The Journal of reproductive medicine最新文献_第3页

Chronic vulvar and other gynecologic pain: prevalence and characteristics in a self-reported survey. 慢性外阴和其他妇科疼痛:自我报告调查的患病率和特征。

The Journal of reproductive medicine Pub Date : 2006-05-01 DOI: 10.1097/01.OGX.0000216515.99589.50

G. Bachmann, R. Rosen, L. D. Arnold, I. Burd, G. Rhoads, S. Leiblum, N. Avis

{"title":"Chronic vulvar and other gynecologic pain: prevalence and characteristics in a self-reported survey.","authors":"G. Bachmann, R. Rosen, L. D. Arnold, I. Burd, G. Rhoads, S. Leiblum, N. Avis","doi":"10.1097/01.OGX.0000216515.99589.50","DOIUrl":"https://doi.org/10.1097/01.OGX.0000216515.99589.50","url":null,"abstract":"OBJECTIVE\u0000To characterize and assess the prevalence of chronic gynecologic pain and, more specifically, chronic vulvar pain.\u0000\u0000\u0000STUDY DESIGN\u0000A questionnaire was mailed to women aged 18-80 years who were ambulatory patients at an academic multidisciplinary practice. Quality of life, health history, obstetric and gynecologic history, and pain symptoms were assessed.\u0000\u0000\u0000RESULTS\u0000Of the 4,872 surveys mailed to deliverable addresses, 36.8% were returned. The population was primarily Caucasian (83%), with an average age of 50.2 years. Approximately 4% of respondents reported a history of vulvar pain in the 6 months preceding the survey, and 17% reported other types of chronic gynecologic pain. Women reporting vulvar and nonvulvar pain were 2 times as likely as asymptomatic women to report a history of depression and vaginal infections, a poorer quality of life (p < 0.001) and greater stress. Dyspareunia and pain with daily activities were reported more frequently by women with vulvar pain than by women with non-vulvar gynecologic pain.\u0000\u0000\u0000CONCLUSION\u0000The prevalence of vulvar pain in this study was lower than previously reported. Chronic gynecologic pain, and vulvar pain in particular, affects quality of life on both intimate and social levels. Self-reported stress and vaginal infections were the strongest correlates of chronic vulvar pain.","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127097776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 53

Squamous vulvar intraepithelial neoplasia: 2004 modified terminology, ISSVD Vulvar Oncology Subcommittee. 鳞状外阴上皮内瘤变:2004年修订术语，ISSVD外阴肿瘤学小组委员会。

The Journal of reproductive medicine Pub Date : 2005-11-01 DOI: 10.1097/01.OGX.0000201921.69949.10

M. Sideri, Ronald W. Jones, E. Wilkinson, M. Preti, D. Heller, J. Scurry, H. Haefner, S. Neill

{"title":"Squamous vulvar intraepithelial neoplasia: 2004 modified terminology, ISSVD Vulvar Oncology Subcommittee.","authors":"M. Sideri, Ronald W. Jones, E. Wilkinson, M. Preti, D. Heller, J. Scurry, H. Haefner, S. Neill","doi":"10.1097/01.OGX.0000201921.69949.10","DOIUrl":"https://doi.org/10.1097/01.OGX.0000201921.69949.10","url":null,"abstract":"In the current classification, squamous vulvar intraepithelial neoplasia (VIN) is categorized as VIN 1, 2 and 3 according to the degree of abnormality. There is neither evidence that the VIN 1-3 morphologic spectrum reflects a biologic continuum nor that VIN 1 is a cancer precursor. The VIN 2 and 3 category includes 2 types of lesion, which differ in morphology, biology and clinical features. VIN, usual type (warty, basaloid and mixed), is HPV related in most cases. Invasive squamous carcinomas of warty or basaloid type is associated with VIN, usual type. VIN, differentiated type, is seen particularly in older women with lichen sclerosus and/or squamous cell hyperplasia in some cases. Neither VIN, differentiated type, nor associated keratinizing squamous cell carcinoma is HPV related. The term VIN should apply only to histologically high grade squamous lesions (former terms, VIN 2 and VIN 3 and differentiated VIN 3). The term VIN 1 will no longer be used. Two categories should describe squamous VIN: VIN, usual type (encompassing former VIN 2 and 3 of warty, basaloid and mixed types) and VIN, differentiated type (VIN 3, differentiated type).","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114531796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 346

Vaginal misoprostol for cervical ripening at term: comparison of outpatient vs. inpatient administration. 阴道米索前列醇用于足月宫颈成熟:门诊与住院用药的比较。

The Journal of reproductive medicine Pub Date : 2005-10-01 DOI: 10.1097/01.OGX.0000201917.38046.8E

Danielle Chang, Maria D. Velazquez, M. Colyer, Patty Klaus, S. K. Mallipeddi, W. Rayburn

