International Journal of Fertility and Womens Medicine最新文献_第8页

B-Lynch suture: a case series. B-Lynch缝合:一组病例。

International Journal of Fertility and Womens Medicine Pub Date : 2005-07-01

Cinna Toy Wohlmuth, Joslyn Gumbs, Jocelyn Quebral-Ivie

{"title":"B-Lynch suture: a case series.","authors":"Cinna Toy Wohlmuth, Joslyn Gumbs, Jocelyn Quebral-Ivie","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To report an 8-year institutional experience in the use of the B-Lynch Suture for the management of postpartum hemorrhage (PPH).Study design: Cases with B-Lynch suture utilization for severe postpartum hemorrhage were identified, from March 1997 to March 2005, at White Memorial Medical Center. Case charts were reviewed, and postoperative follow-up after hospital discharge was conducted by telephone interview and outpatient clinic chart review. Historical characteristics and outcome of these patients are described.Results: B-Lynch suture was performed on 22 patients, between March 1997 and March 2005, to control intractable PPH at cesarean section that did not respond to uterotonic agents. In 12 instances, the B-Lynch suture was the only intervention, whereas in 10 it was combined with vessel ligation. The procedure resulted in control of bleeding with uterine preservation in 77% of the cases. In those cases where the etiology of PPH was uterine atony, the B-Lynch suture was successful in 85% of the cases. Hysterectomy was avoided in 17/22 cases.Conclusion: The B-Lynch suture is an alternative surgical procedure for uterine preservation that may be used to control postpartum hemorrhage from uterine atony.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 4","pages":"164-73"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25793779","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: 0

The value of saline salpingosonography as a surrogate test of tubal patency in low-resource settings. 生理盐水输卵管超声作为低资源环境下输卵管通畅的替代试验的价值。

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

L Hoffman, K Chan, B Smith, S Okolo

{"title":"The value of saline salpingosonography as a surrogate test of tubal patency in low-resource settings.","authors":"L Hoffman, K Chan, B Smith, S Okolo","doi":"","DOIUrl":"","url":null,"abstract":"Background: Tubal factor, which accounts for 15-30% of infertility in all women, is common in developing countries with high rates of pelvic inflammatory disease but limited resources. It is possible to outline the fallopian tubes by injecting isotonic saline transcervically during transvaginal ultrasound scanning of the pelvis, and both color flow Doppler and 3-dimensional scanning modes have been employed to improve visualization of the tubes, with varying success.Method: We investigated the value of saline salpingosonography (SSG), using 2-dimensional transvaginal ultrasound scanning, as a screening test of tubal patency in 113 women by comparing SSG findings to those at HSG or laparoscopy.Results: The findings at SSG correlated well with the results of HSG or laparoscopy, with an overall concordance of 82.5%. SSG was more accurate at diagnosing patent tubes than blocked tubes and was well tolerated. The results are, however, unreliable when it is difficult to inject the saline and when the patient experiences severe pain during the procedure.Conclusion: SSG is a useful screening tool for investigating infertility, particularly in low-resource settings.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 3","pages":"135-9"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25681880","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: 0

Alternative therapies for postmenopausal women. 绝经后妇女的替代疗法。

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

Leon Speroff

{"title":"Alternative therapies for postmenopausal women.","authors":"Leon Speroff","doi":"","DOIUrl":"","url":null,"abstract":"Alternative therapies are being used by postmenopausal women in attempts to treat all of the complaints and medical conditions of the menopause. One-fifth of those who take prescription drugs for these indications also take herbal remedies and/or high-dose vitamins, most often without disclosing the fact to the physician. Although studies of alternative therapies are short-term and rarely focused on safety--let alone efficacy--in the long-term, there are many studies spread over the large number of substances involved. More than 130 studies, including meta-analyses, are reviewed in this article under the headings of phytoestrogens, especially from soy; therapies for hot flushes; and preventives for cardiovascular disease, osteoporosis, and breast cancer. Special attention is given to the recently recognized daidzein metabolite equol, and for the sake of completeness there are reviews of the unconventional, but not botanical, treatments estriol, transdermal progesterone, and dehydroepiandrosterone. The total picture produced by conscientious review of the studies is bleak overall, but there seems to be good reason to pursue the possibilities inherent in soy protein with phytoestrogens in populations of women who endogenously produce equol.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 3","pages":"101-14"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25681399","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: 0

