Publisher: LWW Wolters Kluwer   (Total: 299 journals)

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Showing 1 - 200 of 299 Journals sorted alphabetically
A&A Case Reports     Hybrid Journal   (Followers: 2, SJR: 0.278, CiteScore: 1)
Academic Medicine     Hybrid Journal   (Followers: 74, SJR: 2.53, CiteScore: 2)
ACG Case Reports J.     Open Access  
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 15, SJR: 0.207, CiteScore: 0)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 5, SJR: 0.191, CiteScore: 0)
Advanced Emergency Nursing J.     Hybrid Journal   (Followers: 39, SJR: 0.235, CiteScore: 1)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 21, SJR: 1.012, CiteScore: 3)
Advances in Neonatal Care     Hybrid Journal   (Followers: 47, SJR: 0.438, CiteScore: 1)
Advances in Nursing Science     Hybrid Journal   (Followers: 38, SJR: 0.343, CiteScore: 1)
Advances in Skin & Wound Care     Hybrid Journal   (Followers: 29, SJR: 0.563, CiteScore: 1)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 5, SJR: 0.12, CiteScore: 0)
AIDS     Hybrid Journal   (Followers: 23, SJR: 2.919, CiteScore: 4)
AJSP: Reviews & Reports     Hybrid Journal  
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 19, SJR: 1.157, CiteScore: 2)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 60, SJR: 0.973, CiteScore: 2)
American J. of Dermatopathology     Hybrid Journal   (Followers: 17, SJR: 0.6, CiteScore: 1)
American J. of Forensic Medicine and Pathology     Hybrid Journal   (Followers: 29, SJR: 0.363, CiteScore: 1)
American J. of Gastroenterology, The     Hybrid Journal   (Followers: 175, SJR: 4.197, CiteScore: 5)
American J. of Nursing     Hybrid Journal   (Followers: 80, SJR: 0.284, CiteScore: 0)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 58, SJR: 0.636, CiteScore: 1)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 38, SJR: 2.531, CiteScore: 6)
American J. of Therapeutics     Hybrid Journal   (Followers: 14, SJR: 0.399, CiteScore: 1)
Anesthesia & Analgesia     Hybrid Journal   (Followers: 254, SJR: 1.472, CiteScore: 3)
Anesthesiology     Hybrid Journal   (Followers: 229, SJR: 2.123, CiteScore: 3)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 22, SJR: 0.893, CiteScore: 1)
Annals of Surgery     Hybrid Journal   (Followers: 77, SJR: 4.361, CiteScore: 5)
Anti-Cancer Drugs     Hybrid Journal   (Followers: 5, SJR: 0.716, CiteScore: 2)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 17, SJR: 0.765, CiteScore: 1)
ASAIO J.     Hybrid Journal   (Followers: 3, SJR: 0.771, CiteScore: 2)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 3, SJR: 0.64, CiteScore: 1)
Behavioural Pharmacology     Hybrid Journal   (Followers: 2, SJR: 0.916, CiteScore: 2)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 61, SJR: 0.438, CiteScore: 1)
Blood Pressure Monitoring     Hybrid Journal   (Followers: 1, SJR: 0.537, CiteScore: 1)
Brain & Life     Full-text available via subscription   (Followers: 3)
Canadian J. of Addiction     Hybrid Journal   (Followers: 1)
Cancer J.     Full-text available via subscription   (Followers: 8, SJR: 1.893, CiteScore: 4)
Cancer Nursing     Hybrid Journal   (Followers: 33, SJR: 0.858, CiteScore: 2)
Cardiology in Review     Hybrid Journal   (Followers: 8, SJR: 0.863, CiteScore: 2)
Cardiopulmonary Physical Therapy J.     Hybrid Journal   (Followers: 8)
Cardiovascular Endocrinology & Metabolism     Hybrid Journal   (Followers: 1, SJR: 0.165, CiteScore: 0)
CIN : Computers Informatics Nursing     Hybrid Journal   (Followers: 11, SJR: 0.359, CiteScore: 1)
Clinical and Translational Gastroenterology     Open Access   (SJR: 1.844, CiteScore: 4)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.268, CiteScore: 0)
