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Ovarian cancer and infertility: a genetic link?

Nieto JJ et al., 1999 Lancet (London, England)

A genetic mechanism may be responsible for the increased incidence of ovarian cancer in some infertile women (ie, those who failed to conceive despite treatment).

Infertility > Complications > Ovarian Cancer RiskGeneral OB/GYN > Gynecologic Oncology > Ovarian Cancer Genetics

Ovarian endometriosis: a marker for more extensive pelvic and intestinal disease

Redwine DB, 1999 Fertility and Sterility

OBJECTIVE: To describe a computerized pelvic mapping system for pelvic and intestinal endometriosis and preliminary insights gained from it with respect to the effects of ovarian disease. DESIGN: Con...

Endometriosis > Diagnosis > Pelvic MappingEndometriosis > Classification > Ovarian and Intestinal DiseaseSurgery > Bowel Resection > Intestinal Endometriosis

Transdermal progesterone cream for vasomotor symptoms and postmenopausal bone loss

Leonetti HB et al., 1999 Obstetrics and Gynecology

OBJECTIVE: To determine effectiveness of transdermal progesterone cream for controlling vasomotor symptoms and preventing postmenopausal bone loss. METHODS: We randomly assigned 102 healthy women wit...

Perimenopause/Menopause > Vasomotor Symptoms > Progesterone TreatmentBone Health > Postmenopausal Bone Loss > Progesterone TherapyPerimenopause/Menopause > Hormone Therapy > Transdermal Progesterone

Comparison of finasteride and flutamide in the treatment of idiopathic hirsutism

Falsetti L et al., 1999 Fertility and Sterility

OBJECTIVE: To compare the effectiveness of finasteride and flutamide in the treatment of idiopathic hirsutism. DESIGN: Randomized study. SETTING: Department of Gynecological Endocrinology, Universit...

PCOS > Hirsutism > Antiandrogen TherapyPCOS > Treatment > Finasteride vs FlutamideReproductive Endocrinology > Androgen Excess > Idiopathic Hirsutism

Intratubal pressure before and after transcervical catheterization of the fallopian tubes

Hilgers TW et al., 1999 Fertility and Sterility

OBJECTIVE: To assess the intratubal pressure (ITP) and patency status of the fallopian tubes before and after transcervical catheterization of the fallopian tubes (TCFT). DESIGN: Prospective procedur...

Surgery > Tubal Surgery > Transcervical CatheterizationNaProTECHNOLOGY > Surgical Interventions > Tubal AssessmentInfertility > Tubal Factor > Proximal Tubal Obstruction

Amniotic fluid concentrations of interleukin-1beta, interleukin-6 and TNF-alpha in chorioamnionitis before 32 weeks of gestation: histological associations and neonatal outcome

Baud O et al., 1999 British Journal of Obstetrics and Gynaecology

OBJECTIVES: To test the association between cytokine levels in the amniotic fluid and (i) the vascular invasion phase of intrauterine infection, (ii) the occurrence of periventricular leukomalacia; to...

Pregnancy > Complications > ChorioamnionitisPregnancy > Preterm Birth > Cytokine MarkersDiagnostics > Amniotic Fluid Analysis > Inflammatory Cytokines

[Polycystic ovary syndrome--only relevant in reproductive medicine?]

Heim SC et al., 1999 Therapeutische Umschau. Revue Therapeutique

The Polycystic Ovary Disease (PCOD) is one of the most common endocrine disorders in women with a prevalence of 5%. Affected women often consult a gynecologist because of menstrual irregularities, fer...

PCOS > Metabolic Complications > Cardiovascular RiskPCOS > Management > Interdisciplinary ApproachReproductive Endocrinology > PCOS > Long-term Health Outcomes

Adjuvant L-arginine treatment for in-vitro fertilization in poor responder patients

Battaglia C et al., 1999 Human Reproduction (Oxford, England)

The objective of the present study was prospectively and randomly to evaluate the role of L-arginine in improving uterine and follicular Doppler flow and in improving ovarian response to gonadotrophin...

Infertility > IVF Adjuvant Therapy > L-Arginine SupplementationInfertility > Poor Ovarian Response > Treatment StrategiesDiagnostics > Doppler Ultrasound > Uterine and Follicular Blood Flow

Amniotic fluid matrix metalloproteinase-9 levels in women with preterm labor and suspected intra-amniotic infection

Locksmith GJ et al., 1999 Obstetrics and Gynecology

OBJECTIVE: To determine the accuracy of amniotic fluid (AF) matrix metalloproteinase-9 measurements for diagnosing intra-amniotic infection in women with preterm labor. METHODS: We performed amniocen...

