Current Opinion in Obstetrics & Gynecology最新文献_第3页

Holistic approach to care for patients with endometriosis. 子宫内膜异位症患者的整体护理方法。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-08-01 Epub Date: 2024-05-21 DOI: 10.1097/GCO.0000000000000970

Andrea Molina, Ashlie Carter, Lacy Alexander, Arpit Davé, Kristin Riley

{"title":"Holistic approach to care for patients with endometriosis.","authors":"Andrea Molina, Ashlie Carter, Lacy Alexander, Arpit Davé, Kristin Riley","doi":"10.1097/GCO.0000000000000970","DOIUrl":"10.1097/GCO.0000000000000970","url":null,"abstract":"Purpose of review: Endometriosis is a chronic, often debilitating, disease which is typically managed with surgery and hormonal medications. However, many patients feel they lack agency when managing endometriosis symptoms. The purpose of this review is to discuss the mental and physical management strategies, the long-term health consequences, and the role of a multidisciplinary team in the treatment of endometriosis.Recent findings: Evidence is becoming more robust regarding the role of complementary care and physical activity in the management of endometriosis. Health risks such as infertility are well known and newer evidence is evolving regarding perinatal and cardiovascular health risks. There are also trends towards multiple specialist involvement in the care of endometriosis and the benefit of interdisciplinary collaboration.Summary: Endometriosis is a frequently recurrent condition requiring not only meticulous medical and surgical care, but also coordinated longitudinal disease management and impact mitigation. Gynecologists should be aware of the short-term and long-term implications of the disease to empower patients on the management of their overall health.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263633","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

Cutting-edge care: unleashing artificial intelligence's potential in gynecologic surgery. 尖端护理：释放人工智能在妇科手术中的潜能。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1097/GCO.0000000000000971

Marie-Claire Leaf, Kelsey Musselman, Karen C Wang

引用次数: 0

Myofascial pelvic pain: the forgotten player in chronic pelvic pain. 肌筋膜性骨盆痛：慢性骨盆痛中被遗忘的角色。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-08-01 Epub Date: 2024-05-21 DOI: 10.1097/GCO.0000000000000966

Golnaz Namazi, Navya Chauhan, Stephanie Handler

引用次数: 0

Emerging data on diagnosis and management of uterine isthmoceles: a rapid review. 子宫峡部畸形诊断和管理的新数据：快速回顾。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1097/GCO.0000000000000967

Elizabeth N Cook, Nicholas Jesse, Lara Harvey

引用次数: 0

Adolescent reproductive health in a post-Dobbs landscape: a review. 后多布斯时代的青少年生殖健康：综述。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-07-25 DOI: 10.1097/GCO.0000000000000980

Alexis A Doyle, Serena M Liu, Nichole A Tyson

{"title":"Adolescent reproductive health in a post-Dobbs landscape: a review.","authors":"Alexis A Doyle, Serena M Liu, Nichole A Tyson","doi":"10.1097/GCO.0000000000000980","DOIUrl":"https://doi.org/10.1097/GCO.0000000000000980","url":null,"abstract":"Purpose of review: To summarize notable recent research in adolescent reproductive health, particularly with respect to a rapidly changing legal landscape surrounding health services that significantly impact adolescent health.Recent findings: Approval of the first over-the-counter contraceptive pill represented a major advance in adolescent reproductive health, which relied on research regarding its safety, efficacy, and potential to increase access for vulnerable groups. Despite this approval, disparities persist in equitable contraceptive access for adolescents of color and those from sexual and gender identity minorities. Legal changes in access to abortion care and parental involvement in reproductive health decision-making have presented significant challenges for young people across the U.S. Recent research points to the promise of telehealth abortion care and parental acceptance of confidentiality in adolescent reproductive healthcare. Misinformation remains a barrier to advancing adolescent reproductive health and points to continued opportunities for providers to create evidence-based online content.Summary: In this review, we discuss recent research regarding adolescent reproductive health and laws impacting the reproductive health of adolescents. As the legal landscape evolves, further research surrounding the effect of policy changes that both expand and restrict access to adolescent reproductive health services will be critical to advancing adolescent health.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984010","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

Abortion in entertainment media, 2019-2024. 2019-2024 年娱乐媒体中的堕胎问题。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-07-22 DOI: 10.1097/GCO.0000000000000977

Stephanie Herold

{"title":"Abortion in entertainment media, 2019-2024.","authors":"Stephanie Herold","doi":"10.1097/GCO.0000000000000977","DOIUrl":"https://doi.org/10.1097/GCO.0000000000000977","url":null,"abstract":"Purpose of review: Entertainment media contribute to how people understand and make sense of health issues, especially stigmatized ones such as abortion. This paper reviews the peer-reviewed literature published between 2019 and 2024 on how abortion is depicted in scripted television and film available for viewing in the United States.Recent findings: The majority of recent studies focus on qualitative content analysis of a composite of television shows, documenting the myriad ways that these programs reflect and are distinct from the reality of abortion access in the United States. The quantitative studies find small but significant increases in abortion knowledge related to exposure to television abortion plotlines, but no increases in support for abortion postexposure. No studies track the impact of exposure to multiple abortion plotlines at multiple points in time. Only one study included a sample of entertainment content creators to understand their motivations for creating abortion plotlines.Summary: Media depictions of abortion are often rife with misinformation, and may influence the U.S. public's general knowledge and beliefs about abortion. More research is needed to understand possible relationships between television and film abortion content and its impact on viewers.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984009","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

