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Metformin reduces abortion in pregnant women with polycystic ovary syndrome

Khattab S et al., 2006 Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology

BACKGROUND: Women with polycystic ovary syndrome (PCOS) are considered to be at increased risk of miscarriage. Since metformin has beneficial effects on the risk factors contributing to first-trimeste...

PCOS > Treatment > MetforminPregnancy > Complications > Miscarriage PreventionInfertility > Assisted Reproduction > PCOS Outcomes

FSH and bone--important physiology or not?

Prior JC, 2006 Trends in Molecular Medicine

For many years, osteoporosis in women was equated with estrogen deficiency. The recent articles by Zaidi and colleagues offer a new challenge to the estrogen-deficiency-osteoporosis hypothesis by show...

Bone Health > Pathophysiology > FSH and Bone ResorptionReproductive Endocrinology > Hormones > FSH PhysiologyPerimenopause/Menopause > Bone Health > Estrogen Deficiency Paradigm

What is the number of older Canadians needed to screen by measurement of bone density to detect an undiagnosed case of osteoporosis? a population-based study from CaMos

Anna M Sawka et al., 2006 Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry

Routine bone mineral densitometry (BMD) screening has been recommended for women aged >or=65 yr (Osteoporosis Canada [OC], International Society for Clinical Densitometry [ISCD], Canadian and United S...

Bone Health > Screening > Population-Based BMD TestingBone Health > Epidemiology > Osteoporosis PrevalenceResearch Methodology > Study Design > Population-Based Screening

Menstruation in girls and adolescents: using the menstrual cycle as a vital sign

Diaz A et al., 2006 Pediatrics

Young patients and their parents often are unsure about what represents normal menstrual patterns, and clinicians also may be unsure about normal ranges for menstrual cycle length and amount and durat...

Body Literacy > Education > Menstrual Cycle as Vital SignMenstrual Cycle > Normal Physiology > Adolescent Menstrual PatternsGeneral OB/GYN > Pediatric Gynecology > Menstrual Assessment

Infertility and assisted reproduction in Denmark. Epidemiology and psychosocial consequences

Schmidt L, 2006 Danish medical bulletin

Clinically a couple is considered to be infertile after at least one year without contraception and without pregnancy. There was scant knowledge about the prevalences of infertility, involuntary child...

Infertility > Epidemiology > Prevalence Population-Based StudiesInfertility > Psychosocial > Coping and CommunicationInfertility > Assisted Reproduction > Treatment Outcomes Denmark

Perimenopause lost—reframing the end of menstruation

Prior et al., 2006 Journal of reproductive and infant psychology

Ordinary women and official statements confuse and conflate perimenopause—the long, complex, life phase of higher and chaotic estrogen levels—with the low and stable estrogen levels of menopause. This...

Perimenopause/Menopause > Perimenopause > Hormonal CharacterizationReproductive Endocrinology > Hormones > Estrogen in PerimenopauseEthics/Philosophy > Feminist Analysis > Women's Health Paradigms

Measuring fecundity with standardised estimates of expected pregnancies

Mikolajczyk RT et al., 2006 Paediatric and Perinatal Epidemiology

Approaches to measuring fecundity include the assessment of time to pregnancy and day-specific probabilities of conception (daily fecundities) indexed to a day of ovulation. In this paper, we develop ...

Fertility Awareness > Methodology > Fecundity MeasurementResearch Methodology > Biostatistics > Day-Specific Conception ProbabilitiesNaProTECHNOLOGY > Creighton Model > Fertility Cycle Data Analysis

Estimation of the day-specific probabilities of conception: current state of the knowledge and the relevance for epidemiological research

Lynch CD et al., 2006 Paediatric and Perinatal Epidemiology

Conception, as defined by the fertilisation of an ovum by a sperm, marks the beginning of human development. Currently, a biomarker of conception is not available; as conception occurs shortly after o...