Clinical J. of Pain     Hybrid Journal   (Followers: 18, SJR: 1.406, CiteScore: 3)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 35, SJR: 0.999, CiteScore: 2)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 3, SJR: 0.506, CiteScore: 1)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 2, SJR: 0.652, CiteScore: 1)
Clinical Nurse Specialist     Hybrid Journal   (Followers: 28, SJR: 0.256, CiteScore: 0)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 14)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 27, SJR: 0.588, CiteScore: 1)
Clinical Orthopaedics and Related Research     Hybrid Journal   (Followers: 97, SJR: 1.908, CiteScore: 3)
Clinical Pulmonary Medicine     Hybrid Journal   (Followers: 2, SJR: 0.215, CiteScore: 0)
Clinical Spine Surgery     Hybrid Journal   (Followers: 2, SJR: 0.738, CiteScore: 1)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 9, SJR: 0.565, CiteScore: 1)
Colombian J. of Anesthesiology : Revista Colombiana de Anestesiología     Hybrid Journal  
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 3)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 3)
Contemporary Spine Surgery     Full-text available via subscription   (Followers: 4)
Continuum : Lifelong Learning in Neurology     Hybrid Journal   (Followers: 9, SJR: 0.618, CiteScore: 1)
Cornea     Hybrid Journal   (Followers: 12, SJR: 1.578, CiteScore: 2)
Coronary Artery Disease     Hybrid Journal   (Followers: 2, SJR: 0.705, CiteScore: 1)
Critical Care Explorations     Open Access   (Followers: 1)
Critical Care Medicine     Hybrid Journal   (Followers: 359, SJR: 3.116, CiteScore: 3)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 15, SJR: 0.273, CiteScore: 1)
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 4, SJR: 0.411, CiteScore: 1)
Current Opinion in Allergy and Clinical Immunology     Hybrid Journal   (Followers: 8, SJR: 1.244, CiteScore: 3)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 60, SJR: 0.792, CiteScore: 3)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 14, SJR: 0.97, CiteScore: 2)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 21, SJR: 1.521, CiteScore: 4)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 74, SJR: 1.382, CiteScore: 3)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 51, SJR: 1.467, CiteScore: 3)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 15, SJR: 1.515, CiteScore: 3)
Current Opinion in Hematology     Hybrid Journal   (Followers: 18, SJR: 1.588, CiteScore: 3)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 11, SJR: 2.286, CiteScore: 4)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 25, SJR: 1.813, CiteScore: 4)
Current Opinion in Lipidology     Hybrid Journal   (Followers: 6, SJR: 1.847, CiteScore: 3)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 10, SJR: 1.513, CiteScore: 3)
Current Opinion in Neurology     Hybrid Journal   (Followers: 24, SJR: 1.929, CiteScore: 4)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13, SJR: 0.992, CiteScore: 3)
Current Opinion in Oncology     Hybrid Journal   (Followers: 24, SJR: 1.217, CiteScore: 3)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 31, SJR: 1.434, CiteScore: 3)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 10, SJR: 1.153, CiteScore: 3)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 12, SJR: 0.683, CiteScore: 2)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 47, SJR: 1.128, CiteScore: 3)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 53, SJR: 1.745, CiteScore: 4)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 10, SJR: 1.092, CiteScore: 3)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 18, SJR: 2.187, CiteScore: 4)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 25, SJR: 0.558, CiteScore: 2)
