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Complete laparoscopic excision of endometriosis in teenagers: is postoperative hormonal suppression necessary?

Yeung PP Jr et al., 2011 Fertility and Sterility

OBJECTIVE: To determine long-term outcomes after complete laparoscopic excision done at a tertiary referral center in a teenager population, who were not specifically advised to take postoperative hor...

Endometriosis > Surgical Treatment > Laparoscopic ExcisionEndometriosis > Adolescent Endometriosis > Treatment OutcomesSurgery > Endometriosis Surgery > Excision Without Hormonal Suppression

NaProTechnology (Natural Procreative Technology) - A Multifactorial Approach to the Chronic Problem of Infertility

Boyle PC et al., 2011 Biomedicina (Sveikatos Mokslai/Health Sciences)

Description: Infertility is usually a consequence of multiple chronic conditions rather than a single acute condition. We propose that it is erroneous to apply acute medical interventions to a conditi...

RRM Methods > NaProTECHNOLOGY > Clinical OutcomesInfertility > Unexplained > TreatmentRRM Methods > NaProTECHNOLOGY > Effectiveness

The association between oral contraceptive use, bone mineral density and fractures in women aged 50-80 years

Wei S et al., 2011 Contraception

Background: The associations between oral contraceptive (OC) use, bone mineral density (BMD) and the risk of fractures remain controversial. Study Design: A cross-sectional study of 491 women aged 50...

Bone Health > Bone Mineral Density > Oral Contraceptive EffectsContraception/Comparison > Long-Term Effects > Bone HealthReproductive Endocrinology > Hormones > Bone Metabolism

Vitamin D supplement doses and serum 25-hydroxyvitamin D in the range associated with cancer prevention

Garland CF et al., 2011 Anticancer Research

BACKGROUND: Studies indicate that intake of vitamin D in the range from 1,100 to 4,000 IU/d and a serum 25-hydroxyvitamin D concentration [25(OH)D] from 60-80 ng/ml may be needed to reduce cancer risk...

General OB/GYN > Nutrition > Vitamin D SupplementationDiagnostics > Laboratory Testing > Vitamin D Serum LevelsResearch Methodology > Study Design > Descriptive Cohort Study

Acute effects of premenopausal hysterectomy with bilateral oophorectomy on serum lipids, hormonal values, inflammatory markers and metabolism

Kalyan S et al., 2011 Journal of gynecologic surgery

Objectives: The aim of this study was to provide a clinical reference for the acute postoperative changes to lipids and inflammation following premenopausal hysterectomy with bilateral oophorectomy an...

General OB/GYN > Hysterectomy > Metabolic ConsequencesPerimenopause/Menopause > Surgical Menopause > Hormonal ChangesBone Health > Oophorectomy > Post-surgical Bone Loss Prevention

Providing hospice in the womb

Collier R, 2011 Open Access CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne

Amy Kuebelbeck was 25 weeks into her pregnancy when she received the terrible news. Her fetus had been diagnosed with an incurable heart defect. If she carried through with her pregnancy, her baby's l...

PregnancyEthics/Philosophy

Effect of omega-3 polyunsaturated fatty acid supplementation on semen profile and enzymatic anti-oxidant capacity of seminal plasma in infertile men with idiopathic oligoasthenoteratospermia: a double-blind, placebo-controlled, randomised study

Safarinejad MR, 2011 Andrologia

Effective medical treatments of infertile men with idiopathic oligoasthenoteratospermia (OAT) have yet to be determined. This study considered two major aims: (i) to measure the changes in semen param...

Andrology > Male Infertility > Nutritional SupplementationAndrology > Semen Analysis > Oxidative Stress MarkersResearch Methodology > Randomized Controlled Trial > Double-Blind Placebo

Is the oral contraceptive pill associated with fracture in later life? New evidence from the Royal College of General Practitioners Oral Contraception Study

Memon S et al., 2011 Contraception

Background: Several studies, including an earlier analysis from the Royal College of General Practitioners (RCGP) Oral Contraception Study, have suggested that ever users of oral contraceptives have a...

Contraception/Comparison > Oral Contraceptives > Long-term Health OutcomesBone Health > Fracture Risk > Contraceptive Use AssociationResearch Methodology > Nested Case-Control Study > Epidemiology

Modulation of spermatozoon acrosome reaction

Vigil P et al., 2011 Open Access Biological Research

Spermatozoon acrosome reaction is an exocytotic event of the utmost importance for the development of mammalian fertilisation. Current evidence shows that the triggering of the acrosome reaction (AR) ...