{"title":"Vaginal misoprostol for cervical ripening at term: comparison of outpatient vs. inpatient administration.","authors":"Danielle Chang, Maria D. Velazquez, M. Colyer, Patty Klaus, S. K. Mallipeddi, W. Rayburn","doi":"10.1097/01.OGX.0000201917.38046.8E","DOIUrl":"https://doi.org/10.1097/01.OGX.0000201917.38046.8E","url":null,"abstract":"OBJECTIVE\u0000To compare outpatient with inpatient misoprostol for preinduction cervical ripening at term.\u0000\u0000\u0000STUDY DESIGN\u0000This concurrent cohort study was conducted between August 1999 and July 2002 at a rural community hospital. Pregnancies > or =38 weeks with an unfavorable cervix were eligible if there was a reactive nonstress test with no regular contractions or active medical/obstetric complications. Outpatients were given a single dose of misoprostol (50 microg intravaginally). A cohort group consisted of similar patients undergoing misoprostol therapy in the hospital.\u0000\u0000\u0000RESULTS\u0000No differences were found between the outpatient (n=177) and inpatient (n=96) misoprostol groups for maternal age, parity, gestational age, and initial cervical dilation and station. No home deliveries occurred with outpatient therapy. Advanced cervical dilation at hospital admission the next morning was more common with outpatient misoprostol (10.2% vs. 2.1%; RR 5.0, 95% CI 1.2, 21.5). Differences in mean times from admission to vaginal delivery were significantly shorter with outpatient than inpatient misoprostol (nulliparas, 3.1 hours, 95% CI 1.5, 4.7; multiparas, 5.3 hours; 95% CI 3.8, 6.8). The very low proportions of fetal intolerance to labor, low Apgar scores and newborn complications were not different between the 2 groups.\u0000\u0000\u0000CONCLUSION\u0000Outpatient vaginal misoprostol in a selected population led to more advanced cervical dilation at hospital admission the next morning and explained the shorter time until vaginal delivery.","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127742165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Factors influencing pregnancy rates in intrauterine insemination cycles. 影响宫内人工授精周期妊娠率的因素。

The Journal of reproductive medicine Pub Date : 2005-09-01 DOI: 10.1016/J.FERTNSTERT.2005.07.721

S. Guven, G. S. Gunalp, Yasar Tekin

引用次数: 32

A multiple marker model to predict pregnancy viability when progesterone is indeterminate. 当孕激素不确定时，多标记模型预测妊娠存活率。

The Journal of reproductive medicine Pub Date : 2005-09-01 DOI: 10.1016/J.FERTNSTERT.2005.07.374

Beth J. Plante, J. Blume, G. Lambert-Messerlian, R. Shackelton, J. Canick, M. Phipps

引用次数: 6

Adnexal torsion: experience at a single university center. 附件扭转:在一个大学中心的经验。

The Journal of reproductive medicine Pub Date : 2005-08-01 DOI: 10.1097/01.ogx.0000197839.53914.f4

T. Ogburn, J. Wurzel, E. Espey, David K. Espey

引用次数: 12

Histologic implications of Pap smears classified as atypical glandular cells. 巴氏涂片分类为非典型腺细胞的组织学意义。

The Journal of reproductive medicine Pub Date : 2005-07-01 DOI: 10.1097/01.OGX.0000183586.24077.AE

D. Haidopoulos, K. Stefanidis, A. Rodolakis, A. Pilalis, Ira Symiakaki, E. Diakomanolis

{"title":"Histologic implications of Pap smears classified as atypical glandular cells.","authors":"D. Haidopoulos, K. Stefanidis, A. Rodolakis, A. Pilalis, Ira Symiakaki, E. Diakomanolis","doi":"10.1097/01.OGX.0000183586.24077.AE","DOIUrl":"https://doi.org/10.1097/01.OGX.0000183586.24077.AE","url":null,"abstract":"OBJECTIVE\u0000To evaluate the histologic outcome of Pap smears reported as atypical glandular cells (AGC).\u0000\u0000\u0000STUDY DESIGN\u0000Cervical cytology smears reported as AGC were reviewed and correlated with histologic follow-up.\u0000\u0000\u0000RESULTS\u0000Of a total of 41,500 Pap smears performed at Alexandra Hospital during 2000-2002, 113 (0.2%) were reported as AGC. Of these, 64 were classified as AGC not otherwise specified (NOS) (56.6%), 48 AGC favor neoplasia (42.5%) and 1 (0.9%) adenocarcinoma in situ. All these women underwent histological evaluation. The mean age of the patients was 52 years. Significant abnormality was found in 30 women (26.5%). Eleven percent of women with smears reported as AGC NOS and 45.8% of those with AGC favor neoplasia had significant abnormality. Of these patients, 14 (12.4%) had endometrial involvement, whereas cervical abnormalities were identified in the remaining 16 (14.1%). Older women were more likely to have involvement of the endometrium and younger women, involvement of the cervix.\u0000\u0000\u0000CONCLUSION\u0000Cytologic criteria and patient age might effectively direct the clinician toward the likely origin of AGC.","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115773755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Laser ablation of surgical margins after excisional partial vulvectomy for VIN: Effect on recurrence. 外阴部分切除术后边缘激光消融治疗VIN:对复发的影响。

