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University Women's Hospital[Affiliation] Publications | LitMetric

607 results match your criteria: "University Women's Hospital[Affiliation]"

Ovarian tissue cryopreservation for a girl with combined severe hemolytic anemia due to pyruvate kinase deficiency: a case report and literature review.

Gynecol Endocrinol

December 2024

Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China.

Objective: To present a young girl with pyruvate kinase deficiency (PKD) and concurrent severe hemolytic anemia who underwent fertility preservation and cryopreservation. Clinical symptoms, diagnosis, treatment, and new strategies for fertility protection and preservation in PKD patients who require allogeneic hematopoietic stem cell therapy are explored.

Case Presentation: Six-year-old girl with persistent unconjugated hyperbilirubinemia and severe hemolytic anemia since birth, continuous elevation of bilirubin levels and severe splenomegaly.

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Long-Term Effects on Gonadal Function After Treatment of Colorectal Cancer: A Systematic Review and Meta-Analysis.

Cancers (Basel)

November 2024

Division of Gynecological Endocrinology and Reproductive Medicine, University Women's Hospital, Inselspital Bern, University of Bern, 3010 Bern, Switzerland.

Background: The incidence of colorectal cancer (CRC) is increasing in the population under 50 years of age, with more than 10% of cases occurring in young adults. Fertility preservation counseling has therefore received increased attention in this younger patient population. The treatment of CRC is often based on multimodal therapies, including surgery, radiotherapy, chemotherapy, and, more recently, immunotherapy, which makes it difficult to estimate the expected effect of treatment on fertility.

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Standardization for ovarian tissue cryopreservation and transplantation in China.

Gynecol Endocrinol

December 2024

Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University. Beijing Maternal and Child Health Care Hospital, Beijing, China.

Ovarian tissue cryopreservation and transplantation is one of the most advanced and promising fertility preservation methods. Prior to any procedure that may lead to a toxic ovarian injury (such as chemotherapy or radiotherapy), a portion of the ovary is removed and cryopreserved. At an appropriate time, after toxic therapy is concluded, the cryopreserved ovarian tissue is then thawed and transplanted back to the patient when conditions permit.

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Ovarian tissue cryopreservation for an 8 year old girl after hematopoietic stem cell transplantation in China: case report and literature review.

Gynecol Endocrinol

December 2024

Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China.

Article Synopsis
  • * A case study involves an 8-year-old girl undergoing a second HSCT for dermatomyositis who successfully had her ovarian tissue cryopreserved (OTC) prior to the procedure, with measurable ovarian function as indicated by hormonal assessments and ultrasound results.
  • * The report emphasizes the importance of consulting fertility preservation experts post-HSCT for those who missed pre-HSCT preservation, highlighting OTC as a viable option for protecting fertility in women after HSCT.
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Ovarian tissue cryopreservation in breast cancer patients: glass half empty or glass half full?

Reprod Biomed Online

September 2024

Gynaecology Research Unit, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.

This is a commentary to a paper recently published in RBMOnline by Macklon and De Vos, in which they argue for a discontinuation of ovarian tissue freezing for fertility preservation in women with breast cancer. Instead, they suggest the use of oocyte vitrification following ovarian stimulation as the preferred method of fertility preservation. This commentary presents nine separate arguments that should be considered in the context of ovarian tissue freezing and fertility preservation in girls and women.

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Article Synopsis
  • The BETTER-CARE study is investigating a personalized follow-up care system for breast cancer patients in Germany, focusing on individual needs and risks of long-term therapy side effects.
  • It is a cluster-randomized controlled trial involving 30 centers aiming to recruit 1,140 patients, with the primary goal of improving health-related quality of life.
  • The pilot phase showed that the approach is feasible, and if successful, it could become a part of routine care in Germany.
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Objective: Internet-based healthcare is a crucial facet of telemedicine. Here, we examine telemedicine methods in perioperative care for gynecological surgery from a patient's perspective. We aim to understand the patients' needs during perioperative gynecological care and suggest how to optimize telemedicine services based on these insights.

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Fragile X mental retardation protein (FMRP) is a translational repressor encoded by . It targets bone morphogenetic protein receptor type II (BMPR2), which regulates granulosa cell (GC) function and follicle development. However, whether this interaction affects folliculogenesis remains unclear.