Fertility Awareness > Science > Day-Specific Conception ProbabilitiesDiagnostics > Ovulation Detection > Biomarkers and Proxy MeasuresResearch Methodology > Epidemiology > Periconceptional Window Assessment

Oral contraceptive use as a risk factor for premenopausal breast cancer: a meta-analysis

Kahlenborn C et al., 2006 Mayo Clinic Proceedings

OBJECTIVE: To perform a meta-analysis of case-control studies that addressed whether prior oral contraceptive (OC) use is associated with premenopausal breast cancer. METHODS: We searched the MEDLINE...

Contraception/Comparison > Adverse Effects > Breast Cancer RiskGeneral OB/GYN > Breast Health > Premenopausal Breast CancerResearch Methodology > Meta-Analysis > Oral Contraceptive Safety

It's all in the timing: coital frequency and fertility awareness-based methods of family planning

Sinai I et al., 2006 Journal of Biosocial Science

Fertility awareness-based methods of family planning help women to identify the days of the cycle they should avoid unprotected intercourse to prevent pregnancy. Therefore using fertility awareness-ba...

Fertility Awareness > Methods > Standard Days and TwoDay MethodFertility Awareness > User Experience > Coital Frequency and TimingResearch Methodology > Clinical Trials > Behavioral Outcomes FAB Methods

The case against ergocalciferol (vitamin D2) as a vitamin supplement

Houghton LA et al., 2006 The American Journal of Clinical Nutrition

Supplemental vitamin D is available in 2 distinct forms: ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Pharmacopoeias have officially regarded these 2 forms as equivalent and interchan...

Bone Health > Vitamin D > Supplementation FormsBone Health > Vitamin D > Ergocalciferol vs CholecalciferolResearch Methodology > Review > Narrative Review

BRCA1 and BRCA2 mutation carriers, oral contraceptive use, and breast cancer before age 50

Haile RW et al., 2006 Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology

Background: Understanding the effect of oral contraceptives on risk of breast cancer in BRCA1 or BRCA2 mutation carriers is important because oral contraceptive use is a common, modifiable practice. ...

Contraception/Comparison > Safety > Genetic Risk FactorsReproductive Endocrinology > Hormonal Contraception > Cancer RiskResearch Methodology > Case-Control Studies > Cancer Epidemiology

Environmental factors in inflammatory bowel disease: a co-twin control study of a Swedish-Danish twin population

Halfvarson J et al., 2006 Inflammatory Bowel Diseases

Background: Genetics and environmental factors are implicated in the etiology of inflammatory bowel disease (IBD). We studied environmental factors in a population-based Swedish-Danish twin cohort usi...

Contraception/Comparison > Oral Contraceptives > Gastrointestinal EffectsGeneral OB/GYN > Inflammatory Bowel Disease > Environmental Risk FactorsResearch Methodology > Study Design > Co-Twin Control Study

Knowledge, attitude and practice of natural family planning methods in a population with poor utilisation of modern contraceptives

Audu BM et al., 2006 Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

Sub-Saharan Africa has one of the highest fertility rates in the world, which is further promoted by the low utilisation of modern contraceptive methods. Yet, many communities claim to have traditiona...

Fertility Awareness > Education > Knowledge Attitude PracticeFertility Awareness > NFP Methods > Rhythm MethodBody Literacy > Education > Developing Countries

Survey of attitudes regarding natural family planning in an urban Hispanic population

Leonard CJ et al., 2006 Contraception

Methods: We performed a cross-sectional survey of 357 reproductive-aged women, mostly Hispanic (81.8%), presenting for ambulatory and hospital reproductive care in Phoenix, AZ, about their interest in...

Fertility Awareness > Attitudes and Acceptability > Hispanic PopulationsBody Literacy > Education > Patient SurveysFertility Awareness > NFP Methods > User Demographics

Hormone-related risk factors for breast cancer in women under age 50 years by estrogen and progesterone receptor status: results from a case-control and a case-case comparison

Ma H et al., 2006 Open Access Breast Cancer Research : BCR

Introduction: It has been suggested that hormonal risk factors act predominantly on estrogen receptor and progesterone receptor (ER/PR)-positive breast cancers. However, the data have been inconsisten...

