Roger Hart

Abstract Objectives: The objectives of this study were to determine if radical laparoscopic excision of endometriosis (RLEE) improves long-term outcomes in the quality of life (QOL) and symptomatology experienced by women with the disease. …

Across the Western World there is an increasing trend to postpone childbearing. Consequently, the negative influence of age on oocyte quality may lead to a difficulty in conceiving for many couples. Furthermore, lifestyle factors may exacer…

BACKGROUND: A couple may be considered to have fertility problems if they have been trying to conceive for over a year with no success. This difficulty with conception may affect up to a quarter of all couples planning a child. The reported…

INTRODUCTION: About 17% of couples in industrialised countries seek help for infertility, which may be caused by ovulatory failure, tubal damage or endometriosis, or a low sperm count. In developed countries, 80% to 90% of couples attemptin…

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To determine the effectiveness and safety of GnRHas in the treatment of the painful symptoms associated with endometriosis.

EDITORIAL NOTE: See https://pubmed.ncbi.nlm.nih.gov/37341141/ for a more recent review that covers this topic and has superseded this review. BACKGROUND: Endometriosis is a common gynaecological condition, characterised by the presence of e…

OBJECTIVE: To prospectively observe the changes occurring in endometrial glandular morphology during menstrual shedding and regeneration. DESIGN: Prospective observational study. SETTING: The academic gynaecological endoscopy unit of a univ…

BACKGROUND: Endometriomata are endometriotic deposits within the ovary. The surgical management of these blood filled cysts is controversial. The laparoscopic approach to the management of endometriomata is favoured over a laparotomy approa…

BACKGROUND: The objective of this review was to determine which is the most effective technique for treating an ovarian endometrioma; excision or ablation. METHODS: A systematic review employing the principles of the Cochrane Menstrual Diso…

Endometriosis may produce a variety of different symptoms of varying severity and lesions of variable distribution and extent. With such protean manifestations, there is confusion about how to classify the disease and how to measure the eff…

The treatment options that face a couple prior to in vitro fertilisation (IVF) depend upon the cause of their infertility. To clarify the definition of male factor subfertility to produce a pragmatic approach to treatment, Van Voorhis publi…

ABC of subfertility Unexplained infertility, endometriosis, and fibroids

The incidence of pelvic spreading of endometrial cells at diagnostic hysteroscopy was studied comparing the two distension media carbon dioxide (CO(2)) and normal saline (N/Saline). Thirty patients requiring laparoscopy and hysteroscopy wer…