Ginekologia polska最新文献

{"title":"Ectopic pregnancy - a comparision of treatment methods in terms of effectiveness and impact on fertility.","authors":"Wojciech Zieba, Grzegorz Guzowski, Piotr Sieroszewski","doi":"10.5603/gpl.101849","DOIUrl":"https://doi.org/10.5603/gpl.101849","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to compare the available methods of treating a pregnancy located in the fallopian tube with regard to their efficacy and impact on patient fertility.</p><p><strong>Material and methods: </strong>The retrospective study involved a total of 217 patients treated at the Department of Fetal Medicine and Gynaecology at the Medical University of Lodz between 2018 and 2023. Medical records were analysed and a telephone survey was carried out to assess the follow-up of patients after discharge from the Department.</p><p><strong>Results: </strong>84% of patients were qualified for surgical treatment achieving a combined success rate of both methods (salpingotomy and salpingectomy) close to 100%. No positive effect on fertility of preserving the fallopian tube after pregnancy termination compared to removal of the fallopian tube was observed. The method with the highest risk of recurrent fallopian tube pregnancy was salpingotomy.</p><p><strong>Conclusions: </strong>The results of this study show surgical treatment as the option for the treatment of pregnancy located in the fallopian tube. Appropriate qualification of patients allows to choose optimal therapeutic strategy. A positive effect on further fertility of the salpingotomy strategy compared to salpingectomy has not been demonstrated.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722918","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}

{"title":"Association between the triglyceride-glucose index in third trimester pregnant women and neonatal birth weight.","authors":"Jialei Shen, Wenhui Liu, Kedan Cao, Feng Wang","doi":"10.5603/gpl.102405","DOIUrl":"https://doi.org/10.5603/gpl.102405","url":null,"abstract":"<p><strong>Objectives: </strong>Neonatal birth weight is a pivotal measure of fetal growth and development, with profound implications for an infant's immediate health and long-term well-being. The triglyceride-glucose (TYG) index, a marker of insulin resistance and metabolic health, has become an essential tool for evaluating maternal metabolic status during pregnancy. Recognizing the impact of metabolic abnormalities on fetal development, this study aims to delineate the association between the TYG index in the third trimester and neonatal birth weight.</p><p><strong>Material and methods: </strong>Our study cohort comprised 475 neonates. We calculated the maternal TYG index in the third trimester and documented neonatal birth weights. Correlation and multivariate linear regression analyses were conducted to evaluate the association between the TYG index and neonatal weight. Subgroup analyses were further examined using multivariate logistic regression.</p><p><strong>Results: </strong>A significant positive correlation was observed between the TYG index and neonatal birth weight (r = 0.314, p < 0.001). The multivariate linear regression analysis substantiated this association, revealing that an increment in the TYG index was associated with an average neonatal weight increase of 227.22 grams (β: 227.22, 95% CI: 148.74 to 305.71, p < 0.001). Notably, this correlation was more robust in subgroups without GDM (β: 281.17, p = 0.002), among male neonates (β: 213.06, p = 0.003) and in mothers over the age of 31 (β: 253.58, p < 0.001).</p><p><strong>Conclusions: </strong>The TYG index during the third trimester of pregnancy is significantly and positively associated with neonatal birth weight, with particularly strong associations in specific subgroups. These insights imply that the TYG index could serve as a predictive biomarker for neonatal weight, offering potential benefits for managing pregnancy and neonatal health.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723001","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}

