Fertility and sterility
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Fertility and sterility · Feb 2011
Randomized Controlled Trial Comparative StudyComparison of levonorgestrel intrauterine system versus hysterectomy on efficacy and quality of life in patients with adenomyosis.
To compare the levonorgestrel intrauterine system (LNG-IUS) with hysterectomy in patients with adenomyosis and to study the effects of both treatments on quality of life (QOL). ⋯ It seems that LNG-IUS demonstrates significant and comparable improvements in hemoglobin levels to hysterectomy in treating adenomyosis-associated menorrhagia during the first year. Although both treatments lead to improvements in health-related QOL, LNG-IUS seems to have superior effects on psychological and social life. It may be a promising alternative therapy to hysterectomy.
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Fertility and sterility · Feb 2011
Randomized Controlled TrialPostoperative medical treatment of chronic pelvic pain related to severe endometriosis: levonorgestrel-releasing intrauterine system versus gonadotropin-releasing hormone analogue.
To compare efficacy of the levonorgestrel-releasing intrauterine system (LNG-IUS; Mirena) with depot GnRH analogue (GnRH-a; gosareline acetate; Zoladex) on endometriosis-related chronic pelvic pain (CPP) in patients with severe endometriosis during 12 months. ⋯ Both treatment modalities showed comparable effectiveness in the treatment of CPP-related endometriosis.
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Fertility and sterility · Dec 2010
Randomized Controlled TrialAromatase inhibitors in women with clomiphene citrate resistance: a randomized, double-blind, placebo-controlled trial.
In 36 women with polycystic ovary syndrome and clomiphene citrate resistance, letrozole, an aromatase inhibitor, statistically significantly increased the ovulation rate by 33.3% in the treatment group, indicating that letrozole can be used as an effective and simple alternate ovulation-inducing agent in these women.
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Fertility and sterility · Nov 2010
Randomized Controlled Trial Comparative StudyProspective randomized comparison of human oocyte cryopreservation with slow-rate freezing or vitrification.
To compare cryopreservation of mature human oocytes with slow-rate freezing and vitrification and determine which is most efficient at establishing a pregnancy. ⋯ Our results suggest that vitrification/warming is currently the most efficient means of oocyte cryopreservation in relation to subsequent success in establishing pregnancy.
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Fertility and sterility · Oct 2010
Randomized Controlled TrialA randomized controlled study comparing harmonic versus electrosurgery in laparoscopic myomectomy.
To compare the effectiveness and safety of harmonic scalpel versus electrosurgery to reduce blood loss during laparoscopic myomectomy. ⋯ The use of the harmonic scalpel for laparoscopic myomectomy is associated with low total operative time, low intraoperative blood loss, and low postoperative pain, with no increase in surgical difficulty.