Facts Views Vis Obgyn 2017 Mar;9(1):15-20

Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Tondela-Viseu EPE, Viseu, Av. Rei D. Duarte, 3504-509, Portugal.

Adenomyosis is a benign invasion of endometrium into the myometrium. It produces a diffusely enlarged uterus and predominantly affects women in the late reproductive age. It has recently been associated with a negative impact on female fertility. Read More

Cesk Patol 2017 ;53(2):97-99

We report a case of a 37-year old female with a mature teratoma of the uterine corpus presented by metrorrhagia. Grossly, the tumor was polypoid without apparent invasion into the myometrium. Microscopically, the tumor consisted of disorganized mature neural tissue intermingled with nodular foci of cartilaginous tissue, groups of seromucionous glands and ciliated columnar respiratory epithelium. Read More

Post Reprod Health 2017 Jun 22;23(2):63-70. Epub 2017 May 22.

Royal Derby Hospital, Derby, UK.

Introduction The National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of the menopause states that women who are likely to go through the menopause as a result of surgical treatment should be offered information about the menopause and the importance of starting hormonal replacement therapy before they have their treatment. Objectives To determine compliance with NICE guidelines at the Royal Derby Hospital. Study design We undertook a retrospective review of all pre-menopausal women undergoing bilateral salpingo-oophorectomy for benign pathology between 1 January 2016 and 30 June 2016. Read More

Perit Dial Int 2017 May-Jun;37(3):349-350

Division of Nephrology, Guangdong General Hospital, Guangdong Academic of Medical Sciences, Guangzhou, China

J Clin Diagn Res 2017 Mar 1;11(3):TD03-TD05. Epub 2017 Mar 1.

Chief Resident, Department of Radio Diagnosis, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India.

Malignant Mixed Mullerian Tumours (MMMTs) or carcinosarcomas of uterus are rare aggressive tumours of mesenchymal origin. It is associated with high incidence of lymphatic, pulmonary and peritoneal metastasis. We hereby present two cases of mixed mullerian tumour. Read More

Radiol Case Rep 2017 Jun 21;12(2):287-291. Epub 2017 Feb 21.

College of Osteopathic Medicine, Kansas City University of Medicine and Biosciences, Kansas City, MO, USA.

Dysfunctional uterine bleeding is a common presentation of women in the emergency department. We describe the case of a 33-year-old female who presented with intermittent spotting due to an acquired uterine AVF. The patient underwent a transvaginal pelvic ultrasound as well as a CT angiogram. Read More

Sex Med 2017 Apr 28. Epub 2017 Apr 28.

The Centers for Vulvovaginal Disorders, Washington, DC, and New York, NY, USA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Read More

Pan Afr Med J 2017 4;26. Epub 2017 Jan 4.

Service C du Centre de Maternité et de Néonatologie de Tunis, Faculté de Médecine de Tunis, Université Tunis El Manar, Tunisie.

Magn Reson Med 2017 Apr 25. Epub 2017 Apr 25.

Institute for Risk Assessment Sciences, Utrecht University, the Netherlands.

Purpose: Based on a previous case report of menometrorrhagia (prolonged/excessive uterine bleeding, occurring at irregular and/or frequent intervals) in MRI workers with intrauterine devices (IUDs), it was evaluated whether this association could be confirmed.

Methods: A survey was performed among 381 female radiographers registered with their national association. Logistic regression was used to analyze associations of abnormal uterine bleeding with the frequency of working with MRI scanners, presence near the scanner/in the scanner room during image acquisition, and with scanner strength or type. Read More

Acta Cytol 2017 13;61(2):125-132. Epub 2017 Apr 13.

Institute of Pathology, 1st Faculty of Medicine, Charles University and Faculty General Hospital, Prague, Czech Republic.

Objective: To study the contribution of hormonal cytology in contemporary disturbances of fertility.

Design: Over a 10-year period (2006-2015), 6,688 vaginal fornix cytologies of 2,350 patients were investigated. For a more detailed analysis, a 3-year period from 2013 to 2015 was chosen. Read More

BMC Pregnancy Childbirth 2017 Apr 7;17(1):108. Epub 2017 Apr 7.

Yanaihara Women's Clinic, 1-26-29 Ofuna, Kamakura, Kanagawa, Zip247-0056, Japan.