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Article Synopsis
  • The study investigated the current medically assisted reproduction (MAR) data collection systems across EU Member States and explored how they could contribute to a unified registry for the EuMAR project.
  • Significant variations were found in data types, collection methods, and reporting requirements, indicating a need for standardized practices to improve MAR data collection across the EU.
  • The cross-sectional study surveyed and interviewed participants from 26 EU countries, revealing that half have national MAR registries with cycle-by-cycle data, while others rely on aggregated data or have no registry at all.
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Oncological treatments have limited effects on the fertility prognosis in testicular cancer: A systematic review and meta-analysis.

Andrology

August 2024

Division of Gynecological Endocrinology and Reproductive Medicine, University Women's Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.

Background: Testicular cancer is the most common solid tumour among young men in the reproductive phase. After completing cancer treatment, up to 77% of cancer survivors report an interest in paternity after completing cancer treatment. To preserve fertility, most guidelines recommend that physicians should counsel their patients about sperm cryopreservation before initiating gonadotoxic therapy.

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Research Question: Does ibuprofen, a non-steroidal anti-inflammatory drug (NSAID), delay ovulation?

Design: Two-stage, proof-of-concept, controlled study, assessing the percentage of non-ovulated follicles 42 h after HCG injection in patients taking ibuprofen. The intervention group consisted of women undergoing natural cycle IVF treatment taking ibuprofen 3 × 400 mg per day. The control group consisted of women undergoing timed sexual intercourse or intrauterine insemination.

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Introduction: Anticancer treatments have significantly contributed to increasing cure rates of breast cancer in the last years; however, they can also lead to short- and long-term side effects, including gonadotoxicity, and compromised fertility in young women. Oncofertility is a crucial issue for young patients who have not yet completed their family planning at the time of cancer diagnosis.

Areas Covered: This review aims to cover all the latest available evidence in the field of oncofertility, including the gonadotoxicity of currently adopted anticancer therapies in the curative breast cancer setting, the available strategies for fertility preservation and the feasibility of achieving a pregnancy following anticancer treatment completion.

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Approximately 10% to 15% of breast cancer cases in young women are diagnosed in patients harbouring germline (g) pathogenic or likely pathogenic variants (PVs) in the BReast CAncer 1 () or BReast CAncer 2 () genes. Preclinical and clinical studies showed a potential negative effect of germline 1/2 (g) PVs on ovarian reserve and reproductive potential, even before starting anticancer therapies. The aim of this article is to summarize the current literature on the fertility potential of young g PVs carriers with breast cancer and the risk of gonadotoxicity associated with anticancer treatments.

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Background: Peripartum asphyxia is one of the main causes of neonatal morbidity and mortality. In moderate and severe cases of asphyxia, a condition called hypoxic-ischemic encephalopathy (HIE) and associated permanent neurological morbidities may follow. Due to the multifactorial etiology of asphyxia, it may be difficult prevent, but in term neonates, therapeutic cooling can be used to prevent or reduce permanent brain damage.

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Transfer of preclinical study data on the influence of on functional changes in the hippocampus during menopause.

Gynecol Endocrinol

December 2024

Regulatory Affairs Department, Schaper and Brümmer GmbH and Co. KG, Salzgitter, Germany.

Menopausal transition in women involves complex neurobiochemical changes linked to ovarian dysfunction, resulting in symptoms like vasomotor symptoms (VMS), sleep disturbances, anxiety, and cognitive impairments. Hormone replacement therapy is the first-line treatment. However, many women are reluctant to use HRT or have contraindications toward HRT and seek for alternatives.

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Oocyte collection and outcome following oncologic treatment: a retrospective multicentre study.

Support Care Cancer

May 2024

Department of Paediatric Oncology and Haematology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353, Berlin, Germany.

Purpose: This study assesses fertility treatment outcomes in female patients who had undergone successful oocyte retrieval following cancer therapy.

Methods: Between January 2020 and December 2022, we collected fertility treatment data from six participating centres in Spain and Germany. All patients associated with this data had undergone successful oocyte retrieval following cancer treatment.

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Article Synopsis
  • Endometrial cancer (EC) is a common malignancy in women, and this study analyzed treatment data for over 34,000 patients in Germany from 2000 to 2020 to assess the effectiveness of various therapies.
  • The study found that minimally invasive surgery became more prevalent and was linked to better overall survival compared to traditional open surgery.
  • Additionally, advanced risk patients benefited from multimodal treatments, while specific combinations of surgery, radiation, and chemotherapy showed improved survival rates, especially for high-risk and elderly patients.
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Purpose: Endometriosis and infertility are associated with impaired partnership and sexuality of the patients, but also of their male partners. Also, endometriosis is one of the most common causes of infertility, resulting in a large overlap of both pathologies. The aim of this study was to determine the association of different predictors of partnership and sexual satisfaction and dyadic effects in couples with endometriosis and infertility.

