Gynecologie Obstetrique Fertilite & Senologie最新文献

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IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-14 DOI: 10.1016/S2468-7189(24)00337-4

引用次数: 0

[Blood and tears. To stop the cycle of conflict-related sexual violence]. [血与泪。停止与冲突有关的性暴力循环]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-12 DOI: 10.1016/j.gofs.2024.11.002

Denis Mukwege, Gautier Chene

引用次数: 0

[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up]. [HypnoVR©与局部麻醉对卵母细胞采集过程中疼痛和焦虑的影响]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-08 DOI: 10.1016/j.gofs.2024.10.011

Anne-Laure Vanderstraeten, Samir Boukaidi, Coralie Cruzel, Coralie Dumont, Jérôme Delotte

{"title":"[Impact of HypnoVR© with local anesthesia on pain and anxiety during oocyte pick-up].","authors":"Anne-Laure Vanderstraeten, Samir Boukaidi, Coralie Cruzel, Coralie Dumont, Jérôme Delotte","doi":"10.1016/j.gofs.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.gofs.2024.10.011","url":null,"abstract":"<p><p>Objective : Virtual reality with Snow World shows a 45% decrease in painful peaks during the care of burn victims. Hypnosis has anxiolytic effect and modulate the response to pain. HypnoVR© is based on many concepts recognized in medicine accessible without specific training. In our practice, 95% of oocyte pick-up are made with local anesthesia and simple premedication, whereas conscious sedation is recommanded in Europe. HypnoVR© is systematically offered during oocyte pick-up. Our study had to compare the pain felt between the 2 group with or without HypnoVR©, also anxiety, tolerance and satisfaction of patients. Method : It was a prospective comparative, non-randomized, single-center, open-label study. We included all patients who were to benefit from an oocyte pick-up from 18 to 43 years-old. The usual protocol of pick-up was used and it was possible to add HypnoVR©. A questionnaire was distributed to each patient to collect their opinion. Results : A total of 112 patients were included, 60 without HypnoVR© and 52 with HypnoVR© ; 2 were excluded from the main analysis for missing data. There is no statistically significant difference in pain and anxiety between the groups. Patients are satisfied : 90.20% (n=46/52) would like to use it again and 98.04% (n=50/52) would recommend it. Conclusion : Despite the absence of a statistically significant difference, patients are satisfied with HypnoVR© and tolerance is good. It seems interesting to be able to offer it during oocyte pick-up.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632992","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

[Study of the profile and trajectory of women seeking a maternal medical termination of pregnancy for psychosocial reasons at the University Hospital of Tours from 2017 to 2021.] [2017年至2021年图尔大学医院因社会心理原因寻求医学终止妊娠的产妇概况和轨迹研究]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-07 DOI: 10.1016/j.gofs.2024.10.010

Caroline Sylvestre, Nathalie Trignol-Viguier

{"title":"[Study of the profile and trajectory of women seeking a maternal medical termination of pregnancy for psychosocial reasons at the University Hospital of Tours from 2017 to 2021.]","authors":"Caroline Sylvestre, Nathalie Trignol-Viguier","doi":"10.1016/j.gofs.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.gofs.2024.10.010","url":null,"abstract":"<p><strong>Objective: </strong>The law of 7 July 2011 adopts the concept of therapeutic abortion (Medical Termination of Pregnancy or MTP) for maternal reasons if the pregnancy poses a \"serious threat\" to the woman's health, allowing for the introduction of the concept of psycho-social distress.</p><p><strong>Materials and methods: </strong>This was a retrospective monocentric study involving 33 women seeking IMG for psychosocial reasons between January 2017 and December 2021 at the University Hospital of Tours. The study resulted in 29 approvals and 25 MTP procedures performed.</p><p><strong>Results: </strong>Eighty-seven per cent of the requests were accepted. Over half of the women were under 25 years old and were primiparous. The procedures were performed at a mean gestational age of 22 weeks. 60% did not use contraception at the time of conception, and 36% did not use it after the MTP. About a third of the women experienced violence and had psychiatric histories. The majority of the women did not have stable economic resources. Fifty-six per cent of the MTP procedures involved feticide. There were 7 immediate complications with no subsequent consequences. The average time to completion was 16.5 days.</p><p><strong>Conclusion: </strong>This is a delicate and underexplored subject in literature. Although sporadic in France, these procedures have been practiced for many years. The diversity of opinions during multidisciplinary committees ensures the best objectivity.Requests for psychosocial IMG are rare, but responding to them is in accordance with the law. Analyzing the profile and journey of women has contributed to a better understanding of the complex situations that lead them to this decision.</p>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633030","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