Contraception/ComparisonGeneral OB/GYNReproductive Endocrinology

Overt and 'subclinical' hypothyroidism in women

Wartofsky L et al., 2006 Obstetrical & Gynecological Survey

Thyroid disease in general, and hypothyroidism in particular, are very common in women. In the USA, the most common cause of primary thyroid deficiency is on an autoimmune basis due to lymphocytic (Ha...

Reproductive Endocrinology > Thyroid Disorders > HypothyroidismReproductive Endocrinology > Thyroid Disorders > Subclinical HypothyroidismInfertility > Endocrine Causes > Thyroid Dysfunction

Fertility awareness-based methods of family planning: predictors of correct use

Sinai I et al., 2006 International Family Planning Perspectives

Context: Fertility awareness-based methods of family planning help women identify the days of the menstrual cycle when they are most likely to become pregnant. To prevent pregnancy, women avoid unprot...

Fertility Awareness > NFP Methods > Standard Days MethodFertility Awareness > NFP Methods > TwoDay MethodFertility Awareness > Effectiveness > Correct Use Predictors

The biology of human sex differences

Stanford JB, 2006 The New England Journal of Medicine

To the Editor: In the discussion of biologic differences between male and female fertility (April 6 issue),1 Federman states that women are fertile for only 12 hours each month. Although the egg is vi...

Fertility Awareness > Physiology > Fertile WindowMenstrual Cycle > Cervical Mucus > Sperm TransportReproductive Endocrinology > Ovulation > Fertility Window Duration

The effect of cyclooxygenase-2 inhibitors on bone mineral density: results from the Canadian Multicentre Osteoporosis Study

Richards JB et al., 2006 Osteoporos Int

Introduction: The use of cyclooxygenase-2 (COX-2) inhibitors has been demonstrated to not only impair load-induced bone formation but also prevent menopause-associated bone loss. We hypothesized that ...

Bone Health > Bone Mineral Density > Pharmacological EffectsPerimenopause/Menopause > Bone Health > COX-2 InhibitorsBone Health > Osteoporosis > Risk Factors

Usefulness of monitoring fertility from menarche

Vigil P et al., 2006 Journal of Pediatric and Adolescent Gynecology

The concept of the ovarian cycle as a continuum considers that all types of ovarian activity encountered during the reproductive life are responses to different environmental conditions in order to en...

Fertility Awareness > Education > Adolescent HealthBody Literacy > Education > Menarche MonitoringMenstrual Cycle > Cycle Monitoring > Cervical Mucus Patterns

Variability in the phases of the menstrual cycle

Fehring RJ et al., 2006 Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN

Objective: To determine variability in the phases of the menstrual cycle among healthy, regularly cycling women. Design: A prospective descriptive study of a new data set with biological markers to es...

Menstrual Cycle > Cycle Variability > Phase Length DistributionFertility Awareness > Fertile Window > Ovulation Day EstimationDiagnostics > Hormone Monitoring > Electronic Fertility Monitors

Levothyroxine treatment in euthyroid pregnant women with autoimmune thyroid disease: effects on obstetrical complications

Negro R et al., 2006 The Journal of Clinical Endocrinology and Metabolism

CONTEXT: Euthyroid women with autoimmune thyroid disease show impairment of thyroid function during gestation and seem to suffer from a higher rate of obstetrical complications. OBJECTIVE: We sought ...

Pregnancy > Thyroid Disorders > Autoimmune Thyroid DiseasePregnancy > Complications > Miscarriage PreventionReproductive Endocrinology > Thyroid Function > Levothyroxine Treatment

Cervical mucus symptom and daily fecundability: first results from a new database

Colombo B et al., 2006 Statistical Methods in Medical Research

With the collaboration of Italian centres providing services on natural family planning, a prospective study collected data on 2755 menstrual cycles of 193 women. A database was constructed using info...

