BMJ (Clinical research ed.)

Many women with fibroids and endometriosis are unhappy with their care, a survey of more than 2600 women has found, and many resort to finding out about their condition online.1 A survey by the All Party Parliamentary Group on Women’s Heal…

Objective To investigate the association between lifetime breast feeding, exclusive breast feeding, postpartum amenorrhea, and incidence of endometriosis among parous women.Design Prospective cohort study.Setting Nurses' Health Study II, 19…

Chronic pelvic pain affects 2.1% to 24% of the global female population,12 and up to half of the affected women have no obvious pathology.23 The neuromodulator gabapentin can be used to modulate pain, but the evidence for its effectiveness …

GPs are being urged to look out for the symptoms of endometriosis as, on average, women wait 7.5 years between first seeing a doctor and getting a confirmed diagnosis, according to the National Institute for Health and Care Excellence. The…

OBJECTIVE: To conduct a nationwide study of associations between removal of all ovarian tissue versus conservation of at least one ovary at the time of hysterectomy and important health outcomes (ischaemic heart disease, cancer, and all cau…

OBJECTIVE: To develop a prediction model to estimate the chances of a live birth over multiple complete cycles of in vitro fertilisation (IVF) based on a couple's specific characteristics and treatment information. DESIGN: Population based…

Women who have endometriosis diagnosed at age 40 or younger are three times more likely to develop heart disease than those without the condition, says a large prospective study published in Circulation: Cardiovascular Quality and Outcomes …

A 33 year old woman presented to her general practitioner because of severe cramping pain associated with her periods. The pain was felt mainly in her left groin. Her periods were regular, every 28 days, and were not particularly heavy, alt…

ObjectiveTo examine the effect of the bivalent human papillomavirus (HPV) vaccine on miscarriage.DesignObservational long term follow-up of a randomized, double blinded trial combined with an independent unvaccinated population based cohort…

Women with endometriosis have a higher risk of miscarriage and ectopic pregnancy, a large cohort study in Scotland has found. Women with the condition who maintain a pregnancy for more than 24 weeks face further risks, including a higher ri…

#### What you need to know A 28 year old woman presents with six months of pelvic pain associated with painful periods and painful sex. ### History With any woman with pelvic pain, ask the following questions, taking care to screen for red …

OBJECTIVES: To compare the effectiveness of in vitro fertilisation with single embryo transfer or in vitro fertilisation in a modified natural cycle with that of intrauterine insemination with controlled ovarian hyperstimulation in terms of…

OBJECTIVE: To determine whether use of oral contraceptives is associated with all cause and cause specific mortality. DESIGN: Prospective cohort study. SETTING: Nurses' Health Study, data collected between 1976 and 2012. POPULATION: 121,…

ObjectiveTo investigate whether placebo controls should be used in the evaluation of surgical interventions.DesignSystematic review.Data sourcesWe searched Medline, Embase, and the Cochrane Controlled Trials Register from their inception to…

All antidepressant drugs are associated with an increased risk of bleeding The use of serotonin reuptake inhibitor antidepressants has been associated with an increased risk of abnormal bleeding.1 During the past decade most studies have f…

Women with menorrhagia reported more improvement in bleeding and quality of life with the levonorgestrel releasing intrauterine system than with other treatments available in primary care, a two year study in England has found.1 Women fitt…

#### Summary points The vulva refers to the female external genitalia comprising the mons pubis, clitoris, labia majora, labia minora, and perineum (figure⇓). Vulval pain can be divided into two categories: pain secondary to a specific, id…

Women who have endometriosis are substantially more likely to develop three distinct histological subtypes of ovarian cancer: clear cell, endometrioid, and low grade serous, research in Lancet Oncology shows (doi:10.1016/S1470-2045(11)70404…

ObjectiveTo compare the risk of non-fatal venous thromboembolism in women receiving oral contraceptives containing drospirenone with that in women receiving oral contraceptives containing levonorgestrel.DesignNested case-control and cohort …

#### Summary points Chronic pelvic pain in women is a debilitating condition that impairs quality of life. Studies using various definitions estimated that its prevalence ranges from 2.1% to 24% of the female population worldwide.1 It is a…

My main concern with Daniels and Khan’s article is the Royal College of Obstetrics and Gynaecology’s algorithm, which states that “if no pathology is seen at laparoscopy, a letter of reassurance should be offered and the woman contacted for…