[Pregnancy in a patient with Turner syndrome after cardiac surgery and double gamete donation]. [特纳综合征患者在心脏手术和双配子捐献后怀孕]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-11-06 DOI: 10.1016/j.gofs.2024.10.009

Leila Ghassemi, Sébastien Grandfils, Patrick Emonts

引用次数: 0

Désir de grossesse après cancer du sein : accompagner la « transgression » [乳腺癌后怀孕：支持 "越轨行为"]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-10-19 DOI: 10.1016/j.gofs.2024.10.007

Catherine Uzan , Carole Mathelin , Charlotte Vaysse , Nathalie Chabbert-Buffet , Lise Selleret

引用次数: 0

Population transmasculine : hormonothérapie, prévention et soins en santé sexuelle et reproductive, revue de la littérature et propositions de suivi [跨性别者：性别肯定荷尔蒙疗法、性健康和生殖健康预防与护理、医学审查和后续建议]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-08-02 DOI: 10.1016/j.gofs.2024.06.004

Juliette Cuq , Marion Lapoirie , Ingrid Plotton , Eloise Fraison , Paul Neuville , Séverine Oriol

{"title":"Population transmasculine : hormonothérapie, prévention et soins en santé sexuelle et reproductive, revue de la littérature et propositions de suivi","authors":"Juliette Cuq , Marion Lapoirie , Ingrid Plotton , Eloise Fraison , Paul Neuville , Séverine Oriol","doi":"10.1016/j.gofs.2024.06.004","DOIUrl":"10.1016/j.gofs.2024.06.004","url":null,"abstract":"<div><div>Transmasculine individuals have a poor access to health care, mostly regarding the sexual and reproductive health. Despite a lack of official guidelines, they need a gynecological follow-up, the aim of this review was to describe it. The present study involved an exhaustive search of MEDLINE, 68 articles were included to analyze the impact of hormonal therapy, prevention, and care regarding sexual and reproductive health of transmasculine individuals. Despite a lack of solid data, the global literature agrees that transmasculine individuals require sexual and reproductive health care. Care must be adapted to each pathway and may be impacted by gender-affirming care. The cancer risk does not seem to be increased in this population, particularly in relation to hormonal therapy. Prevention programs do not differ from those offered to cis women in the absence of gender-affirming surgeries. Transmasculine individuals require follow-up and care adapted to their needs and their pathways. Healthcare professionals must be trained to provide such care.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891122","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

Étude RIESC : risques d’infections uro-génitales et d’expulsion dans l’association stérilet et coupe menstruelle [宫内节育器与月经杯结合使用时的泌尿系统感染和排出风险]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-07-14 DOI: 10.1016/j.gofs.2024.07.003

Johanna Madar , Méghane Gaucher , Adriaan Barbaroux , Jérôme Delotte , Carol-Anne Boudy