Fertility Awareness > Cervical Mucus > Fecundability EstimationInfertility > Natural Conception > Fertile Window IdentificationResearch Methodology > Prospective Studies > Fertility Databases

The origin of informed consent

Mallardi V, 2006 Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale

The principle of informed consent, aimed at the lawfulness of health assistance, tends to reflect the concept of autonomy and of decisional autodetermination of the person requiring and requesting med...

Ethics/Philosophy > Informed Consent > Historical DevelopmentEthics/Philosophy > Patient Autonomy > Medical Decision Making

Sperm integrity pre- and post-chemotherapy in men with testicular germ cell cancer

Spermon JR et al., 2006 Human Reproduction (Oxford, England)

Background: While (partial) recovery of spermatogenesis, observed by means of standard semen analysis, has been seen in testicular cancer patients after chemotherapy with cisplatin, sperm genomic inte...

Andrology > Sperm Quality > DNA IntegrityAndrology > Cancer Treatment > Chemotherapy Effects on FertilityDiagnostics > Sperm Assessment > Chromatin Analysis

The reproductive significance of human Fallopian tube cilia

Lyons RA et al., 2006 Human Reproduction Update

Effective tubal transport of ova, sperm and embryos is a prerequisite for successful spontaneous pregnancy. Although there is much yet to be discovered about the mechanisms involved, it is evident tha...

Infertility > Tubal Factor > Ciliary FunctionGeneral OB/GYN > Fallopian Tube Physiology > Gamete TransportEndometriosis > Tubal Effects > Ciliary Dysfunction

The natural progression of health-related quality of life: results of a five-year prospective study of SF-36 scores in a normative population

Hopman WM et al., 2006 Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation

Background: Limited information exists regarding the natural progression of health-related quality of life (HRQOL) in the general population, as most research has been cross-sectional or has followed ...

Research Methodology > Outcome Measures > Quality of Life AssessmentBone Health > Population Studies > Canadian Multicentre Osteoporosis Study

Oral contraceptive use and risk of fractures

Vestergaard P et al., 2006 Contraception

Introduction: Prior studies have suggested that oral contraceptives (OCs) may be associated with an increased fracture risk. However, the previous studies have only performed a limited adjustment for ...

Contraception/Comparison > Oral Contraceptives > Fracture RiskBone Health > Contraceptive Effects > Oral ContraceptivesResearch Methodology > Case-Control Studies > Population-Based

Progestogen-only contraception and bone mineral density: a systematic review

Curtis KM et al., 2006 Contraception

Questions have been raised about the effects of progestogen-only contraceptive use on bone health, particularly among young women who have not yet reached peak bone mass and perimenopausal women who m...

Perimenopause/Menopause > Bone Density > Contraceptive EffectsContraception/Comparison > Progestogen-Only Methods > Bone HealthBone Health > Hormonal Contraception > DMPA Effects

Preventing copper intrauterine device removals due to side effects among first-time users: randomized trial to study the effect of prophylactic ibuprofen

Hubacher D et al., 2006 Human Reproduction (Oxford, England)

Background: Increased menstrual bleeding and pain are the primary side effects that lead to early removal of the copper intrauterine device (IUD). Ibuprofen and other non-steroidal anti-inflammatory d...

Contraception/Comparison > IUD > Side Effects ManagementContraception/Comparison > IUD > Copper IUD DiscontinuationResearch Methodology > Randomized Controlled Trial > Placebo-Controlled

Estrogen carcinogenesis in breast cancer

Yager JD et al., 2006 The New England Journal of Medicine

Estrogen exposure is a major determinant of the risk of breast cancer. This article reviews how genotoxic, mutagenic metabolites of estrogen and stimulation of tissue growth by the hormone participate...

