BMJ open

BMJ Open · ISSN (e) 2044-6055 · 292 papers in corpus
other 2021
doi:10.1136/bmjopen-2020-044347 ·PMID:34663648

INTRODUCTION: Leiomyoma recurrence is a major concern for long-term myomectomy management, especially for multiple leiomyomas. Gonadotropin-releasing hormone agonist (GnRHa) is one of the most effective medications to reduce the volume of f…

other 2021
doi:10.1136/bmjopen-2020-043230 ·PMID:33737427

INTRODUCTION: A therapeutic option frequently proposed for infertility is to proceed first with intrauterine insemination (IUI) cycles. Little is known on the effect of uterine contractions on IUI success rates. We postulated that uterine c…

other 2021
doi:10.1136/bmjopen-2021-051058 ·PMID:34168037

INTRODUCTION: Over the last decades, the use of intracytoplasmic sperm injection (ICSI) has increased, even among patients without male factor infertility. The increase has happened even though there is no evidence to support that ICSI resu…

other 2021
doi:10.1136/bmjopen-2021-054845 ·PMID:34845077

INTRODUCTION: Tubal patency testing is an essential part in the fertility workup of many subfertile women. Hysterosalpingography (HSG) has long been the test of choice in many clinics. There is evidence from a large randomised multicentre t…

other 2021
doi:10.1136/bmjopen-2020-047974 ·PMID:34408042

INTRODUCTION: Many patients demonstrate an insufficient endogenous luteinising hormone (LH) concentration during ovarian stimulation. With traditional fixed or flexible gonadotropin-releasing hormone (GnRH) antagonist protocols, antagonist …

meta-analysis 2021
doi:10.1136/bmjopen-2020-048190 ·PMID:34561260

OBJECTIVE: To summarise the available evidence on frequency of ovarian cyst development during mammalian target of rapamycin inhibitors (mTORi) treatment. METHODS: PubMed/Medline and EMBASE databases were searched, from 1990 up to March 20…

2021
doi:10.1136/bmjopen-2020-045543 ·PMID:33563628

IntroductionMore than 90% of patients diagnosed with childhood acute lymphoblastic leukaemia (ALL) today will survive. However, half of the survivors are expected to experience therapy-related chronic or late occurring adverse effects, redu…

observational 2021
doi:10.1136/bmjopen-2021-049710 ·PMID:34465582

OBJECTIVES: To investigate the extent and nature of pharmaceutical industry payments related to fertility and assisted reproduction in Australia. DESIGN AND SETTING: This retrospective observational study employed four databases compiled f…

nonrandomized-trial 2021
doi:10.1136/bmjopen-2021-053421 ·PMID:34907064

OBJECTIVE: To explore feasibility in terms of delivering and evaluating a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome (CPPS). DESIGN: Prospective non-randomised controlled pilot study. SET…

observational 2021
doi:10.1136/bmjopen-2021-049553 ·PMID:34598985

OBJECTIVES: From a reproductive justice framework, we aimed to investigate how a possible association between hormonal contraceptive (HC) and antidepressants use (as a proxy for depression) is distributed across intersectional strata in the…

observational 2021
doi:10.1136/bmjopen-2020-043814 ·PMID:33741669

OBJECTIVES: The study aimed to provide an association between dysmenorrhoea and academic performance among university students in Ethiopia. Further, the study attempts to determine the prevalence and associated risk factors of dysmenorrhoea…

other 2021
doi:10.1136/bmjopen-2021-050844 ·PMID:34373312

INTRODUCTION: Endometriosis is one of the common, gynaecological disorders associated with chronic pelvic pain and subfertility affecting ~10% of reproductive age women. The clinical presentation, etiopathogenesis of endometriosis subtypes …

observational 2021
doi:10.1136/bmjopen-2020-040563 ·PMID:33550233

OBJECTIVE: The objective of this retrospective cohort study was to explore the optimal range of the total progressive motile sperm count (TPMSC) for live birth in couples with varying infertility diagnosis undergoing intrauterine inseminati…

