Racial and ethnic disparities in the surgical management of tubal ectopic pregnancy.

Objective: To evaluate racial and ethnic disparities in the surgical management of ectopic pregnancy over time.

Design: Retrospective cohort study.

Setting: None.

Association of body mass index and morbidity after abdominal, vaginal, and laparoscopic hysterectomy.

Objective: To examine the association of body mass index (BMI) and operative time and perioperative morbidity after hysterectomy and determine whether the association varies among abdominal, laparoscopic, and vaginal approaches.

Methods: Data abstracted from the American College of Surgeons National Safety and Quality Improvement Project registry included 55,409 women who underwent hysterectomy for benign conditions between January 2005 and December 2012. The relationships among BMI, operative time, and morbidity were examined, adjusting for age, race, ethnicity, year of surgery, smoking, diabetes, and American Society for Anesthesiologists physical classification.

Diminished ovarian reserve and endometriosis: insult upon injury.

Endometriosis is a disease that affects a significant proportion of reproductive-age women. The impact of the disease on ovarian reserve is an important consideration when planning treatment in women who want to maintain their potential for future childbearing. The existing literature supports an adverse effect of both superficial endometriosis and ovarian endometriomas on ovulation rates, markers of ovarian reserve, and response to ovarian stimulation, although data on clinical pregnancy and live-birth rates remain inconsistent.