Pregnancy > Preterm Labor > BiomarkersDiagnostics > Amniotic Fluid Analysis > Infection DetectionPregnancy > Complications > Intra-amniotic Infection

Change in cervical length after prophylactic cerclage

Funai EF et al., 1999 Open Access Obstetrics and Gynecology

OBJECTIVE: To determine changes in length of incompetent cervices after cerclage, using transvaginal ultrasound. METHODS: Patients were enrolled in a prospective, observational study under an Institu...

Pregnancy > Cervical Insufficiency > CerclagePregnancy > Preterm Labor > PreventionDiagnostics > Ultrasound > Cervical Length Measurement

Running and ovulation positively change cancellous bone in premenopausal women

Petit MA et al., 1999 Medicine and Science in Sports and Exercise

Purpose: Exercise is understood to exert positive effects on bone. However cancellous bone has not been shown to increase with exercise. Previous results of our 1-yr observational prospective study in...

Bone Health > Premenopausal > Exercise and Ovulation EffectsMenstrual Cycle > Luteal Phase > Bone Density ImpactReproductive Endocrinology > Ovulatory Function > Skeletal Health

Amniotic fluid concentrations of adrenomedullin in preterm labor

Marinoni E et al., 1999 Obstetrics and Gynecology

OBJECTIVE: To determine whether adrenomedullin levels in amniotic fluid were associated with preterm labor. METHODS: We measured immunoreactive adrenomedullin in amniotic fluid collected by amniocent...

Pregnancy > Preterm Labor > BiomarkersPregnancy > Complications > Premature Rupture of MembranesDiagnostics > Amniotic Fluid Analysis > Peptide Markers

The differential risk of oral contraceptives: the impact of full exposure history

Lewis MA et al., 1999 Human Reproduction (Oxford, England)

Previous discussions have indicated that the small increases of risk of venous thromboembolism (VTE) associated with newer combined oral contraceptives (third generation, containing desogestrel and ge...

Contraception/Comparison > Oral Contraceptives > Venous Thromboembolism RiskContraception/Comparison > Safety > Third vs Second Generation PillsResearch Methodology > Case-Control Studies > Bias Adjustment

Venous thromboembolic disease and combined oral contraceptives: A re-analysis of the MediPlus database

Todd J et al., 1999 Human Reproduction (Oxford, England)

In October 1995 the Committee on Safety of Medicines advised UK doctors and pharmacists that oral contraceptives containing desogestrel and gestodene were associated with double the risk of venous thr...

Contraception/Comparison > Oral Contraceptives > Venous Thromboembolism RiskContraception/Comparison > Safety > Progestogen Type ComparisonResearch Methodology > Nested Case-Control Studies > Database Analysis

The epidemiology of polycystic ovary syndrome. Prevalence and associated disease risks

Solomon CG, 1999 Endocrinology and Metabolism Clinics of North America

Polycystic ovary syndrome is a common problem affecting approximately 5% of women of reproductive age when defined by clinical features of anovulation and hyperandrogenism. Metabolic derangements asso...

PCOS > Epidemiology > Prevalence and Disease AssociationsPCOS > Comorbidities > Metabolic and Cardiovascular RiskPCOS > Management > Lifestyle and Pharmacological Approaches

Uses of progesterone in clinical practice

Warren MP et al., 1999 International Journal of Fertility and Women's Medicine

Progesterone is the natural progestagen produced by the corpus luteum during the luteal phase. It is absorbed when administered orally, but is greater than 90% metabolized during the first hepatic pas...

Reproductive Endocrinology > Progesterone > Routes of AdministrationReproductive Endocrinology > Progesterone > Clinical ApplicationsInfertility > Luteal Phase Support > Vaginal Progesterone

Pregnancy rates after in-vitro fertilization in cases of tubal infertility with and without hydrosalpinx: a meta-analysis of published comparative studies

Camus E et al., 1999 Human Reproduction (Oxford, England)

This meta-analysis was intended to evaluate differences in pregnancy rates after in-vitro fertilization (IVF) in tubal fertility with and without hydrosalpinx. It examined nine published retrospective...

Infertility > Tubal Factor > Hydrosalpinx Impact on IVFInfertility > ART Outcomes > Pregnancy and Implantation RatesResearch Methodology > Meta-Analysis > Reproductive Outcomes

Metaanalysis of the safety and efficacy of an adhesion barrier (Interceed TC7) in laparotomy

Wiseman DM et al., 1999 The Journal of Reproductive Medicine

OBJECTIVE: To evaluate the safety and efficacy of an oxidized, regenerated, cellulose adhesion barrier (Interceed TC7) in the reduction of pelvic adhesions. STUDY DESIGN: Clinical studies published o...