Andrology > Sperm Physiology > Acrosome ReactionReproductive Endocrinology > Hormonal Regulation > Fertilization MechanismsInfertility > Gamete Interaction > Sperm Function

The endocrinology of perimenopause: need for a paradigm shift

Jerilynn C Prior et al., 2011 Front Biosci (Schol Ed)

Perimenopause, rather than a time of declining estrogen, is characterized by three major hormonal changes that may begin in regularly menstruating women in their mid-thirties: erratically higher estra...

Perimenopause/Menopause > Endocrinology > Hormonal ChangesReproductive Endocrinology > Ovarian Function > PerimenopauseMenstrual Cycle > Ovulatory Disturbances > Luteal Phase Defects

Naprotechnology for Women's Health: Promising Results from Clinical Trials

Hilgers TW, 2011

The paper presents the main concepts of NaProTECHNOLOGY. Such problems as family planning effectiveness, targeted hormonal assessment of the menstrual cycle, ovarian hormone and target organ dysfucnti...

NaProTECHNOLOGY > Clinical Outcomes > Women's HealthNaProTECHNOLOGY > Hormonal Assessment > Menstrual Cycle EvaluationInfertility > NaProTECHNOLOGY > Treatment Outcomes

The NaPro Technology Revolution: Unleashing the Power in a Woman's Cycle

Hilgers TW, 2011

Dr. Thomas W. Hilgers draws on decades of medical experience to provide educational and revolutionary insights into the world of women's health. The NaPro Technology Revolution provides real solutions...

NaProTECHNOLOGY > Overview > Comprehensive Women's HealthInfertility > NaProTECHNOLOGY > Alternative to IVFNaProTECHNOLOGY > Prematurity Prevention > Clinical Outcomes

Bone changes and fracture related to menstrual cycles and ovulation

Kalyan S et al., 2010 Critical Reviews in Eukaryotic Gene Expression

Women's menstrual cycles and bone remodeling are linked in part by their co-dependency on the stressand resource-associated variables that govern both of their cyclical natures. Therefore, it is not s...

Bone Health > Menstrual Cycle Effects > Bone RemodelingMenstrual Cycle > Ovulatory Disturbances > Skeletal ImpactReproductive Endocrinology > Ovarian Hormones > Bone Physiology

Laparo-endoscopic single site hysterectomy in gynecologic surgery

Hart S et al., 2010 Surgical Technology International

Laparo-endoscopic single site (LESS) surgery has recently gained broader acceptance as a less-invasive approach to traditional multi-port laparoscopic procedures. LESS hysterectomy represents the gyne...

Surgery > Minimally Invasive > LESS HysterectomyGeneral OB/GYN > Hysterectomy > Surgical TechniquesSurgery > Laparoscopic Surgery > Single-Site Approaches

Progesterone and bone: actions promoting bone health in women

Seifert-Klauss V et al., 2010 Open Access Journal of Osteoporosis

Estradiol (E(2)) and progesterone (P(4)) collaborate within bone remodelling on resorption (E(2)) and formation (P(4)). We integrate evidence that P(4) may prevent and, with antiresorptives, treat wom...

Bone HealthReproductive Endocrinology

Adding the Standard Days Method® to the contraceptive method mix in a high-prevalence setting in Peru

Arévalo M et al., 2010 Open Access Revista Panamericana De Salud Publica = Pan American Journal of Public Health

Objective: To determine what contribution the Standard Days Method® (SDM) makes to the contraceptive mix offered by regular health services in areas of Peru where contraceptive prevalence rates (CPR) ...

Fertility Awareness > Standard Days Method > Program IntegrationFertility Awareness > Standard Days Method > EffectivenessContraception/Comparison > Method Mix > Fertility Awareness Methods

Polycystic ovary syndrome in the pediatric population

Bremer AA, 2010 Metabolic Syndrome and Related Disorders

Polycystic ovary syndrome (PCOS) is a common disorder characterized by hyperandrogenism and disordered gonadotropin secretion, often associated with insulin resistance. The syndrome, which modulates b...

PCOSReproductive Endocrinology

Thyroid function and human reproductive health

Krassas GE et al., 2010 Endocrine reviews

Via its interaction in several pathways, normal thyroid function is important to maintain normal reproduction. In both genders, changes in SHBG and sex steroids are a consistent feature associated wit...

