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Seminars in reproductive medicine最新文献

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Obesity and Male Infertility: True, True, and Unrelated? 肥胖与男性不育：真假与否？
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2024-01-10 DOI: 10.1055/s-0043-1777725
Carl Ceraolo, Amanda Rubano, J Scott Gabrielsen
{"title":"Obesity and Male Infertility: True, True, and Unrelated?","authors":"Carl Ceraolo, Amanda Rubano, J Scott Gabrielsen","doi":"10.1055/s-0043-1777725","DOIUrl":"10.1055/s-0043-1777725","url":null,"abstract":"<p><p>While the prevalence of obesity has rapidly increased worldwide, there has also been a notable decline in semen parameters over the last several decades. While obesity can negatively impact reproductive hormones, many studies have sought a link between rising obesity and decreased male fertility potential. Nonetheless, few data support a direct link between the two. The focus on obesity as a causative factor in male infertility can potentially result in patient harm through delayed fertility treatment and missed diagnoses. This review investigates the associations between obesity and male infertility and why a potential direct link has been elusive and may not exist. Additionally, indirect mechanisms that may link the two will be reviewed and treatment options for obese infertile men presenting for evaluation will briefly be discussed.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weight Bias in Reproductive Medicine: A Curiously Unexplored Frontier. 生殖医学中的体重偏差:一个奇怪的未开发的前沿。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2023-11-22 DOI: 10.1055/s-0043-1777016
Adam T Evans, Wendy S Vitek
{"title":"Weight Bias in Reproductive Medicine: A Curiously Unexplored Frontier.","authors":"Adam T Evans, Wendy S Vitek","doi":"10.1055/s-0043-1777016","DOIUrl":"10.1055/s-0043-1777016","url":null,"abstract":"<p><p>Obesity has been associated with a multitude of medical comorbidities, infertility, and adverse obstetric outcomes. Weight stigma and weight bias pervade not only the medical field but also education, employment, and activities of daily living. The experience of weight stigma has been shown to adversely impact not only the mental health of individuals with overweight or obesity but also worsen obesogenic behaviors, and medical comorbidities. This review frames the rise of weight stigma and weight bias within the context of the \"obesity epidemic\" and explores its associations with infertility and decreased access to health care and its subsequent impact on the lives of individuals. Furthermore, it explores the concepts of intrinsic and extrinsic weight stigma/bias and highlights the need for further examination and research into the impact of these factors on access to reproductive medicine and subsequent outcomes.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138295949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating the Role of Anti-Obesity Agents Prior to Pregnancy: A Narrative Review. 妊娠前抗肥胖药物的作用:叙述性回顾。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2023-11-16 DOI: 10.1055/s-0043-1776795
Alyse S Goldberg, Samin Dolatabadi, Heidi Dutton, Jamie L Benham
{"title":"Navigating the Role of Anti-Obesity Agents Prior to Pregnancy: A Narrative Review.","authors":"Alyse S Goldberg, Samin Dolatabadi, Heidi Dutton, Jamie L Benham","doi":"10.1055/s-0043-1776795","DOIUrl":"10.1055/s-0043-1776795","url":null,"abstract":"<p><p>Utilization of anti-obesity agents is rising in reproductive-age females with some planning for future pregnancy. Lifestyle-induced weight loss has been shown to increase spontaneous conception rate, improve rates of fertility intervention complications, and decrease pregnancy comorbidities. However, the definitive role of assisting weight loss with medication prior to pregnancy remains to be established. The implications of anti-obesity agent used prior to pregnancy are explored in this narrative review, considering benefits of weight loss as well as available evidence for use and risks of anti-obesity agents prior to pregnancy.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity and In Vitro Fertilization. 肥胖与体外受精。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2023-11-01 DOI: 10.1055/s-0043-1776420
Emily L Ferrell, Abira A Choudhry, Samantha B Schon
