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.

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.

Accelerated endometrial maturation in the luteal phase of cycles utilizing controlled ovarian hyperstimulation: impact of gonadotropin-releasing hormone agonists versus antagonists.

Objective: To evaluate the endometrium obtained during the luteal phase of controlled ovarian hyperstimulation (COH) cycles utilizing gonadotropin-releasing hormone (GnRH) antagonists, and to compare these findings with those obtained in cycles utilizing a GnRH agonist and with artificial cycles among recipients.

Design: Prospective evaluation of oocyte donors.

Setting: University-based in vitro fertilization (IVF) center.

Treatment-associated serum FSH levels in very poor responders to ovarian stimulation.

Purpose: To compare treatment-associated follicle-stimulating hormone (FSH) response in patients undergoing controlled ovarian hyperstimulation with either microdose flare (MDF) leuprolide acetate or clomiphene citrate and human menopausal gonadotropin (CC/hMG).

Methods: Thirteen patients who were deemed poor responders underwent stimulation with one of two poor responder stimulation protocols (MDF group: n = 8; CC/hMG group: n = 5). Serum FSH, estrone (E1), estrone sulfate (E1S), and estradiol (E2) levels were measured at baseline, day 5 of medication, and on day of hCG administration.

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.