Reproductive Endocrinology > Thyroid Disorders > Thyroid and Reproductive FunctionPregnancy > Complications > Thyroid Disease in PregnancyAndrology > Male Infertility > Thyroid Dysfunction and Sperm Quality

Endometriosis fertility index: the new, validated endometriosis staging system

Adamson GD et al., 2010 Fertility and sterility

OBJECTIVE: To develop a clinical tool that predicts pregnancy rates (PRs) in patients with surgically documented endometriosis who attempt non-IVF conception. DESIGN: Prospective data collection on 57...

Endometriosis > Staging > Endometriosis Fertility IndexEndometriosis > Surgery > Fertility Outcomes After Surgical TreatmentInfertility > Endometriosis-Related > Prognosis and Prediction Tools

Efficacy of natural family planning methods

Freundl G, 2010 The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

This letter to the editor discusses a review article commenting on the efficacy of contraceptive methods. It takes issue with section focused on natural family planning methods (Billings ovulation met...

Fertility Awareness > Efficacy > Method-Specific EffectivenessFertility Awareness > Methods > Comparison of NFP ApproachesResearch Methodology > Study Critique > Classification of Natural Methods

Oral contraceptive use and breast cancer: a prospective study of young women

Hunter DJ et al., 2010 Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology

Background: Previous studies convincingly showed an increase in risk of breast cancer associated with current or recent use of oral contraceptives from the 1960s to 1980s. The relation of contemporary...

Contraception/ComparisonReproductive Endocrinology

Natural family planning: physicians' knowledge, attitudes, and practice

Choi J et al., 2010 Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC

OBJECTIVE: To assess physicians' knowledge, attitudes, and practice with respect to four evidence-based natural family planning (NFP) methods: Standard Days, cervical mucus, basal body temperature, a...

Fertility Awareness > Education > Physician Knowledge and AttitudesFertility Awareness > Counseling > Contraceptive Counseling PracticesResearch Methodology > Survey Studies > Cross-Sectional Physician Survey

Thyroid and obesity: an intriguing relationship

Biondi B, 2010 The Journal of Clinical Endocrinology and Metabolism

This population-based study suggests that use of DMPA is associated with a slightly increased risk of fractures.

Reproductive Endocrinology > Thyroid Disorders > Thyroid and ObesityBone Health > Fracture Risk > DMPA and Bone Health

Risk of venous thromboembolism and the use of dienogest- and drospirenone-containing oral contraceptives: results from a German case-control study

Dinger J et al., 2010 The Journal of Family Planning and Reproductive Health Care

Objective: The primary objective of the study was to clarify whether the use of the oral contraceptive 2 mg dienogest/30 microg ethinylestradiol (DNG/EE) is associated with a higher risk of venous thr...

Contraception/Comparison > Adverse Effects > Venous Thromboembolism RiskContraception/Comparison > Oral Contraceptives > Progestin Type Safety ComparisonResearch Methodology > Case-Control Studies > Contraceptive Safety

Effect of depot medroxyprogesterone acetate on postpartum depression

Tsai R et al., 2010 Contraception

Background: Depot medroxyprogesterone acetate (DMPA) is commonly prescribed to women immediately postpartum due to its efficacy, convenience and lack of estrogen. It is unclear whether administering a...

Pregnancy > Postpartum > Postpartum Depression and Hormonal ContraceptionContraception/Comparison > Adverse Effects > DMPA and Mood DisordersPostpartum > Mental Health > Depression Screening and Risk Factors

Oral contraceptive use and estrogen/progesterone receptor-negative breast cancer among African American women

Rosenberg L et al., 2010 Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology

Background: Oral contraceptive formulations have changed over time, making it relevant to assess the effect of more recent formulations on breast cancer risk. In addition, some studies have found stro...

Contraception/ComparisonReproductive Endocrinology

Evaluation of methods and costs associated with recruiting healthy women volunteers to a study of ovulation

Battistella E et al., 2010 Journal of Women's Health (2002)

Objective: We address the crucial and challenging task of anticipating the resources needed to recruit eligible participants for research. We provide our analysis of various recruitment strategies and...