Background: Ectopic pregnancy (EP) occurs in 1% of pregnancies and is reported to be more common in in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) pregnancies. An abdominal ectopic pregnancy (AEP) is a rare form of EP, and there are few reports of an AEP after IVF/ICSI. In this case report, a rare case of AEP after frozen-thawed cycle of ICSI is presented. Read More

Colomb Med (Cali) 2016 Dec 30;47(4):213-216. Epub 2016 Dec 30.

Departamento de Medicina Interna. Hospital Clínico Universitario de Salamanca. Salamanca. España.

Background: Gorham-Stout disease (GSD) is a rare disease of unknown etiology characterized by vascular proliferation that produces destruction of bone matrix.

Case Description: This case is about 43 year old woman who begins with pain in sternum, dyspnea, abdominal mass and, serous-hematic pleural effusion. Imaging tests were performed showing lesions on 6(th) and 10(th) left ribs archs. Read More

J Med Case Rep 2017 Mar 15;11(1):70. Epub 2017 Mar 15.

Gynaecology and Obstetrics Unit, Douala Gynaeco-Obstetric and Paediatric Hospital, Douala, Cameroon.

Background: Hepatic pregnancy is a rare form of abdominal pregnancy, often documented only as case reports.

Case Presentation: We report here the case of a 24-year-old African woman, gravida 4 para 3, presenting with right upper quadrant pains and metrorrhagia after amenorrhea of 8 weeks 5 days. Elements in favor of the diagnosis of hepatic pregnancy were her clinical presentation, the kinetics of β-human chorionic gonadotropin titers, and the presence of a sub-hepatic mass on ultrasound. Read More

Clin Imaging 2017 May - Jun;43:83-87. Epub 2017 Jan 30.

Department of Radiology, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, LA 71130, United States. Electronic address:

A 57-year-old postmenopausal woman with end-stage liver disease secondary to alcoholic cirrhosis, esophageal varices, severe alcoholic cardiomyopathy, and metrorrhagia causing persistent anemia despite multiple transfusions presented with heavy vaginal bleeding. The patient underwent two uterine artery embolizations with proximal coils instead of directed particles due to difficult anatomy but the bleeding continued despite these interventions. Since she was a poor surgical candidate for hysterectomy, the decision was made to attempt achievement of hemostasis via ethanol injection into the uterine cavity. Read More

Reprod Sci 2017 May 7;24(5):671-681. Epub 2016 Oct 7.

1 Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.

Abnormal uterine bleeding (AUB), a common health concern of women, is a heterogeneous clinical entity that is traditionally categorized into organic and nonorganic causes. Despite varied pharmacologic treatments, few offer sustained efficacy, as most are empiric, unfocused, and do not directly address underlying dysregulated molecular mechanisms. Characterization of such molecular derangements affords the opportunity to develop and use novel, more successful treatments for AUB. Read More

Histol Histopathol 2017 Jan 27:11876. Epub 2017 Jan 27.

Department of Basic Medical Sciences, Faculty of Health Sciences, Medicine Section, University of La Laguna, Tenerife, Spain.

Testicular Leydig cells (LC) regulate the proper development of male individuals, both during fetal life (fetal LC) and puberty (adult LC). In the ovaries of adult women, there are cells that are very similar to Leydig cells, the ovarian hilus cells (OHC), which also produce testosterone. The origin of these cells, in both sexes, remains unknown and is still a matter of debate. Read More

J Pediatr Adolesc Gynecol 2017 Jun 17;30(3):335-340. Epub 2017 Jan 17.

Baylor College of Medicine, Houston, Texas. Electronic address:

Heavy menstrual bleeding (HMB) is a very common gynecological condition in female adolescents and a frequent presenting complaint of those with bleeding disorders. Recommendations have been established to screen for bleeding disorders in this age group where appropriate. The purpose of this document is to impart clinical recommendations regarding HMB in adolescents. Read More

Surg Case Rep 2017 Dec 5;3(1). Epub 2017 Jan 5.

Department of Surgery, Chugoku Rosai Hospital, 1-5-1, Tagaya, Hiro, Kure City, Hiroshima, 737-0193, Japan.

Background: Planning the surgical strategy for a gastrointestinal stromal tumor (GIST) at the posterior wall of the lower rectum is difficult, as the procedures for the lower rectum are hampered by poor visualization and may cause anal dysfunction or discomfort. We report a novel procedure to resect a submucosal tumor of the rectum.

Case Presentation: A 75-year-old woman presented with metrorrhagia. Read More

JNMA J Nepal Med Assoc 2016 Jul-Sep;55(203):26-28

Department of General Practice and Emergency Medicine, TUTH, MMC, Institute of Medicine, TU, Nepal.

