Fertility and sterility
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Fertility and sterility · Sep 2010
Randomized Controlled Trial Multicenter Study Comparative StudyLetrozole versus combined metformin and clomiphene citrate for ovulation induction in clomiphene-resistant women with polycystic ovary syndrome: a randomized controlled trial.
To compare the effect of letrozole with combined metformin and clomiphene citrate (CC) for ovulation induction in CC-resistant women with polycystic ovary syndrome (PCOS). ⋯ Letrozole and combined metformin-CC are equally effective for inducing ovulation and achieving pregnancy in patients with CC-resistant PCOS.
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A 36-year-old multiparous woman presented with amenorrhea and hyperhidrosis of 6 months' duration. Physical examination revealed large, stubby fingers and toes with soft tissue thickening. Serum growth hormone and insulin-like growth factor-1 (IGF-1) levels were elevated and a pituitary macroadenoma was found on computerized tomography (CT).
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Fertility and sterility · Sep 2010
Factors associated with ovarian hyperstimulation syndrome (OHSS) and its effect on assisted reproductive technology (ART) treatment and outcome.
To evaluate factors associated with ovarian hyperstimulation syndrome (OHSS) and its effect on assisted reproductive technology (ART) treatment and outcome. ⋯ Ovarian hyperstimulation syndrome is associated with a higher likelihood of pregnancy, and multiple gestations, but also greater risks for adverse pregnancy outcomes.
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Fertility and sterility · Sep 2010
Case ReportsHysteroscopic management of heterotopic cesarean scar pregnancy.
To report a cesarean scar pregnancy (CSP) with a coexistent viable intrauterine pregnancy. ⋯ With the increasing number of IVF-embryo transfers, the amount of heterotopic pregnancies is also increasing. Hysteroscopic management of CSP is a minimally invasive procedure that leads to successful obstetric outcomes in the corresponding intrauterine pregnancies.
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Fertility and sterility · Sep 2010
Efficacy of a novel educational curriculum using a simulation laboratory on resident performance of hysteroscopic sterilization.
To assess whether a novel educational curriculum using a simulation teaching laboratory improves resident knowledge, comfort with, and surgical performance of hysteroscopic sterilization. ⋯ Simulation laboratory teaching significantly improved resident knowledge, comfort level, and technical skill performance of hysteroscopic sterilization.