International Journal of Gynecology & Obstetrics

OBJECTIVE: To evaluate the diagnostic accuracy of hysteroscopic endomyometrial biopsy using Spirotome,complemented by transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI), for diagnosis of adenomyosis in patients with abnorma…

OBJECTIVE: To evaluate the presence of gynecologic pathologies accompanying adenomyosis among the hysterectomy specimens performed for various gynecologic indications. METHODS: This multicenter retrospective cohort study included women who…

OBJECTIVE: Dyspareunia can severely impact the quality of life of patients with endometriosis. This symptom is often linked to a specific form of deep infiltrating endometriosis, such as rectovaginal septum endometriosis. Despite the radica…

OBJECTIVE: Previous studies found younger age was associated with an increased risk of hysterectomy after hysteroscopic surgeries (HS) due to abnormal uterine bleeding (AUB). The present study aimed to evaluate the effect of age on the inci…

To investigate the risk factors influencing very early preterm and early preterm births in twin pregnancies after in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). This retrospective study analyzed 2042 twin pregnanc…

Abdominal wall scar endometriosis (AWE) is a rare endometriosis that usually occurs after gynecological or obstetric surgery and for which surgical resection is the standard treatment. For large tissue defects after resection, abdominal wal…

Data indicate a link between the cervix and pathologies like adenomyosis and endometriosis. Uterine flexion on the cervix, diameter and stiffness of the internal cervical orifice represent an obstacle to downstream menstrual flow, that when…

OBJECTIVE: Endometriosis significantly impacts the quality of life (QoL) of affected women due to its complex symptomatology. This study aimed to develop a decision tree-based model to identify the key determinants influencing QoL in women …

BACKGROUND/AIM: This study evaluated cesarean section scar endometriosis (CSSE) characteristics and compared adipose- and muscle-layer CSSEs. MATERIALS AND METHODS: We analyzed 53 patients who underwent CSSE surgery between 2019-2024, with…

BACKGROUND: OHVIRA syndrome, a urogenital malformation, lacks standardized management. Narrative reviews exist, but there is no a comprehensive meta-analysis. OBJECTIVES: The aim of this first systematic review and meta-analysis is to eval…

BACKGROUND: Whether cyst size affects ovarian reserve before and after surgery remains controversial. OBJECTIVE: The objective of this study is to determine whether cyst size causes differences in pre- and post-ovarian reserve impairment a…

BACKGROUND: Cervical endometriosis (CE) is an uncommon diagnosis with a paucity of evidence on its management. OBJECTIVE: To examine 10 years of data to identify CE cases and to conduct a systematic review to evaluate evidence for managing…

The goal was to develop a pragmatic classification system for conditions associated with chronic pelvic pain (CPP), aiming to enhance diagnosis, management, education, and research of CPP. An international, multidisciplinary panel participa…

Uterine fibroids, or leiomyomas, are benign uterine tumors with a lifetime prevalence of approximately 75%. While only a minority become symptomatic, their impact on quality of life remains profound owing to heavy menstrual bleeding, bulk s…

OBJECTIVE: To investigate the effect of pelvic adhesions on reproductive outcomes following high-intensity focused ultrasound (HIFU) ablation in patients with adenomyosis. METHODS: A total of 396 patients with adenomyosis underwent HIFU, i…

BACKGROUND: Endometriosis, the most perplexing gynecologic condition, impairs the quality of life because it is usually accompanied by persistent severe acyclic pelvic pain and infertility as its two main symptoms. The majority economic bur…

AIM: This study evaluates the efficacy and safety of Dienogest in the treatment of endometrioma and related symptoms. METHODS: This study included 209 patients who were diagnosed with endometrioma in our clinic between January 1, 2010, and…

BACKGROUND: Hormone pre-treatment is still used before assisted reproductive technique (ART) in endometriotic women, but evidence supporting this recommendation is conflicting. OBJECTIVES: To evaluate whether hormone pre-treatment with gon…

Pediatric and adolescent gynecology (PAG) is an expanding subspecialty of obstetrics and gynecology that addresses the reproductive health needs of girls and young women worldwide. In regions with limited subspecialist healthcare providers,…

OBJECTIVE: Endometriosis significantly affects patients' quality of life, yet its management remains challenging due to diagnostic delays and symptom complexity. Therapeutic patient education (TPE) is effective in chronic disease management…

OBJECTIVE: We conducted a comparative retrospective bicentric study of rectal endometriosis treatment with high-intensity focused ultrasound (HIFU) and surgery in terms of symptoms and treatment-related morbidity at 6 months. METHODS: All …

OBJECTIVE: Endometriosis is a chronic disease which has been reported to be associated with distorted immune mechanisms. The alternative pathway is a complement system which plays a role in immune defense. The present study aimed to evaluat…

This FIGO committee opinion paper addresses the growing body of evidence linking environmental exposures to common gynecologic and reproductive conditions across the life course. From adolescence through menopause, women are exposed to a wi…

A 36-year-old woman presented with chronic pelvic pain and dysmenorrhea. Imaging revealed posterior wall adenomyosis, right ovarian endometrioma (6 × 5 × 5.5 cm). She underwent robotic adenomyomectomy and endometriotic cystectomy. A single …

Preserving fertility is essential when managing benign gynecologic disorders in reproductive-aged women. Surgical interventions can impact future fertility, therefore requiring an evidence-based, individualized approach. The FIGO Committee …