Introduction: Abnormal uterine bleeding is one of the most common morbidity landing women to attend medical attention in gynecology outpatient department. This study aims to evaluate the hysteroscopy finding in diagnosis of AUB and its correlation with ultrasonography finding and histopathological reports.

Methods: This was a prospective comparative study in which ultrasonography was performed in fifty patients with abnormal uterine bleeding attending OPD then hysteroscopy was performed. Read More

Ceska Gynekol Winter 2016;81(6):458-462

Objective: To present the findings of sarcoidosis on female genital tract.

Design: Review.

Setting: Department of Obstetric and Gynecology, Silesian Hospital Opava. Read More

Best Pract Res Clin Obstet Gynaecol 2017 Apr 1;40:3-22. Epub 2016 Oct 1.

Departments of Obstetrics and Gynecology, David Geffen School of Medicine, University of California, Los Angeles and Kaiser Permanente, Los Angeles Medical Center, USA. Electronic address:

The FIGO systems defining the nomenclature and symptoms of abnormal uterine bleeding (AUB) in the reproductive years (System 1) and the PALM-COEIN classification of causes of AUB (System 2) are designed to facilitate research, education, and the provision of optimum clinical care for affected women. Development of these systems has been the result of a collaborative effort of experts in bench and translational and clinical research from six continents aided by a spectrum of representatives from relevant medical societies, journals, and regulatory bodies. Integral to this development has been a decision to cease the use of poorly defined and inconsistently used terms such as menorrhagia, metrorrhagia, and dysfunctional uterine bleeding, to name a few, and replace them with a set of terms and definitions that are relatively easily understood and translated into the spectrum of languages used by medical providers and patients globally. Read More

Rom J Intern Med 2017 Mar;55(1):53-56

Objective: Histiocytic sarcoma (HS) is an extraordinary rare tumor and it has an offensive clinical course. HS of the uterine cervix is a far uncommon tumor with just a few cases described so far. Here we presented a case of primary HS of the uterine cervix in a 62-year-old female initially misdiagnosed as large cell non-keratinizing squamous cell carcinoma. Read More

Pan Afr Med J 2016 30;24:175. Epub 2016 Jun 30.

Service de Gynécologie Obstétrique «A», Centre de Maternité et de Néonatologie de Tunis, Tunisie.

Post-menopausal metrorrhagias represent a frequent reason for consultation in gynecology. Our study aims to evaluate the contribution of pelvic ultrasonography in the exploration of endocavitary lesions in people experiencing this symptom and to compare the results found with those of hysteroscopy and histology. This was an analytic retrospective study of 33 cases referred for evaluation of postmenopausal metrorrhagias at the department of gynecology and obstetrics «A» in the Center of Maternity and Neonatology of Tunis in 2012. Read More

J Ultrasound Med 2016 Nov 14;35(11):2381-2387. Epub 2016 Sep 14.

Department of Radiology, University of Michigan, Ann Arbor, Michigan USA.

Objectives: To evaluate the interrupted mucosa sign for identification of endometrial polyps, using pathologic confirmation as the reference standard, compared to other accepted sonographic findings.

Methods: We reviewed 195 patients referred for pelvic sonographic evaluations for suspected endometrial polyps in this retrospective Institutional Review Board-approved study. Of these, 82 had tissue sampling of the endometrium and constituted the final study group. Read More

Minerva Ginecol 2017 Feb 27;69(1):68-74. Epub 2016 Oct 27.

Division of Pediatric-Adolescent Gynecology and Reconstructive Surgery, Second Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Medical School, Aretaieion Hospital, Athens, Greece.

Abnormal uterine bleeding (AUB) is a frequent reason for concern between adolescents. The most common cause of AUB in these girls, when other pathologies have been excluded, is dysfunctional uterine bleeding (DUB). The aim of this review is to assess the role of DUB as an early symptom of polycystic ovarian syndrome (PCOS) diagnosis later in life. Read More

Diagn Interv Imaging 2017 May 21;98(5):415-421. Epub 2016 Oct 21.

Department of radiology, hôpital de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.

Purpose: The purpose of this study was to evaluate the effectiveness of ethylene vinyl alcohol copolymer (Onyx) as a single embolic agent for percutaneous arterial treatment of hemorrhage due to uterine arteriovenous malformations (AVMs).

