BJOG : an international journal of obstetrics and gynaecology

BACKGROUND: Caesarean 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. OBJECTIVES: Thi…

BACKGROUND: Increasingly 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 athlet…

The average age of childbirth in the UK in 2022 was 30.9 years, having increased by over 3 years in the past 2 decades, and 4 years since 1980. Although a woman's fertility declines markedly in her late-30s and early-40s, more women are now…

OBJECTIVE: To evaluate whether the IOTA ADNEX model and the Two-Step Strategy improve triage and referral of adnexal masses in routine gynaecologic care compared with the RMI and to identify an appropriate malignancy-risk threshold. DESIGN…

BACKGROUND: Menopause, marked by hormonal decline and menstrual cessation, is associated with various symptoms. Socio-demographic and behavioural factors may influence symptom type and severity. Understanding these associations can inform b…

OBJECTIVE: To describe menstrual pain and pain management, and the associations of pain relief with school absenteeism and educational performance, among Ugandan adolescents. DESIGN: Cross-sectional mixed-methods study, nested within a sch…

OBJECTIVE: To evaluate early recovery outcomes with transcervical fibroid ablation (TFA) compared to minimally invasive myomectomy (MIM) in women with symptomatic uterine fibroids. DESIGN: Randomised controlled trial. SETTING: Tübingen Un…

BACKGROUND: Simple hysterectomy is one of the most common gynaecological surgical procedures worldwide; however, its association as a possible aetiological factor for urinary dysfunction remains controversial. OBJECTIVE: To evaluate the cl…

OBJECTIVE: To explore the role of endometrial defects in the pathogenesis of abnormal uterine bleeding (AUB). DESIGN: Retrospective case-control study. SETTING: Two tertiary centres. POPULATION OR SAMPLE: We included 155 patients with ca…

OBJECTIVE: While 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 psychologic…

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 w…

OBJECTIVE: To 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. DESIG…

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…

OBJECTIVE: Hirschsprung 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 fertili…

OBJECTIVE: To examine how eicosanoid levels in menstrual effluent of adolescents within 3 years of menarche relate to the severity of menstrual pain. DESIGN: Prospective cohort study. SETTING: Community teaching hospital. POPULATION OR S…

OBJECTIVE: This study examined the relative contributions of mediation and interaction by psychological distress to the association between job stressors and menstruation-related symptoms. DESIGN: A cross-sectional study. SETTING: Online …

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…

OBJECTIVE: To examine associations between mental disorders and time to first childbirth in Finland, and whether partnership status mediates these associations. DESIGN: Nationwide register-based cohort study. SETTING: Primary and secondar…

OBJECTIVE: Among 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). DESIGN: Post hoc ana…

OBJECTIVE: To compare the effect of luteal-phase progesterone supplementation in natural cycles to expectant management on live birth rates in women with unexplained infertility (UI). DESIGN: An open-label, parallel-arm, single-centre rand…

OBJECTIVE: We aim to clarify potential risk factors of complications after uterine artery embolisation (UAE). SETTING: Complications after uterine artery embolisation (UAE) for symptomatic fibroids are rare, but failure of treatment occurs…

OBJECTIVE: To compare menopause-related quality of life (QoL) after risk-reducing salpingectomy (RRS) versus risk-reducing salpingo-oophorectomy (RRSO) until 3 years of post-surgery. DESIGN: A prospective study (TUBA study) with treatment …

OBJECTIVE: Undergoing 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 s…

OBJECTIVE: To assess the association between menstrual disorders and workforce participation among Australian women. DESIGN: Population-based cohort study. SETTING: Secondary analysis of eight surveys collected between 2000 and 2021. POP…