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In this special feature, up-to-date information will be provided regarding the risks and benefits of various diagnostic methods available today for patients of advanced maternal age (AMA).
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Women who initially were diagnosed with Stage IA disease and who had serous borderline tumors or underwent cystectomy appeared to derive the most benefit from restaging surgery. Nonetheless, the indications for restaging surgery remain controversial, as no difference in recurrence rate was observed between women who underwent restaging and those who did not.
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In a collective effort from the tumor registries of 4 academic centers, Huh and colleagues accessioned cases of uterine papillary serous carcinoma (UPSC), which, following comprehensive surgical staging, were identified with disease limited to the uterine corpussurgical stage I.
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Some European studies indicate that 2-3% of pregnancies occur through assisted reproductive techniques (ART) while US statistics suggest that about 0.9% of all pregnancies result from ART. Although there has been much written about the profusion of multiple gestations secondary to ART, little attention has been directed toward singleton pregnancies.
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Endometrial biopsies were performed using intrauterine lidocaine only, naproxen only, both, or neither. Intrauterine lidocaine significantly reduced the pain when used in conjunction with oral naproxen sodium.
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In a comparison with uterine artery embolization, laparoscopic occlusion of uterine vessels for the treatment of symptomatic uterine fibroids had less associated postoperative pain and comparable effects on fibroid-associated symptoms.
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Patients in clinical remission are most likely to benefit from autologous transplantation, with the exception of patients with clear cell histology.
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An enlightening article recently appeared in the British Journal of Obstetrics and Gynaecology by Akmal and colleagues. They performed sonograms in 601 women in active labor to assess the position of the fetal head as it entered the maternal pelvis. Using the simple end point of Cesarean section, they then folded in a variety of other variables, such as maternal age, parity, maternal height, ethnicity, fetal gender, gestational age, and whether labor was spontaneous or induced.
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Oligoasthenospermia (male factor infertility) is associated with abnormal genomic imprinting of the sperm, a feature that may predispose to abnormal embryogenesis, including a risk of rare developmental abnormalities and cancer in adulthood, if fertilization occurs, as it may because of the availability of assisted reproductive techniques.
