Does obesity have detrimental effects on IVF treatment outcomes?

Background: The aim of this study was to investigate the influence of body mass index (BMI) on the in vitro fertilization (IVF) treatment outcomes in a cohort of women undergoing their first IVF, using an intracytoplasmic sperm injection (ICSI).

Methods: This retrospective cohort study included 298 cycles from women younger than 38 years old undergoing IVF-ICSI at a university infertility clinic. The treatment cycles were divided into three groups according to the BMI of the women involved: normal weight (18.

A Flexible Multidose GnRH Antagonist versus a Microdose Flare-Up GnRH Agonist Combined with a Flexible Multidose GnRH Antagonist Protocol in Poor Responders to IVF.

Objective: To compare the effectiveness of a flexible multidose gonadotropin-releasing hormone (GnRH) antagonist against the effectiveness of a microdose flare-up GnRH agonist combined with a flexible multidose GnRH antagonist protocol in poor responders to in vitro fertilization (IVF).

Study Design: A retrospective study in Akdeniz University, Faculty of Medicine, Department of Obstetrics and Gynecology, IVF Center, for 131 poor responders in the intracytoplasmic sperm injection-embryo transfer (ICSI-ET) program between January 2006 and November 2012. The groups were compared to the patients' characteristics, controlled ovarian stimulation (COH) results, and laboratory results.

Comparison of markers of ovarian reserve between patients with complete müllerian agenesis and age-matched fertile and infertile controls.

Objective: To investigate ovarian reserve in complete müllerian agenesis (CMA) patients and to compare the ovarian reserve of CMA patients with that of age-matched fertile and infertile controls.

Design: Prospective cohort study.

Setting: University gynecology outpatient clinic.

Might uterus transplantation be an option for uterine factor infertility?

Current data on uterus allotransplantation research has been reviewed and summarized. Over the past 15 years, progress in uterus transplantation research has increased dramatically. As a consequence, the first pregnancy and delivery following uterus allotransplantation in rats have been reported.

A retrospective analysis of pregnancy outcomes after kidney transplantation in a single center.

Background: We reported pregnancy outcomes after kidney transplantation in a single transplant center.

Methods: We reviewed the perinatal outcomes of female kidney transplant patients of reproductive age (18-40 years) from 1987 to 2011.

Results: A total of 246 patients were reviewed.

Assessment of women who applied for the uterine transplant project as potential candidates for uterus transplantation.

Aim: To review the medical charts of women who applied for the uterine transplant project from June 2008 to June 2011 in our hospital retrospectively (18-40 years).

Methods: The data for 144 women were retrieved, and information was collected on the etiology of uterine factor infertility(UFI); ovarian reserve tests; and accompanying anatomic, infectious, genetic and endocrinological problems.

Results: There were 119 patients with primary amenorrhea and uterovaginal agenesis and 25 patients with a history of hysterectomy.

Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report.

We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera.

Sexual function and long-term results following vaginal reconstruction with free vascular jejunal flap.

Introduction: Sexual adjustment and long-term results following vaginal reconstruction with free vascular jejunal flap are not well known.

Aims: The study aims to investigate sexual adjustment and long-term results among patients who underwent vaginal reconstruction with free vascular jejunal flap.

Methods: A total of 34 women, aged 16-31 years (mean 23.

Uterus transplantation from a deceased donor.

Objective: To demonstrate the technique for uterus retrieval and transplantation from a multiorgan donor.

Design: Video presentation of our case report. The video uses animation to demonstrate the technique.

Comparison of intravaginal progesterone gel and intramuscular 17-α-hydroxyprogesterone caproate in luteal phase support.

The main objective of this study was to compare the pregnancy rates of intramuscular (IM) 17-α-hydroxyprogesterone caproate (17-HPC) and intravaginal (IV) progesterone gel administration in fertilization-embryo transfer (IVF-ET) cycles. The IM 17-HPC and IV progesterone groups included 632 (66.4%) and 320 (33.

Clinical pregnancy after uterus transplantation.

Objective: To present the first clinical pregnancy after uterus transplantation.

Design: Case study.

Setting: Tertiary center.

Preliminary results of the first human uterus transplantation from a multiorgan donor.

Objective: To describe the first-year results of the first human uterus transplantation case from a multiorgan donor.

Design: Case study.

Setting: University hospital.

Uterine preservation and vaginal reconstruction in a patient with congenital vaginal agenesis presenting with cyclic menouria.

Herein we report the case of a patient with primary amenorrhea and cyclic menouria. The patient was a 20-year-old woman with primary amenorrhea and inability to achieve sexual intercourse. Clinical examination revealed normally developed labia majora and minora, clitoris, and external urethral orifice, but no vaginal opening.

Robotic-assisted laparoscopic repair of symptomatic cesarean scar defect: a report of two cases.

Background: Symptomatic cesarean scar defect is one of the commonly reported long-term complications of cesarean section.

Cases: We present two cases of symptomatic cesarean scar defect treated conservatively by robotic-assisted laparoscopy at our institution. Both patients presented with hematocele, pelvic discomfort and secondary infertility.

Reconstruction of vaginal agenesis.

Vaginal ageneses are by no means rare anomalies. Complete Mullerian agenesis is the most common reason for vaginal agenesis requiring reconstruction. Patients usually present with pain, hematocolpos, or hematometra in puberty, and later with amenorrhea and dyspareunia.

Term delivery following transvaginal drainage of bilateral ovarian abscesses after oocyte retrieval: a case report.

Background: Severe postovum retrieval complications such as tuboovarian abscess are rare. We present an early pelvic infection case following egg retrieval.

Case: A 31-year-old woman with unexplained infertility developed early pelvic infection subsequent to transvaginal oocyte retrieval (TVOR).

Robotic-assisted laparoscopic ovarian tissue transplantation.

Objective: To describe a technique for frozen-banked ovarian tissue transplantation using robotic-assisted laparoscopy.

Design: Case study.

Setting: Academic tertiary care center.

Culdocentesis followed by saline solution-enhanced ultrasonography: technique for evaluation of suspected ectopic pregnancy.

Study Objective: To evaluate the use of a technique consisting of culdocentesis followed by saline solution-enhanced pelvic ultrasonography in cases suspect for ectopic pregnancy in which an accurate diagnosis could not be made using routine transvaginal ultrasound.

Design: Retrospective clinical study (Canadian Task Force classification III).

Setting: Academic medical center.

Successful conservative management of cervical ectopic pregnancy: a case series.

Objective: To report our experience of conservative treatment in four patients with cervical ectopic pregnancy.

Design: Case series.

Setting: Academic medical center.

Early postoperative small bowel obstruction after laparoscopic myomectomy.

Objective: To describe an early small bowel obstruction after robotic-assisted laparoscopic myomectomy with the Davinci system.

Design: Case report.

Setting: Academic medical center.