Current Opinion in Urology     Hybrid Journal   (Followers: 11, SJR: 0.949, CiteScore: 2)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 13, SJR: 0.143, CiteScore: 0)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 22, SJR: 0.448, CiteScore: 1)
Dermatitis     Hybrid Journal   (Followers: 1, SJR: 0.751, CiteScore: 2)
Dermatologic Surgery     Hybrid Journal   (Followers: 8, SJR: 1.168, CiteScore: 1)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 9, SJR: 0.467, CiteScore: 1)
Diseases of the Colon & Rectum     Hybrid Journal   (Followers: 36, SJR: 1.647, CiteScore: 3)
Ear & Hearing     Hybrid Journal   (Followers: 15, SJR: 1.735, CiteScore: 3)
Egyptian J. of Histology     Partially Free   (SJR: 0.107, CiteScore: 0)
Egyptian J. of Oral and Maxillofacial Surgery     Partially Free   (Followers: 1)
Egyptian J. of Pathology     Partially Free   (Followers: 1)
Emergency Medicine News     Full-text available via subscription   (Followers: 8)
Environmental Epidemiology     Open Access  
Epidemiology     Hybrid Journal   (Followers: 58, SJR: 2.671, CiteScore: 3)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 30, SJR: 1.179, CiteScore: 2)
European J. of Cancer Prevention     Hybrid Journal   (Followers: 3, SJR: 1.021, CiteScore: 2)
European J. of Emergency Medicine     Hybrid Journal   (Followers: 22, SJR: 0.597, CiteScore: 1)
European J. of Gastroenterology & Hepatology     Hybrid Journal   (Followers: 23, SJR: 0.986, CiteScore: 2)
Exercise and Sport Sciences Reviews     Hybrid Journal   (Followers: 54, SJR: 1.943, CiteScore: 4)
Eye & Contact Lens Science and Clinical Practice     Hybrid Journal   (Followers: 4, SJR: 0.949, CiteScore: 2)
Family & Community Health     Hybrid Journal   (Followers: 14, SJR: 0.539, CiteScore: 1)
Female Pelvic Medicine & Reconstructive Surgery     Hybrid Journal   (Followers: 1, SJR: 0.546, CiteScore: 1)
Gastroenterology Nursing     Hybrid Journal   (Followers: 8, SJR: 0.248, CiteScore: 0)
Global Reproductive Health     Open Access  
Harvard Review of Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.375, CiteScore: 3)
Health Care Management Review     Hybrid Journal   (Followers: 15, SJR: 1.244, CiteScore: 2)
Health Physics     Hybrid Journal   (Followers: 7, SJR: 0.528, CiteScore: 1)
Hearing J.     Full-text available via subscription   (Followers: 5, SJR: 0.123, CiteScore: 0)
HemaSphere     Open Access  
Holistic Nursing Practice     Hybrid Journal   (Followers: 6, SJR: 0.239, CiteScore: 1)
Home Healthcare Now     Hybrid Journal   (Followers: 5, SJR: 0.178, CiteScore: 0)
Human Andrology     Partially Free   (Followers: 2)
IJS Global Health     Open Access  
IJS Oncology     Open Access  
Implant Dentistry     Hybrid Journal   (Followers: 7, SJR: 0.712, CiteScore: 1)
Infants and Young Children     Hybrid Journal   (Followers: 7, SJR: 0.412, CiteScore: 1)
Infectious Diseases in Clinical Practice     Hybrid Journal   (Followers: 12, SJR: 0.177, CiteScore: 0)
Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery     Hybrid Journal   (Followers: 1, SJR: 0.432, CiteScore: 1)
Intl. Anesthesiology Clinics     Hybrid Journal   (Followers: 9, SJR: 0.201, CiteScore: 0)
Intl. Clinical Psychopharmacology     Hybrid Journal   (Followers: 2, SJR: 1.086, CiteScore: 3)
Intl. J. of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8, SJR: 0.931, CiteScore: 2)
Intl. J. of Gynecological Pathology     Hybrid Journal   (Followers: 9, SJR: 0.65, CiteScore: 1)
Intl. J. of Rehabilitation Research     Hybrid Journal   (Followers: 20, SJR: 0.583, CiteScore: 2)
Intl. Ophthalmology Clinics     Hybrid Journal   (Followers: 1, SJR: 0.59, CiteScore: 1)
Investigative Radiology     Hybrid Journal   (Followers: 10, SJR: 3.774, CiteScore: 6)
Itch : Intl. Forum for the Study of Itch     Open Access  
J. for Healthcare Quality     Hybrid Journal   (Followers: 24, SJR: 0.633, CiteScore: 1)
