Endometrial receptivity is preserved in Diethylstilbestrol-associated and other Müllerian anomalies: evidence from tubal embryo transfer.

Purpose: To report implantation and pregnancy rates following TET in women with anomalous uteri, and to compare these with previously reported rates following trans-cervical ET.

Materials And Methods: Between 1995 and 2003, 12 TET procedures were performed in seven women with Müllerian anomalies. Tubal ET was performed via laparoscopy 48 h after standard IVF in 3 cycles in two patients, whereas in 9 cycles in five patients, TET was performed 24 h or 48 h following oocyte donation.

Acute effects of metformin therapy include improvement of insulin resistance and ovarian morphology.

Objective: To evaluate the acute effects of metformin therapy on biochemical markers and polycystic ovarian morphology among insulin-resistant (IR) and noninsulin-resistant (NIR) patients with polycystic ovary syndrome (PCOS).

Design: Prospective interventional study.

Setting: Reproductive endocrinology clinic in a university hospital.

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population.

Purpose: The purpose of this study was to determine the recurrence rate of hydrosalpinges after cuff neosalpingostomy in poor prognosis candidates.

Methods: Forty consecutive patients with hydrosalpinx treated with cuff neosalpingostomy were included. Main outcome measures were recurrence rate of hydrosalpinx after cuff neosalpingostomy, intrauterine and ectopic pregnancy rates.

Diagnosis of pituitary gonadotroph adenomas in reproductive-aged women.

Objective: To describe the clinical symptoms associated with the diagnosis of pituitary gonadotroph adenoma in premenopausal women.

Design: Report of three separate cases.

Setting: University medical center.

Pituitary imaging is indicated for the evaluation of hyperprolactinemia.

Objective: To evaluate the signs and symptoms associated with hyperprolactinemia and establish guidelines for a minimal serum PRL level for which pituitary imaging is indicated.

Design: Retrospective study.

Setting: Reproductive endocrinology clinic in a university hospital.

Comparison of vaginal and oral administration of emergency contraception.

Objective: To compare the physiologic effects of vaginally and orally administered emergency contraception.

Design: Prospective, open-label, crossover study.

Setting: University research center.

The insulin resistant subphenotype of polycystic ovary syndrome: clinical parameters and pathogenesis.

Objective: This study was undertaken to compare clinical and biochemical characteristics of the insulin resistant (IR) and non-IR subphenotypes of polycystic ovary syndrome (PCOS).

Study Design: Infertile PCOS women were classified as IR (n=32) or non-IR (n=46) on the basis of fasting glucose and insulin levels. The incidence of acanthosis nigricans (AN), hirsutism, and ovulation in response to clomiphene citrate (CC) was compared between the 2 groups, along with serum levels of gonadotropins, and sex steroids.

Pregnancy in the sixth decade of life: obstetric outcomes in women of advanced reproductive age.

Context: As a result of oocyte donation, women in their sixth decade of life are now able to conceive and carry pregnancies to term. However, little is known about pregnancy outcomes in this population.

Objective: To describe pregnancy outcomes in women aged 50 years or older who conceived after in vitro fertilization with donor oocytes.

Spontaneous twin gestation after vaginal dilation in a woman with uterus didelphys and bladder exstrophy.

Background: Bladder exstrophy is an uncommon anomaly rarely associated with uterus didelphys. Fertility is limited by associated vaginal malformations, which have traditionally required surgical reconstruction.

Case: A woman with a history of bladder exstrophy and hypoplastic vagina presented complaining of painful intercourse.