{"title":"Étude RIESC : risques d’infections uro-génitales et d’expulsion dans l’association stérilet et coupe menstruelle","authors":"Johanna Madar , Méghane Gaucher , Adriaan Barbaroux , Jérôme Delotte , Carol-Anne Boudy","doi":"10.1016/j.gofs.2024.07.003","DOIUrl":"10.1016/j.gofs.2024.07.003","url":null,"abstract":"<div><h3>Objectives</h3><div>The increase in intrauterine devices (IUDs) contraception, and the growing use of reusables menstrual hygiene products such as the menstrual cup, necessitates an assessment of the implications of their co-use. The objectives are to assess whether women with IUDs who use menstrual cups have an increased risk of IUD expulsion and/or a change in the risk of upper and lower urogenital tract infections compared to women who use other menstrual hygiene products.</div></div><div><h3>Method</h3><div>An observational, prospective, multicenter study was conducted in France between 2020 and 2023. Participants were recruited by health professionals and data were collected by telephone questionnaire at the time of IUD insertion and at one year. The primary endpoints were the occurrence of IUD expulsion and the occurrence of urogenital tract infections in menstrual cup users compared to non-users.</div></div><div><h3>Results</h3><div>One hundred and three women out of 119 included were analyzed, 25 of them were regular menstrual cup users and five experienced IUD expulsion. Among regular users, 12% experienced IUD expulsion compared to 2.6% among non-users, with no statistically significant difference (Chi<sup>2</sup>  =0.056). Regarding urogenital tract infections, nine women (36%) of the regular menstrual cup users had urogenital infections, compared with 27 (34.6%) of the non-users or not regular users, with no statistically significant difference.</div></div><div><h3>Conclusion</h3><div>The tendency of menstrual cup users to expel their IUDs is a reason for caution, although it is not sufficient to contraindicate co-use. Physicians should therefore systematically screen such co-use and inform patients of the risks and monitoring instructions.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Devenir clinique après transfert de blastocystes vitrifiés selon l’indication de congélation [玻璃化囊胚移植后的临床结果与冷冻适应症的关系]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-26 DOI: 10.1016/j.gofs.2024.06.002

Emmanuelle Bodin , Romane Sainte-Rose , Claire Petit , Marion Cornuau , Fabrice Guérif

{"title":"Devenir clinique après transfert de blastocystes vitrifiés selon l’indication de congélation","authors":"Emmanuelle Bodin , Romane Sainte-Rose , Claire Petit , Marion Cornuau , Fabrice Guérif","doi":"10.1016/j.gofs.2024.06.002","DOIUrl":"10.1016/j.gofs.2024.06.002","url":null,"abstract":"<div><h3>Objectives</h3><div>In France, embryo thawing concern 45.8% of attempts at assisted reproductive technologies excluding artificial inseminations. This proportion is constantly increasing for various reasons. The main objective of this study is to compare the live birth rate following frozen blastocyst transfer (FBT) according to the initial indication for freezing.</div></div><div><h3>Methods</h3><div>This is a retrospective study including patients who underwent FBT between 01/01/2020 and 06/30/2022 at the Regional University Hospital Center of Tours. The results were compared (univariate and multivariate analyses) between the three main indications for freezing: freezing of the complete cohort of blastocysts for risk of ovarian hyperstimulation (=OHS), freezing of supernumerary blastocysts after fresh blastocyst transfer (BT) with pregnancy (=second request) or without pregnancy (=BT failure). Results have also been described for other indications.</div></div><div><h3>Results</h3><div>Among the 963 FBT cycles selected, 28% of live births by thawing were obtained, all indications of freezing combined. A significantly lower rate was identified in the FBT failure group compared to the OHS group. However, after adjustment, the results remained significant for the age of the patient on the freezing cycle but not for the indication for freezing.</div></div><div><h3>Conclusions</h3><div>The outcome of a FBT does not seem significantly impacted by the indication of freezing considering the confounding factors. The prospective analysis of more data from a multicenter study would be necessary to confirm these results.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473099","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

La nouvelle version du site internet du Centre de référence sur les agents tératogènes et ses fonctionnalités optimisées [新版法国畸形信息服务网站 "CRAT"]。

IF 0.6 4区医学

Gynecologie Obstetrique Fertilite & Senologie Pub Date : 2024-06-04 DOI: 10.1016/j.gofs.2024.05.005

Bénédicte Coulm , Delphine Beghin , Mathilde Latour , Bilal Majed , Catherine Vauzelle , Elisabeth Elefant , Benoît Marin

引用次数: 0