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dysmenorrhea miscarriage

Martin Hirsch, James M N Duffy, Jennie O Kusznir, Colin J Davis, Maria N Plana, Khalid S Khan
OBJECTIVE: We reviewed the outcomes and outcome measures reported in randomized controlled trials and their relationship with methodological quality, year of publication, commercial funding, and journal impact factor. DATA SOURCES: We searched the following sources: (1) Cochrane Central Register of Controlled Trials, (2) Embase, and (3) MEDLINE from inception to November 2014. STUDY ELIGIBILITY: We included all randomized controlled trials evaluating a surgical intervention with or without a medical adjuvant therapy for the treatment of endometriosis symptoms...
April 2016: American Journal of Obstetrics and Gynecology
Courtney Ann Abshier, Elizabeth A Kennard, Julie M Sroga
INTRODUCTION: The aim of this study was to investigate individuals with diminished ovarian reserve to assess if there is an association between identifiable risk factors and premature ovarian decline. METHODS: A retrospective chart review was performed for 300 patients younger than 35 years of age-151 with premature ovarian decline, defined as an anti-Müllerian hormone level less than 1, and 149 with an anti-Müllerian hormone level of 1 or more. Multiple risk factors were compared...
May 2015: Obstetrics and Gynecology
Agnieszka Gardyszewska, Krzysztof Czajkowski
Intrauterine device is a popular cost-effective method of contraception known worldwide. It is extremely effective, with pregnancy rates comparable to tubal ligation (5-year cumulative rate varying from 0.5 to 1.1). LNG-IUS increases in popularity and may be used as the method of choice for adults because it offers non-contraceptive benefits: slight menstrual bleeding, decreased number of incidents of dysmenorrhea, and reduced pain associated with endometriosis. The levonorgestrel-releasing intrauterine system (LNG-IUS) provides a release rate of 20 microg/24 h of levonorgestrel...
December 2012: Ginekologia Polska
Nathalie Conti, Claudia Tosti, Serena Pinzauti, Tiziana Tomaiuolo, Gabriele Cevenini, Filiberto M Severi, Mariarosaria Di Tommaso, Felice Petraglia
OBJECTIVE: To evaluate the pregnancy outcome in women >30 years old with uterine fibroids also considering other possible concomitant risk factors. METHODS: A multicentric, observational and retrospective study was conducted. All women were asked to complete a questionnaire while they were in hospital and the outcome of pregnancy was investigated. RESULTS: Women with uterine fibroids before pregnancy were more frequently >35 years old and in their clinical history before pregnancy showed more pelvic pain, polliachiuria, previous pelvic surgery, hypermenorrhea and dysmenorrhea, than control women (p < 0...
April 2013: Journal of Maternal-fetal & Neonatal Medicine
Michaël Grynberg, Amélie Gervaise, Erika Faivre, Xavier Deffieux, René Frydman, Hervé Fernandez
STUDY OBJECTIVE: To assess the fertility and obstetric outcome after surgical treatment of complete uterine and vaginal septum. DESIGN: Retrospective study (Canadian Task Force Classification II-2). SETTING: Teaching hospital in France. PATIENTS: Twenty-two women who have experienced infertility, pregnancy losses, dyspareunia, or dysmenorrhea. INTERVENTION: Hysteroscopic section of complete uterine septum and resection of longitudinal vaginal septum...
January 2012: Journal of Minimally Invasive Gynecology
S Alouini, L Mesnard, S Coly, M Dolique, B Lemaire
OBJECTIVE: To evaluate the type and the emergency degree of the pathologies met in gynecological emergencies. METHODS: prospective study including 205 patients presented to the Emergency department of a maternity level 3 between the 2011 January 4 and February 15. RESULTS: One hundred and ninety-four patients (95%) came from their own initiative. One hundred and eighty-one patients (88%) consulted for abdominal/pelvic or lumbar pain and or metrorragia...
February 2012: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Jacqueline A Maybin, Hilary O D Critchley, Henry N Jabbour
Complex interactions between the endocrine and immune systems govern the key endometrial events of implantation and menstruation. In contrast to other tissue sites, cyclical endometrial inflammation is physiological. However, dysregulation of this inflammatory response can lead to endometrial disorders. This review examines the inflammatory processes occurring in the normal endometrium during menstruation and implantation, highlighting recent advances in our understanding and gaps in current knowledge. Subsequently, the role of inflammatory pathways in the pathology of various common endometrial conditions is discussed, including heavy menstrual bleeding, dysmenorrhoea (painful periods), uterine fibroids, endometriosis and recurrent miscarriage...