J. for Nurses in Professional Development     Hybrid Journal   (Followers: 13, SJR: 0.491, CiteScore: 1)
J. of Acute Care Physical Therapy     Hybrid Journal   (Followers: 1)
J. of Addiction Medicine     Hybrid Journal   (Followers: 7, SJR: 1.063, CiteScore: 2)
J. of Addictions Nursing     Hybrid Journal   (Followers: 7, SJR: 0.229, CiteScore: 0)
J. of Ambulatory Care Management, The     Hybrid Journal   (Followers: 4, SJR: 0.539, CiteScore: 1)
J. of Bronchology & Interventional Pulmonology     Hybrid Journal   (Followers: 5, SJR: 0.455, CiteScore: 1)
J. of Cardiopulmonary Rehabilitation and Prevention     Hybrid Journal   (Followers: 7, SJR: 0.816, CiteScore: 2)
J. of Cardiovascular Medicine     Hybrid Journal   (Followers: 2, SJR: 0.599, CiteScore: 1)
J. of Cardiovascular Nursing     Hybrid Journal   (Followers: 18, SJR: 0.709, CiteScore: 1)
J. of Cardiovascular Pharmacology     Hybrid Journal   (Followers: 7, SJR: 0.917, CiteScore: 2)
J. of Christian Nursing     Hybrid Journal   (Followers: 2, SJR: 0.137, CiteScore: 0)
J. of Clinical Engineering     Full-text available via subscription   (Followers: 1)
J. of Clinical Gastroenterology     Hybrid Journal   (Followers: 11, SJR: 1.245, CiteScore: 2)
J. of Clinical Neuromuscular Disease     Hybrid Journal   (Followers: 1, SJR: 0.358, CiteScore: 1)
J. of Clinical Neurophysiology     Hybrid Journal   (Followers: 3, SJR: 0.629, CiteScore: 2)
J. of Clinical Psychopharmacology     Hybrid Journal   (Followers: 24, SJR: 1.054, CiteScore: 2)
J. of Computer Assisted Tomography     Hybrid Journal   (Followers: 1, SJR: 0.648, CiteScore: 1)
J. of Continuing Education in the Health Professions     Hybrid Journal   (Followers: 12, SJR: 0.606, CiteScore: 1)
J. of Craniofacial Surgery     Hybrid Journal   (Followers: 4, SJR: 0.448, CiteScore: 1)
J. of Developmental & Behavioral Pediatrics     Hybrid Journal   (Followers: 12, SJR: 1.03, CiteScore: 2)
J. of ECT     Hybrid Journal   (Followers: 14, SJR: 0.822, CiteScore: 2)
J. of Forensic Nursing     Hybrid Journal   (Followers: 7, SJR: 0.33, CiteScore: 1)
J. of Geriatric Physical Therapy     Hybrid Journal   (Followers: 11, SJR: 0.691, CiteScore: 2)
J. of Glaucoma     Hybrid Journal   (Followers: 2, SJR: 1.08, CiteScore: 2)
J. of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 16, SJR: 1.545, CiteScore: 3)
J. of Healthcare Management     Hybrid Journal   (Followers: 12, SJR: 0.562, CiteScore: 1)
J. of Hospice & Palliative Nursing     Hybrid Journal   (Followers: 30, SJR: 0.305, CiteScore: 1)
J. of Hypertension     Hybrid Journal   (Followers: 13, SJR: 1.733, CiteScore: 3)
J. of Immunotherapy     Hybrid Journal   (Followers: 7, SJR: 1.373, CiteScore: 4)
J. of Infusion Nursing     Hybrid Journal   (Followers: 4, SJR: 0.251, CiteScore: 1)
J. of Lower Genital Tract Disease     Hybrid Journal   (SJR: 0.602, CiteScore: 1)
J. of Nervous and Mental Disease     Hybrid Journal   (Followers: 6, SJR: 0.988, CiteScore: 2)
J. of Neuro-Ophthalmology     Hybrid Journal   (Followers: 12, SJR: 0.605, CiteScore: 1)
J. of Neurologic Physical Therapy     Hybrid Journal   (Followers: 10, SJR: 1.227, CiteScore: 3)
J. of Neuroscience Nursing     Hybrid Journal   (Followers: 8, SJR: 0.388, CiteScore: 1)
J. of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 8, SJR: 0.914, CiteScore: 2)
J. of Nursing Administration     Hybrid Journal   (Followers: 32, SJR: 0.727, CiteScore: 1)
J. of Nursing Care Quality     Hybrid Journal   (Followers: 22, SJR: 0.772, CiteScore: 1)
J. of Nursing Research     Open Access   (Followers: 21, SJR: 0.492, CiteScore: 1)
J. of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 22, SJR: 0.812, CiteScore: 1)
J. of Orthopaedic Trauma     Hybrid Journal   (Followers: 19, SJR: 1.451, CiteScore: 2)
