-date knowledge of potential mechanisms behind the putative impact of premature luteinization (PL) on the in vitro fertilization (IVF) cycle outcomes and to examine whether PL can affect embryo/oocyte quality.Recent FindingsThere is growing evidence supporting the possible negative effect of PL on the oocyte/embryo quality in various ovarian response categories of IVF cycles.SummaryIt is generally accepted based on prior research that PL could affect pregnancy potential in fresh IVF cycles by impacting endometrial receptivity. PL is usually defined as serum prog...
Source: Current Obstetrics and Gynecology Reports - April 5, 2021 Category: OBGYN Source Type: research

The Use and Efficacy of Mobile Fertility-tracking Applications as a Method of Contraception: a Survey
AbstractPurpose of ReviewThe purpose of this review is to investigate the use and efficacy of fertility tracking applications as a natural contraceptive method since there has been a worldwide increase in the development and use of applications that monitor the menstrual cycle and fertility window. An anonymous online survey had been conducted in order to achieve this goal, and a total of 375 married women from Jordan responded to our survey.Recent FindingsTopics discussed include fertility awareness-based methods (FAM) of contraception in which mobile applications fall into, and their efficacy and failure rates, comparing...
Source: Current Obstetrics and Gynecology Reports - March 31, 2021 Category: OBGYN Source Type: research

Rare Types of Ectopic Pregnancies
In conclusion, when ectopic pregnancy is suspected, as well as diagnosis of ectopic pregnancy, non-tubal and other rare types should be considered when no tubal ectopic is detected. Past medical and surgical treatments of the patient should be thoroughly questioned to determine risk factors. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - January 14, 2021 Category: OBGYN Source Type: research

A Systematic Review of Palpitations Prevalence by Menopausal Status
AbstractPurpose of the ReviewThe purpose was to systematically review evidence on the prevalence of palpitations by menopausal stage. Palpitations are a feeling of missed, irregular, or exaggerated heart beats.Recent FindingsCarefully delineated search, screening, and data extraction strategies resulted in five articles for review. Articles offered cross-sectional findings from menopausal symptom surveys from five countries between 1974 and 2011 with clinic- and community-based samples of premenopausal, perimenopausal, and postmenopausal women. Reported studies were good (n = 2) to fair (n = 3) quality with low (n ...
Source: Current Obstetrics and Gynecology Reports - January 11, 2021 Category: OBGYN Source Type: research

Correction to: Pharmacokinetics of Hormonal Contraception in Individuals with Obesity: a Review
A Correction to this paper has been published:https://doi.org/10.1007/s13669-020-00301-0 (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - December 10, 2020 Category: OBGYN Source Type: research

Surgical Options for Patients Seeking Gender-Affirming Surgery
AbstractPurpose of ReviewTo describe the surgical treatments available to transgender women and men desiring gender-affirming surgery (GAS).Recent FindingsTransgender patients who undergo GAS have high satisfaction and improved quality of life. Masculinizing procedures include chest reconstruction, facial masculinization surgeries, hysterectomy with bilateral salpingo-oophorectomy, metoidioplasty, and phalloplasty. Feminizing procedures include facial feminization surgeries, chondroplasty and voice surgeries, breast augmentation, orchiectomy, and genital surgeries, such as vaginoplasty and vulvoplasty. Vaginoplasty can be ...
Source: Current Obstetrics and Gynecology Reports - September 7, 2020 Category: OBGYN Source Type: research

Management of Impending Periviable Delivery
AbstractPurpose of ReviewTo review the role of obstetric interventions, the evidence behind these interventions, and the importance of offering these interventions to women and their families as they make decisions on whether to provide active neonatal management.Recent FindingsOutcomes for infants born at periviability are improving with advancing neonatal care and management. Obstetric interventions play a role in helping to improve these outcomes. Administration of antenatal corticosteroids and magnesium sulfate should be considered if delivery is suspected. Cesarean delivery should be offered in cases of malpresentatio...
Source: Current Obstetrics and Gynecology Reports - August 7, 2020 Category: OBGYN Source Type: research

Gonadotropin-Releasing Hormone Agonists Are Effective in Long-term Treatment of Women with Abnormal Uterine Bleeding and Anticoagulant Therapy: Report of 3 Cases and Review of the Literature
AbstractPurpose of ReviewTo evaluate the efficacy of gonadotropin-releasing hormone agonist (GnRHa) in women with abnormal uterine bleeding (AUB) on anticoagulant therapy.Recent FindingsProspective observational case series (Canadian Task Force Classification II-3) at University-affiliated teaching hospital. From January 2002 through December 2019, three premenopausal women on warfarin therapy were identified from our clinical practice. After clinical assessment, including Papanicolaou smear, endometrial biopsy, and pelvic sonography, a GnRHa was used to treat their AUB. Two women were receiving warfarin therapy (5 –7 m...
Source: Current Obstetrics and Gynecology Reports - July 9, 2020 Category: OBGYN Source Type: research

Effects of Hormonal Contraception on Mood
AbstractPurpose of ReviewThis review will clarify the complex relationship of hormonal contraception and mood in women both with and without mood disorders, in adolescents, and in postpartum women.Recent FindingsThough the overall effect of hormonal contraception on mood does not appear to have a significant clinical impact, several recent population-based studies suggest adolescents are potentially more vulnerable than adults.SummaryStrategic initiation of hormonal contraception may mitigate mood symptoms, with continuous regimens of hormonal therapy demonstrating some benefit over cyclic regimens. Additional rigorous stu...
Source: Current Obstetrics and Gynecology Reports - July 5, 2020 Category: OBGYN Source Type: research

Prepregnancy Counseling for People of All Genders: Enhancing Safe and Accessible Family Building for Transgender, Gender Diverse, and Non-binary Individuals
AbstractPurpose of ReviewThe purpose of this narrative review is to expand routine prepregnancy counseling and anticipatory guidance to include people of all genders.Recent FindingsTransgender, gender diverse, and non-binary (TGNB) individuals who were assigned female at birth may wish to parent, conceive, and carry a pregnancy, but are not included in guidelines for routine prepregnancy counseling. In addition to the topics covered in routine prepregnancy counseling, there are several unique considerations for prepregnancy care for TGNB individuals including perinatal testosterone use, gender dysphoria and distress, chest...
Source: Current Obstetrics and Gynecology Reports - June 29, 2020 Category: OBGYN Source Type: research

Global Abortion Policies Database: a Descriptive Analysis of Financial Coverage for Abortion Care
AbstractPurpose of the ReviewThe purpose of this review is to report on data available in the Global Abortion Policies Database (GAPD) as of February 2020. The GAPD is a repository of publicly available sources related to abortion for all countries.Recent FindingsResearch indicates that where individuals must pay for abortion procedures, costs can often be unaffordable and catastrophic for households. Faced with financial barriers, individuals may be deterred from seeking healthcare or may resort to clandestine practices.SummaryThere are limited countries with publicly available sources related to financial protection for ...
Source: Current Obstetrics and Gynecology Reports - June 24, 2020 Category: OBGYN Source Type: research