IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Fengli Chi, Kunming Li, Jing Sun, Tony Duan

{"title":"Term Delivery in a Woman with Severe Uterine Dehiscence After a Previous Cesarean Section: A Case Report.","authors":"Fengli Chi, Kunming Li, Jing Sun, Tony Duan","doi":"","DOIUrl":"","url":null,"abstract":"Background: Cesarean section is the most frequently performed obstetrics operation. It can be associated with short- and long-term risks, one of which is uterine scar dehiscence. Women with uterine scar dehiscence often fear pregnancy because they are advised it may increase the risk of uterine rupture. It is generally recommended that women undergo transvaginal or laparoscopic repair of the uterine dehiscence before any future pregnancies.Case: A 32-year-old woman with a previous transverse lower-segment cesarean section complicated by severe uterine dehiscence, diagnosed by MRI before pregnancy, was treated with expectant management during a subsequent pregnancy. She was asymptomatic during pregnancy until term delivery with expectant management.Conclusion: We recommend that patients with severe uterine dehiscence undergo transvaginal or laparoscopic repair before attempting another pregnancy. However, if they become pregnant without repair of the dehiscence, they can be managed conservatively with routine surveillance and intermittent monitoring by ultrasound to term unless there is an emergency.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"200-03"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36504360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A Simple Method for Excluding Uterine Canalization Defects Using Two-Dimensional Ultrasound in Infertile Women. 利用二维超声排除不孕症妇女子宫导管缺损的简易方法。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

María Angela Pascual, Juan Luis Alcazar, Betlem Graupera, Cristina Pedrero, María Fernandez-Cid, Lourdes Hereter

{"title":"A Simple Method for Excluding Uterine Canalization Defects Using Two-Dimensional Ultrasound in Infertile Women.","authors":"María Angela Pascual, Juan Luis Alcazar, Betlem Graupera, Cristina Pedrero, María Fernandez-Cid, Lourdes Hereter","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To compare the uterine transverse diameter (UTD) in women with normal uteri and women with uterine canalization defects as well as to assess its performance for ruling out such defects.Study design: Retrospective analysis of prospectively collected data in a series of selected women with primary or secondary infertility. Measurement of UTD and 3D volume acquisition for subsequent off-line analysis was performed in order to identify possible canalization defects. UTD of the normal uterus, measured by 2D ultrasound, was compared to that of arcuate, subseptate, and septate uteri. ROC curve was plotted to determine the best UTD cutoff for differentiating normal from abnormal uteri.Results: A total of 421 women were ultimately evaluated. UTD was significantly larger in women with arcuate (53.3 mm, SD 6.3, p<0.05), subseptate (55.0 mm, SD 6.7, p<0.05), and septate (56.0 mm, SD 4.8, p<0.05) uterus as compared with the normal uterus (45.9 mm, SD 7.1). ROC curve showed that the best UTD cutoff for ruling out the presence of a uterine canalization defect was 45 mm (AUC 0.809, 95% CI 0.768–0.849).Conclusion: Measurement of UTD may be a simple and practical method for ruling out a uterine canalization defect in infertile women.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"133-7"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36502044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Effects of Estradiol at Different Levels on Rabbit Endometrial Repair After Curettage. 不同水平雌二醇对兔子宫内膜刮宫后修复的影响。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Ying Zhang, Fang Chen, Tin Chiu Li, Hua Duan, Yan Hua Wu

{"title":"Effects of Estradiol at Different Levels on Rabbit Endometrial Repair After Curettage.","authors":"Ying Zhang, Fang Chen, Tin Chiu Li, Hua Duan, Yan Hua Wu","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To evaluate the effects of estradiol on endometrial regeneration and stromal fibrosis after endometrial curettage.Study design: This is an experimental, prospective study. Combining ovariectomized rabbits and different doses of estrogen replacement, we divided 33 female rabbits into 4 groups: control, low estrogen, moderate estrogen, and high estrogen. Hematoxylin-eosin staining and Masson’s trichrome staining were used to assess the regeneration of endometrial glands and the degree of stromal fibrosis.Results: Before curettage, estradiol at high serum level could stimulate endometrial gland regeneration as assessed by the number of endometrial glands in paraffin sections stained with hematoxylin and eosin. However, after curettage, both high and low doses of estradiol impaired glandular regeneration while enhancing stro-ma fibrosis, which was calculated as the ratio of stromal fibrosis area to endometrial area in paraffin sections stained with Masson’s trichrome, as compared with the control group. In addition, estradiol is favorable to endometrial repair at the physiological level.Conclusion: Estradiol compromises glandular regeneration and promotes stromal fibrosis at both low and high serum levels but is favorable to endometrial repair at the physiological level. This study may provide new insight for the role of estrogen therapy after hysteroscopic division of intrauterine adhesion.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"138-46"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36502045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Successful Closure of Small Iatrogenic Chorioamniotic Membranes Defect After Fetoscopy with Laser: A Case Report. 激光胎儿镜检查后医源性小绒毛膜羊膜缺损成功闭合1例。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Michael Tchirikov, Jörg Buchmann, Michael Bergner