March 15, 2011: Molecular and Cellular Endocrinology
Hector N Aguilar, B F Mitchell
BACKGROUND: Uterine contractile activity plays an important role in many and varied reproductive functions including sperm and embryo transport, implantation, menstruation, gestation and parturition. Abnormal contractility might underlie common and important disorders such as infertility, implantation failure, dysmenorrhea, endometriosis, spontaneous miscarriage or preterm birth. METHODS: A systematic review of the US National Library of Medicine was performed linking 'uterus' or 'uterine myocyte' with 'calcium ion' (Ca(2+)), 'myosin light chain kinase' and 'myosin light chain phosphatase'...
November 2010: Human Reproduction Update
Selma Metintas, Inci Arýkan, Cemalettin Kalyoncu, Sinan Ozalp
INTRODUCTION: Women living in rural areas of Turkey experience difficulties in accessing healthcare services, and this is attributed to distance from urban healthcare centers, financial barriers and poverty, a low education level, and gender discrimination. The purpose of this study was to test the applicability of the menopause rating scale (MRS) as a screening tool by primary healthcare professionals for identifying women with severe menopausal symptoms. The objectives of the study were to test the validity and reliability of the MRS in rural areas of Turkey, to determine estimation values for referral to the secondary level of healthcare, and to assess the prevalence of severe menopausal symptoms among rural Turkish women...
January 2010: Rural and Remote Health
(no author information available yet)
(1) Intrauterine devices (IUDs) are placed in the uterine cavity with the objective of providing long-term contraception, mainly by preventing fertilisation. The best-known IUDs contain copper, but there is also an IUD delivering levonorgestrel, a progestin; (2) How effective are these devices, and what are their adverse effects? To answer these questions, we analysed the literature using the standard Prescrire methodology; (3) T-shaped copper IUDs, with a copper surface area of 380 mm2 on 3 arms, and the levonorgestrel-releasing device, have similar contraceptive efficacy as combined oral contraceptives that are used correctly...
June 2009: Prescrire International
Krisztina D László, Mária S Kopp
OBJECTIVE: To analyze the relationship between work stress, defined according to the Effort-Reward Imbalance Model, and painful menstruation. METHODS: Data of 821 pre-menopausal and not pregnant working women from the Hungarostudy Epidemiological Panel 2006 were analyzed. The association between work stress and dysmenorrhoea was investigated using logistic regression. RESULTS: After controlling for age, occupational class, own and mother's education, marital status, parity, unsuccessfully trying to conceive for at least 1 year, previous miscarriage, smoking, body-mass index, physical activity and depressive symptoms effort-reward imbalance and overcommitment were associated with an increased risk of menstrual pain (OR [95% CI]: 1...
February 2009: Journal of Occupational and Environmental Medicine
Marie-Claude Rossier, Virginie Bays, Yvan Vial, Chahin Achtari
The müllerian anomalies or congenital uterine anomalies are relatively frequent if we keep in mind that 3-4% of our female patients present with a müllerian anomaly, although many among them are asymptomatic. It is important to evoke this diagnosis for all patients with a history of recurrent miscarriage, late abortion and premature delivery, for the adolescent consulting for primary amenorrhea, dysmenorrhea or dyspareunia as well as for the woman consulting for infertility. We will review pathogenesis, diagnostic methods, standard classification with a description of the different types of congenital uterine anomalies and the recommended management...
October 22, 2008: Revue Médicale Suisse
James K Robinson, Liza M Swedarsky Colimon, Keith B Isaacson
OBJECTIVE: To evaluate postoperative blunt adhesiolysis after sharp adhesiolysis for the treatment of intrauterine adhesions. DESIGN: Retrospective analysis of 24 patients treated with primary hysteroscopic adhesiolysis followed by hormone therapy and serial flexible office hysteroscopy (Canadian Task Force Classification II-3). SETTING: University-affiliated community hospital. PATIENT(S): Twenty-four women with menstrual disorders, pain, or infertility resulting from intrauterine adhesions...