J. of Patient Safety     Hybrid Journal   (Followers: 15, SJR: 0.648, CiteScore: 1)
J. of Pediatric Gastroenterology and Nutrition (JPGN)     Hybrid Journal   (Followers: 49, SJR: 1.376, CiteScore: 2)
J. of Pediatric Hematology/Oncology     Hybrid Journal   (Followers: 6, SJR: 0.459, CiteScore: 1)
J. of Pediatric Orthopaedics     Hybrid Journal   (Followers: 14, SJR: 0.913, CiteScore: 2)
J. of Pediatric Orthopaedics B     Hybrid Journal   (Followers: 5, SJR: 0.356, CiteScore: 1)
J. of Pediatric Surgical Nursing     Hybrid Journal   (SJR: 0.123, CiteScore: 0)
J. of Perinatal & Neonatal Nursing     Hybrid Journal   (Followers: 16, SJR: 0.347, CiteScore: 1)
J. of Physical Therapy Education     Hybrid Journal   (Followers: 15)
J. of Prosthetics and Orthotics     Hybrid Journal   (Followers: 13, SJR: 0.214, CiteScore: 0)
J. of Psychiatric Practice     Hybrid Journal   (Followers: 2, SJR: 0.757, CiteScore: 1)
J. of Public Health Management and Practice     Hybrid Journal   (Followers: 5, SJR: 0.797, CiteScore: 1)
J. of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2, SJR: 1.115, CiteScore: 2)
J. of Strength and Conditioning Research     Hybrid Journal   (Followers: 75, SJR: 1.366, CiteScore: 2)
J. of the American Association of Nurse Practitioners     Hybrid Journal   (Followers: 7)
J. of the Dermatology Nurses' Association     Hybrid Journal   (Followers: 3, SJR: 0.175, CiteScore: 0)
J. of the Egyptian Women’s Dermatologic Society     Partially Free   (SJR: 0.119, CiteScore: 0)
J. of Thoracic Imaging     Hybrid Journal   (Followers: 3, SJR: 0.705, CiteScore: 2)
J. of Trauma and Acute Care Surgery, The     Hybrid Journal   (Followers: 33, SJR: 1.747, CiteScore: 3)
J. of Trauma Nursing     Hybrid Journal   (Followers: 14, SJR: 0.251, CiteScore: 0)
J. of Trauma, The     Full-text available via subscription   (Followers: 22)
J. of Women’s Health Physical Therapy     Partially Free   (Followers: 5)
J. of Wound Ostomy & Continence Nursing     Hybrid Journal   (Followers: 18, SJR: 0.613, CiteScore: 1)
JAAOS : Global Research & Reviews     Open Access   (Followers: 1)

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Similar Journals
Global Reproductive Health
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2473-3709
Published by LWW Wolters Kluwer Homepage  [299 journals]
  • Application of holistic medicine in the field of reproductive medicine: is
           it right to only focus on cells and organs' It is a time to convert to
           a new paradigm in reproductive medicine

    • Authors: Morimoto; Yoshiharu; Ida, Mamoru; Inoue, Tomoko; Fukuda, Aisaku
      Abstract: About 40 years progress of artificial reproductive technology made dream of many patients come true. However, there still remain many patients with recurrent failures of IVF by the conventional technologies. It is because we have too much focused on cells such as oocyte and sperm, and organs such as uterus, ovary, and testis. It is a time to convert to new paradigm in reproductive medicine. We should treat the whole body that includes mind and whole body. Integrated medicine considering nutrition, mental care, and other alternative medicine should be applied to raise success in artificial reproductive technology. If we can collect high quality evidence from the field, it would open the window for new era and solve issues that cannot be treated via conventional western technologies.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Brief report on the advantages of ovulation monitoring using home urinary
           LH immunoassays in ovulation induction cycles with a
           gonadotropin-releasing hormone agonist trigger

    • Authors: Katler; Quinton S.; Tricarico, Nicole M.; Bishop, Lauren A.
