Archives of gynecology and obstetrics

INTRODUCTION: Treatment strategies for endometriosis have traditionally been biomedical. There is a need for a more multidimensional understanding of endometriosis and more targeted and individualized treatment interventions, including psyc…

OBJECTIVE: The study aimed to evaluate the long-term outcomes of surgical management in patients with peritoneal endometriosis, focusing on postoperative pain trajectories, re-operation rates, fertility outcomes, and the potential influence…

OBJECTIVE: To evaluate whether preoperative clinical Enzian scoring and digital rectal examination improve accuracy of operative time prediction and surgical outcomes in women undergoing surgery for endometriosis. DESIGN: Prospective, rand…

IntroductionAn incarcerated gravid uterus (IGU) is a rare but serious obstetrical complication. Currently, there is no consensus on the optimal treatment when conservative reduction techniques have failed. Often, maneuvers with increased fo…

OBJECTIVE: This study aims to propose a novel, reproducible transvaginal ultrasound (TVUS) measurement-anterior-posterior wall thickness of the uterine isthmus ratio (APTUIR)-and to construct a nomogram model integrating this parameter with…

BACKGROUND: Endometriosis and interstitial cystitis/bladder pain syndrome (IC/BPS) frequently coexist; however, diagnostic delays and non-standardized criteria limit accurate identification of these conditions. OBJECTIVE: To assess the fea…

PURPOSE: Endometriosis, a prevalent gynecological condition, significantly impacts physical, psychological, and social well-being. This study explores the relationship between attachment styles, emotion regulation difficulties, and quality …

PURPOSE: This study aims to introduce an effective protocol for transvaginal ethanol sclerotherapy, focussing on the aspiration of viscous cystic content and the amount of ethanol instilled in the cystic cavity according to cyst size. METH…

The Swiss Society of Gynecology and Obstetrics recently issued a Clinical Practice Guideline "Preconception Care". In the German-speaking countries, this constitutes the first guideline of its kind and one of the few for Europe. The authors…

PurposeStudies on vaginal natural orifice transluminal endoscopic surgery (vNOTES), which provides enhanced endoscopic vision via the vaginal route, are limited. Therefore, this study aimed to evaluate the feasibility, safety, and periopera…

ObjectiveTo analyze the correlation between lipid levels and the severity of polycystic ovary syndrome (PCOS) and its predictive value for pregnancy outcome.MethodsThis retrospective study included 275 PCOS patients treated with ovulation i…

PurposeThe objective of this study was to investigate the cumulative pregnancy, cumulative live birth, and perinatal and obstetric outcomes of individuals in the POSEIDON group, with the aim of enhancing the management of individuals receiv…

RESEARCH QUESTION: To what extent have fertility preservation interventions evolved between 2014 and 2023, and what factors have influenced changes in their utilization and prevalence? DESIGN: Based on the FertiPROTEKT registry, comprising…

PurposeMaternity care is a central component of any healthcare system and is largely provided by midwives. Considering increasing cost pressures and growing demand for efficiency within the German healthcare system, the development of effic…

INTRODUCTION: Hysterectomy is a frequently employed treatment modality in gynaecological diseases. In the context of various approaches to vaginal hysterectomy, laparoscopically-assisted vaginal hysterectomy (LAVH) could eventually improve …

ObjectivesThis study analyzed clinical pregnancy outcomes in patients undergoing in vitro fertilization-embryo transfer with donor sperm (IVF-D) using different ovulation induction protocols, to provide reference data for selecting appropri…

OBJECTIVE: To assess whether pre-existing endometriosis is associated with specific adverse pregnancy and delivery outcomes in primiparous women. DESIGN: Retrospective cohort study. SETTING: Tertiary care university hospital. POPULATION …

Growing evidence suggests that women with endometriosis may be particularly vulnerable to disordered eating behaviors (DEBs) and clinically defined eating disorders (EDs). This narrative review aims at integrating and critically analyzing t…

PurposeTo examine the association between follicular output rate (FORT) and embryological and clinical outcomes, including live birth rate, in patients undergoing in vitro fertilization (IVF).MethodsThis prospective cohort study enrolled 16…

IntroductionThe teaching and practical training of future doctors play an important role in the university curriculum.Material and methodsAt the Women's Clinic of Saarland University Hospital in Homburg, we developed a five-day block placem…

PURPOSE: Endometriosis (EMS) is a prevalent, inflammatory gynecological disorder with limited effective treatments and high recurrence rates. Given the central roles of inflammation, oxidative stress, pyroptosis, and angiogenesis in its pat…

PurposeTo evaluate the feasibility and safety of the hemostatic powder 4DryField® PH in laparoscopic ovarian cystectomy and its impact on fertility compared to conventional bipolar electrocautery.MethodsThis is a prospective, randomized, co…

INTRODUCTION: We present the rare case of a 29-year-old patient with uterine adenosarcoma who received fertility-sparing treatment, subsequently conceived spontaneously, and gave birth to a healthy infant. CASE: In August 2022, the nullipa…