Introital swab testing for Chlamydia trachomatis in a resource-poor setting: an Indian perspective. 在资源贫乏的环境中进行沙眼衣原体的初步拭子检测:印度的观点。

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

Jyotsna S Gokral, Jayanti Mania-Pramanik, Pervin K Meherji, Bapurao N Mali

{"title":"Introital swab testing for Chlamydia trachomatis in a resource-poor setting: an Indian perspective.","authors":"Jyotsna S Gokral, Jayanti Mania-Pramanik, Pervin K Meherji, Bapurao N Mali","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Chlamydia trachomatis (CT) is implicated both in tubal infertility and in cervical dysplasia. Early detection of this infection is uncommon due to its asymptomatic nature and to lack of adequate health care facilities, leading to irreversible sequelae. This study evaluates the use of an introital specimen from women attending the Institute's infertility clinic to detect CT by polymerase chain reaction (PCR) and to correlate it with intraepithelial changes (IEC) of the cervix by Pap smears.Methods: Introital and endocervical swab specimens were taken from 100 infertile women for PCR. An endocervical smear was taken for Pap staining.Results: The CT infection rate was 34%. Sensitivity of introital and endocervical specimens for detection of CT was 82.4% and 85.3%, respectively (P > 0.05); both had 100% specificity. Sixty-seven percent of infected women were less than 30 years of age and only 15% of these reported discharge. Vaginitis/cervicitis was observed in 35% of the positive cases. IEC suggesting inflammation was seen in 74% of the infected women, as compared to 48% of subjects with normal cytology (p = 0.016). Being noninvasive, self collection of an introital specimen can be advocated in large-scale settings in our country for detection of CT in order to contain the infection and its complications.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 3","pages":"140-3"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25681274","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: 0

Gender gap in cerebrovascular accidents: comparison of the extent, severity, and risk factors in men and women aged 45-65. 脑血管意外的性别差异:45-65岁男女程度、严重程度和危险因素的比较

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

Drorith Hochner-Celnikier, Orly Manor, Batya Garbi, Tova Chajek-Shaul

{"title":"Gender gap in cerebrovascular accidents: comparison of the extent, severity, and risk factors in men and women aged 45-65.","authors":"Drorith Hochner-Celnikier, Orly Manor, Batya Garbi, Tova Chajek-Shaul","doi":"","DOIUrl":"","url":null,"abstract":"Background and objective: Few data are available on sex differences among relatively young adult stroke patients. The aim of the present study is to analyze such differences in mortality, principal risk factors, and outcome measures among patients aged 45-65 with acute stroke. The identification of these differences is indispensable for developing optimal strategies for the prevention and care of this disease.Methods and results: Retrospective study of 114 women and 190 men, aged 45-65 years, hospitalized from 1990 to 1998 in the Hadassah Medical Centers with confirmed CVA. Medical background, clinical presentation, imaging results, risk factors, lifestyle information, and rehabilitative status data were retrieved from medical records. No gender differences were observed in clinical presentation or imaging studies. In-hospital mortality rate among women was higher than men, 13.2% vs. 5.8%. A significant gender gap in comorbidity with diabetes, hypertension, and hypercholesterolemia was found: 29.1% of women vs. 14.3% of men. Men more than women had a history of ischemic heart disease (35.8% vs. 21.9%) and smoking and alcohol consumption (43.9% vs. 16.4%; 6.9% vs. 0.9%). Use of rehabilitative services was similar between the sexes.Conclusions: This study shows marked gender differences among younger adult stroke patients. The concomitance of multiple risk factors in the women may have contributed to the observed higher mortality rate. Characterization of risk factors for CVA in both sexes may aid in developing prevention strategies to reduce stroke incidence in this age group.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 3","pages":"122-8"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25681881","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: 0

The journey from infertility to parenting multiples: a dream come true? 从不孕到多胞胎:梦想成真?