      Abstract: imageNumerous medications are available to assist with follicular stimulation and ovulation induction in women with ovulatory dysfunction, including clomiphene citrate, aromatase inhibitors, and injectable gonadotropins. In patients that are at a higher risk for the development of ovarian hyperstimulation syndrome in an ovulation induction cycle, a gonadotropin-releasing hormone agonist trigger may be substituted for traditional hCG trigger at the expense of an increased potential for suboptimal response. When compared with serum luteinizing hormone (LH) evaluation, using a home urinary LH immunoassay for ovulation detection in gonadotropin-releasing hormone agonist agonist trigger cycles may serve multiple advantages. Accordingly, a home LH immunoassay may play a novel role as a safe, inexpensive and effective alternative to conventional phlebotomy, particularly in lower-resource settings.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • The 5 main challenges faced in infertility care in Cameroon

    • Authors: Gwet-Bell; Ernestine; Gwet, Bea B.; Akoung, Nicole; Fiadjoe, Moïse K.
      Abstract: imageCameroon is a country located in Central Africa is facing a high infertility rate and numerous big challenges in taking care of the infertile couples. The main infertility causes are tubal stenosis in women and oligoasthenospermia in men. This is the consequences of sexual infections mainly due to sexually transmitted diseases. These cases require the use of techniques such as laparoscopy and assisted reproductive technology which are costly for the population. Fertility care is facing numerous challenges. We have chosen to describe the top 5 of these challenges. They are: the high rate of infertility, the stigmatization of infertile women, poor medical staff, the virtual absence of fertility centers and the high health care cost in poor countries. We urge the country’s authorities to invest more in prevention, training, and implementing universal health insurance.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Elevated estradiol with prolonged mifepristone to treat
           progesterone-receptor positive meningioma

    • Authors: Aharon; Devora A.; Carpinello, Olivia J.; Bishop, Lauren A.; DeCherney, Alan H.
      Abstract: imageObjective: To report a finding of persistently elevated estradiol (E2) after prolonged mifepristone use for treatment of progesterone-receptor positive meningioma, an association which has not previously been reported.Design: This is a case report.Setting: Outpatient Reproductive Endocrine clinic at a tertiary referral center.Case Report: A 48-year-old gravida 1 para 0-0-1-0 with progesterone-receptor positive meningioma, recurrent after multiple debulking surgeries. Patient was treated with mifepristone for 11 years with symptomatic improvement and tumor shrinkage. Levels of follicle-stimulating hormone, luteinizing hormone, and estradiol (E2) were followed throughout the patient’s course of mifepristone therapy. E2 levels were found to be persistently elevated to 500–700 pg/mL.Materials and Methods: Enhanced E2 assay, a liquid-chromatography tandem mass spectrometry (LC-MS/MS) based assay, was measured simultaneously with the routinely used immunoassay for 5 years in attempt to obtain a more accurate assessment.Results: E2 levels using the standard immunoassay were found to be persistently elevated while the patient was taking mifepristone. Using the enhanced LC-MS/MS assay, E2 was initially elevated, however was subsequently low. After the patient discontinued the medication, E2 levels as measured by the immunoassay normalized.Conclusions: Prolonged mifepristone use was found to be associated with markedly elevated E2 levels in our patient. If this is a true elevation, it may help explain the incidence of endometrial hyperplasia and endometrial polyps with prolonged mifepristone use. However, this was likely a false elevation, potentially due to cross-reactivity of mifepristone with the immunoassay, given the normal values obtained with the enhanced LC-MS/MS E2 assay. Whether prolonged mifepristone use may cause true or falsely elevated E2 in a wider population, and the mechanism through which it does so, should be further investigated.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Blastocyst and cleavage stage embryo biopsy for preimplantation genetic
           testing of the sickle cell gene in carrier couples: the experience of an
           IVF clinic in a developing country a retrospective study

    • Authors: Ashiru; Oladapo A.; Ogbeche, Rose O.; Oladimeji, Moruf O.; Iloabachie, Ebele C.; Umana, Akemini E.; Osumah, Jumoke G.