{"title":"Importance of anogenital distance parameters on duloxetine success in women with stress urinary incontinence.","authors":"Mazhar Ortac, M Firat Ozervarli, Ufuk Caglar, Resat Aydin, Senol Tonyali, Omer Sarilar, Faruk Ozgor","doi":"10.5603/gpl.101635","DOIUrl":"https://doi.org/10.5603/gpl.101635","url":null,"abstract":"<p><strong>Objectives: </strong>To clarify the impact of anogenital distance (AGD) on duloxetine success in the management of women with stress urinary incontinence (SUI).</p><p><strong>Material and methods: </strong>Patients who have been diagnosed with SUI, were evaluated for inclusion in the study. Distance between anus and clitoris (AGDAC), distance between anus and fourchette (AGDAF), and length of genital hiatus (GH) were measured. All patients started duloxetine 20 mg twice daily for 2 weeks, and then patients received 40 mg duloxetine twice daily. Patients were categorized into two groups (patients who benefited from duloxetine and patients who did not benefit from duloxetine). Patient characteristics and AGD parameters were compared between these two groups.</p><p><strong>Results: </strong>In total, 178 women were included in study and mean duration of SUI was 2.9 years. The mean body mass index (BMI) was significantly higher in patients with unsuccessful therapy (p = 0.001). In contrast, nulliparous rate was significantly higher in patients who benefited from duloxetine (p = 0.043). The distance of AGDAC (71.4 mm vs 77.9 mm, p = 0.001) and distance of GH were significantly shorter (21.7 mm and 26.7 mm, p = 0.001) in patients who were successfully treated with duloxetine. Multivariate regression analysis found that BMI < 30 kg/m², shorter AGDAC, and GH lengths were significantly related with duloxetine success (p = 0.037, p = 0.036, and p = 0.039, respectively).</p><p><strong>Conclusions: </strong>This study showed that duloxetine improved SUI in more than half of women and obesity was a predictive factor for duloxetine failure. In addition, shorter AGDAC length and shorter GH distance were significantly associated with duloxetine success in the management of SIU.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722921","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}

{"title":"Selected variables of the risk of sensory processing disorder.","authors":"Magdalena Szczepara-Fabian, Ewa Emich-Widera, Beata Kazek, Sylwia Potepa-Kowalczyk, Katarzyna Stachura, Agata Buczek, Justyna Paprocka","doi":"10.5603/gpl.100573","DOIUrl":"https://doi.org/10.5603/gpl.100573","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the study was to establish the risk factors for sensory processing disorder (SPD). The study included 332 Caucasian children aged 3 to 12 years. The main inclusion criterion was the occurrence of SPD in the study group. The occurrence of this condition was not found in the control group.</p><p><strong>Material and methods: </strong>The source of information included: medical records, the author questionnaire. The therapist used: The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC:0-5™), the case report form and the Southern California Sensory Integration Tests (SCSIT).</p><p><strong>Results: </strong>The risk factors in the SPD group were as follows: intrauterine infection and stressful events during pregnancy, bed rest in the first and second trimesters of pregnancy, intraventricular hemorrhage grade 2, serological conflict, abnormal cardiotocography, cesarean section, premature birth and/or birth weight below 2500 grams and a stay in an incubator.</p><p><strong>Conclusions: </strong>Children with the above risk factors reported during pregnancy and delivery should be specifically monitored for their development. The frequency of visits assessing skills and behavior should be increased to introduce elements of care and therapy for children with SPD as early as possible. Attention should be paid to bed rest in pregnancy since it has a negative impact on maternal health and on fetal development.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722959","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}

{"title":"Professional perspectives on external cephalic version: survey results among Polish midwives and obstetricians.","authors":"Maisa Manasar-Dyrbus, Cecylia Jendyk, Anna Janik, Agnieszka Drosdzol-Cop, Rafal Stojko, Jakub Staniczek","doi":"10.5603/gpl.104146","DOIUrl":"https://doi.org/10.5603/gpl.104146","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to assess and compare the knowledge, attitudes, and practices of Polish midwives and obstetricians concerning external cephalic version (ECV), with particular attention to how professional qualifications, experience, and the reference level of the healthcare facility influenced these factors across both groups.</p><p><strong>Material and methods: </strong>An author-created, 22-question online survey was distributed separately to midwives and obstetricians, with each group receiving a questionnaire customized to assess their specific knowledge of ECV, professional experience, and attitudes toward the procedure.</p><p><strong>Results: </strong>The study included 839 participants: 378 midwives and 461 physicians. Knowledge and experience with ECV varied significantly based on work experience and the reference level of the workplace. When comparing the results between midwives and obstetricians, the median (Q1-Q3) score for correct answers on ECV was highest among obstetrics and gynecology residents (5, 3-6), while the lowest scores were seen among midwives with bachelor's degrees (2, 1-4).</p><p><strong>Conclusions: </strong>The study identified significant considerable knowledge gaps regarding ECV, particularly among midwives. Educational initiatives targeting both midwives and obstetricians are recommended to encourage the greater use of ECV and potentially reduce the rates of elective cesarean sections in cases of non-cephalic fetal presentations.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607566","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}