Reproductive Endocrinology > Estrogen > CarcinogenesisGeneral OB/GYN > Breast Cancer > Estrogen-Mediated RiskReproductive Endocrinology > Hormone Metabolism > Estrogen Metabolites

The Present State of NFP Science

Fehring RJ, 2006 Ethics & Medics
Fertility Awareness > NFP Methods > Scientific EvidenceEthics/Philosophy > Reproductive Ethics > Natural Family PlanningRRM Methods > Fertility Awareness > Research Overview

Acceptability of a home monitor used to aid in conception: psychosocial factors and couple dynamics

Severy LJ et al., 2005 Contraception

Background: Assessing the psychological acceptability of technologies designed to assist couples in achieving pregnancy is complex. Objective: The current study developed measures relating to the imp...

Fertility Awareness > Technology > Home Fertility MonitorsInfertility > Psychosocial Factors > Couple DynamicsFertility Awareness > Acceptability > Patient Experience

Effects of TeenSTAR, an abstinence only sexual education program, on adolescent sexual behavior

Vigil P et al., 2005 Open Access Revista Medica De Chile

Background: Urgent measures are required to stop the increase in the frequency of pregnancies and sexually transmitted diseases among teenagers. A means of facing this problem is promoting sexual abst...

Body Literacy > Education > Adolescent Sexual Health ProgramsFertility Awareness > Education > Teen ProgramsBody Literacy > Education > Abstinence Education Outcomes

Depression associated with combined oral contraceptives--a pilot study

Kulkarni J et al., 2005 Australian Family Physician

Although there have been numerous studies investigating the relationship between the use of oral contraceptives and depressive symptoms, they have differed widely in both their methods and findings. A...

Contraception/Comparison > Oral Contraceptives > Side EffectsContraception/Comparison > Oral Contraceptives > Depression and MoodGeneral OB/GYN > Mental Health > Hormonal Influences

Molecular aspects of declining sperm motility in older men

Henkel R et al., 2005 Fertility and Sterility

OBJECTIVE: To investigate the molecular mechanism for declining sperm motility in older men. DESIGN: Retrospective and prospective study. SETTING: University-based andrology unit. PATIENT(S): Semen...

Andrology > Male Factor > Age-Related Sperm DeclineAndrology > Male Factor > Sperm Motility MechanismsReproductive Endocrinology > Testosterone > Male Reproductive Aging

In vivo and in vitro estrogenic and progestagenic actions of Tibolone

Sadarangani A et al., 2005 Open Access Biological Research

Estrogen and progestin combination in hormone replacement therapy (HRT) increases the incidence of breast cancer, but decreases the endometrial cancer risk of unopposed estrogen. Therefore, a SERM suc...

Perimenopause/MenopauseReproductive Endocrinology

The influence of smoking and other cofactors on the time to onset to cervical cancer in a southern European population

Matos A et al., 2005 Eur J Cancer Prev

Cervical cancer is a complex and multifactorial disease. Although there are substantial data supporting the causative role of persistent human papillomavirus (HPV) infection in the development of cerv...

General OB/GYN > Cervical Cancer > Risk FactorsContraception/Comparison > Oral Contraceptives > Cancer RiskGeneral OB/GYN > Cervical Cancer > Smoking and Cofactors

Oral contraceptive use and risk of breast cancer among women with a family history of breast cancer: a prospective cohort study

Silvera SA et al., 2005 Cancer Causes & Control : CCC

Family history of breast cancer is an established risk factor for breast cancer. In addition, there is evidence that oral contraceptive use may be associated with a moderate increase in breast cancer ...

Contraception/Comparison > Oral Contraceptives > Breast Cancer RiskGeneral OB/GYN > Breast Cancer > Family History and Risk FactorsResearch Methodology > Prospective Cohort > Cancer Epidemiology

Protocol for determining fertility while breastfeeding and not in cycles

Fehring RJ et al., 2005 Fertility and Sterility

A protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor. The amount of required abstinence (i.e., day...

Fertility Awareness > Technology > Electronic Hormonal Fertility MonitorPostpartum > Breastfeeding > Return of FertilityFertility Awareness > NFP Methods > Breastfeeding Protocols

Recent use of oral contraceptives and the risk of multiple sclerosis

Alonso A et al., 2005 Archives of Neurology

Background: Exogenous estrogens affect the onset and clinical course of experimental allergic encephalomyelitis. Oral contraceptives, a frequent source of exogenous estrogens in humans, could have a r...

