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REVIEW
Ferdinando Antonio Gulino, Sara Occhipinti, Carla Ettore, Giosuè Giordano Incognito, Emanuele Russo, Francesco Giuseppe Cannone, Giuseppe Ettore
Robert's uterus is a rare Müllerian duct anomaly (MDA) characterized by complete asymmetric septum dividing uterine cavity into two non-communicating parts. This study offers insights into diagnosing and management of this condition in a young patient, and a systematic literature review. The review included 19 studies from 2013 to 2023. 11.4% of women reported a history of miscarriage and 5.7% primary infertility. Dysmenorrhea was the most frequent symptom (54.3%), and 14.3% of patients had a coexisting endometriosis...
March 28, 2024: Journal of Clinical Ultrasound: JCU
#2
Jijisha Ali, Gazala Khan, Yevginiy Karamurzin, Rida Maryum, Sami Talo
We present a case of subfertility due to isthmocele and cesarean scar endometriosis with a successful pregnancy following laparoscopic repair. This case report is of a 35-year-old female (para 1, living 1) who presented to the gynecological outpatient department with complaints of lower abdominal pain, irregular vaginal bleeding for three months, and subfertility. She was suspected to have isthmocele and endometriosis at the site of the cesarean scar with seroma formation. She underwent a hysteroscopy and laparoscopic excision of the cyst at the site of the cesarean scar with the repair of the cesarean scar defect...
February 2024: Curēus
#3
REVIEW
Jacques Donnez, Hugh S Taylor, Louis Marcellin, Marie-Madeleine Dolmans
Fibroids are a common pathology and increasingly observed in women seeking medical treatment for infertility. The longer reproductive horizon thanks to improvements in medical care and current trend for women to postpone childbearing are making fibroid-related infertility increasingly common. The aim of this review is to critically analyze: 1) The link between uterine fibroids and infertility 2) Mechanisms by which uterine fibroids may impair fertility 3) Management of myoma-related infertility. The association of fibroids with infertility is a source of controversy...
March 5, 2024: Fertility and Sterility
#4
EDITORIAL
Cristina Diana Popescu, Romina-Marina Sima, Mihaela Amza, Tina Ioana Bobei, Silvia Cirstoiu, Liana Ples
Objective: Infertility is a complex condition that depends on numerous mechanisms regarding its occurrence and evolution. It does not appear as a single pathology, and therefore the diagnosis and management involve both the identification of etiological causes and other possible systemic interactions. Infertility is defined as a succession of unsuccessful attempts of unprotected intercourse within a couple for 12 months, during the reproductive life. Among the many causes related to infertility, uterine pathology has an important place and hysteroscopy is outstanding in diagnosing and treating various pathologies in this category...
December 2023: Mædica
#5
JOURNAL ARTICLE
Parul Sharma, Ambika Jhanwar, Kamlesh Kumari, Jyoti Arya, Bhavna Bharti, Bushra Majeed, Daxita Dabas
Introduction Infertility affects approximately 10-15% of couples worldwide. Hysteroscopy and laparoscopy are two newer modalities available for the evaluation of infertility and are complementary rather than mutually exclusive. Each provides useful information that the other may not have and each has its advantages. Materials and methods A total of 75 patients of female infertility (study group) in the age group of 18-40 years from the Outpatient Department (OPD) were recruited. Infertility was defined as one year of unprotected intercourse without pregnancy...
January 2024: Curēus
#6
Charlotte Sonigo, Geoffroy Robin, Florence Boitrelle, Eloïse Fraison, Nathalie Sermondade, Emmanuelle Mathieu d' Argent, Pierre-Emmanuel Bouet, Charlotte Dupont, Hélène Creux, Maeliss Peigné, Olivier Pirrello, Sabine Trombert, Emmanuel Lecorche, Ludivine Dion, Laurence Rocher, Emmanuel Arama, Valérie Bernard, Margaux Monnet, Laura Miquel, Eva Birsal, Stéphanie Haïm Boukobza, Ingrid Plotton, Célia Ravel, Véronika Grzegorczyk Martin, Eric Huyghe, Hugo G A Dupuis, Tiphaine Lefevre, Florence Leperlier, Léna Bardet, Imane Lalami, Camille Robin, Virginie Simon, Laura Dijols, Justine Riss, Antoine Koch, Clément Bailly, Constance Rio, Marine Lebret, Margaux Jegaden, Hervé Fernandez, Jean-Luc Pouly, Antoine Torre, Jean-Marie Antoine, Blandine Courbiere
OBJECTIVE: To update the 2010 CNGOF clinical practice guidelines for the first-line management of infertile couples. MATERIALS AND METHODS: Five major themes (first-line assessment of the infertile woman, first-line assessment of the infertile man, prevention of exposure to environmental factors, initial management using ovulation induction regimens, first-line reproductive surgery) were identified, enabling 28 questions to be formulated using the PICO (Patients, Intervention, Comparison, Outcome) format...