The Journal of reproductive medicine Pub Date : 2005-05-01 DOI: 10.1097/01.OGX.0000175797.73644.10

John V. Brown, B. Goldstein, M. Rettenmaier, M. Aylward, C. Graham, J. Micha

{"title":"Laser ablation of surgical margins after excisional partial vulvectomy for VIN: Effect on recurrence.","authors":"John V. Brown, B. Goldstein, M. Rettenmaier, M. Aylward, C. Graham, J. Micha","doi":"10.1097/01.OGX.0000175797.73644.10","DOIUrl":"https://doi.org/10.1097/01.OGX.0000175797.73644.10","url":null,"abstract":"OBJECTIVE\u0000To determine the recurrence rates in patients who underwent different surgical treatments for vulvar intraepithelial neoplasia (VIN) 2 and 3.\u0000\u0000\u0000STUDY DESIGN\u0000Data on every patient who underwent surgical treatment for VIN 2 or 3 between January 1994 and December 2002 by a single gynecologic oncologist were retrospectively reviewed. The recurrence rates for 3 different surgical therapies were analyzed using Fischer's exact test.\u0000\u0000\u0000RESULTS\u0000Thirty-three patients, who had a median age of 46 years (range, 31-80), were identified. The preoperative biopsy demonstrated VIN 2 or 3 in 9.1% and 90.9% of the patients, respectively. The following primary surgical procedures were employed: 16 patients (48.4%) underwent excisional partial vulvectomy with CO2 laser ablation of the margins, 10 patients (30.3%) had CO2 laser ablation alone, 6 patients (18.2%) had an excisional partial vulvectomy, and 1 patient (3.0%) was. treated with the ultrasonic surgical aspirator. No patient had invasive disease. Recurrent disease was seen in 7 patients (70.0%) treated by laser alone, 3 patients (50.0%) who had an excisional partial vulvectomy and 1 patient (6.25%) who underwent a combined laser and excisional partial vulvectomy (p = 0.0016).\u0000\u0000\u0000CONCLUSION\u0000The results of this small study suggest that laser and excisional partial vulvectomy for the treatment of VIN 2 and 3 may be associated with a lower recurrence rate than either modality alone. A larger study will be needed to confirm these results.","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130581338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Umbilical cord prolapse in current obstetric practice. 当前产科实践中的脐带脱垂。

The Journal of reproductive medicine Pub Date : 2005-05-01 DOI: 10.1097/01.ogx.0000182901.55517.87

J. J. Boyle, V. Katz

引用次数: 41

Vaginal birth after cesarean delivery: practice patterns of obstetrician-gynecologists. 剖宫产后阴道分娩:妇产科医生的实践模式。

The Journal of reproductive medicine Pub Date : 2005-04-01 DOI: 10.1097/01.OGX.0000180847.45288.49

Victoria H. Coleman, Kristine Erickson, J. Schulkin, S. Zinberg, B. Sachs

{"title":"Vaginal birth after cesarean delivery: practice patterns of obstetrician-gynecologists.","authors":"Victoria H. Coleman, Kristine Erickson, J. Schulkin, S. Zinberg, B. Sachs","doi":"10.1097/01.OGX.0000180847.45288.49","DOIUrl":"https://doi.org/10.1097/01.OGX.0000180847.45288.49","url":null,"abstract":"OBJECTIVE\u0000To assess obstetrician-gynecologists' current practice patterns and opinions regarding vaginal birth after cesarean delivery (VBAC).\u0000\u0000\u0000STUDY DESIGN\u0000Questionnaires were mailed to a random sample of 1,200 American College of Obstetricians and Gynecologists (ACOG) fellows in July 2003. Information was gathered on percentage of cesarean and VBAC deliveries performed, factors influencing changes in these rates in the past 5 years, hospital protocol regarding VBAC and factors influencing the recommendation of VBAC.\u0000\u0000\u0000RESULTS\u0000Fifty-three percent of questionnaires were returned to ACOG after 3 mailings. Approximately 49% of respondents reported that they were performing more cesarean deliveries than they were 5 years earlier. The primary reasons for this increase were the risk of liability and patient preference for delivery method. More than 25% of physicians reported that they practiced in hospitals that do not follow the ACOG guidelines with respect to resources and immediate availability. Almost all (98.2%) respondents agreed that they knew the risks and benefits of VBAC. However, only 61% reported feeling competent in determining which patients will have a successful VBAC.\u0000\u0000\u0000CONCLUSION\u0000Obstetrician-gynecologists seem to be aware of the risks and benefits of VBAC; however, there is some doubt as to who should be offered a trial of labor and what predicts a successful VBAC.","PeriodicalId":192418,"journal":{"name":"The Journal of reproductive medicine","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132417194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28