Surgery > Adhesion Prevention > Barrier MethodsSurgery > Pelvic Surgery > Laparotomy OutcomesResearch Methodology > Meta-Analysis > Surgical Interventions

Pathophysiology and management of proximal tubal blockage

Honoré GM et al., 1999 Fertility and Sterility

OBJECTIVE: To review the physiology, pathology, and treatment of proximal tubal disease. DATA IDENTIFICATION: Relevant reports on the pathophysiology of proximal tubal disease were reviewed. All stud...

Surgery > Tubal Surgery > Proximal Tubal ObstructionInfertility > Tubal Factor > Tubal CannulationResearch Methodology > Meta-Analysis > Surgical Outcomes

Fertility drugs and the risk of breast and ovarian cancers: results of a long-term follow-up study

Potashnik G et al., 1999 Fertility and Sterility

OBJECTIVE: To investigate a possible linkage between the use of fertility drugs for infertility and the risk of breast and ovarian cancers. DESIGN: Long-term, historic-prospective study. SETTING: Fe...

Infertility > Treatment Risks > Cancer Risk from Fertility DrugsGeneral OB/GYN > Oncology > Breast Cancer Risk FactorsResearch Methodology > Cohort Studies > Long-term Follow-up

Oral-contraceptive use and risk of hip fracture: a case-control study

Michaëlsson K et al., 1999 Lancet

Background: Epidemiological studies indicate a protective effect of postmenopausal oestrogen therapy on the risk of osteoporotic fractures. Whether premenopausal oestrogen exposure in the form of oral...

Contraception/Comparison > Health Outcomes > Bone EffectsBone Health > Fracture Risk > Oral Contraceptive AssociationResearch Methodology > Case-Control Studies > Population-Based

Ovulatory and metabolic effects of D-chiro-inositol in the polycystic ovary syndrome

Nestler JE et al., 1999 The New England Journal of Medicine

BACKGROUND: Women with the polycystic ovary syndrome have insulin resistance and hyperinsulinemia, possibly because of a deficiency of a D-chiro-inositol-containing phosphoglycan that mediates the act...

PCOS > Treatment > Inositol TherapyPCOS > Pathophysiology > Insulin ResistanceReproductive Endocrinology > Insulin Sensitizers > D-Chiro-Inositol

Pitfalls in ultrasonic cervical length measurement for predicting preterm birth

Yost NP et al., 1999 Obstetrics and Gynecology

OBJECTIVE: To describe the anatomic and technical difficulties encountered with transvaginal ultrasound imaging of the cervix in a consecutive series of women at risk for preterm delivery. METHODS: T...

Pregnancy > Preterm Birth > Cervical Length AssessmentDiagnostics > Ultrasound > Cervical Imaging PitfallsGeneral OB/GYN > Screening > Preterm Delivery Prediction

Endometriosis: a clinically malignant disease

Henkel A et al., 1999 European Journal of Obstetrics, Gynecology, and Reproductive Biology

According to the literature this is the first patient with the primary diagnosis of an endometriosis (EMT) based on the cardinal symptom of an uremia in combination with a colorectal ileus. Operative ...

Endometriosis > Complications > Organ InvolvementEndometriosis > Treatment > Hormonal SuppressionSurgery > Endometriosis Surgery > Deep Infiltrating Disease

Oral versus intramuscular progesterone for in vitro fertilization: a prospective randomized study

Licciardi FL et al., 1999 Fertility and Sterility

OBJECTIVE: To evaluate the efficacy of oral micronized progesterone compared with IM progesterone in oil for luteal support in patients undergoing IVF who are treated with a GnRH agonist. DESIGN: Ran...

Infertility > IVF > Luteal Phase SupportReproductive Endocrinology > Progesterone > Route of AdministrationResearch Methodology > Randomized Controlled Trials > IVF Protocols

Prospective randomized double-blind trial of the correlation between time of administration and antiestrogenic effects of clomiphene citrate on reproductive end organs

Biljan MM et al., 1999 Fertility and Sterility

OBJECTIVE: To investigate whether the timing of administration of clomiphene citrate (CC) affects hormone levels, follicular recruitment, reproductive end organs, and pregnancy rates. DESIGN: Prospec...

Infertility > Ovulation Induction > Clomiphene Citrate ProtocolsInfertility > Treatment > Intrauterine InseminationResearch Methodology > Randomized Controlled Trials > Double-Blind

Human assisted conception: a cautionary tale. Lessons from domestic animals

Leese HJ et al., 1999 Human Reproduction (Oxford, England)

A variety of embryo-based technologies used in farm animal reproduction, including embryo culture, nuclear transfer, embryo-somatic cell co-culture and asynchronous embryo transfer can lead to the pro...