Materials And Methods: Twelve women (mean age, 33 years) with metrorrhagia due to uterine AVMs who were treated by percutaneous arterial embolization using Onyx as a single embolic agent were retrospectively included. The diagnosis of uterine AVM was suggested by pelvic ultrasound and/or magnetic resonance imaging findings and further confirmed by angiography. Read More

J Pediatr Adolesc Gynecol 2017 Apr 15;30(2):251-255. Epub 2016 Oct 15.

Department of Obstetrics and Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan.

Background: Gynandroblastoma is an extremely rare ovarian sex cord tumor with malignant potential.

Case: An 18-year-old adolescent experienced intermittent vaginal bleeding. A year later, a right adnexal mass with a heterogeneous imaging appearance was identified. Read More

J Pediatr Adolesc Gynecol 2017 Apr 15;30(2):243-246. Epub 2016 Oct 15.

Division of Pediatric Hematology and Oncology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.

STUDY OBJECTIVE, DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Bleeding disorders (BD) occur in up to 50% of adolescents with heavy menstrual bleeding (HMB). This presents unique challenges to health care providers because of the complexity of treating the condition and such complexity can result in difficulty with patients understanding basic information about their condition, limit communication with medical providers, and patient compliance. The aim of the study was to use an electronic approach to enhance patient compliance with medications used to treat their HMB, and to provide educational access to adolescents with BD. Read More

Blood Coagul Fibrinolysis 2016 Oct;27(7):835-837

aFaculty of Medicine and Biomedical Sciences, University of Yaoundé IbHematology and Blood Transfusion Unit, University Teaching Hospital of Yaoundé, Yaoundé, CamerooncDivision of Angiology and Hemostasis, Geneva University Hospitals, Switzerland.

In Cameroon, the Yaoundé Hemophilia Treatment Center (HTC) has so far recorded 121 cases of hemophilia and only 10 cases of von Willebrand disease (VWD). We report the case of a 16-year-old girl, living in the north of Cameroon. She presented with severe meno-metrorrhagia, which had increased drastically within the past 3 months, associated more recently by gum bleeding and epistaxis. Read More

Geburtshilfe Frauenheilkd 2016 04;76(4):350-364

Universitäts-Frauenklinik Graz.

Background: Official guideline "indications and methods of hysterectomy" to assign indications for the different methods published and coordinated by the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (OEGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). Besides vaginal and abdominal hysterectomy, three additional techniques have been implemented due to the introduction of laparoscopy. Organ-sparing alternatives were also integrated. Read More

Zhongguo Dang Dai Er Ke Za Zhi 2016 Sep;18(9):846-850

Department of Gynecology, Xiangya Hospital, Central South University, Changsha 410008, China.

Objective: To study the clinical features of gynecological diseases in hospitalized children.

Methods: A retrospective analysis was performed for the clinical data of 147 children with gynecological diseases who were hospitalized and treated in the department of gynecology.

Results: Among the 147 children, ovarian tumors were most common (53 cases, 36. Read More

J Pharm Biomed Anal 2016 Nov 14;131:364-372. Epub 2016 Sep 14.

School of Pharmacy, Shanghai Jiao Tong University, Shanghai 200240, China. Electronic address:

Cistanches Herba is a famous traditional Chinese medicine that has been in use for treating kidney deficiency, impotence, female infertility, morbid leucorrhea, profuse metrorrhagia, and senile constipation. With the exception of studies available for a few single active ingredients such as echinacoside, acteoside, and poliumoside, comprehensive and systematic studies on in vivo metabolism of Cistanches Herba are lacking despite its widespread clinical application. There is no comparative study yet on the metabolites resulting from the traditional usage of Cistanche deserticola and C. Read More

Indian J Hematol Blood Transfus 2016 Sep 22;32(3):356-61. Epub 2015 Aug 22.

Department of Pediatric Hematology, Yuzuncu Yil University, 65100 Van, Turkey.

Bleeding disorders are a common cause of menorrhagia in the adolescent age group. We aimed to evaluate the incidence of hemostatic disorders, using clinical and laboratory findings of bleeding disorders in adolescent girls with menorrhagia. A retrospective chart review used to evaluate adolescent girls with menorrhagia who were referred to Yuzuncu Yil University Pediatric Hematology clinic between January 2010 and December 2014. Read More

Eur J Contracept Reprod Health Care 2016 Oct 15;21(5):361-6. Epub 2016 Jul 15.

a Department of Obstetrics and Gynecology , University of California, Davis , Sacramento , CA , USA ;

Objective: Estimate symptom improvement rate of women with bleeding complaints using the etonogestrel contraceptive implant when started on continuous combined oral contraceptives (COC).