      Abstract: imageIntroduction: Embryo biopsy is a prerequisite for preimplantation genetic testing (PGT). Although cleavage stage biopsy is very common, trophectoderm biopsy at blastocyst stage has become increasingly popular in recent times. This study describes the clinical success of PGT cycles for sickle cell anemia using both cleavage and trophectoderm biopsy in a developing country.Materials and Methods: All patients undergoing in vitro fertilization and PGT for sickle cell anemia from April 2011 to February 2017. Embryos were biopsied either on day 3 (blastomere) or day 5/6 (trophectoderm). Laser pulses (ZILOS-tk Laser) perforating the zona pellucida were followed by either blastomere aspiration from a day 3 cleavage stage embryo or trophectoderm biospy from a day 5/6 blastocyst. Embryos were vitrified awaiting subsequent thaw and transfer. After excluding homozygous hemoglobin SS embryos, frequencies of positive human chorionic gonadotrophin, clinical pregnancy, implantation rate and live birth rate were recorded for day 3 cleavage stage embryos (group A) and day 5/6 blastocysts (group B).Results: Of the 34 patients undergoing in vitro fertilization PGT for sickle cell anemia, embryos from 18 underwent day 3 blastomere aspiration (group A) whereas embryos from 16 underwent day 5/6 trophectoderm biopsies (group B). The mean patient age was 34.4 years for group A and 34.1 years for group B. A total of 131 embryos were biopsied in group A and 106 in group B. Percentages of unaffected embryos (ie, HB AA and AS) in groups A and B were 40.4% and 68.0%, respectively. Positive human chorionic gonadotrophin rates were 7.7% and 60%, clinical pregnancy rates 7.7% and 20%, implantation rates 3.7% and 32.1%, and live birth rates 3.7% and 20%, respectively.Conclusions: In this developing country, the use of trophectoderm biopsy for interrogating embryos at risk for sickle cell anemia appeared superior to blastomere aspiration at the cleavage stage for the purpose of PGT.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • High-resolution magnetic resonance imaging in the detection of subtle
           nuances of uterine adenomyosis in infertility

    • Authors: Khandeparkar; Meenal S.; Jalkote, Shivsamb; Panpalia, Madhavi; Nellore, Swarup; Mehta, Trupti; Ganesan, Karthik; Parikh, Firuza R.
      Abstract: imageIntroduction: Magnetic resonance imaging (MRI) is the current reference standard for noninvasive imaging of the pelvis. In patients with infertility potentially earmarked for in vitro fertilization/intracytoplasmic sperm injection procedures, the distinction between adenomyosis and its mimics is extremely vital. This article highlights the vital role of MRI in the detection of subtle nuances of adenomyosis in infertility and the key imaging features of its associated conditions and mimics.Materials and Methods: This is a retrospective Health Insurance Portability and Accountability Act compliant study. Inclusion criteria consisted of (a) clinically diagnosed cases of primary infertility; (b) suspicion of adenomyosis on transabdominal and transvaginal ultrasonography; (c) nonvisualization/obscuration of the junctional zone; (d) multiparametric MRI performed at 3 T. Exclusion criteria included (a) other causes of primary infertility including Mullerian ductal anomalies, ovulation factors, and, hormonal factors such as hypothalamic-pituitary axis abnormalities; (b) secondary infertility. We identified a cohort of 114 patients who underwent multiparametric pelvic MRI on a 3 T system between July 2011 and March 2017 at our institution to rule out adenomyosis as a cause of primary infertility.Results: A total of 38 of 114 patients were diagnosed with adenomyosis, with focal adenomyosis seen in 20 patients and diffuse adenomyosis in 18 patients. Isolated adenomyosis was seen in 10 patients, whereas 28 patients had adenomyosis in combination with other pelvic pathologies. Twelve patients had isolated junctional zone thickening without any other features of adenomyosis or deep pelvic endometriosis.Conclusions: Pelvic MRI is the reference standard for the noninvasive detection of the subtle nuances of uterine adenomyosis, and, its associations including deep pelvic endometriosis in patients with infertility.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Public perceptions on ethics in the practice of assisted reproductive
           technologies in Nigeria

    • Authors: Bamgbopa; Kehinde T.; Okonta, Patrick I.; Ajayi, Richardson; Ogbeche, Rose; Igbokwe, Cynthia; Onwuzurigbo, Kingsley