Infertility > IVF > Safety Concerns and RisksEthics/Philosophy > Reproductive Technology > Precautionary PrinciplesResearch Methodology > Animal Models > Embryo Development

Menstrual cycle pattern and fertility: a prospective follow-up study of pregnancy and early embryonal loss in 295 couples who were planning their first pregnancy

Kolstad HA et al., 1999 Fertility and Sterility

OBJECTIVE: To characterize how the menstrual cycle pattern relates to fertility regardless of potential biases caused by inappropriate coital timing during the menstrual cycle or early embryonal loss....

Menstrual Cycle > Cycle Characteristics > Cycle Length VariabilityInfertility > Diagnosis > Menstrual Cycle BiomarkersResearch Methodology > Study Design > Prospective Cohort Study

Prospective randomized trial comparing the outcome and cost of in vitro fertilization with that of a traditional treatment algorithm as first-line therapy for couples with infertility

Karande VC et al., 1999 Fertility and Sterility

OBJECTIVE: To determine whether IVF or a standard infertility treatment algorithm results in better outcome and/or lower cost when used as first-line therapy for couples with infertility. DESIGN: Pro...

Infertility > Treatment > IVF OutcomesInfertility > Treatment > Treatment AlgorithmsResearch Methodology > Study Design > Randomized Controlled Trial

Should multifetal pregnancy reduction be used for prevention of preterm deliveries in triplet or higher order multiple pregnancies?

Papiernik E et al., 1999 Journal of Perinatal Medicine

This article reviews the arguments for the use of multifetal pregnancy reduction (MFPR) for the prevention of preterm deliveries in triplet and higher order multiple pregnancies and evaluates its effe...

Pregnancy > Complications > Multiple PregnancyEthics/Philosophy > Reproductive Ethics > Fetal ReductionPregnancy > Complications > Preterm Delivery

The major metabolite of equilin, 4-hydroxyequilin, autoxidizes to an o-quinone which isomerizes to the potent cytotoxin 4-hydroxyequilenin-o-quinone

Zhang F et al., 1999 Chemical Research in Toxicology

The risk factors for women developing breast and endometrial cancers are all associated with a lifetime of estrogen exposure. Estrogen replacement therapy in particular has been correlated with a slig...

Reproductive Endocrinology > Hormone Therapy > Estrogen MetabolismPerimenopause/Menopause > Hormone Therapy > Conjugated Equine EstrogensReproductive Endocrinology > Hormone Therapy > Cancer Risk Mechanisms

The prevalence of polycystic ovaries in healthy women

Koivunen R et al., 1999 Acta Obstetricia Et Gynecologica Scandinavica

BACKGROUND: To study the prevalence of polycystic ovaries (PCO) in women of reproductive age. METHODS: A total of 189 healthy volunteers aged 20-45 years were examined. The subjects were divided into...

PCOS > Diagnosis > Ultrasound CriteriaPCOS > Epidemiology > Prevalence StudiesDiagnostics > Imaging > Transvaginal Ultrasound

The effect of therapeutic McDonald cerclage on cervical length as assessed by transvaginal ultrasonography

Althuisius SM et al., 1999 American Journal of Obstetrics and Gynecology

OBJECTIVE: Our goal was to study the effect of therapeutic McDonald cerclage on cervical length with the use of transvaginal ultrasonography. STUDY DESIGN: Cervical length was measured serially in si...

Pregnancy > Complications > Cervical IncompetencePregnancy > Treatment > Cervical CerclageDiagnostics > Imaging > Transvaginal Ultrasound

Do hyperandrogenic women with normal menses have polycystic ovary syndrome?

Carmina E et al., 1999 Fertility and Sterility

OBJECTIVE: To determine the prevalence of polycystic ovary syndrome (PCOS) among hyperandrogenic women who report normal menses. DESIGN: Prospective observational study. SETTING: Academic practice i...

PCOS > Diagnosis > Diagnostic CriteriaPCOS > Pathophysiology > HyperandrogenismReproductive Endocrinology > Hormonal Assessment > Androgen Levels

Relationship between endometriosis and ovarian cancer

Erzen M et al., 1999 European Journal of Gynaecological Oncology

PURPOSE: To investigate the occurrence of ovarian cancer (OC) arising in ovarian endometriosis (OE) diagnosed in our laboratory, and the relation of the disease to patient age. METHODS: Histopatholog...