Methods: We conducted a double-blinded randomised controlled trial of women reporting troublesome bleeding related to their etonogestrel contraceptive implant and desiring intervention. Participants received continuous COCs or placebo for four weeks to evaluate self-reported bleeding improvement at four weeks. Read More

J Minim Invasive Gynecol 2016 Sep-Oct;23(6):893-902. Epub 2016 Jul 5.

Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.

The objective of this study was to evaluate the prevalence of cesarean scar defects and its clinical manifestations in reproductive-aged women. We performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement using keywords of "cesarean scar defect, uterine scar defect, uterine diverticulum niche, isthmocele, pouch, or sacculation" and their combination. Thirty-two trials met the inclusion criteria. Read More

Zhongguo Zhen Jiu 2016 Apr;36(4):380

J Minim Invasive Gynecol 2016 Sep-Oct;23(6):969-78. Epub 2016 Jun 23.

Department of Gynecology, Shanghai First Maternity and Infant Hospital, Affiliated to Tongji University, Shanghai, China. Electronic address:

Study Objective: Owing to the increase in cesarean sections (C-sections) worldwide, long-term complications such as postmenstrual spotting, chronic pelvic pain, and C-section scar ectopic pregnancies have created a new medical era of gynecologic disease. A new type of vaginal repair is evaluated to repair C-section diverticulum (CSD) and rebuild the muscular layer to improve symptoms of abnormal uterine bleeding and decrease the risk of uterine rupture.

Design: Retrospective cohort study (Canadian Task Force classification II-2). Read More

Eur J Contracept Reprod Health Care 2016 Aug 24;21(4):303-9. Epub 2016 Jun 24.

g Merck & Co., Inc. , Kenilworth , NJ , USA.

Objectives: The aim of the study was to assess the efficacy and tolerability of the monthly vaginal ring (NuvaRing; 15 μg ethinylestradiol [EE] and 120 μg etonogestrel per day) compared with a monophasic (21/7) combined oral contraceptive (COC) containing 30 μg EE and 3 mg drospirenone in healthy Chinese women aged 18-40 years.

Methods: This was a phase III, open-label, randomised multicentre trial conducted in China. Participants received NuvaRing or COC for 13 cycles (3 weeks of ring/pill treatment followed by a 1-week ring-free/pill-free period). Read More

Haemophilia 2016 Jul 13;22(4):e309-11. Epub 2016 Jun 13.

Department of Hemostasis and Transfusion Medicine, Ludwig-Maximilians-University of Munich, Munich, Germany.

Eur J Obstet Gynecol Reprod Biol 2016 Aug 20;203:147-51. Epub 2016 May 20.

Department of Social and Preventive Medicine, BPS Govt Medical College, Khanpur, Sonepat, Haryana, India.

Objective: To compare the efficacy, acceptability and compliance of combined hormonal vaginal ring (CVR), with combined hormonal pills (CHP) in patients with heavy menstrual bleeding (HMB).

Study Design: This prospective study was conducted in 50 women with HMB in age group of 25-40 years. Patients were divided in two groups of 25 each and followed for six treatment cycles. Read More

Adolesc Med State Art Rev 2015 Dec;26(3):473-83

Adolescent females frequently present to the ED with complaints that may be caused by a gynecologic emergency. Differentiating and excluding some of the common and most serious gynecologic emergencies reviewed in this article are critical. Timely and effective treatment of these conditions, once diagnosed, can result in better health outcomes. Read More

Pan Afr Med J 2016 30;23:144. Epub 2016 Mar 30.

Service de Radiothérapie, Institut National d'Oncologie, Université Mohammed V Souissi, Rabat, Maroc.

Endometrial cancer is the most common gynecological cancer in the Western world. It affects mainly postmenopausal women. The aim of our study is to report the experience of the radiotherapy department of the National Oncology Institute (INO) in the treatment of endometrial cancer. Read More

Arch Med Sci 2016 Jun 18;12(3):597-602. Epub 2016 May 18.

Department of Medical Sciences, School of Medicine, University Autonóma, Madrid, Spain.

Introduction: The aim of the study was to devise a strategy to diagnose malign endometrial pathologies (adenocarcinoma or atypical hyperplasia) that minimizes the number of invasive tests done (hysteroscopy, aspiration biopsy or curettage) with no loss of its detection efficiency.

