CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

BACKGROUND: Maternal chronic conditions are implicated as risk factors for congenital anomalies, but few studies have assessed reproductive conditions such as endometriosis. Given the association between endometriosis and infertility requir…

Lower rates of minimally invasive procedures predispose patients to complications. [1][1] Providers should ensure that all patients receive high-quality care and are aware of all treatment options. Providers should consider access to medica…

[For a first-person account of endometriosis, see www.cmaj.ca/lookup/doi/10.1503/cmaj.230215][1] KEY POINTS Endometriosis is a chronic condition defined by the presence of endometrial-like tissue outside of the uterus, which can lead to est…

[Voir la version anglaise de l’article ici: www.cmaj.ca/lookup/doi/10.1503/cmaj.220637][1]; [pour connaître le point de vue d’une personne atteinte d’endométriose, voir www.cmaj.ca/lookup/doi/10.1503/cmaj.230215-f][2] Points clés L’endométr…

[Voir la version anglaise de l’article ici: www.cmaj.ca/lookup/doi/10.1503/cmaj.220466][1] Une femme de 34 ans, en bonne santé, s’est présentée à notre clinique de gynécologie pour le traitement d’un polype cervical. Ses médicaments compren…

[See related article at www.cmaj.ca/lookup/doi/10.1503/cmaj.220637][1] I’ve always had quite a bit of period pain, but I didn’t talk to people about it. In my early 20s, the pain around ovulation became unbearable. I also started having pel…

A healthy 34-year-old woman presented to our gynecology clinic for treatment of a cervical polyp. Medications included a combined oral contraceptive pill (OCP) and ibuprofen for heavy menstrual bleeding and longstanding dysmenorrhea. She ha…

BACKGROUND: Hysterectomy, the most common gynecological operation, requires surgeons to counsel women about their operative risks. We aimed to develop and validate multivariable logistic regression models to predict major complications of l…

Adenomyosis is a benign gynecological disorder characterized by aberrant development of endometrial glands and stroma within the myometrium, causing inflammation and neuroangiogenesis.[1][1],[2][2] Adenomyosis often coexists with other gyne…

A 44-year-old woman presented to hospital with a 10-day history of hemoptysis. Her medical history included endometriosis and an ovarian cystectomy six years previously. Her hemoptysis coincided with her current menstrual period. She had no…

A 42-year-old woman presented to the emergency department with a four-day history of severe constipation, bilious vomiting and colicky abdominal pain. Her symptoms started with the onset of menses but differed from the crampy dysmenorrhea f…

OBJECTIVES: To examine variations in rates of hysterectomy for the five main indications for the procedure in regions of Ontario. DESIGN: Cross-sectional population-based analysis of hospital discharge abstracts. SETTING: All acute care fac…

Gonadotropin-releasing hormone (Gn-RH) analogues are synthetic derivatives of the native hypothalamic peptide with alterations in their chemical structure that result in changes in biologic activity. Several Gn-RH agonists are available for…