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Seminars in reproductive medicine最新文献

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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":" ","pages":"87-96"},"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
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":"41 3-04","pages":"59-60"},"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":" ","pages":"97-107"},"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":"41 1-02","pages":"37-44"},"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":"41 1-02","pages":"45-58"},"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
Diet and Exercise in the Management of Polycystic Ovary Syndrome: Practical Considerations for Person-Centered Care. 饮食和运动在多囊卵巢综合征管理中的作用:以人为本护理的实际考虑。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-03-01 Epub Date: 2023-12-01 DOI: 10.1055/s-0043-1777116
Giorgia E Colombo, Stephanie Pirotta, Angelo Sabag
{"title":"Diet and Exercise in the Management of Polycystic Ovary Syndrome: Practical Considerations for Person-Centered Care.","authors":"Giorgia E Colombo, Stephanie Pirotta, Angelo Sabag","doi":"10.1055/s-0043-1777116","DOIUrl":"10.1055/s-0043-1777116","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is a complex multisystem condition associated with life-long reproductive, metabolic, and psychological symptoms. Individuals with PCOS are at an increased risk of cardiovascular disease and type 2 diabetes, with approximately 70% of all PCOS cases presenting with insulin resistance. Lifestyle interventions have historically been recommended as first-line therapies for the management of PCOS-related cardiometabolic disorders. The term \"lifestyle management\" incorporates a multifaceted approach to dietary, exercise, and behavioral strategies, aiming to promote a healthy lifestyle. This approach has been commonly employed in practice, in particular through exercise and dietary modulation, due to its effect on cardiometabolic outcomes as well as its tolerability. Furthermore, there is evidence to suggest that combining dietary change with exercise may yield the greatest improvements in clinical outcomes. However, such practices require careful consideration and coordination, as there are instances where certain exercise and/or dietary prescriptions may compromise the effectiveness of the respective interventions. Thus, this review aims to provide practical guidance on diet and exercise planning in the routine care of PCOS. Such recommendations include emphasizing realistic and achievable goals, as well as minimizing barriers to lifestyle changes in order to increase the long-term sustainability of this treatment strategy.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"26-36"},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470804","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":" ","pages":"5-11"},"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
The Role of the Primary Care Physician in the Assessment and Management of Polycystic Ovary Syndrome. 初级保健医师在多囊卵巢综合征评估和治疗中的作用。
IF 2.7 3区 医学
Seminars in reproductive medicine Pub Date : 2023-03-01 Epub Date: 2023-11-01 DOI: 10.1055/s-0043-1776419
Carolyn Ee
{"title":"The Role of the Primary Care Physician in the Assessment and Management of Polycystic Ovary Syndrome.","authors":"Carolyn Ee","doi":"10.1055/s-0043-1776419","DOIUrl":"10.1055/s-0043-1776419","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is a complex and heterogeneous female endocrine disorder with manifestations that span the hormonal, reproductive, metabolic, and psychological. Primary care physicians (PCPs), also known as family physicians or general practitioners, play a key role in the diagnosis, assessment, and management of PCOS. This article outlines the role of the PCP in the timely and accurate diagnosis, provision of information and education, lifestyle and weight management, and management of key features such as hyperandrogenism, irregular cycles, infertility, emotional well-being, and cardiometabolic risk. PCPs play an essential role as the point of first contact for women and adolescents with or at high risk of PCOS, providers of whole-person care and continuity of care, and coordinators of care within a multidisciplinary team. Optimal management of PCOS requires equitable access to primary care. There is a need for systemic approaches to addressing barriers to provision of quality primary care, such as poor remuneration of longer consultations and low awareness of evidence-based guidelines, to women and adolescents with PCOS.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"20-25"},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426574","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
Broadening the Scope of Polycystic Ovary Syndrome (PCOS) Care: Insights from the 2023 International Evidence-Based PCOS Guideline. 拓宽多囊卵巢综合症 (PCOS) 护理范围：2023 年国际循证多囊卵巢综合症指南的启示。
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-0043-1775835
Chau Thien Tay, Mahnaz Bahri Khomami
{"title":"Broadening the Scope of Polycystic Ovary Syndrome (PCOS) Care: Insights from the 2023 International Evidence-Based PCOS Guideline.","authors":"Chau Thien Tay, Mahnaz Bahri Khomami","doi":"10.1055/s-0043-1775835","DOIUrl":"10.1055/s-0043-1775835","url":null,"abstract":"","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":"41 1-02","pages":"3-4"},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800178","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
Bridging the Information Gap in Polycystic Ovary Syndrome: A Narrative Review with Systematic Approach. 缩小多囊卵巢综合征的信息差距：采用系统方法的叙述性综述。
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-0043-1777086
Chau Thien Tay, Fleur Williams, Aya Mousa, Helena Teede, Tania S Burgert
{"title":"Bridging the Information Gap in Polycystic Ovary Syndrome: A Narrative Review with Systematic Approach.","authors":"Chau Thien Tay, Fleur Williams, Aya Mousa, Helena Teede, Tania S Burgert","doi":"10.1055/s-0043-1777086","DOIUrl":"10.1055/s-0043-1777086","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is a complex endocrinopathy with wide-ranging implications for affected individuals. Literature has shown that patients with PCOS are dissatisfied with the health information provided to them and that healthcare professionals lack adequate knowledge. In this narrative review with systematic approach, we explored the unmet information needs in PCOS care for both patients and healthcare professionals. A comprehensive search of databases yielded 41 relevant studies, predominantly of observational and qualitative design. Adults and adolescents with PCOS desire wide ranging health information and express a keen desire for weight management guidance. Importantly, discussions surrounding weight should be addressed knowledgeably and without weight bias. Therefore, healthcare professionals should facilitate access to comprehensive evidence-based resources. Lack of information drives PCOS-related online searches. Referral to support groups that promote individual agency in the self-management aspects of PCOS can furthermore guide patient resource acquisition. Patients prefer guidance from professionals that understand the psychosocial complexity of PCOS and can empathize with experiences of stigmatization or even marginalization depending on the cultural context of the individual. The findings informed the 2023 International Evidence-Based PCOS Guideline, recommending patient-centered communication, evidence-based information resources, and culturally sensitive approaches to optimize PCOS care.</p>","PeriodicalId":21661,"journal":{"name":"Seminars in reproductive medicine","volume":" ","pages":"12-19"},"PeriodicalIF":2.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488407","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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