{"title":"Is it possible to predict severe postpartum hemorrhage and the need for massive transfusion in placenta previa cases?","authors":"Emre Köle, Bertan Akar, Emek Doğer, Merve Çakır Köle, Yonca Anık, Eray Çalışkan","doi":"10.5603/gpl.103049","DOIUrl":"https://doi.org/10.5603/gpl.103049","url":null,"abstract":"<p><strong>Objectives: </strong>The aim was to construct a reliable working model for patients with placenta previa (PP) that aids in the prediction of postpartum bleeding potential with data from antenatal imaging studies using both ultrasound (US) and magnetic resonance imaging (MRI).</p><p><strong>Material and methods: </strong>Forty-three patients with PP were evaluated initially with the US and then by 3-Tesla MRI. The Placenta Accreata Index (PAI) was used during the US evaluation in order to define the risks. Uterine bulging, heterogeneous signal, dark placental bands, focal interruption of myometrium and tenting of bladder wall were regarded as predictive criteria in MRI evaluation. The correlation between the findings from US and MRI studies and subsequent haemorrhage, < 1000 mL, > 1000 mL and severe haemorrhage (> 2000 mL) and massive transfusion [> 5 units of red blood cells (RBC)] were used to build this predictive model. The findings from the imaging studies were also confirmed histopathologically.</p><p><strong>Results: </strong>In the multivariate analysis of data from patients stratified by bleed size either < 1000 mL or > 1000 mL, none of the MRI and ultrasound findings were found to be predictive. The multivariate analysis was done using the second stratification cut-point of 2000 mL, in patients bleeding > 2000 mL PAI values [OR: 2.3 (1.4-3.8)] and overall MRI reported placenta accreata spectrum [OR: 4.9 (1.8-12.9)] were found to be predictive. While MRI findings were not discriminative between transfusion groups, grade 3 loculation on US examination was found to be predictive for the need of transfusion of > 5 units [OR: 67.5 (8.2-549.4)]. There were no cases needing hysterectomy.</p><p><strong>Conclusions: </strong>Ultrasound and MRI findings in cases of PP can be helpful in predicting postpartum bleeding.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607501","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}

{"title":"Unmasking metabolic clues: adipsin, irisin and osteopontin as biomarkers in polycystic ovary syndrome and their impact on metabolic dynamics: a case-control study.","authors":"Fatma Nur Duzenli, Engin Yurtcu, Betul Keyif, Alper Basbug","doi":"10.5603/gpl.102676","DOIUrl":"https://doi.org/10.5603/gpl.102676","url":null,"abstract":"<p><strong>Objectives: </strong>Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age, often associated with metabolic alterations. This study assessed serum levels of adipsin, irisin, and osteopontin in patients with PCOS and examined their correlations with metabolic parameters.</p><p><strong>Material and methods: </strong>A case-control study was conducted involving 96 women with PCOS and 80 healthy controls. Serum levels of adipsin, irisin, and osteopontin were measured; demographic, clinical, and metabolic characteristics were evaluated.</p><p><strong>Results: </strong>Patients with PCOS were significantly younger than controls (p < 0.001). The PCOS group included a significantly greater proportion of obese individuals (p = 0.013). Patients with PCOS exhibited elevated serum adipsin (p = 0.020) and reduced osteopontin (p < 0.001) levels relative to controls; obesity and age influenced these differences. Osteopontin demonstrated superior predictive power for PCOS diagnosis [area under the curve (AUC) = 0.802] compared with adipsin (AUC = 0.602). A combination of osteopontin and adipsin yielded the highest predictive value (AUC = 0.817) among double or triple biomarker combinations.</p><p><strong>Conclusions: </strong>This study identified potential associations among adipsin, osteopontin, irisin, and PCOS. Further research is warranted to elucidate their roles and clinical implications in PCOS and its metabolic alterations. The findings highlight the impact of age and obesity on these biomarkers and their relationships with PCOS, providing insight into the syndrome's complex pathophysiology.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607581","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}