Two years in a post-Dobbs world: clinical, social and professional consequences. 后多布斯世界的两年：临床、社会和专业后果。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-07-11 DOI: 10.1097/GCO.0000000000000975

Isabel Beshar, Megan Corn, Paul D Blumenthal

{"title":"Two years in a post-Dobbs world: clinical, social and professional consequences.","authors":"Isabel Beshar, Megan Corn, Paul D Blumenthal","doi":"10.1097/GCO.0000000000000975","DOIUrl":"https://doi.org/10.1097/GCO.0000000000000975","url":null,"abstract":"Purpose of review: Dobbs v Jackson Women's Health Organization revoked the decades-old precedent that pregnancy termination is a constitutional right. This review article explores the research landscape describing the consequences of overturning Roe v Wade for patients and providers.Recent findings: To date, fourteen states have enforced total bans on abortion, with seven more restricting abortion access to levels not seen since before Roe. Dobbs has had immediate and swift consequences from clinical, social and professional perspectives, with increases in maternal mortality and demand for long-acting and permanent contraception, matched by declines in both access to methotrexate and applications to Obstetrics & Gynecology training programs.Summary: Eighteen million patients now live in states where abortion access is highly if not completely inaccessible. Abortion restrictions have profound implications beyond those desiring pregnancy termination; future research should continue to explore the ways Dobbs has affected clinical care, public health and social practices.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984011","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

Progestin-primed ovarian stimulation. 孕激素刺激卵巢。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-06-01 Epub Date: 2024-01-30 DOI: 10.1097/GCO.0000000000000941

Juan Giles, Fabio Cruz, Juan A Garcia-Velasco

{"title":"Progestin-primed ovarian stimulation.","authors":"Juan Giles, Fabio Cruz, Juan A Garcia-Velasco","doi":"10.1097/GCO.0000000000000941","DOIUrl":"10.1097/GCO.0000000000000941","url":null,"abstract":"Purpose of review: The use of progestins as pituitary suppressors has increased progressively, along with more detailed indications for their use, thereby consolidating an alternative approach to the personalization of ovarian stimulation.Recent findings: Based on the ability of progesterone to inhibit ovulation, progestins have been used in ovarian stimulation (OS) follicular protocols to prevent a luteinizing hormone surge in patients undergoing in vitro fertilization (IVF), as an alternative to gonadotropin-releasing hormone (GnRH) analogue administration. This review explores the different types of progestogen protocols and their efficacy depending on the type of population or reproductive procedure in which they are administered and in comparison with that of GnRH analogues. Their effect on oocytes and embryos and their safety and cost-effectiveness are also analyzed.Summary: Progestins have proven their effectiveness as a gonadotropin adjuvant in terms of ovarian response, reproductive outcome, and safety. In addition, they offer the convenience of oral administration and a lower cost than GnRH analogues. Whereas oocytes or embryos should be vitrified as it displaces the receptive period with the consequent asynchrony between embryo and endometrium. The evidence endorses progestins as a more friendly approach to OS, especially when frozen-thawed embryo transfer is planned.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652241","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

GnRH agonist trigger in poor prognosis patients undergoing a multicycle approach through DuoStim or consecutive stimulations: a SWOT analysis. 通过 DuoStim 或连续刺激对预后不良患者进行多周期治疗的 GnRH 激动剂触发：SWOT 分析。

IF 2.1 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-06-01 Epub Date: 2024-03-26 DOI: 10.1097/GCO.0000000000000947

Alberto Vaiarelli, Alessandro Ruffa, María Cerrillo, Juan Antonio García-Velasco

{"title":"GnRH agonist trigger in poor prognosis patients undergoing a multicycle approach through DuoStim or consecutive stimulations: a SWOT analysis.","authors":"Alberto Vaiarelli, Alessandro Ruffa, María Cerrillo, Juan Antonio García-Velasco","doi":"10.1097/GCO.0000000000000947","DOIUrl":"10.1097/GCO.0000000000000947","url":null,"abstract":"Purpose of review: Identify the most recent and significant evidence regarding the ovulation trigger within the framework of a multicycle approach through DuoStim, providing valuable insights for improving treatment strategies in patients with a poor prognosis.Recent findings: The trigger method plays a pivotal role in optimizing in-vitro fertilization (IVF) stimulation, influencing oocyte retrieval and maturation rates, as well as follicle recruitment in consecutive ovarian stimulations such as double stimulation. Decision-making involves multiple factors and, while guidelines exist for conventional stimulation, specific recommendations for the multicycle approach are not well established.Summary: The different methods for inducing oocyte maturation underscore the need for personalization of IVF protocols. The GnRH agonist trigger induces rapid luteolysis and establishes favorable hormonal conditions that do not adversely affect the recruitment of consecutive follicular waves in the context of DuoStim. It serves as a valid alternative to hCG in freeze-all cycles. This strategy might enhance the safety and flexibility of ovarian stimulations with no impact on oocyte competence and IVF efficacy.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868981","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

Abstinence for sperm sample collection and ART outcome: an unsubstantiated myth. 禁欲采集精子样本与抗逆转录病毒疗法的结果：一个未经证实的神话。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-06-01 Epub Date: 2024-03-26 DOI: 10.1097/GCO.0000000000000946

Peter N Schlegel

引用次数: 0