{"title":"Successful Closure of Small Iatrogenic Chorioamniotic Membranes Defect After Fetoscopy with Laser: A Case Report.","authors":"Michael Tchirikov, Jörg Buchmann, Michael Bergner","doi":"","DOIUrl":"","url":null,"abstract":"Background: Fetoscopic laser coagulation of the placental anastomoses is the standard treatment for twin-to-twin transfusion syndrome (TTTS). Despite certain improvements in fetoscopic technique, every fourth fetoscopic procedure is still complicated by preterm premature rupture of membranes, leading to ascending infection, fetal demise, and/or preterm delivery. re-TTTS occurs after fetoscopy in 2–14% of cases, impairing the outcome.Case: A 26-year-old woman underwent laser coagulation of placental anastomoses because of stage III TTTS at 21/6 weeks of gestation. A microinvasive fetoscopic technique with 1-mm optic was used. Three weeks later, during a second fetoscopy because of re-TTTS, a defect of the chorioamniotic membranes of about 3 mm2 in area was visualized. This was without any signs of wound healing. We decided to perform laser coagulation with Nd:YAG laser of 10–30 W energy, moving from the wound’s edge to the center until complete closure of the defect could be achieved. The patient gave birth at 34/0 weeks to 2 healthy female infants weighing 2,013 g and 1,712 g. Microscopic evaluation of chorioamniotic membranes found dystrophic calcification within the treated membranes; this had been covered by amniotic epithelium.Conclusion: Small iatrogenic amniotic membrane defects could be successfully treated by laser technique.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"194-99"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36504281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Pretesticular and Testicular Effects of Systemic Sarcoidosis: A Case Report. 系统性结节病对睾丸前和睾丸的影响1例报告。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Andrew Knox, Neil Black, Ishola Agbaje

{"title":"Pretesticular and Testicular Effects of Systemic Sarcoidosis: A Case Report.","authors":"Andrew Knox, Neil Black, Ishola Agbaje","doi":"","DOIUrl":"","url":null,"abstract":"Background: Sarcoidosis is a multisystem inflammatory disease of unknown etiology. It is uncommon, with an incidence of approximately 16.5 per 100,000 men.1 It is characterized by noncaseating epithelioid granulomata that typically affect the chest, skin, eyes, and, much less commonly, the genital system (<0.2% of cases). Sarcoidosis can affect any of the scrotal structures, although due to its rarity, investigation of solid masses of the testes are largely targeted towards excluding either a malignant or infective etiology.²Case: We report a rare case of a 27-year-old male who presented with bilateral testicular and neck swellings. He underwent orchidectomy, and histopathology demonstrated sarcoidosis. He subsequently developed both pituitary and testicular sarcoidosis resulting in azoospermia. Through the administration of gonadotropins and surgical sperm retrieval we were able to retrieve sperm suitable for assisted reproductive technologies.Conclusion: This case illustrates the difficulties faced in managing the fertility of men who develop systemic sarcoidosis. It also highlights the diagnostic and therapeutic challenges faced by physicians when presented with a case of systemic sarcoidosis.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"204-6"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36504284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Serendipitous Signs, Symptoms, Laboratory Parameters, and Instrumental Patterns of Amniotic Fluid Embolism: Lessons from an Analysis of Case Reports. 羊水栓塞的偶然体征、症状、实验室参数和仪器模式:来自病例报告分析的经验教训。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Ugo Indraccolo, Monica Caddeo, Pantleo Greco, Romolo Di Iorio, Salvatore Renato Indraccolo

