Journal of the Chinese Medical Association : JCMA

BACKGROUND: Although evidence suggests that levator ani muscle (LAM) entheseal pain is a novel etiology of chronic pelvic pain (CPP), its association with lower urinary tract symptoms (LUTS) remains underexplored. This study examined the ur…

BACKGROUND: Endometriosis is a chronic estrogen-dependent inflammatory disorder associated with pelvic pain, infertility, and an increased risk of endometriosis-associated ovarian cancer. Despite extensive research, its molecular mechanisms…

BACKGROUND: Infertility constitutes a dyadic stressor, as it inherently involves both members of a couple; nevertheless, its psychological impact is frequently evaluated from an individual perspective. We tested whether etiologic diagnosis …

BACKGROUND: Minimally invasive myomectomy offers significant perioperative benefits, including reduced pain and faster recovery. Current approaches include conventional laparoscopic myomectomy (LM), single-port LM, and mini-laparotomy. We d…

BACKGROUND: To evaluate the effect of dienogest on urinary symptoms and sexual functioning within a 6-month follow-up period. METHODS: We recruited 22 women with symptoms with dysmenorrhea, deep dyspareunia, and dyschezia accompanied with …

BACKGROUND: This study sought to evaluate obstetric complications and perinatal outcomes in frozen embryo transfer (FET) using either a natural cycle (NC-FET) or a hormone therapy cycle (HT-FET). Furthermore, we investigated how serum level…

BACKGROUND: The appropriateness of hysterectomy has gained an interest in scrutiny and debate. Periodic audits of the prevailing clinical practices are imperative for insight, and to formulate recommendations and guidelines. We report the t…

BACKGROUND: We aimed to compare the outcomes of ovarian cystectomy (OC) performed by vaginal natural orifice transluminal endoscopic surgery (vNOTES) vs transumbilical laparoendoscopic single-site surgery (LESS). METHODS: We retrospectivel…

BACKGROUND: Early dietary intake enhanced recovery after surgery (ERAS). There remains a gap in the recognition and implementation of early diet after surgery in medical institutions in Taiwan. This study aimed to investigate whether early …

BACKGROUND: The number of mature oocytes retrieved plays a significant role in determining embryo development and pregnancy outcomes of in vitro fertilization (IVF). However, studies investigating factors predictive of the efficacy of matur…

Adhesions, characterized by fibrin deposition leading to fibrous tissue connections (adherence tissues) between various tissue planes or organs, as part of internal healing process and inflammatory reactions passing through the different bu…

BACKGROUND: Robotic total hysterectomies have been considered contraindicated for patients with intra-abdominal adherences, but the evidence for this is not strong, and we hypothesized that the procedure can be of benefit even in these case…

BACKGROUND: The aim of this study was to determine whether there is a difference in pregnancy rates between groups that we removed directly and removed by rotating the embryo transfer catheter 360°. METHODS: The study group consisted of 55…

Clear cell carcinoma of the ovary (ovarian clear cell carcinoma [OvCCC]), one of subtypes of epithelial ovarian carcinoma (EOC), is often accompanied with endometriosis, which is also called as endometriosis-associated EOC (EAEOC) and frequ…

BACKGROUND: Ovarian clear cell carcinoma (OCCC) is frequently associated with endometriosis. Since serum levels of cancer antigen 125 (CA125) have limited diagnostic and prognostic value in this malignancy, there is an unmet need for reliab…

BACKGROUND: Most reproductive system studies suggest the protective effects of vitamin D, but vitamin D deficiency and insufficiency are growing global health issues. The present study investigates the association between vitamin D deficien…

Endometriosis is a multifactorial and chronic inflammatory disease, involving more than 10% of women of reproductive age, contributing to a heavy burden of socioeconomic health problems, such as pelvic adhesion, chronic pelvic pain, inferti…

Total hysterectomy (TH) may be one of the most frequent surgeries in women during their life-span period, although the recent trends have become more apparent in the use of fertility-sparing surgery (organ-preservation strategy) in place of…

The current standard therapy of epithelial ovarian cancer (EOC) is the combination of surgery and multiagent chemotherapy with/without adding targeted therapy. After treatment, response rate is high and nearly all patients can achieve compl…

BACKGROUND: The aim of this report was to review experience from a single hospital in treating ureteral obstruction related to endometriosis with robot-assisted laparoscopic ureteral reconstruction. METHODS: This retrospective analysis stu…

Endometriosis-associated ovarian cancers (EAOCs) including endometrioid and clear cell ovarian carcinoma are subgroups of epithelial ovarian carcinomas (EOCs), which is generally acknowledged as the most lethal gynecological malignancy. End…

BACKGROUND: Endometriosis is a pelvic inflammatory process, and hormonal, environmental, and genetic factors play a role in its etiopathogenesis; especially, deep pelvic endometriosis exhibits an extensive anatomical distribution. In the pr…

BACKROUND: This study aimed to investigate the impact of changes in the serum levels of trace elements and heavy metals in threatened abortion, which is a common complication in early pregnancy. Earlier studies have shown that changes in th…