npj women's healthPub Date : 2025-01-01Epub Date: 2025-01-29DOI: 10.1038/s44294-025-00054-2
Ola Gutzeit, Aakanksha Gulati, Zohreh Izadifar, Anna Stejskalova, Hassan Rhbiny, Justin Cotton, Bogdan Budnik, Sanjid Shahriar, Girija Goyal, Abidemi Junaid, Donald E Ingber
{"title":"Cervical mucus in linked human Cervix and Vagina Chips modulates vaginal dysbiosis.","authors":"Ola Gutzeit, Aakanksha Gulati, Zohreh Izadifar, Anna Stejskalova, Hassan Rhbiny, Justin Cotton, Bogdan Budnik, Sanjid Shahriar, Girija Goyal, Abidemi Junaid, Donald E Ingber","doi":"10.1038/s44294-025-00054-2","DOIUrl":"10.1038/s44294-025-00054-2","url":null,"abstract":"<p><p>This study explores the protective role of cervicovaginal mucus in maintaining vaginal health, particularly in relation to bacterial vaginosis (BV), using organ chip technology. By integrating human Cervix and Vagina Chips, we demonstrated that cervical mucus significantly reduces inflammation and epithelial damage caused by a dysbiotic microbiome commonly associated with BV. Proteomic analysis of the Vagina Chip, following exposure to mucus from the Cervix Chip, revealed differentially abundant proteins, suggesting potential biomarkers and therapeutic targets for BV management. Our findings highlight the essential function of cervical mucus in preserving vaginal health and underscore the value of organ chip models for studying complex interactions within the female reproductive tract. This research provides new insights into the mechanisms underlying vaginal dysbiosis and opens avenues for developing targeted therapies and diagnostic tools to enhance women's reproductive health.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143083092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-08-22DOI: 10.1038/s44294-025-00097-5
Christel M Portengen, Tristin Smith, Esmeralda Hidalgo-Lopez, Hannah Becker, Melissa E Lenert, Andrew Schrepf, Steven E Harte, Chelsea M Kaplan, Adriene M Beltz
{"title":"Early pubertal timing is a risk factor for adolescent dysmenorrhea.","authors":"Christel M Portengen, Tristin Smith, Esmeralda Hidalgo-Lopez, Hannah Becker, Melissa E Lenert, Andrew Schrepf, Steven E Harte, Chelsea M Kaplan, Adriene M Beltz","doi":"10.1038/s44294-025-00097-5","DOIUrl":"https://doi.org/10.1038/s44294-025-00097-5","url":null,"abstract":"<p><p>Females who experience menarche early have elevated risk for dysmenorrhea; yet, other puberty features precede menarche. Using data from the Adolescent Brain Cognitive Development Study®, pubertal timing was estimated via random effects linear growth curves of pubertal status indicators excluding menarche for postmenarcheal females with no (<i>n</i> = 1083), mild (<i>n</i> = 1239), or severe (<i>n</i> = 266) dysmenorrhea. Early pubertal timing increased odds for dysmenorrhea by 22-31%, making it a novel marker for dysmenorrhea risk.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12370531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144985755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-07-25DOI: 10.1038/s44294-025-00093-9
Animesh Kumar Paul, Sunil Vasu Kalmady, Russell Greiner, Padma Kaul
{"title":"Developing point-of-care tools to inform decisions regarding prescription medication use in pregnancy.","authors":"Animesh Kumar Paul, Sunil Vasu Kalmady, Russell Greiner, Padma Kaul","doi":"10.1038/s44294-025-00093-9","DOIUrl":"10.1038/s44294-025-00093-9","url":null,"abstract":"<p><p>Pregnant women are often excluded from randomized clinical trials due to safety concerns, yet the increasing prevalence of pre-existing conditions and pregnancy complications necessitates medication use. Observational cohort data can provide valuable insights to support clinical decision-making. We developed a web-based tool that presents population-level data on medication use and preterm birth risk. By integrating real-world evidence, this tool helps clinicians assess medication-related outcomes and improve maternal and neonatal health.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12296555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-05-15DOI: 10.1038/s44294-025-00077-9
Philip Bediako-Kakari, Mariella Monyo, Shakir Atoyebi, Adeniyi Olagunju