Contraception/Comparison > Adverse Effects > Autoimmune DiseaseGeneral OB/GYN > Hormonal Effects > Neurological ConditionsPostpartum > Complications > Autoimmune Risk

Basal body temperature assessment: is it useful to couples seeking pregnancy?

Barron ML et al., 2005 MCN. The American journal of maternal child nursing

Advanced practice nurses in primary care settings are often asked to give appropriate advice to couples seeking pregnancy. This article examines the issue of basal body temperature (BBT), a time-honor...

Fertility Awareness > Methods > Basal Body TemperatureInfertility > Evaluation > Ovulation DetectionBody Literacy > Education > Clinical Counseling

Impact of teenage oral contraceptive use in a population-based series of early-onset breast cancer cases who have undergone BRCA mutation testing

Jernström H et al., 2005 European Journal of Cancer (Oxford, England : 1990)

Oral contraceptive (OC) use in young women has been associated with an increased risk of breast cancer. This matched case-control study aims to elucidate the combined effects of OC use and genetic fac...

Contraception/Comparison > Adverse Effects > Breast Cancer RiskGeneral OB/GYN > Oncology > Breast Cancer GeneticsContraception/Comparison > Oral Contraceptives > Long-term Health Outcomes

Health-related quality of life measurements in elderly Canadians with osteoporosis compared to other chronic medical conditions: a population-based study from the Canadian Multicentre Osteoporosis Study (CaMos)

Sawka AM et al., 2005 Osteoporos Int

The objective of this research was to determine the relative decrement in health-related quality of life, as measured by the health utilities index mark 3 (HUI3), in osteoporosis compared to other chr...

Bone Health > Osteoporosis > Quality of LifeBone Health > Epidemiology > Population-Based StudiesResearch Methodology > Outcomes Measurement > Health Utility Index

Risk factors for inflammatory bowel disease in the general population

García Rodríguez LA et al., 2005 Alimentary Pharmacology & Therapeutics

Background: The aetiology of inflammatory bowel disease remains largely unknown. Aim: We performed a comprehensive assessment of potential risk factors associated with the occurrence of inflammatory ...

Contraception/Comparison > Adverse Effects > Gastrointestinal DiseaseGeneral OB/GYN > Hormonal Effects > Inflammatory Bowel DiseaseContraception/Comparison > Oral Contraceptives > Long-term Health Outcomes

Prior oral contraception and postmenopausal fracture: a Women's Health Initiative observational cohort study

Barad D et al., 2005 Fertility and Sterility

Objective: To test for the possible association of past oral contraceptive (OC) use and incident fracture after menopause. Design: A prospective cohort of 93,725 postmenopausal women. Setting: Forty W...

Contraception/Comparison > Adverse Effects > Bone HealthBone Health > Osteoporosis > Fracture RiskPerimenopause/Menopause > Bone Health > Fracture Outcomes

Ovarian aging and the perimenopausal transition: the paradox of endogenous ovarian hyperstimulation

Prior JC, 2005 Endocrine

The purpose of this review is to put into a useful clinical context the changing over time of basic ovarian-pituitary-hypothalamic relationships during perimenopause. "Perimenopause" means changes in ...

Perimenopause/Menopause > Physiology > Ovarian AgingReproductive Endocrinology > Hormonal Regulation > Pituitary-Ovarian AxisMenstrual Cycle > Luteal Phase > Progesterone Deficiency

Determination of the fertile window: reproductive competence of women--European cycle databases

Frank-Herrmann P et al., 2005 Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology

Objectives: The objective of the present paper is to review the main results of recent European cycle databases on ovulation detection and determination of the fertile window performed by the women th...

Fertility Awareness > Methods > Symptothermal MethodFertility Awareness > Effectiveness > Pregnancy AvoidanceInfertility > Management > Fertility Awareness Integration