{"title":"Serendipitous Signs, Symptoms, Laboratory Parameters, and Instrumental Patterns of Amniotic Fluid Embolism: Lessons from an Analysis of Case Reports.","authors":"Ugo Indraccolo, Monica Caddeo, Pantleo Greco, Romolo Di Iorio, Salvatore Renato Indraccolo","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Serendipitous Signs, Symptoms, Laboratory Parameters, and Instrumental Patterns of Amniotic Fluid Embolism: Lessons from an Analysis of Case Reports.Study design: Wide analysis of the case reports on AFE published from 1990 to 2014. A scoring system for quantifying the relevance was attributed to each sign, symptom, laboratory parameter, and instrumental abnormal pattern in AFE cases. Principal component rotated factor analysis was used to reduce data. The residual signs, symptoms, and laboratory and instrumental parameters were introduced in a multivariable logistic regression model (dependent variable: survival).Results: AFE, clinically, has at least 2 serendipitous symptoms (restlessness and confusion, at rates between 10–15%) and a serendipitous laboratory parameter (rise in C-reactive protein blood levels, between 2–3%). Fatal AFE cases relate mostly to the severity of cardiac and pulmonary impairment, rather than with restlessness, confusion, and rise in C-reactive protein.Conclusion: The hypothesis that AFE has atypical behavior should be retained; the extent to which serendipitous findings of AFE relate to AFE outcomes is uncertain.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"161-72"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36500766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Adrenal Mass Diagnosed in the Third Trimester of Pregnancy: A Case Report. 妊娠晚期诊断肾上腺肿块1例。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Amanda Sparks, Stephen J Carlan, Jack Wilson, John Busowski

引用次数: 0

Abnormal Uterine Bleeding Control by Sequential Application of Hysteroscopic Lesion Morcellation and Endometrial Ablation. 宫腔镜病变碎裂与子宫内膜消融序贯应用控制异常子宫出血。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Robert J Rubino, Kelly H Roy, James Presthus, Susanne Trupin

{"title":"Abnormal Uterine Bleeding Control by Sequential Application of Hysteroscopic Lesion Morcellation and Endometrial Ablation.","authors":"Robert J Rubino, Kelly H Roy, James Presthus, Susanne Trupin","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the efficacy and safety of combined hysteroscopic morcellation/endometrial ablation for treating abnormal uterine bleeding (AUB).Study design: Prospective case series from 5 U.S. gynecology clinics. Women with intrauterine polyps and/or type-0 myomas and transformed Uterine Fibroid Symptom and Health-Related Quality-of-Life (UFS-HRQoL) symptom severity score ≥47 points (100 possible) underwent hysteroscopic morcellation (MyoSure) of intrauterine pathologies before endometrial radiofrequency ablation (NovaSure). Outcome measures were amenorrhea rate, UFS-HRQoL scoring, AUB retreatment/reintervention, bleeding days, and perioperative adverse events, through 12 months.Results: Of 26 enrolled women, 24 were available through study completion. Lesions were 27% myomas and 73% polyps. Procedure room time was 19±13 minutes. Complete lesion eradication occurred in 96% of women. At 12 months, amenorrhea prevalence was 46% (p<0.0001 vs. baseline), and 87% of women reported either no bleeding or normalized bleeding. Bleeding/spotting days decreased from 15.7±7.4 to 3.1±4.2 days/month (p<0.0001), symptom severity decreased from 75±13 to 12±18 points (p<0.0001), and QoL scores increased from 29±18 to 88±23 points (p<0.0001). Three women required additional AUB intervention. Perioperative adverse events were minor nausea (n=1) and abdominopelvic cramping (n=2) without sequelae.Conclusion: Sequential hysteroscopic morcellation and endometrial radiofrequency ablation of intrauterine lesions in women with AUB increases amenorrhea rate, alleviates bleeding symptoms, and improves quality of life, with an acceptable safety profile.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"62 3-4","pages":"102-10"},"PeriodicalIF":0.2,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Cost-Benefit Analysis of Hysteroscopic Polypectomy Before Controlled Ovarian Hyperstimulation and Intrauterine Insemination in Infertile Women. 不孕症妇女控制性卵巢过度刺激和宫内人工授精前宫腔镜息肉切除术的成本-效益分析。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Lauren W Sundheimer, Anupama Kathiresan, Daniel Dumesic, Ram Parvataneni, Mousa Shamonki

引用次数: 0

Levonorgestrel-Releasing Intrauterine Contraceptive Device in the Peritoneal Cavity: A Report of Two Cases. 腹腔内释放左炔诺孕酮宫内节育器:附2例报告。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2017-03-01

Kristina Drusany Starič, Pepita Taneska, Andrej Zore, Adolf Lukanović, Borut Kobal, Branko Cvjetićanin, Katja Jakopič

引用次数: 0

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