{"title":"Obesity and In Vitro Fertilization.","authors":"Emily L Ferrell, Abira A Choudhry, Samantha B Schon","doi":"10.1055/s-0043-1776420","DOIUrl":"10.1055/s-0043-1776420","url":null,"abstract":"<p><p>Obesity is a highly prevalent chronic disease with a significant effect on reproductive-age women. The clinical implications of obesity on fertility and pregnancy are well studied citing ovulatory dysfunction, hormonal imbalances, higher miscarriage rates, and increased maternal and neonatal risks. For this reason, many patients with obesity seek reproductive specialists to help build their families. Despite this literature base, the effect of weight loss interventions prior to assisted reproductive technology (ART) is lacking. This review aims to outline the impact of obesity on ART, specifically in vitro fertilization (IVF). Response differences to treatment protocols compared with normal weight counterparts, limitations of access to care, and the mixed results of weight-reduction strategies prior to fertility treatment will be addressed. The known data surrounding benefits of lifestyle modification, pharmacologic therapies, and surgical interventions for obesity prior to IVF are outlined and found to emphasize a need for further research to determine the optimal approach for infertility patients with obesity.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obesity and Reproduction. 肥胖与生殖。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2024-01-10 DOI: 10.1055/s-0043-1777336
Wendy S Vitek
{"title":"Obesity and Reproduction.","authors":"Wendy S Vitek","doi":"10.1055/s-0043-1777336","DOIUrl":"10.1055/s-0043-1777336","url":null,"abstract":"","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction of the Guest Editor for Obesity in Reproduction. 介绍《繁殖中的肥胖症》特邀编辑。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2024-01-10 DOI: 10.1055/s-0043-1777337
Kathleen M Hoeger, Terhi Piltonen
{"title":"Introduction of the Guest Editor for Obesity in Reproduction.","authors":"Kathleen M Hoeger, Terhi Piltonen","doi":"10.1055/s-0043-1777337","DOIUrl":"10.1055/s-0043-1777337","url":null,"abstract":"","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reproductive Surgery in Females with Obesity: Reproductive Consequences of Obesity and Applications for Surgical Care. 肥胖女性的生殖手术:肥胖的生殖后果和外科护理的应用。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-07-01 Epub Date: 2023-11-15 DOI: 10.1055/s-0043-1776915
Ciara Marshall, Stephanie J Estes
{"title":"Reproductive Surgery in Females with Obesity: Reproductive Consequences of Obesity and Applications for Surgical Care.","authors":"Ciara Marshall, Stephanie J Estes","doi":"10.1055/s-0043-1776915","DOIUrl":"10.1055/s-0043-1776915","url":null,"abstract":"<p><p>Obesity is the most common medical problem in women of reproductive age. The surgical applications for this population, many of who are interested in current or future fertility, are critical to safe and effective evaluation and management of issues that impact the reproductive system. As rates of obesity continue to rise worldwide, it is projected that one in two individuals will have obesity by 2030 leading to increasing numbers of individuals affected by a disease process that has implications for their gynecologic surgical care, fertility-related assessment, and infertility treatment. Offering patients with obesity access to safe reproductive surgery is a cornerstone of reproductive autonomy. This review will summarize current recommendations regarding surgical concepts for the operating room, office hysteroscopy, oocyte retrieval, and embryo transfer in female patients with obesity.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134649716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations in the Treatment of Depression and Anxiety in Women with PCOS. 治疗多囊卵巢综合症妇女抑郁和焦虑的注意事项。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-03-01 Epub Date: 2023-12-19 DOI: 10.1055/s-0043-1777720
Snigdha Alur-Gupta, Anuja Dokras