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A Systematic Review of the Gonadotoxicity of Osteosarcoma and Ewing's Sarcoma Chemotherapies in Postpubertal Females and Males.

J Adolesc Young Adult Oncol

August 2024

Division of Gynecological Endocrinology and Reproductive Medicine, University Women's Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.

Article Synopsis
  • Data on the impact of chemotherapy on fertility (gonadotoxicity) is crucial for advising young cancer patients about infertility risks and fertility preservation options, but recent studies on bone cancer have been lacking.
  • A systematic review included 11 relevant studies since 2000, revealing that a significant percentage of male patients (52.2% for osteosarcoma and 89.5% for Ewing's sarcoma) showed signs of suspected infertility, while female patients had lower rates (5.1% for osteosarcoma and 13.0% for Ewing's).
  • The studies revealed that Ewing’s sarcoma patients, particularly those receiving alkylating-agent chemotherapy, had a higher risk of infertility; however
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Background: Leukemia patients undergoing cryopreserved ovarian tissue transplantation (OTT) may carry a high risk of disease induction. Measurable residual disease (MRD) in bone marrow is linked to an elevated risk of relapse. It is controversial whether leukemia patients must be allowed to achieve measurable residual disease negative (MRD-negative) status instead of measurable residual disease positive (MRD-positive) status before ovarian tissue cryopreservation (OTC).

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Background: Cytotoxic treatments such as chemo- and radiotherapy and immune therapies are required in cancer diseases. These therapies have the potential to cure patients but may also have an impact on gonadal function and, therefore, on fertility. Consequently, fertility preservation treatments such as freezing of gametes and gonadal tissue might be required.

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Recent years have seen a steady increase in the information available regarding pelvic floor changes after childbirth. Obstetric trauma, to which all structures of the urogenital sphere are subjected, can affect different anatomical areas, including the vagina, perineum, deep pelvic floor muscles, and sphincter. Main complaints of parous women with regard to their pelvic floor are vaginal laxity, a wide introitus, and increased mobility of the uterus.

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Interventional study to improve pertussis and influenza vaccination uptake in pregnant women.

Eur J Obstet Gynecol Reprod Biol

April 2024

University Children's Hospital (UKBB), Paediatric Infectious Diseases and Vaccinology Unit, Basel University of Basel, Spitalstrasse 33, 4056 Basel, Switzerland. Electronic address:

Objectives: Pertussis and influenza are endemic infections and associated with relevant morbidity and mortality in newborns and young infants. The Swiss Federal Office of Public Health has recommended influenza vaccination since 2011 and pertussis vaccination in pregnancy (ViP) since 2013 and expanded to repetition in each pregnancy since 2017. ViP is safe and effective in preventing severe diseases, but implementation is a challenge.

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Practice guideline on ovarian tissue cryopreservation and transplantation in the prevention and treatment of iatrogenic premature ovarian insufficiency.

Maturitas

April 2024

Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China; Department for Women's Health, University Women's Hospital and Research Center for Women's Health, University of Tuebingen, Tuebingen, Germany.

Premature ovarian insufficiency (POI) refers to the decline of ovarian function before the age of 40. POI causes a reduction in or loss of female fertility, accompanied by different degrees of menopausal symptoms, which increases the risk of chronic diseases related to early menopause and seriously affects patients' quality of life and health. It is conservatively estimated that at least one million prepubertal girls and women of reproductive age in China are at risk of iatrogenic POI caused by radiotherapy and chemotherapy every year.

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Measuring Quality of Life: Incorporating Objectively Measurable Parameters within the Cross-Sectional Bern Cohort Study 2014 (BeCS-14).

Int J Environ Res Public Health

January 2024

University Clinic Bern, Division of Gynecological Endocrinology and Reproductive Medicine, University Women's Hospital, Inselspital Bern, Friedbühlstrasse 19, 3010 Bern, Switzerland.

Up until now, the measurement of Quality of Life (QoL) was based on validated subjective rating tools rather than objective measurement. To become more independent of the self-assessment of probands, a way to objectively measure QoL should be found. A monocenter, cross-sectional, observational, non-interventional trial was performed from 2012 to 2014 at Inselspital Bern to evaluate the bio-functional status (BFS), a complex, generic, non-invasive, sex- and age-validated assessment tool, in a wide range of areas.

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