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Birth plans
Published in Sheila Broderick, Ruth Cochrane, Trauma and Birth, 2020
Sheila Broderick, Ruth Cochrane
If a woman uses an ovulation kit and she gets pregnant, she will feel that she was in control via the ability to predict her most fertile time. However, there are many, many women who can testify that trying to get pregnant at your most fertile time of the month does not mean that you will conceive.
Adnexal/Ovarian Torsion
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Hajra Takala, Mona Omar, Ayman Al-Hendy
Ovulation induction to treat infertility may cause multiple large ovarian follicular cysts, and large cysts carry an increased risk of torsion [47, 59]. In a study designed to determine the incidence of OT in patients after gonadotropins (ovulation induction treatment for either in vitro fertilization [IVF] or intracytoplasmic sperm injection [ICSI]). Operative laparoscopic conservative treatment (detorsion or unwinding the twisted adnexa) was performed in all of the patients. The study demonstrated that OT should be considered a major complications of assisted reproductive treatment, especially if patients are hyperstimulated (ovarian hyperstimulation syndrome [OHSS]), pregnant, or both [31].
Ovarian, Fallopian Tube, and Primary Peritoneal Cancer
Published in Pat Price, Karol Sikora, Treatment of Cancer, 2020
Robert D. Morgan, Andrew R. Clamp, Gordon C. Jayson
Epidemiological studies have suggested that the risk of ovarian cancer is associated with ovulation, in that early onset of menarche and late menopause are associated with a slightly higher risk of ovarian cancer, whereas pregnancy, the contraceptive pill,4 and tubal ligation5 reduce risk. Nulliparity and infertility are associated with increased risk. There is an increased risk of developing borderline ovarian tumors in women who undergo in vitro fertilization treatment.6 There is also evidence that prolonged use of hormone replacement therapy is associated with a small increased risk of ovarian cancer.7
Does Interest in Sex Peak at Mid-Cycle in Ovulatory Menstrual Cycles of Healthy, Community Dwelling Women? An 11-Month Prospective Observational Study
Published in Women's Reproductive Health, 2021
Allison B. Macbeth, Azita Goshtasebi, G. William Mercer, Jerilynn C. Prior
However, in the past it was also commonly believed that ovulation always occurred in regular, normal-length cycles (e.g., approximately 28 days). Data from a large population-based study, however, recently showed that belief to be inaccurate (Prior et al., 2015). In at least one-third of spontaneous, regular, normal-length cycles in a community-wide epidemiology study of >3000 women, ages 20–49, ovulatory disturbances were confirmed by a cycle-timed serum progesterone level below the ovulatory threshold of 9.54 nmol/L (Prior et al., 2015). Thus, the studies, both older and more recent, that alleged that women’s menstrual cycle patterns were related to interest in sex provided non-definitive evidence because they lacked hormonal confirmation of ovulation (Adams et al., 1978; Arslan et al., 2018; Jones et al., 2018a).
Losartan ameliorates ovarian ischaemia/reperfusion injury in rats: an experimental study
Published in Journal of Obstetrics and Gynaecology, 2020
Ismet Hortu, Orkun Ilgen, Cagdas Sahin, Ali Akdemir, Gurkan Yigitturk, Oytun Erbas
Ovarian torsion is one of the most prominent gynaecological emergencies with a frequency of 2.7–7.4% depending on the series and occurs most commonly during the reproductive years, with the average patient being in her mid-20s (Sasaki and Miller 2014). It is defined as the twisting of the ovary and/or tube around its own vascular axis. Patients with adnexal torsion present with acute, severe, unilateral lower abdominal and/or pelvic pain, and nausea in addition to vomiting. Hence, detorsion of the ovary is surgically implemented to maintain its proper blood supply (Soltani et al. 2017). Ovulation induction, ovarian and/or paratubal cysts, hyperlaxity of the infundibulopelvic or utero-ovarian ligaments have been considered as risk factors of this emergent condition. When diagnosed early, the adnexa can be unwound. However, the diagnosis is often delayed due to the inconsistent presenting symptoms and signs as well as intermittent pain. When the diagnosis is delayed, the adnexa becomes congested, ischaemic, haemorrhagic, and necrotic. Misdiagnosis or delay in treatment can have permanent sequel including loss of an ovary which affects future fertility, peritonitis, pelvic thrombophlebitis, and even death (Shokri et al. 2018).
The effect of maternal body mass index (BMI) and telomere function on in vitro fertilization (IVF) outcome: a preliminary cohort study
Published in Human Fertility, 2020
Natalie Weeg, Anat Hershko Klement, Einat Haikin, Aliza Amiel, Adrian Shulman, Tal Biron-Shental, Amir Wiser
BMI is known to be linearly and negatively correlated with telomere's length in both pre- and post-menopausal women (Kim et al., 2009). Such findings support the hypothesis that obesity may accelerate aging processes, possibly affecting gametes, as well as other somatic cells. There is considerable evidence for an association between increased BMI and infertility (Chavarro et al., 2012; Chavarro, Rich-Edwards, Rosner, & Willett, 2007; Jungheim et al., 2009). Fertility may be compromised through ovulation disorders, though it is possible that pregnancy loss, poor outcomes and luteal-phase defects are also involved (Chavarro et al., 2007; Rich-Edwards et al., 2002). Despite this, few studies have studied the relationship between telomeres and IVF performance according to patients' BMI.