Current opinion in obstetrics & gynecology

PURPOSE OF REVIEW: Chronic pelvic pain (CPP) has an annual prevalence of 38/1000 in the UK, with coexisting pathologies often present. Diagnostic laparoscopy has long been the gold standard diagnostic test, but with up to 40% showing no abn…

PURPOSE OF REVIEW: The effect of endometrioma on ovulatory function and ovarian reserve was unclear. Conflicting opinions exist regarding effect of endometrioma excision on ovarian reserve. RECENT FINDINGS: Endometriomas do not seem to aff…

PURPOSE OF REVIEW: The management of endometriosis has progressed vastly with medical treatments providing a large role in controlling endometriosis symptoms. Despite these advances we still lack an accurate noninvasive test to diagnose end…

PURPOSE OF REVIEW: To take inventory of the past and present and project the future direction of our field to help train the next generation of providers. RECENT FINDINGS: Review the history of the subspecialty and factors contributing to …

PURPOSE OF REVIEW: To provide an update on the latest clinical applications of serum antimüllerian hormone (AMH) testing with practical approaches to mitigate the impact of significant variability in AMH results. RECENT FINDINGS: Recent st…

PURPOSE OF REVIEW: The purpose of this review is to highlight the recent literature and emerging data describing clinical situations in which menstrual suppression may improve symptoms and quality of life for adolescents. A variety of condi…

PURPOSE OF REVIEW: Current medical treatments for endometriosis-associated pain, including oral contraceptives, progestins and GnRH agonists, are partially effective and have significant side-effects. The purpose of this review is to presen…

PURPOSE OF REVIEW: To update on the latest developments in sensory changes of female patients with chronic pelvic pain (CPP). CPP is very common, but its pathophysiology is still controversial. Evaluation of pain sensitivity in painful and …

Purpose of reviewMagnetic-resonance-guided focused ultrasound surgery (MRgFUS) is a minimally invasive technique for the treatment of uterine fibroids. The purpose of this review is to highlight the impact of MRgFUS on fertility and reprodu…

PURPOSE OF REVIEW: To describe the current consensus regarding the modern management of ovarian endometriosis and summarize the recent evidence that led to a shift in the management recommendations. RECENT FINDINGS: The vast majority of th…

PURPOSE OF REVIEW: Review of recent data from clinical trials and descriptions of endometrial morphology with administration of selective progesterone receptor modulators (SPRMs). RECENT FINDINGS: Recent reports concerning administration o…

PURPOSE OF REVIEW: To analyze the recent evidence on robotic hysterectomy while highlighting its benefits and challenges. RECENT FINDINGS: Increased rates of robotic hysterectomy have led to decreasing rates of abdominal hysterectomy, afte…

PURPOSE OF REVIEW: Apart from the well known effects of vitamin D on maintaining calcium homeostasis and promoting bone mineralization, there is some evidence suggesting that vitamin D also modulates human reproductive processes. We will re…

PURPOSE OF REVIEW: Endometriosis is a complex disease, one aspect being the existence of multiple staging systems. The recent Endometriosis Fertility Index (EFI) is compared with other endometriosis infertility staging systems and three new…

PURPOSE OF REVIEW: The term idiopathic is often used to describe a disease with no identifiable cause. It may be a diagnosis of exclusion; however, what specific minimum investigations need to be performed to define idiopathic is not always…

Department of Reproductive Medicine, Kenton and Lucas Wing, St. Bartholomew's Hospital, London, UK Correspondence to Dr Christine S. Deguara, Department of Reproductive Medicine 2nd Floor, Kenton and Lucas Wing, St. Bartholomew's Hospital, …

PURPOSE OF REVIEW: Stem/progenitor cells are present in human and rodent endometrium and have a key role in endometrial regeneration in normal cycling and after parturition. We review emerging evidence of multiple types of endometrial stem/…

PURPOSE OF REVIEW: Endometriosis is a common gynecologic disorder characterized by the displacement of endometrial tissue to ectopic locations. Although predisposition to endometriosis is likely multifactorial, a genetic component is eviden…

PURPOSE OF REVIEW: To present the outcome of laparoscopic resection for bowel endometriosis. RECENT FINDINGS: In the last 12 months, numerous articles have been published to demonstrate and underline the efficiency and feasibility of the l…

PURPOSE OF REVIEW: To detail the recent advances in the use of computer-enhanced robotic technology to surgically treat urinary tract endometriosis. RECENT FINDINGS: Few studies have been published in this field. The studies are severely l…

PURPOSE OF REVIEW: Endometriosis is increasingly being recognized and diagnosed in adolescents. As a result of this earlier diagnosis, treatment with agents like gonadotropin releasing hormone agonist (GnRHa) begins earlier and may last lon…

PURPOSE OF REVIEW: This review will address the recent literature regarding adolescent endometriosis. RECENT FINDINGS: An increasing body of literature suggests that there are symptoms of endometriosis present in adolescents. In addition, …

PURPOSE OF REVIEW: To present the clinical outcome after laparoscopic radical excision of deeply infiltrative endometriosis (DIE) with colorectal extension and laparoscopic segmental bowel resection. RECENT FINDINGS: In three different stu…

PURPOSE OF REVIEW: Endometriosis is a common gynaecological disorder estimated to affect over 70 million women worldwide. In this review we aim to give an overview of postoperative symptoms and look at factors influencing therapeutic choice…