Endometriosis > Complications > Malignant TransformationGeneral OB/GYN > Gynecologic Oncology > Ovarian CancerEndometriosis > Pathology > Ovarian Endometriosis

Cesarean section scar as a cause of abnormal vaginal bleeding: diagnosis by sonohysterography

Thurmond AS et al., 1999 Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine

A previously undescribed cause of abnormal uterine bleeding is presented. Nine of 310 women evaluated by sonohysterography for abnormal bleeding demonstrated an 8 to 17 mm gap in the anterior lower ut...

General OB/GYN > Uterine Conditions > Cesarean Scar DefectDiagnostics > Ultrasound > SonohysterographyGeneral OB/GYN > Abnormal Bleeding > Postmenstrual Spotting

Indecent proposal: $5,000 is not "reasonable compensation" for oocyte donors

Sauer MV, 1999 Fertility and Sterility

There is a growing threat to the practice of oocyte donation in the United States and all of us should take careful notice. This threat is posed by the escalating fees paid to young women for providin...

Ethics/Philosophy > Reproductive Ethics > Gamete DonationEthics/Philosophy > Reproductive Ethics > Commodification of ReproductionInfertility > Treatment > Oocyte Donation

Effect of opioid blockade on insulin and growth hormone (GH) secretion in patients with polycystic ovary syndrome: the heterogeneity of impaired GH secretion is related to both obesity and hyperinsulinism

Villa P et al., 1999 Fertility and Sterility

OBJECTIVE: To investigate the involvement of opioid tone, obesity, and hyperinsulinemia in GH secretion in women with polycystic ovary syndrome (PCOS). DESIGN: Controlled clinical study. SETTING: Ca...

PCOS > Pathophysiology > Growth Hormone SecretionPCOS > Medical Treatment > Opioid AntagonistsReproductive Endocrinology > Insulin Resistance > PCOS Hyperinsulinemia

Grief, depression, and coping in women undergoing infertility treatment

Lukse MP et al., 1999 Obstetrics and Gynecology

OBJECTIVE: To identify the levels of grief and depression and the coping mechanisms of women with infertility problems who participated in in vitro fertilization (IVF) or ovulation-induction medicatio...

Infertility > Psychological Impact > Grief and DepressionInfertility > Patient Support > Counseling InterventionsGeneral OB/GYN > Mental Health > Coping Strategies

Female infertility

Hull MG et al., 1999 Endocrinology and Metabolism Clinics of North America

This article has provided outcome-based evidence using easily understood graphic representation of cumulative pregnancy rates whenever possible for the methods used to investigate and treat female inf...

Infertility > Female Factor > Diagnostic InvestigationInfertility > Treatment Selection > Evidence-Based OutcomesGeneral OB/GYN > Clinical Reviews > Infertility Management

Ovarian cancer in infertility patients

Burmeister L et al., 1999 Annals of Medicine

The possibility that ovulation induction increases the risk of ovarian cancer remains unproven. However, recent studies suggest that both infertility and endometriosis may be independent risk factors....

Infertility > Risks of Treatment > Ovarian CancerGeneral OB/GYN > Oncology > Ovarian Cancer Risk FactorsEndometriosis > Complications > Cancer Risk

Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group

Ling FW, 1999 Obstetrics and Gynecology

OBJECTIVE: To evaluate and compare the safety and efficacy of leuprolide versus placebo in managing chronic pelvic pain in women with clinically suspected endometriosis. METHODS: Women 18-45 years of...

Endometriosis > Medical Treatment > GnRH AgonistsEndometriosis > Diagnosis > Clinical vs Surgical ConfirmationGeneral OB/GYN > Pelvic Pain > Empiric Treatment

Risk of venous thrombosis with use of current low-dose oral contraceptives is not explained by diagnostic suspicion and referral bias

Bloemenkamp KW et al., 1999 Archives of Internal Medicine

Background: The magnitude of the relative risk of venous thrombosis caused by low-dose oral contraceptive use is still debated because previous studies might have been affected by diagnostic suspicion...

Contraception/Comparison > Adverse Effects > Venous ThromboembolismContraception/Comparison > Oral Contraceptives > Cardiovascular RiskResearch Methodology > Study Design > Case-Control Bias Assessment

The influence of oral contraceptives on the risk of multiple sclerosis

Thorogood M et al., 1999 British Journal of Obstetrics and Gynaecology

Objective: To examine the risk of multiple sclerosis in users of combined oral contraceptives. Design: Cohort study conducted between 1968 and 1996 using diagnostic data supplied by general practition...

Contraception/Comparison > Adverse Effects > Neurological DiseaseContraception/Comparison > Oral Contraceptives > Autoimmune RiskResearch Methodology > Study Design > Prospective Cohort