Research Methodology > Recruitment > Cost-Effective Participant EnrollmentMenstrual Cycle > Ovulation > Observational Study DesignResearch Methodology > Study Design > Women's Health Research Methods

Endometriosis and infertility

Bulletti C et al., 2010 Journal of Assisted Reproduction and Genetics

Endometriosis is a debilitating condition characterized by high recurrence rates. The etiology and pathogenesis remain unclear. Typically, endometriosis causes pain and infertility, although 20-25% of...

EndometriosisInfertility

Increased pregnancy loss rate in thyroid antibody negative women with TSH levels between 2.5 and 5.0 in the first trimester of pregnancy

Negro R et al., 2010 The Journal of Clinical Endocrinology and Metabolism

CONTEXT: The definition of what constitutes a normal TSH during pregnancy is in flux. Recent studies suggested that the first trimester upper limit of normal for TSH should be 2.5 mIU/liter. OBJECTIV...

Pregnancy > Complications > Thyroid Dysfunction and Pregnancy LossReproductive Endocrinology > Thyroid Disorders > TSH Reference Ranges in PregnancyDiagnostics > Thyroid Screening > First Trimester TSH Thresholds

Vaginal microbiome of reproductive-age women

Ravel J et al., 2010 Proceedings of the National Academy of Sciences of the United States of America

The means by which vaginal microbiomes help prevent urogenital diseases in women and maintain health are poorly understood. To gain insight into this, the vaginal bacterial communities of 396 asymptom...

General OB/GYNMenstrual CycleDiagnostics

Embryo adoption: Some further considerations

Grabowski JS et al., 2010 The national Catholic bioethics quarterly

The Congregation of the Doctrine of the Faith’s Dignitas personae does­not­offer­a­definitive­rejection­of­the­practice­of­human­embryo­adoption­as­ intrinsically­evil,­but­neither­does­it­simply­leav...

Ethics/Philosophy > Bioethics > Embryo Adoption and Moral StatusEthics/Philosophy > Catholic Teaching > Dignitas Personae and Reproductive TechnologyInfertility > Ethical Considerations > Fertility Industry Cooperation and Scandal

Modulation of HIV-1 virulence via the host glucocorticoid receptor: towards further understanding the molecular mechanisms of HIV-1 pathogenesis

Hapgood JP et al., 2010 Archives of Virology

The glucocorticoid receptor (GR) is a steroid receptor that regulates diverse functions, which include the immune response. In humans, the GR acts via binding to cortisol, resulting in the transcripti...

Contraception/Comparison > Hormonal Contraception > Progestins and HIV RiskReproductive Endocrinology > Steroid Receptors > Glucocorticoid Receptor Mechanisms

A prospective exploration of cognitive dietary restraint, subclinical ovulatory disturbances, cortisol, and change in bone density over two years in healthy young women

Bedford JL et al., 2010 The Journal of Clinical Endocrinology and Metabolism

Context: Cross-sectional studies have found associations among elevated cognitive dietary restraint (CDR), increased ovulatory disturbances, and lower bone mass, possibly mediated by cortisol. Object...

Menstrual Cycle > Ovulatory Disturbances > Subclinical AnovulationBone Health > Premenopausal Bone Loss > Ovulatory Disturbance EffectsReproductive Endocrinology > Cortisol > Stress and Ovulation

Cardiovascular and metabolic effects of medroxyprogesterone acetate versus conjugated equine estrogen after premenopausal hysterectomy with bilateral ovariectomy

Kalyan S et al., 2010 Pharmacotherapy

STUDY Objective: To compare the cardiovascular and metabolic effects of medroxyprogesterone acetate (MPA) with those of conjugated equine estrogen (CEE) as single-hormone therapies in women who underw...

Perimenopause/Menopause > Hormone Therapy > Progestin vs Estrogen TherapyContraception/Comparison > Hormonal Effects > Cardiovascular and Metabolic OutcomesReproductive Endocrinology > Progesterone > Medroxyprogesterone Acetate Effects

"Relationships among cognitive dietary restraint, subclinical ovulation disturbances, cortisol and 2‐yr change in bone density in premenopausal women"

Bedford JL et al., 2010 The FASEB Journal

Cognitive dietary restraint (CDR) is the perception of limiting food intake to achieve/maintain a perceived ideal body weight. The objective of this 2‐yr prospective study was to determine if women wi...

Menstrual Cycle > Ovulatory Disturbances > Subclinical AnovulationBone Health > Premenopausal Bone Loss > Ovulatory Disturbance EffectsFertility Awareness > Biomarkers > Basal Body Temperature