{"title":"The one-center experience comparing glucose monitoring in patients with gestational diabetes mellitus utilizing flash glucose monitoring (FGM) versus traditional self-blood glucose monitoring (SBGM).","authors":"Magdalena K Kwiatkowska, Marianna Kopka, Nina Cyganek, Bartlomiej Matejko, Magdalena Krawczyk, Przemyslaw Witek, Katarzyna Cyganek","doi":"10.5603/gpl.104033","DOIUrl":"https://doi.org/10.5603/gpl.104033","url":null,"abstract":"<p><strong>Introduction: </strong>The most prevalent condition affecting the metabolism of carbohydrates during pregnancy is gestational diabetes mellitus (GDM). Continuous glycemia monitoring systems that use sensors are currently replacing the conventional self-monitoring of glycemia with a glucometer. Poland's insurance coverage has made new technologies possible for continuous glycemia monitoring. Our retrospective study compared the effects of two glycemic measurement techniques on patient preferences and maternal and pediatric clinical outcomes: traditional methods using a glucometer and utilizing a sensor for scanning continuous glycemic monitoring (Flash Glucose Monitoring, or FGM).</p><p><strong>Material and methods: </strong>In a retrospective analysis of 277 women with GDM treated in the Department of Metabolic Diseases, University Hospital in Cracow, Poland, in January 2023 we compared the effectiveness of using of sensor FreeStyle Libra (FGM) vs self-blood glucose monitoring (SBGM) by glucometer in improving clinical maternal outcomes measured by daily insulin dose, body weight gain, mean blood glucose and newborns outcomes assessed by body weight, APGAR score, caesarean sections.</p><p><strong>Results: </strong>We examined 224 women from the SBGM (self-blood glucose monitoring) group, 53 from the FGM group, and 277 from the GDM ladies. The SBGM group was diagnosed with GDM later in pregnancy [24 (10-25) vs 11 (8-23.5) weeks; p < 0.001], was admitted at the first pregnancy visit [26 (14-29) vs 20 (12-27) weeks; p = 0.001], and was slightly older [33 (30-36) vs 32 (29-34) years; p = 0,027]. The pre-pregnancy body weight [70 (60-83) vs 67 (59-79) kg; p = 0.358] and the number of pregnancies [2 (1-3) vs 2 (1-3); p = 0.118] did not differ between the two groups. Women who used SMGB gained less weight throughout pregnancy [10 (5.5-13.0) vs 12 (8-14.8) kg; p = 0.0333] and had fewer prenatal checkups [5 (4-7) vs 8 (5-9) weeks; p < 0.001], including fewer teleconsultations [1 (0-3)]. Women in the FGM group received insulin treatment earlier [15 (11.5-27) vs 27 (16-30) week of pregnancy; p < 0,001] and used it more often [52 (98.1%) vs 183 (81.3%); p = 0.005]. There was no significant difference in daily insulin dose per kg of weight [26.5 (11.5-39.2) vs 21 (9-39) U/d; p = 0.325]. The groups did not differ in birth weight [SBGM 3243 +/- 485 vs FGM 3331 +/- 359 g; p = 0.206] and a gestational week at delivery [38 (38-39) vs 39 (38-39) week; p = 0.092], There was no difference in obstetric outcomes: caesarean sections, preterm births, week of delivery, mean birth weight or prevalence of perinatal complications.</p><p><strong>Conclusions: </strong>When comparing traditional SBGM to flash continuous glucose monitoring in this real-world observation, we have found no changes in the outcomes for mothers and newborns between the groups. There were more teleconsultations for women who used FCGM.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607570","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}

