These proceedings of a BARD Workshop, held in Jerusalem in March 1988, consider how an animal knows that it is pregnant. They cover the ways by which the lifespan and function of the corpus luteum are prolonged by the presence of an embryo, and the maternal adjustments to the allogeneic embryo that allow its retention in the uterus rather than its rejection as foreign tissue. A multidisciplinar...

A 35-year-old-woman presented to us for her third IVF treatment cycle. She had had a Cesarean delivery 7/2 months earlier following a successful IVF treatment. She had had an uneventful recovery from the operation. After delivery she had two menstrual periods then decided to start a new IVF treatment cycle. She had her first ultrasound scan on cycle day (CD) 9, which was performed before the lu...

STUDY QUESTION Does uterine artery embolization (UAE) permit fertility in childbearing women who have extensive symptomatic fibroids and are not eligible for surgery? SUMMARY ANSWER Although UAE was effective in improving bleeding, bulking and pain symptoms, and in sparing the ovarian reserve, no woman in this study delivered successfully after UAE. WHAT IS KNOWN ALREADY Although pregnancie...

Introduction Nearly 95 percent of ectopic pregnancies are implanted in the various segments of the fallopian tube, the remaining 5 percent of non tubal ectopic pregnancies (EP) implants in the ovary, peritoneal cavity, cervix, or prior cesarean scar and are considered unusual ectopic pregnancies. Unusual EP are considered an important challenge for the gynaecologist who must recognize this cond...

Diagnosis of adnexial torsion is difficult during pregancy (1). The time of decision and laparoscopy is that of the risk of necrosis of the adnexa and, therefore, of the ovarian prognosis. The loss of an ovary can compromise the following fertility. Even if concerns related to laparoscopy in pregnant patients include a limited surgical field, with a risk of uterine injury and negative fetal eff...

Infertility is defined as failure to achieve pregnancy during one year of frequent, unprotected intercourse. Evaluation generally begins after 12 months, but it can be initiated earlier if infertility is suspected based on history or if the female partner is older than 35 years. Major causes of infertility include male factors, ovarian dysfunction, tubal disease, endometriosis, and uterine or c...

Endometrial and ovarian cancers are two most common cancers affecting women in their post-menopausal years. To date, there are no simple biochemical tests to detect these cancers at early stages. Our previous study has demonstrated that the activity of total proprotein convertases (PCs) is significantly increased in uterine lavage at all stages of endometrial cancer, suggesting uterine lavage w...

Uterine fibroids are often seen in pregnancy, with a reported prevalence between 0.1% and 15%. The incidence is increasing because more women delay pregnancy. The effect of uterine fibroids on fertility and pregnancy depends on number, size and location. In 2% of all pregnancies with uterine fibroids, conservative therapy fails and myomectomy by laparotomy or laparoscopy had to be performed, ma...

PURPOSE OF REVIEW The management of uterine fibroids in patients requiring treatment who desire future fertility remains controversial. Myomectomy has been the most common operative procedure to improve pregnancy rates and outcomes. Uterine fibroid embolization is an increasingly popular, minimally invasive treatment for fibroids. This review aims to provide critical analysis of available data ...

Background and Aim: Ovarian torsion is one of the rare causes of emergency surgeries during pregnancy. Heterotopic pregnancy is a rare type of pregnancy characterized by embryo implantation in two different locations. occurence of these two complications at the same time is a very rare condition. In this study, we present a rare case of heterotopic pregnancy accompanied by ovarian torsion. Pat...