BJOG : an international journal of obstetrics and gynaecology

BackgroundCaesarean scar ectopic pregnancy (CSEP) is defined by the implantation and development of a gestational sac inside a caesarean scar defect, but variations in classification systems and diagnostic criteria exist.ObjectivesThis stud…

BackgroundIncreasingly more women are participating in professional and recreational sports. Whilst vigorous intensity physical activity is considered beneficial, evidence demonstrates higher rates of menstrual disturbance in elite athletes…

ObjectiveTo describe menstrual pain and pain management, and the associations of pain relief with school absenteeism and educational performance, among Ugandan adolescents.DesignCross-sectional mixed-methods study, nested within a school-ba…

ObjectiveTo evaluate early recovery outcomes with transcervical fibroid ablation (TFA) compared to minimally invasive myomectomy (MIM) in women with symptomatic uterine fibroids.DesignRandomised controlled trial.SettingTübingen University H…

BackgroundSimple hysterectomy is one of the most common gynaecological surgical procedures worldwide; however, its association as a possible aetiological factor for urinary dysfunction remains controversial.ObjectiveTo evaluate the clinical…

ObjectiveTo explore the role of endometrial defects in the pathogenesis of abnormal uterine bleeding (AUB).DesignRetrospective case-control study.SettingTwo tertiary centres.Population or sampleWe included 155 patients with caesarean scar d…

ObjectiveWhile active monitoring of adolescent menstrual and mental health is advocated, research on their possible bidirectional relationship is limited. This study examines the association between adolescent dysmenorrhea and psychological…

BACKGROUND: Chronic pelvic pain (CPP) is persistent pain perceived to originate in the pelvis, lasting ≥ 3 months. Due to its multifactorial presentation, multidisciplinary treatment may provide optimal care. OBJECTIVE: Systematic review wi…

ObjectiveTo study the association between previous use of levonorgestrel intrauterine system (LNG-IUS) and endometrial thickness (EMT) in women undergoing in vitro fertilisation (IVF)/intracytoplasmic sperm injection (ICSI) cycles.DesignMul…

ObjectiveThis study aimed to examine the impact of laser-assisted hatching (LAH) on the physical, metabolic, cognitive and behavioural profiles of singletons conceived through frozen-thawed embryo transfer (FET) at the preschool age.DesignA…

ObjectiveHirschsprung is a congenital disorder affecting the gastrointestinal tract. However, pelvic colorectal surgery in infancy has been hypothesised to impact gynaecological outcomes in later life. Describe sexual function and fertility…

ObjectiveTo examine how eicosanoid levels in menstrual effluent of adolescents within 3 years of menarche relate to the severity of menstrual pain.DesignProspective cohort study.SettingCommunity teaching hospital.Population or sampleAdolesc…

ObjectiveThis study examined the relative contributions of mediation and interaction by psychological distress to the association between job stressors and menstruation-related symptoms.DesignA cross-sectional study.SettingOnline survey in …

ObjectiveTo determine the diagnostic performance and clinical utility of the M4 prediction model and the NICE algorithm managing women with pregnancy of unknown location (PUL).DesignThe study has a superiority design regarding specificity f…

ObjectiveTo examine associations between mental disorders and time to first childbirth in Finland, and whether partnership status mediates these associations.DesignNationwide register-based cohort study.SettingPrimary and secondary healthca…

ObjectiveAmong women with uterine fibroids (UFs), we assess the extent to which the linzagolix effect on pain alleviation is explained by its effect on reducing heavy menstrual bleeding (HMB) and fibroid volume (FV).DesignPost hoc analysis …

ObjectiveTo compare the effect of luteal-phase progesterone supplementation in natural cycles to expectant management on live birth rates in women with unexplained infertility (UI).DesignAn open-label, parallel-arm, single-centre randomised…

ObjectiveWe aim to clarify potential risk factors of complications after uterine artery embolisation (UAE).SettingComplications after uterine artery embolisation (UAE) for symptomatic fibroids are rare, but failure of treatment occurs for a…

ObjectiveTo compare menopause-related quality of life (QoL) after risk-reducing salpingectomy (RRS) versus risk-reducing salpingo-oophorectomy (RRSO) until 3 years of post-surgery.DesignA prospective study (TUBA study) with treatment alloca…

ObjectiveUndergoing medically assisted reproduction (MAR) has been linked to mixed mental health outcomes in women. We investigated the risk of postpartum depression (PPD) among mothers conceiving with MAR compared to mothers conceiving spo…

ObjectiveTo determine the association between unilateral oophorectomy (UO) and age at natural menopause.DesignSecondary analysis of survey data from Alberta's Tomorrow Project (2000-2022).SettingProspective cohort study in Alberta, Canada.P…

BACKGROUND/OBJECTIVE: Current guidelines recommend biopsychosocial-informed treatment for chronic pelvic pain (CPP). The objective of this systematic review was to describe the available biopsychosocial approaches for the treatment of CPP, …

ObjectivesTo describe population rate of hysterectomy for benign disease in the USA, including geographic variation across states and Hospital Service Areas (HSAs; areas defined by common patient flows to healthcare facilities).DesignCross-…

ObjectiveTo investigate the association between chronic pelvic pain (CPP) and pelvic vein incompetence (PVI) or pelvic varices.DesignCase-control study.SettingGynaecology and vascular surgery services in two teaching hospitals in north-west…

BackgroundFifteen percent of patients with endometrial cancer (EC) have advanced stage disease or develop a recurrence. Progestins have been applied as systemic treatment for decades, but there is limited evidence on response prediction wit…