{"title":"Effects of gestational diabetes mellitus with different birth weight on genetic metabolism of newborns. A retrospective cohort study.","authors":"Dandan Xia, Huiyan Wang, Yuqi Yang, Wenli Wang","doi":"10.5603/gpl.102641","DOIUrl":"https://doi.org/10.5603/gpl.102641","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effects of gestational diabetes mellitus (GDM) with different birth weights on neonatal genetic metabolism.</p><p><strong>Material and methods: </strong>1252 patients with GDM diagnosed at Changzhou Maternal and Child Health Care Hospital from 2017 to 2021 were categorized into three groups: fetal growth restriction (G1), normal birth weight (G2), and macrosomia (G3). The levels of amino acids, free carnitine (CO) and acylcarnitine in neonates were detected using tandem mass spectrometry.</p><p><strong>Results: </strong>There were no differences in age, height, predelivery weight or gravida across groups. G3 had the highest parity and fasting blood glucose levels (p < 0.0001). G1 exhibited the highest rates of cesarean section, neonatal asphyxia, and insulin utilization (p < 0.0001). Neonatal genetic metabolism analysis revealed that in G1 citrulline levels were the highest, with significantly elevated levels of leucineornithine and valine (p < 0.001). CO was also the highest (p < 0.001). The levels of isovalerylcarnitine, octanoylcarnitine and 18-carbodienoylcarnitine increased, while malonylcarnitine/3-hydroxy-butyrylcarnitine, hexadecanoylcarnitine, hexadecenoylcarnitine, 3-hydroxy-hexadecenoylcarnitine and 3-hydroxy-hexadecanoylcarnitine decreased (p < 0.05). In G2, methionine levels decreased (p < 0.001), whereas decenoylcarnitine, dodecanoylcarnitine, dodecenoylcarnitine and myristoylcarnitine levels increased (p < 0.001). In G3, proline decreased significantly (p < 0.001), and CO was the lowest (p < 0.001). Propionylcarnitine and octenoylcarnitine levels increased, whereas butyrylcarnitine decreased (p < 0.05).</p><p><strong>Conclusions: </strong>Gestational diabetes mellitus with different birth weights influences neonatal genetic metabolism in distinct ways. Therefore, neonatal screening for inherited metabolic disorders provides insights into the metabolic levels of offspring of patients with GDM in early life.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607530","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}

{"title":"Major opinion about motherhood among women with Turner syndrome.","authors":"Malgorzata Wiecek, Wiktoria Kempinska, Aneta Gawlik-Starzyk","doi":"10.5603/gpl.102148","DOIUrl":"https://doi.org/10.5603/gpl.102148","url":null,"abstract":"<p><strong>Objectives: </strong>Turner syndrome (TS) is associated with ovarian dysgenesis leading to infertility in most of the cases. There are some options for fertility preservation (FP) in patients with sufficient follicle numbers. The most recently studied are oocyte and ovarian tissue preservation. Due to premature ovarian failure among TS girls, the procedure should be performed as early as possible. The aim of this study is to gain the opinions of women with TS about motherhood based on the web-survey.</p><p><strong>Material and methods: </strong>The survey, hosted on SurveyMonkey.com, targeted women over 18 years with TS. It comprised 16 single-choice questions, ensuring anonymity and consent for data usage.</p><p><strong>Results: </strong>The answers of a total of 152 women were analyzed. When asked if they had discussed motherhood options with their physicians, 72/152 of the participants responded negatively. Asked about the desire of maternity, 85/152 expressed a desire to have children. 5/152 had biological children from spontaneous pregnancies, 5/152 had biological children through oocyte donation, 1/152 through embryo donation, and 12/152 had adopted children. 75/150 respondents answered yes to the question of whether they desired to use ovarian tissues if they had been preserved during adolescence.</p><p><strong>Conclusions: </strong>The findings suggest that a significant number of women with TS who aspire to become mothers would be inclined to use preserved cells if this option were available. This underscores the necessity for further exploration of FP techniques for individuals with TS.</p>","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607551","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}