February 2, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
#7
REVIEW
Georgios Michos, Themistoklis Dagklis, Evangelos Papanikolaou, Ioannis Tsakiridis, Kyriakos Oikonomou, Apostolos M Mamopoulos, Ioannis A Kalogiannidis, Apostolos Athanasiadis
Uterine leiomyomas are the most common benign tumors of the female genital track, causing various symptoms and problems, including a possible impact on fertility. The relationship between fibroids and infertility has long been a debate among gynecologists. Management of fibroids in women with otherwise unexplained infertility worldwide lacks standardized, evidence-based guidelines. Therefore, a review of guidelines from the Royal Australian and New Zealand College of Obstetricians and Gynecologists, the American College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynecologists of Canada, the Collège National des Gynécologues et Obstétriciens Français, and the American Society of Reproductive Medicine was conducted...
December 2023: Curēus
#8
Nagisa Wada, Masato Tamate, Motoki Matsuura, Tsuyoshi Saito
A uteroperitoneal fistula (UPF) is a rare disorder that can lead to infertility and has never been reported. UPFs can cause infertility and perinatal complications. A 34-year-old woman (gravida 0) with a history of three gynecological surgeries using a uterine manipulator was diagnosed with a UPF using hysteroscopy and hysterosalpingography. She underwent laparoscopic uterine repair as an infertility treatment. The uterine perforation may have been caused by uterine manipulator insertion or suture failure in the myometrium during her previous laparoscopic myomectomy and cystectomy procedures...
December 2023: Curēus
#9
REVIEW
Tommaso Capezzuoli, Batuhan Aslan, Silvia Vannuccini, Gretha Orlandi, Francesco La Torre, Flavia Sorbi, Massimiliano Fambrini, Felice Petraglia
The present narrative review aims to discuss the available data on the incidence and the risk factors of uterine fibroids (UFs) recurrence after different types of conservative surgical or radiologic procedures in women wishing to preserve their uterus. UFs are the most common benign tumors in women all over the world. Clinical presentation, including abnormal uterine bleeding (AUB), pelvic pain, bulky symptoms, and infertility affect patients' quality of life, and a large variety of conservative treatments are available especially for those with desire of pregnancy...
December 18, 2023: Reproductive Sciences
#10
JOURNAL ARTICLE
Yuanyuan Hu, Yingchun Xiang, Wei Huang
OBJECTIVE: To assess the pregnancy outcomes and associated influencing factors of pregnancy after hysteroscopy combined with laparoscopy treatment in infertile patients with minimal/mild endometriosis. DESIGN: A retrospective study. SETTING: West China Second University Hospital of Sichuan University. PATIENTS: We enrolled 898 infertile women who had their minimal/mild endometriosis lesions removed by laparoscopy, including 271 patients additionally diagnosed with endometrial polyps who also underwent hysteroscopic polypectomy...
September 18, 2023: Journal of Obstetrics and Gynaecology Research
#11
Lindsay A Hartup, Katherine E Kostroun, Belinda J Yauger
BACKGROUND: Accurate diagnosis of a müllerian anomaly is essential for appropriate management and prevention of complications. However, diagnosis is often missed or delayed. CASE: This is a case of a nulliparous woman with a müllerian anomaly diagnosed at the age of 36 despite prior evaluation with ultrasound and laparoscopy. Magnetic resonance imaging (MRI) suggested a unicornuate uterus with a right non-communicating rudimentary horn. Hysteroscopy and chromopertubation confirmed the diagnosis...
September 2023: Case Reports in Women's Health
#12
REVIEW
Shunichiro Tsuji, Yuri Nobuta, Tetsuro Hanada, Aike Takebayashi, Ayako Inatomi, Akimasa Takahashi, Tsukuru Amano, Takashi Murakami
BACKGROUND: Cesarean scar defects (CSD) are caused by cesarean sections and cause various symptoms. Although there has been no previous consensus on the name of this condition for a long time, it has been named cesarean scar disorder (CSDi). METHODS: This review summarizes the definition, prevalence, and etiology of CSD, as well as the pathophysiology and treatment of CSDi. We focused on surgical therapy and examined the effects and procedures of laparoscopy, hysteroscopy, and transvaginal surgery...
2023: Reproductive Medicine and Biology
#13
JOURNAL ARTICLE
Wei Dong, Yue Xia, Li Ren, Han Zhao, Chun-Yan Wang, Hui-Mei Yao, Li-Dan Xiao, Lei Nian, Jie Zhang, Qin Yang, Fen Zhang, Yan Wen, Ming-Feng Dong, Yun Feng
INTRODUCTION: This study aims to explore the effects of combination of laparoscopy and hysteroscopy in pregnancy outcome in women diagnosed with congenital uterine malformation (CUM). The observation criteria include pregnancy rate, misdiagnosis rate, rate of spontaneous abortion and preterm birth rate. MATERIAL AND METHODS: A total of 180 patients with congenital uterine malformation, who were treated in our hospital from January 2015 to June 2018, were enrolled in the study...