{"title":"Comparative modelling of foetal exposure to maternal long-acting injectable versus oral daily antipsychotics.","authors":"Philip Bediako-Kakari, Mariella Monyo, Shakir Atoyebi, Adeniyi Olagunju","doi":"10.1038/s44294-025-00077-9","DOIUrl":"10.1038/s44294-025-00077-9","url":null,"abstract":"<p><p>This study employed physiologically based pharmacokinetic (PBPK) modelling to compare the extent of foetal exposure between oral and long-acting injectable (LAI) aripiprazole and olanzapine. Adult and pregnancy PBPK models were developed and validated with relevant clinical data. Relevant indices of foetal exposure during pregnancy were predicted from concentration-time data at steady-state dosing for both oral and LAI formulations. Foetal C<sub>max</sub> for aripiprazole was 59-78% higher with LAI than oral, and 68-181% higher with LAI olanzapine than the oral formulation. Predicted cord:maternal ratios (range) were 0.59-0.69 for oral aripiprazole and 0.61-0.66 for LAI aripiprazole, 0.34-0.64 for oral olanzapine and 0.89-0.96 for LAI olanzapine. Also, cumulative foetal exposure over 28 days from oral formulations were generally predicted to be lower compared with their therapeutic-equivalent LAI. As <i>in utero</i> foetal exposure to maternal drugs does not necessarily translate to risk, these data should be interpreted in a broader context that includes benefit-risk assessments.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-06-12DOI: 10.1038/s44294-025-00079-7
F Boscolo Sesillo, H Manoochehri, P Duran, E Zelus, K L Christman, M Alperin
{"title":"Effect of lactation on postpartum pelvic floor muscle regeneration in preclinical model.","authors":"F Boscolo Sesillo, H Manoochehri, P Duran, E Zelus, K L Christman, M Alperin","doi":"10.1038/s44294-025-00079-7","DOIUrl":"10.1038/s44294-025-00079-7","url":null,"abstract":"<p><p>Pelvic floor muscle (PFM) recovery following childbirth is essential for preserving pelvic floor function. Despite this, the impact of parturition and lactation on pelvic muscle stem cells (MuSCs), indispensable for skeletal muscle maintenance and regeneration, remains unknown. We determined that vaginal delivery does not cause mechanical injury of the rat PFMs, enabling us to uncouple the effects of lactation on muscle homeostasis from PFM regeneration following simulated birth injury (SBI). Tibialis anterior (TA) served as non-pelvic control. This novel study demonstrates that in the absence of birth injury, lactation blocks MuSC proliferation in PFM and TA, suggesting that postpartum systemic milieu affects MuSCs in pelvic and non-pelvic muscles. In contrast, SBI negated the inhibitory effect of lactation on MuSCs in PFM but not in TA, indicating that local signals released by the injured muscle overcome systemic inhibitory effects of lactation, which persist in muscles remote from the site of injury.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-10-01DOI: 10.1038/s44294-025-00104-9
Leonore Vander Donck, Thies Gehrmann, Sarah Ahannach, Sarah Van den Bosch, Margo Hiel, Lize Delanghe, Camille Nina Allonsius, Eline Cauwenberghs, Irina Spacova, Eline Oerlemans, Stijn Wittouck, Ilke De Boeck, Gilbert Donders, Veronique Verhoeven, Sarah Lebeer
{"title":"The female intimate microbiome space.","authors":"Leonore Vander Donck, Thies Gehrmann, Sarah Ahannach, Sarah Van den Bosch, Margo Hiel, Lize Delanghe, Camille Nina Allonsius, Eline Cauwenberghs, Irina Spacova, Eline Oerlemans, Stijn Wittouck, Ilke De Boeck, Gilbert Donders, Veronique Verhoeven, Sarah Lebeer","doi":"10.1038/s44294-025-00104-9","DOIUrl":"10.1038/s44294-025-00104-9","url":null,"abstract":"<p><p>Despite its importance in health, the female intimate skin microbiome remains understudied. In this Isala study we explored microbial dispersal across intimate body sites, including the vagina, groins, breast and mouth. Microbial similarity correlated with physical proximity, suggesting dispersal influenced by hygiene or sexual activity. Notably, lactobacilli were unexpectedly abundant on breast skin. These findings highlight the need for research into microbiome dynamics and their implications for women's health.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-01-30DOI: 10.1038/s44294-025-00053-3
Aparajita Kashyap, Maryam Aziz, Tony Y Sun, Sharon Lipsky Gorman, Jessica Opoku-Anane, Noémie Elhadad
{"title":"Investigating racial disparities in drug prescriptions for patients with endometriosis.","authors":"Aparajita Kashyap, Maryam Aziz, Tony Y Sun, Sharon Lipsky Gorman, Jessica Opoku-Anane, Noémie Elhadad","doi":"10.1038/s44294-025-00053-3","DOIUrl":"10.1038/s44294-025-00053-3","url":null,"abstract":"<p><p>We assess racial disparities in medication prescription patterns for endometriosis patients across Medicaid administrative claims data. We use ATC 3<sup>rd</sup> level drug codes to identify drug classes prescribed significantly more frequently for endometriosis patients than a comparison cohort of non-endometriosis patients. Temporal prevalence differences of prescriptions (pre- vs. post-diagnosis) were also examined. The endometriosis cohort comprised 16,372 endometriosis patients (23.3% Black, 66.0% White). Of the 28 drug classes examined, 17 were prescribed significantly less in Black patients and 4 were prescribed significantly more in Black patients. Of the 17 drugs prescribed more often in White patients, 13 have larger disparities pre-diagnosis than post-diagnosis. In the non-endometriosis cohort (<i>n</i> = 3,663,904), 21 drug classes were prescribed significantly more in White patients and 6 were prescribed significantly more in Black patients. Our analysis identifies disparities in prescriptions practices between White and Black endometriosis patients, notably in pain management and comorbidity treatment.