The Journal of reproductive medicine

OBJECTIVE: To evaluate whether physician experience affects outpatient medical care utilization after laparoscopically assisted vaginal hysterectomy (LAVH). STUDY DESIGN: A total of 120 patients who underwent LAVH were included in the stud…

OBJECTIVE: To investigate the hypothesis that cervical buffeting during coitus effects reflex relaxation and dilatation of the corpus uteri (CorU) smooth muscle; that mechanism acts to suck the ejected semen into the CorU. STUDY DESIGN: Th…

Women seek gynecologic medical attention for 2 main reasons--abnormal bleeding and pelvic pain. Gynecologists are often more comfortable with the diagnosis and management of abnormal bleeding than with the diagnosis and management of pelvic…

The 2 major reasons why women of reproductive age seek gynecologic medical care are (1) abnormal bleeding and (2) pelvic pain. The diagnosis and management of abnormal bleeding is usually performed without difficulty by gynecologists; clini…

BACKGROUND: Pelvic pain is a common complaint among women of childbearing age. It has an extensive differential diagnosis that at times can make it difficult to determine its etiology. One must therefore rely on the characteristics of the p…

BACKGROUND: Laparoscopic enucleation of an endometriotic cyst in a renal transplant patient has not been reported before. CASE: An endometriotic cyst was found in the same side as a transplanted kidney. Laparoscopic enucleation of the cyst…

OBJECTIVE: To assess the quality of life in women with pelvic pain associated with endometriosis through the 36-item Short Form Health Survey (SF-36). STUDY DESIGN: The study was cross-sectional and conducted at a tertiary care center. Six…

OBJECTIVE: To report the clinical features of 9 cases and review the previously reported 8 cases of an uncommon müllerian anomaly, characterized by the presence of a complete uterine septum with cervical duplication and represent a a longit…

OBJECTIVE: To assess the effect of short-term use of a gonadotropin releasing hormone (GnRH) analogue for 3 months before ovarian stimulation in patients with stage III and IV endometriosis after conservative surgery. STUDY DESIGN: Eleven …

OBJECTIVE: To investigate whether vascular endothelial growth factor (VEGF) gene 5'-UTR-460 polymorphism could be used as a marker of susceptibility to endometriosis. STUDY DESIGN: Women were divided into 2 groups, endometriosis (n = 122) …

OBJECTIVE: To evaluate alendronate as a prophylactic measure against bone mineral density (BMD) loss in reproductive-aged women receiving gonadotropin-releasing hormone agonist (GnRHa) therapy for 6 months. STUDY DESIGN: A randomized, doub…

OBJECTIVE: To investigate whether interleukin-10 (IL-10) -627 gene promoter polymorphism could be used as a marker of susceptibility to endometriosis. STUDY DESIGN: Women were divided into 2 groups, endometriosis (n = 130) and nonendometri…

OBJECTIVE: To evaluate indications for surgery and final pathology results in patients who underwent hysterectomy with a concurrent diagnosis of cervical stenosis. STUDY DESIGN: Retrospective chart review of 25 women who underwent hysterec…

BACKGROUND: Neuropathic pain arises when there is damage to or dysfunction of the nervous system. Diabetic neuropathy, postherpetic neuralgia and phantom limb pain are common types of neuropathic pain. It is not commonly recognized in gynec…

BACKGROUND: Endometriosis has rarely been associated with ascites and less often with pleural (usually right-sided) effusion. CASE: A multiparous, reproductive-aged woman was referred for evaluation of possible ovarian carcinoma following …

BACKGROUND: Extrapelvic endometriosis may occur at unusual sites. We report a rare case of an endometrioma presenting as a suburethral mass in a woman without a previous surgical history. CASE: A 27-year-old, nulliparous woman presented wi…

BACKGROUND: Twice-frozen, thawed embryos may have utilization in vitro fertilization (IVF) cycles. CASE: A 37-year-old woman with endometriosis and infertility returned five years after a fresh IVF cycle. Seven cryopreserved embryos (2 pro…

BACKGROUND: Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric/gynecologic procedures. Cesarean section scar endometriosis may be more common than reflec…

OBJECTIVE: To investigate the effect of endometriosis on implantation. STUDY DESIGN: In a retrospective cohort study, 149 consecutive in vitro fertilization retrieved cycles were analyzed. Patients with endometriosis (n = 27, 31 cycles) we…

OBJECTIVE: To determine if there is an age-related effect on bone mineral density (BMD) loss with GnRH agonist treatment of endometriosis and, in particular, whether the impact of this therapy in terms of BMD loss is different if it is used…

OBJECTIVE: To describe a method for laparoscopic uterine suspension by round ligament plication using standard suturing instruments. STUDY DESIGN: Forty-six women underwent uterine suspension for treatment of chronic pelvic pain due to ute…

BACKGROUND: Heterotopic pregnancy, in which an ectopic gestation coexists with an intrauterine one, occurs more frequently following in vitro fertilization than with spontaneous conception. However, it is rare to find an ectopic gestation i…

BACKGROUND: Few data exist on treating spinal cord endometriosis. CASE: Total excision of the endometriotic lesion, followed by a bilateral oophorectomy and aromatase inhibitor therapy, led to a clinical improvement. CONCLUSION: Attempts …

BACKGROUND: To our knowledge, ovarian calcification and ossification involving the whole ovary with images that mimic stone formations have not been reported before. CASE REPORT: A 42-year-old woman presented with severe abdominal pain. Pl…

BACKGROUND: The most important cause of postmenopausal bleeding is endometrial cancer, whereas genital tuberculosis is uncommon in this age group. The association of these two disorders is extremely rare. CASE: Endometrial curettings perfo…