observational 2021
doi:10.1136/bmjopen-2020-045948 ·PMID:34389561

OBJECTIVES: To detect the signals for drospirenone-containing oral contraceptives (DCOCs) and describe the reporting pattern of adverse events (AEs) caused by DCOCs compared with levonorgestrel/desogestrel/gestodene-containing (second/third…

other 2021
doi:10.1136/bmjopen-2021-049390 ·PMID:34168034

INTRODUCTION: Pathways to diagnosis for women with endometriosis are frequently characterised with delays. Internationally, women face significant barriers and times to diagnosis. The prolonged time without a diagnosis may result in treatme…

rct 2021
doi:10.1136/bmjopen-2020-046603 ·PMID:34373298

INTRODUCTION: Endometriosis is a debilitating chronic inflammatory condition highly burdensome to the healthcare system. The present trial will establish the efficacy of (1) yoga and (2) cognitive-behavioural therapy (CBT), above (3) educat…

other 2020
doi:10.1136/bmjopen-2019-031544 ·PMID:32690492

INTRODUCTION: Recent data suggest a higher clinical pregnancy rate performing assisted hatching (AH) on previously cryopreserved embryos but fail to demonstrate significant effects on live birth rate. However, current evidence is based on s…

other 2020
doi:10.1136/bmjopen-2020-038709 ·PMID:33158822

INTRODUCTION: Uterine fibroids are the most common pelvic benign tumour with no satisfactory long-term medical treatment. Recent studies have demonstrated that vitamin D significantly inhibited the growth of fibroids in vitro, vivo and a sm…

observational 2020
doi:10.1136/bmjopen-2020-039625 ·PMID:33243798

ObjectivesTo explore the prevalence of multimorbidity as well as individual and combinations of long-term conditions (LTCs) in people with type 2 diabetes (T2D) attending Australian general practice, using electronic health record (EHR) dat…

qualitative 2020
doi:10.1136/bmjopen-2020-041853 ·PMID:33203638

OBJECTIVE: To gain a deeper understanding of women's experiences of accessing care for abnormal uterine bleeding (AUB) in order to inform future strategies to improve care pathways, including the early detection of endometrial cancer. DESI…

other 2020
doi:10.1136/bmjopen-2020-037459 ·PMID:32900761

INTRODUCTION: Ovarian cancer is the eighth most common cancer in women worldwide, and about 1 in 5 women with ovarian cancer do not receive treatment, because they are too unwell by the time they are diagnosed. Symptoms of ovarian cancer ar…

other 2020
doi:10.1136/bmjopen-2020-038153 ·PMID:33268401

INTRODUCTION: Women with polycystic ovary syndrome (PCOS) undergoing in vitro fertilization (IVF) protocols are typically characterised by an increased number of oocytes retrieved. The oocytes are often of poor quality, leading to lower pre…

meta-analysis 2020
doi:10.1136/bmjopen-2020-040137 ·PMID:33376163

OBJECTIVE: Emerging evidence from observational studies (cohort and case-control studies) suggests that a history of diabetes mellitus (DM) has been linked to increased risk of ovarian cancer (OC), but the association between them remains i…

other 2020
doi:10.1136/bmjopen-2019-035866 ·PMID:33051228

INTRODUCTION: Recent studies in in vitro fertilisation (IVF) patients have associated abnormal vaginal microbiota (AVM) with poor clinical pregnancy rates of 6%-9% per embryo transfer. The biological plausibility for this finding is hypothe…

other 2020
doi:10.1136/bmjopen-2020-039166 ·PMID:33109663

INTRODUCTION: In recent years, due to various factors, the rate of infertility in China has increased and now affects over 10% of women of reproductive age. Hysterosalpingography (HSG) is a common diagnostic procedure during fertility exami…