251 research outputs found
Heavy menstrual bleeding
No full textJanesh Gupta speaks to Caroline Telfer, Commissioning Editor I qualified from University of Leeds, UK in 1987. When I was a 4th year medical student I decided to pursue Obstetrics and Gynecology (O&G) as a career because it involved dealing with women who are going through a happy time in their life, having babies which is a physiological part of life. O&G is a fast-acting specialty which is a combination of medicine and surgery, which led me into this career. After Leeds, I went to Dundee, Scotland as a Senior Registrar, then moving to Birmingham, UK in 1998 as a Senior Lecturer and then getting my Chair as Professor of Obstetrics and Gynecology in 2006
Treatment of endometrioma for improving fertility
No full textEndometrioma is a frequent clinical manifestation of endometriosis. It is controversial how endometriomas may affect women's fertility. This review addresses: the impact of the endometrioma per se and of its surgical treatment on ovarian physiology, on the ovarian reserve, on spontaneous conception and pregnancy outcomes, and on IVF/ICSI outcomes.Based on current evidence, although there are plausible biological detrimental effects on the ovarian cortex surrounding the endometrioma and an impairment of the normal ovarian physiology, the clinical impact of the endometrioma per se is not significantly altered. There is a negligible detrimental effect on ovarian reserve with spontaneous ovulation not being impaired. Conversely, surgical excision of an endometrioma reduces ovarian reserve as measured by AMH levels. Studies investigating the impact of the endometrioma per se and of its surgical treatment in women requiring IVF/ICSI show similar implantation rates, clinical pregnancy rates and live birth rates between women with endometrioma and controls
Surgery and minimally invasive treatments for uterine fibroids
No full textObjectives: this is a protocol for a Cochrane Review (intervention). The objectives are as follows:. To assess the effects of surgery and minimally invasive treatments for uterine fibroids.</p
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