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

Liora Baor, Isaac Blickstein

引用次数: 0

Defining poor responders in assisted reproduction. 辅助生殖中不良反应的定义。

International Journal of Fertility and Womens Medicine Pub Date : 2005-05-01

Hassan N Sallam, Fathy Ezzeldin, Abdel-Fattah Agameya, Ashraf Farrag Rahman, Yehia El-Garem

{"title":"Defining poor responders in assisted reproduction.","authors":"Hassan N Sallam, Fathy Ezzeldin, Abdel-Fattah Agameya, Ashraf Farrag Rahman, Yehia El-Garem","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The aim of this study was to establish an objective definition of \"poor responders\" for patients undergoing treatment with assisted reproduction.Methods: A total of 782 infertile couples treated with assisted reproduction were studied by retrospective analysis of the data. Simple linear regression was performed between the number of oocytes retrieved and the clinical pregnancy rate. The sensitivity and specificity were then calculated and the receiver-operator characteristic (ROC) curves were drawn in order to determine a critical number of oocytes retrieved below which the clinical pregnancy rate was significantly diminished.Results: An excellent correlation was found between the number of oocytes retrieved and the clinical pregnancy rate (r = 0.90). The clinical pregnancy rate started to become significantly lower when fewer than 5, 6, and 8 oocytes were retrieved from patients treated with ICSI, IVF, or TeSE/ICSI, respectively.Conclusions: The definition of poor responders in assisted reproduction depends on the treatment modality. Poor responders are patients undergoing treatment with ICSI, IVF, or TeSE/ICSI from whom fewer than 5, 6, or 8 oocytes are retrieved, respectively.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 3","pages":"115-20"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25693787","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: 0

Is BMD testing appropriate for all menopausal women? 骨密度测试是否适用于所有绝经期妇女?

International Journal of Fertility and Womens Medicine Pub Date : 2005-03-01

Michael Kleerekoper, Dorothy A Nelson

{"title":"Is BMD testing appropriate for all menopausal women?","authors":"Michael Kleerekoper, Dorothy A Nelson","doi":"","DOIUrl":"","url":null,"abstract":"The United States Preventive Services Task Force has provided an evidence-based guideline indicating that bone mineral density (BMD) testing is appropriate for all women aged 65 or older. This does not preclude BMD testing in younger postmenopausal women but places the onus on the treating physician to justify the procedure to the patient and often the patient's insurance carrier. There are very few circumstances in which BMD testing is appropriate for healthy premenopausal women, but BMD testing in younger postmenopausal women is often appropriate: when there is a family history of osteoporosis with fracture, a personal history of fracture as an adult, and a medical, surgical or therapeutic history that might be associated with accelerated bone loss or increased risk of fracture. Medical conditions include intestinal diseases associated with malabsorption, such as non-tropical sprue, or primary hyperparathyroidism. Women who have neurologic conditions that increase the risk of falling should also be tested. There are data to suggest that patients with hemoglobinopathy are at increased risk for osteoporosis. Surgical conditions include the increasingly performed surgery for obesity and other surgery resulting in bowel resection (e.g., for inflammatory bowel disease). The major medication-related concern is corticosteroid therapy, but chronic or over-treatment with thyroxine, and chronic heparin therapy, should also be considered risk factors for osteoporosis. When performing a BMD test for the first time, it is essential to remember that 50% of women at menopause will have a negative T-score, but this does not imply that the patient has indeed lost any bone from her peak bone mass.","PeriodicalId":50324,"journal":{"name":"International Journal of Fertility and Womens Medicine","volume":"50 2","pages":"61-6"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25728623","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: 0

Gender issues in the management of irritable bowel syndrome. 肠易激综合征管理中的性别问题。

International Journal of Fertility and Womens Medicine Pub Date : 2005-03-01

Sunanda Kane

引用次数: 0

Estrogen effects on the hippocampus and frontal lobes. 雌激素对海马和额叶的影响。

International Journal of Fertility and Womens Medicine Pub Date : 2005-03-01

Pauline M Maki

引用次数: 0