J Reprod Med
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The International Society for the Study of Vulvovaginal Disease (ISSVD) has, as one of its major societal goals, the development and promulgation of nomenclature and classification of vulvar disease. A committee of the ISSVD has developed new nomenclature and classification for the specific area of vulvar dermatoses. This classification was approved by the ISSVD members at the most recent international congress, held in New Zealand in February 2006.
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Case Reports
Group A streptococcal toxic shock syndrome after an office endometrial biopsy: a case report.
Endometrial biopsy is a common office procedure and is relatively free of serious complications. ⋯ Since the 1980s, an increase in severe infections caused by Streptococcus pyogenes led to the definition of group A streptococcal toxic shock syndrome. This appears to be the first report of streptococcal toxic shock syndrome occurring after an endometrial biopsy.
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The objective of this article is to review the current understanding of the relationship between endometriosis and infertility and the recommended management based on the latest evidence. The article is based on a MEDLINE search and bibliography review of the relevant literature from 1960 to 2003. The exact nature of the relationship between endometriosis and infertility remains uncertain. ⋯ Ovarian suppression should not be used in asymptomatic patients wishing to become pregnant except in the setting of in vitro fertilization and embryo transfer (IVF/ET). Prolonged suppression with gonadotropic-releasing hormone analogues should be considered for endometriosis patients about to undergo an IVF/ET cycle. IVF seems to be effective in endometriosis patients.
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Amniotic fluid embolism is a life-threatening complication of pregnancy accompanied by a high mortality rate. The common clinical presentation is sudden onset of dyspnea, hypotension inappropriate to the volume of blood loss, and hypoxia, followed by cardiopulmonary arrest. Recently, cases of amniotic fluid embolism with isolated coagulopathy as an atypical presentation have been reported. ⋯ This case represents atypical symptoms and signs: clinical hemorrhage in the initial presentation rather than the classical pattern of cardiopulmonary collapse. In cases of suspected amniotic fluid embolism with an atypical presentation, a thorough histologic examination of the uterus, including the cervix, is critical to making the diagnosis of amniotic fluid embolism.
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Hiccups, or singultus, are an abrupt, intense contraction of the inspiratory muscles accompanied by closure of the glottis and are experienced by most people. people. ⋯ A uterine leiomyoma, especially the subserosal type, might become a possible etiology of hiccups when large enough to cause irritation of the vagus or phrenic nerve.