2023: Archives of Medical Science: AMS
#14
JOURNAL ARTICLE
Yanan Wang, Xianhua Hao, Yahui Chen, Lin Wang, Yan Zhou, Mei Xue, Yan Dong, Lin Sun
OBJECTIVE: A case report of a patient with prolonged intermenstrual bleeding and a cystic mass at a cesarean scar treated by laparoscopic folding sutures and hysteroscopic canalization. DESIGN: A 4.0 cm cystic mass formed at the uterine scar caused continuous menstrual blood outflow in the diverticulum and was treated by hysteroscopy combined with laparoscopy. SUBJECTS: A 38-year-old woman of childbearing age who had undergone two cesarean sections and two abortions reported vaginal bleeding for ten years which began shortly after the second cesarean section...
July 25, 2023: Fertility and Sterility
#15
JOURNAL ARTICLE
Mina Fatehnejad, Alireza Hadizadeh, Amirhossein Tayebi, Aryan Ayati, Narjes Marjani, Parand Gheshlaghi, Zahra Asgari, Reihaneh Hosseini
OBJECTIVES: To investigate the outcomes of patients undergoing laparoscopic or hysteroscopic approaches for isthmoplasty. METHODS: A total of 99 isthmocele patients with an average age of 38.45 ± 4.72 years were included in the 2 years of this retrospective cohort study. Forty-five underwent laparoscopic and 54 underwent hysteroscopic isthmocele excision and myometrial repair. RESULTS: Pain scores were significantly higher in the hysteroscopy group before the procedure, but there were no significant pain score differences after the surgery...
December 2023: International Journal of Gynaecology and Obstetrics
#16
JOURNAL ARTICLE
Kiwita Phillips, Raimot A Olanrewaju, Folashade Omole
Infertility is the inability to achieve a pregnancy after 12 months of regular, unprotected sexual intercourse. Evaluation and treatment are recommended earlier than 12 months when risk factors for infertility exist, if the female partner is 35 years or older, and in the setting of nonheterosexual partnerships. A comprehensive medical history and physical examination emphasizing the thyroid, breast, and pelvic areas should be performed to help direct diagnosis and treatment. Causes of infertility in females include uterine and tubal factors, ovarian reserve, ovulatory dysfunction, obesity, and hormone-related disorders...
June 2023: American Family Physician
#17
REVIEW
Pietro Bortoletto, Phillip A Romanski, John C Petrozza, Samantha M Pfeifer
For years, reproductive surgery was the mainstay of reproductive care. With the evolution and ultimate success of in vitro fertilization (IVF), reproductive surgery became an adjuvant therapy, indicated mainly for severe symptoms or to enhance success rates with assisted reproductive technologies. As success rates for IVF have plateaued, and emerging data rekindles the enormous benefits of surgically correcting reproductive pathologies, there is renewed interest among reproductive surgeons in reviving research and surgical expertise in this area...
September 2023: Fertility and Sterility
#18
JOURNAL ARTICLE
J B Sharma, Shefali Jain, Sona Dharmendra, Urvashi B Singh, Manish Soneja, Vidushi Kulshrestha, P Vanamail
BACKGROUND: Female genital tuberculosis (FGTB) is a common cause of infertility in developing countries. Its diagnosis is difficult due to its paucibacillary nature, with no single test having high sensitivity and specificity. This study is to share the experience of using Composite Reference Standard (CRS) for the diagnosis of FGTB. METHODS: This is a prospective study conducted between September 2017 to June 2019, over 100 infertile females found to have FGTB on composite reference standard which consisted of acid-fast bacilli on microscopy or culture, histopathological evidence of epithelioid granuloma, positive gene Xpert on endometrial sample or definite or probable finding of FGTB on laparoscopy...
January 2023: Indian Journal of Tuberculosis
#19
JOURNAL ARTICLE
Megan S Orlando, Stacey Ehrenberg, Katherine A Singh, Rosanne M Kho
OBJECTIVE: To present a multidisciplinary approach to localize and resect suspected interstitial ectopic pregnancies. Interstitial ectopic pregnancies are distinct from eccentric intracavitary pregnancies and are defined by ultrasound-based criteria, including an empty uterine cavity, gestational sac located >1 cm from the cavity, thin overlying myometrium <5 mm, and the interstitial line sign. DESIGN: Case report. SETTING: Academic medical center...
April 2023: Fertility and Sterility
#20
REVIEW
Neha Udayakumar, Elainea Smith, Amy Boone, Kristin K Porter
PURPOSE OF REVIEW: This review summarizes the pathway of Mullerian and Wolffian duct development, anomalies that result from disruptions to this pathway, and the characteristics on advanced imaging that identify them. RECENT FINDINGS: In-office evaluation for reproductive anomalies is usually inadequate for the diagnosis of congenital reproductive anomalies. Magnetic resonance imaging (MRI) has usurped invasive diagnostic methods including laparoscopy, hysteroscopy, and vasography as the new gold standard...
January 2023: Current Urology Reports
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