Wellington P. Martins

BackgroundIn IVF/ICSI treatment, the process of embryo implantation is the success rate-limiting step. Endometrial scratching has been suggested to improve this process, but it is unclear if this procedure increases the chance of implantati…

BackgroundThe perimenopausal and postmenopausal periods are associated with many symptoms, including sexual complaints. This review is an update of a review first published in 2013.ObjectivesWe aimed to assess the effect of hormone therapy …

BackgroundIntentional endometrial injury is being proposed as a technique to improve the probability of pregnancy in women undergoing assisted reproductive technologies (ART) such as in vitro fertilisation (IVF). Endometrial injury is often…

BackgroundOvulation induction may impact endometrial receptivity due to insufficient progesterone secretion. Low progesterone is associated with poor pregnancy outcomes.ObjectivesTo assess the effectiveness and safety of luteal phase suppor…

BACKGROUND: Endometriosis of the bowel can be associated with significant morbidity. Surgery to remove it carries risks. Options include conservative shaving or discoid resection and more radical segmental bowel resection. AIMS: To determin…

OBJECTIVES: To summarize in a systematic review the current evidence regarding definitions, diagnosis, prevalence, etiology, clinical relevance and impact of surgical treatment for T-shaped uterus not related to diethylstilbestrol (DES) exp…

STUDY QUESTION: Does the presence of adenomyosis in women treated with IVF alter IVF outcomes? SUMMARY ANSWER: Adenomyosis does not significantly alter IVF outcomes when adjusted for confounding factors including maternal age and smoking st…

Doppler ultrasound imaging can be used to identify and assess blood vessels by producing a colour-coded map of Doppler shifts superimposed on a B-mode ultrasound image. The effect, first described by the Austrian scientist Christian Doppler…

Uterine contractions may affect the thickness and features of the myometrial wall as well as the shape of the uterine cavity. The transient nature of these changes can be appreciated during real-time two-dimensional ultrasound examination a…

OBJECTIVES: Pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty and reproducibility using the dynamic transvaginal ultrasound (TVS) sliding-sign technique. So far, studies on POD obliteration prediction have…

We believe the proposed USL-DE classification system provides a simple and standardised approach to describe such lesions, which may prove to assist sonologists and surgeons in their ability to predict ureteral involvement and/or the need t…

To summarise the current evidence regarding definitions, diagnosis, prevalence, clinical implications and impact of surgery for t-shaped uterus not related to Diethystilbestrol (DES) exposure. We searched PubMed, Scopus and EMBASE on Jul-20…

The uterosacral ligaments (USL) have been reported to be the most common site of deep endometriosis (DE) in the pelvis1. A nodule within the USL may infiltrate the parametrium, increasing the complexity of surgical resection, and larger nod…

OBJECTIVES: To demonstrate the hymen-sparing management of a blind hemivagina in obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome with the use of transrectal ultrasound (TRUS)-guided vaginoscopic septoplasty supported b…

OBJECTIVE: Alterations in endometrial receptivity may be involved in the etiopathogenesis of endometriosis-related infertility. The literature has suggested that patients with endometriosis present progestin resistance, which could affect e…

A pseudoaneurysm is a blood-filled cavity communicating with the lumen of an artery, and the surrounding perivascular tissue creates the pseudoaneurysmal wall. Uterine artery pseudoaneurysm (UAP) may occur after surgical procedures such as …

Endometriosis is frequently associated with infertility and it is believed that the impairment of endometrial receptivity may be one of the mechanisms involved in this condition. Pinopodes are endometrial cycle-dependent structures that see…

Purpose To evaluate whether women with endometriosis have different ovarian reserves and reproductive outcomes when compared with women without this diagnosis undergoing in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI), an…

To review the accuracy and determine the optimum imaging modality for the detection of rectal deep infiltrative endometriosis (DIE) in women with a clinical history of endometriosis. A systematic review was conducted using MEDLINE, Embase, …