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-02-28DOI: 10.1038/s44294-025-00064-0
Karen Rowland Yeo, Jacqueline Gerhart, Aarti Sawant-Basak, Francis Williams Ojara, Aida N Kawuma, Catriona Waitt
{"title":"Clinical lactation studies. Acting on key recommendations over the last decade.","authors":"Karen Rowland Yeo, Jacqueline Gerhart, Aarti Sawant-Basak, Francis Williams Ojara, Aida N Kawuma, Catriona Waitt","doi":"10.1038/s44294-025-00064-0","DOIUrl":"10.1038/s44294-025-00064-0","url":null,"abstract":"<p><p>Including lactating women in clinical trials is imperative to generate relevant drug exposure and safety data needed to advise on clinical use of drugs in this understudied population. Recent changes in perspectives, regulatory guidance, and international networks which outline pragmatic approaches for advancing the conduct of clinical lactation studies are discussed. Case studies demonstrating successful application of modeling and simulation to complement clinical lactation data for enhanced knowledge of infant drug exposure are presented.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
npj women's healthPub Date : 2025-01-01Epub Date: 2025-09-22DOI: 10.1038/s44294-025-00100-z
Özlü Aran, Melissa Nevarez-Brewster, Kimberly D'Anna-Hernandez, Julia Dmitrieva, Curt A Sandman, Laura M Glynn, Elysia Poggi Davis
{"title":"Associations between individual and structural level discrimination and psychological and physiological stress indicators during pregnancy.","authors":"Özlü Aran, Melissa Nevarez-Brewster, Kimberly D'Anna-Hernandez, Julia Dmitrieva, Curt A Sandman, Laura M Glynn, Elysia Poggi Davis","doi":"10.1038/s44294-025-00100-z","DOIUrl":"10.1038/s44294-025-00100-z","url":null,"abstract":"<p><p>In the United States (U.S.) pervasive health disparities in prenatal care disproportionately impact marginalized individuals. The present study investigates whether discrimination at the individual and structural levels are associated with indicators of psychological and physiological stress among pregnant Latinx people living in the U.S., including both U.S. and foreign-born individuals. Pregnant participants (<i>n</i> = 109) reported on birthplace, lifetime experiences of racial and ethnic discrimination, perceived levels of stress, acculturation, social support, and provided residential address data and hair samples for cortisol analysis. Regression analysis revealed that individual level discrimination was linked to higher psychological stress during pregnancy (<i>p</i> = .003), and structural level discrimination was related to lower physiological stress (cortisol; <i>p</i> = .056). Notably, these associations varied by birthplace: U.S.-born individuals showed higher levels of psychological stress in response to individual level discrimination, while foreign-born individuals appeared more resilient to structural level discrimination. The results are discussed within the framework of immigrant health paradox.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pregnancy and cardiovascular disease in developing countries of South Asia-A narrative review.","authors":"Farhala Baloch, Alveena Zafar, Momina Faisal, Anoosha Marium, Lumaan Sheikh, Haleema Yasmin, Pamela Susan Douglas, Zainab Samad","doi":"10.1038/s44294-025-00101-y","DOIUrl":"10.1038/s44294-025-00101-y","url":null,"abstract":"<p><p>According to the World Health Organization, low-middle-income countries report higher maternal mortality rates in South Asia compared to higher-income countries. Pregnancy with cardiovascular diseases is a prominent contributor to these preventable deaths. Reasons behind poor maternal outcomes are multifactorial, including unstable healthcare systems, knowledge gaps, and sociocultural factors. This review discusses the concept of iceberg model, a tool for health system analysis to identify potential factors behind poor maternal outcomes.</p>","PeriodicalId":520241,"journal":{"name":"npj women's health","volume":"3 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}