August 2008: Fertility and Sterility
Sing-Chien Yap, Willem Drenthen, Petronella G Pieper, Philip Moons, Barbara J M Mulder, Loes M Klieverik, Hubert W Vliegen, Arie P J van Dijk, Folkert J Meijboom, Jolien W Roos-Hesselink et al.
BACKGROUND AND AIM OF THE STUDY: The pulmonary autograft has been recommended as the valve of choice for aortic valve replacement (AVR) in young women contemplating pregnancy. However, current information on maternal and perinatal outcome of pregnancy in women with pulmonary autograft valve replacement is limited. METHODS: Using a nationwide Dutch registry (CONCOR) and a local Belgian tertiary care center database, 17 women (age range: 18 to 45 years) with pulmonary autograft valve replacement were enrolled into the study...
July 2007: Journal of Heart Valve Disease
Ninet Sinaii, Katherine Plumb, Louise Cotton, Ann Lambert, Stephen Kennedy, Krina Zondervan, Pamela Stratton
OBJECTIVE: To determine the relationship between disease severity and patient characteristics in endometriosis. DESIGN: Cross-sectional study of self-reported survey data. SETTING: Academic research setting. PATIENT(S): One thousand women in the Oxford Endometriosis Gene (OXEGENE) study. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Participants were assigned to one of two groups with predominantly revised AFS stage I-II (group I, n = 423) or III-IV disease (group II, n = 517)...
March 2008: Fertility and Sterility
Carlo Bulletti, Dominique de Ziegler
PURPOSE OF REVIEW: The aim of this article is to assess the importance of uterine contractility in the implantation of human embryos. RECENT FINDINGS: Recent findings show that the receptive phase of the endometrium seems to occur in close association with the appearance of pinopodes and endometrial integrins that may be activated by the IL-1 system. Throughout the menstrual cycle wavelike activity patterns of the uterus were identified with adequate wave patterns appearing to be related to successful reproduction in spontaneous cycles and in assisted reproduction...
August 2006: Current Opinion in Obstetrics & Gynecology
Pallavi Latthe, Luciano Mignini, Richard Gray, Robert Hills, Khalid Khan
OBJECTIVE: To evaluate factors predisposing women to chronic and recurrent pelvic pain. DESIGN, DATA SOURCES, AND METHODS: Systematic review of relevant studies without language restrictions identified through Medline, Embase, PsycINFO, Cochrane Library. SCISEARCH, conference papers, and bibliographies of retrieved primary and review articles. Two reviewers independently extracted data on study characteristics, quality, and results. Exposure to risk factors was compared between women with and without pelvic pain...
April 1, 2006: BMJ: British Medical Journal
Carlo Bulletti, Dominique de Ziegler
PURPOSE OF REVIEW: The aim of this article is to assess the importance of uterine contractility in the implantation of human embryos. RECENT FINDINGS: Recent findings show that the receptive phase of the endometrium seems to occur in close association with the appearance of pinopodes and endometrial integrins that may be activated by the IL-1 system. Throughout the menstrual cycle wavelike activity patterns of the uterus were identified with adequate wave patterns appearing to be related to successful reproduction in spontaneous cycles and in assisted reproduction...
June 2005: Current Opinion in Obstetrics & Gynecology
Carlo Bulletti, Dominique DE Ziegler, Paolo Levi Setti, Ettore Cicinelli, Valeria Polli, Carlo Flamigni
The nonpregnant uterus shows uterine activity throughout the menstrual cycle. This uterine activity was detected both by single strep tissue and by using intrauterine pressure recordings in vitro and in vivo. Today, ultrasound has made it possible to study this activity with a noninvasive approach and to assess uterine contractions (UCs) in real-time movements of the uterus. Throughout the menstrual cycle, wavelike activity patterns of the reproductive organ were established. These patterns are under control of steroid hormones...
December 2004: Annals of the New York Academy of Sciences
Bijoy T Mullesserill, Daniel A Dumesic, Mark A Damario, Donna R Session
BACKGROUND: The benefits of ultrasound-guided hysteroscopic metroplasty have been well described in the management of the partial septate uterus. The use of ultrasonography at the time of hysteroscopy provides visualization of the intrauterine instruments within the uterine cavity. This report describes a case where ultrasound-guidance was used to enter a noncommunicating uterine cavity hysteroscopically. METHODS: A 22-year-old female after her third miscarriage experienced worsening dysmenorrhea...
April 2003: JSLS: Journal of the Society of Laparoendoscopic Surgeons
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