Material And Methods: We retrospectively studied the clinical histories of 779 postmenopausal women at the University Hospital Complex of Albacete, for whom an endometrial study had been done (hysteroscopy, aspiration biopsy or curettage) with a 1-year follow-up between 1 March 2006 and 31 March 2008.

Results: There were 77 cases of a malignant pathology (66 adenocarcinomas and 11 hyperplasias with atypia); 96. Read More

Eur J Contracept Reprod Health Care 2016 Aug 26;21(4):285-9. Epub 2016 May 26.

a Department of Gynecology and Obstetrics , Medical School of Ribeirão Preto, University of São Paulo , Ribeirão Preto , São Paulo , Brazil ;

Objectives: The use of progestogen-only contraceptives may cause a change in bleeding pattern, which is a common cause of discontinuation of these methods. Co-administration with some antiretroviral therapies (ART) changes the bioavailability of the etonogestrel (ENG)-releasing contraceptive implant, possibly affecting the bleeding pattern. Bleeding patterns were evaluated in HIV-positive users of the ENG implant co-administered with two common ART regimens. Read More

Eur J Contracept Reprod Health Care 2016 Aug 25;21(4):276-84. Epub 2016 May 25.

f DIATROS, Clínica de Atención a la Mujer , Barcelona , Spain.

Objectives: This observational, multicentre, prospective phase IV study examined change in health-related quality of life (QOL) from baseline to 6 months in women initiating combined oral contraception (COC) based on natural estrogen.

Methods: Eligible women attending a baseline and 6-month gynaecology appointment belonged to one of three groups: group 1 used barrier contraception (condoms) and elected to continue this method; group 2 used condoms and elected to switch to COC based on natural estrogen; group 3 used COC based on ethinylestradiol and elected to switch to COC based on natural estrogen. The Spanish Society of Contraception (SEC)-QOL scale assessed health-related QOL. Read More

Case Rep Obstet Gynecol 2016 26;2016:5736865. Epub 2016 Apr 26.

Department of Women, Child and General and Specialized Surgery, Second University of Naples, Largo Madonna delle Grazie 1, 80138 Napoli, Italy.

Uterine tumors with sex-cord-like differentiation are extremely rare types of uterine stromal neoplasm. These tumors were classified into two groups with considerable practical relevance because clinical behaviour of uterine tumor resembling ovarian sex cord tumor (UTROSCT) differs widely from its closely related endometrial stromal tumors with sex-cord-like elements (ESTSCLE). Treatment and prognosis of these tumors are unresolved issues because of the exiguous number of reported cases. Read More

J Clin Diagn Res 2016 Mar 1;10(3):QC21-4. Epub 2016 Mar 1.

Professor, Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital , Delhi, India .

Introduction: Combined Oral Contraceptive (COC) pills are being used in patients of abnormal uterine bleeding, especially adolescents and reproductive age women considering their need for contraception. It decreases the blood loss due to haemostatic effect of estrogen and also regularizes the cycle. Intravaginal route has been found to be effective and acceptable; Gastrointestinal absorption and hepatic first-pass metabolism is avoided and steady, uniform blood concentration is achieved. Read More

J Gynecol Obstet Biol Reprod (Paris) 2016 Nov 25;45(9):1067-1073. Epub 2016 Apr 25.

Service de gynécologie et obstétrique, hôpital Habib Bougatfa, CHU de Bizerte, rue du 13 Août, 7000 Bizerte, Tunisie.

Objectives: The aim of our study is to evaluate the feasibility, safety and diagnostic value of hysterosonography performed in an emergency setting among patients consulting for active abnormal uterine bleeding.

Materials And Methods: In this prospective study, we included 216 patients visiting our emergency department for abnormal uterine bleeding. All patients had a transvaginal ultrasound with doppler study and an hysterosonography. Read More

Rev Med Chir Soc Med Nat Iasi 2016 Jan-Mar;120(1):145-51

Uterine leiomyomas are benign tumors arising from uterine smooth muscle. Although their pathogenesis remains unclear, they are the most common tumor of the female reproductive tract, occurring in as many as half of women older than 35 years. Uterine leiomyomas represent the most common benign tumors of the female reproductive tract. Read More

AMA J Ethics 2016 Apr 1;18(4):365-72. Epub 2016 Apr 1.

Director of the Children's Mercy Hospital Bioethics Center in Kansas City, Missouri, and a general pediatrician and bioethicist.