      Abstract: imageThe rapid expansion of assisted reproductive technologies (ART) services in Nigeria has stimulated public interest in the need to address related ethical issues and the institutionalization of regulatory guidelines to regulate the practice of ART in Nigeria in order to protect patients’ rights and safety. This study aims to document the views of various stakeholders in ART regarding salient ethical issues relating to its practice in Nigeria. The Ethics committee of the Association for Fertility and Reproductive Health in Nigeria (AFRH) organized a focus group discussion with participants drawn from different sociocultural/religious backgrounds and professional disciplines to deliberate on 16 key ethical issues in ART practice. Given the understanding that there are no rights or wrong answers when considering the ethics, the participants reached a consensus that access to ART is a fundamental reproductive right for all members of the society regardless of marital status and that choices made are dependent individual circumstances. There was a noticeable progressive shift in opinions on some issues, compared with a previous study, and a persistent negative view of others within the legal and sociocultural dictates of the Nigerian society especially on issues concerning sex selection and orientation. This study provides updated information on the societal viewpoints and perceptions which could aid the promulgation of ethical practice guidelines for ART practitioners in Nigeria.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Exploring the prevalence of high-risk obstetric conditions diagnosed by
           point-of-care ultrasound evaluation in a rural Ugandan population: a
           cohort study

    • Authors: Dougherty; Anne; Kasten, Miriam; McDonald, Maureen; Angela, Njeri; Kawooya, Michael; Matovu, Alphonsus; Destigter, Kristen
      Abstract: imageObjective: The aim of this study was to determine the prevalence of high-risk obstetric conditions identified by point-of-care ultrasound in a rural Ugandan community and compare them with known rates in high-income settings.Methods: Pregnant women in a rural Ugandan clinic were offered a screening obstetric ultrasound at a late second or third trimester antenatal visit (Clearvue 350). Appropriate follow-up was determined by a preset algorithm. Placental abnormalities, multiple gestations, and fetal malpresentation were recorded. Descriptive statistics were used for analysis.Results: Fetal malpresentation in the third trimester was found in 15% [confidence interval (CI), 11.7–18.6] of pregnancies. Rates of multiple gestations and placental location abnormalities were 4% (CI, 2.7–5.2) and 1.7% (CI, 0.8–2.5), respectively. Overall, prevalence of abnormal placentation was comparable to published rates, although persistent fetal malpresentation was higher than in the United States. The rate of multiple gestations is on par with United States data despite lack of access to artificial reproductive technology.Conclusions: Given that placental abnormalities, multiple gestations, and fetal malpresentation in a rural Ugandan population are at least as common as in high-income countries, and emergency obstetric care is more difficult to access in Uganda, the contribution of these conditions to maternal mortality is likely higher in rural Uganda. Ultrasound can be used to identify and refer patients to higher-level facilities for safe delivery.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
  • Establishing the global working group on Reproductive and Developmental
           Environmental Health (RDEH): practicum of a global resource

    • Authors: Power; Allison M.; Woodruff, Tracey J.; Conry, Jeanne A.; Giudice, Linda C.
      Abstract: Advocacy, training, and research for the prevention of adverse health effects from environmental exposure are the major foci of the International Federation of Gynecology and Obstetrics (FIGO) Reproductive and Developmental Environmental Health (RDEH) Working Group. A critical need for a consistent global effort to address these threats to human reproductive and developmental health was identified after the publication of influential committee opinions (ACOG, Obstet Gynecol, 2013; FIGO, Int J Gynaecol Obstet, 2015) and the assembling of the FIGO 2015 Pre-Congress Workshop, “Summit on Shaping Our Planetary Legacy: Setting an Agenda for Environmental Reproductive Health.” RDEH’s goals are to convene experts of diverse backgrounds to generate evidence-based knowledge and propose solutions to the increasing threats of harmful environmental chemicals to global human reproduction and development by prevention of harm through education, research, and advocacy. This practicum is a guide for establishing a global task force, such as FIGO RDEH, for developing collaboration among experts across disciplines and time zones, and for building accessible and vital databases.
      PubDate: Sat, 01 Sep 2018 00:00:00 GMT-
       
 
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