{"title":"Considerations in the Treatment of Depression and Anxiety in Women with PCOS.","authors":"Snigdha Alur-Gupta, Anuja Dokras","doi":"10.1055/s-0043-1777720","DOIUrl":"10.1055/s-0043-1777720","url":null,"abstract":"<p><p>Women with polycystic ovary syndrome (PCOS) are known to be at a greater risk of depression and anxiety. What is less clear is whether existing treatments for PCOS are effective in managing this increased risk and what the optimal approach to treatment is. In this review, currently available interventions are explored including lifestyle modifications, oral contraceptives, insulin sensitizing agents, psychosocial interventions and psychiatric medications. While data are often conflicting, lifestyle interventions, and cognitive behavioral therapy (CBT) appear most promising in reducing depression and anxiety symptoms in this population. There is an urgent need for large prospective studies to fill gaps in the literature.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Counting Sheep: Exploring the Link between Polycystic Ovary Syndrome and Sleep Health. 数羊之外：探索多囊卵巢综合症与睡眠健康之间的联系。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-03-01 Epub Date: 2023-12-19 DOI: 10.1055/s-0043-1777724
Nur K Abdul Jafar, Christie J Bennett, Lisa J Moran, Darren R Mansfield
{"title":"Beyond Counting Sheep: Exploring the Link between Polycystic Ovary Syndrome and Sleep Health.","authors":"Nur K Abdul Jafar, Christie J Bennett, Lisa J Moran, Darren R Mansfield","doi":"10.1055/s-0043-1777724","DOIUrl":"10.1055/s-0043-1777724","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is a common hormonal condition with reproductive, metabolic, and psychological sequelae that affects 8 to 13% of reproductive-aged women and 3 to 11% of adolescent girls. Sleep is often compromised in women with PCOS due to increased rates of sleep problems, with the most established problem being obstructive sleep apnea (OSA). OSA is highly prevalent in reproductive-aged adult women with PCOS, but not so in adolescence. The international evidence-based PCOS guideline to improve health outcomes in women with PCOS indicated routine screening to identify and alleviate symptoms of OSA. The guidelines, however, did not weigh other multidimensional constructs of sleep health such as sleep disturbances (e.g., sleep quality and quantity), beyond OSA. This is perhaps due to the lack of research and existing mixed findings in the area of PCOS and sleep health. This narrative review summarizes the current knowledge about OSA and expands further to include the limited knowledge about other sleep problems in PCOS among reproductive-aged women and adolescent girls. We broadly cover the prevalence, risk factors, and mechanisms of sleep problems in PCOS and their relationship with cardiometabolic and psychological health. A brief summary on treatment and intervention strategies for sleep problems in PCOS and future recommendations will be deliberated.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breaking Boundaries: Toward Consistent Gender-Sensitive Language in Sexual and Reproductive Health Guidelines. 打破界限：在性健康和生殖健康指南中使用一致的性别敏感语言。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-03-01 Epub Date: 2023-12-05 DOI: 10.1055/s-0043-1777323
Rhonda M Garad, Mahnaz Bahri-Khomami, Maureen Busby, Tania S Burgert, Jacky Boivin, Helena J Teede
{"title":"Breaking Boundaries: Toward Consistent Gender-Sensitive Language in Sexual and Reproductive Health Guidelines.","authors":"Rhonda M Garad, Mahnaz Bahri-Khomami, Maureen Busby, Tania S Burgert, Jacky Boivin, Helena J Teede","doi":"10.1055/s-0043-1777323","DOIUrl":"10.1055/s-0043-1777323","url":null,"abstract":"<p><p>This review assesses gender-sensitive language in sexual and reproductive health (SRH) guidelines, including a guideline for polycystic ovary syndrome. We conducted a systematic search across databases like Medline, EMBASE, and Cochrane until July 31, 2023, using terms related to gender-inclusivity, SRH, and guideline protocols. Criteria for inclusion were gender-sensitive language, SRH focus, and guideline relevance, excluding non-English articles or those without policy considerations. Our search yielded 25 studies, with 6 included for qualitative synthesis. Results showed significant gaps in using gender-sensitive language in SRH guidelines. The debate on this language mirrors broader societal discourse. Recognizing gender diversity is essential for research, clinical practices, and societal norms. While promoting inclusion, drawbacks like unintended erasure or miscommunication should also be addressed. A gender-additive approach balances inclusivity and biological accuracy. Precise and inclusive discourse is crucial. Future research should focus on systemic approaches in the SRH sector.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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