Reproduction/Infertility

Given the current severe global shortage of nursing staff, nurse burnout has become a hidden risk threatening patient safety. Alleviating nurse burnout and ensuring patient safety are therefore the core tasks of current clinical nursing management. To address the inadequacies of existing nursing interventions, which are mostly one-dimensional and lack an integrated framework, this study integrates the core logic of the Conservation of Resources Theory, Job Demands-Resources Model, Effort-Reward...

This article reconstructs Roman gynecology based on Latin medical texts, in the absence of any autonomous gynecological treatise in Latin. Drawing on a fragmentary corpus, it examines disorders of the female genital system and certain sexual dysfunctions, mainly through descriptions based on symptoms. The study shows that these conditions are relatively few in numbers, often described indirectly, and largely subordinated to reproductive function. The reserve of the authors - all sources being...

CONCLUSIONS: The AI‑assisted CBL+FC instructional model significantly enhances theoretical knowledge, clinical decision‑making skills, and learner engagement among reproductive medicine residents. This blended learning model offers an efficacious and generalizable methodology for training practitioners to address the evolving clinical requirements within contemporary fertility care.

The growing global interest in complementary and traditional medicine has over time extended into the field of reproductive health. Across Africa and Asia, traditional healing systems, herbal remedies, and indigenous birth practices continue to play major roles in maternal and reproductive health care delivery. In many low-and middle-income countries, these approaches are not merely alternatives to modern medicine, they are often the first and most accessible forms of care available to women and...

INTRODUCTION: Lesbian, gay, bisexual, transgender, queer, and persons with other gender identities (LGBTQ+) report difficulties in accessing and receiving health care, extending into OB/GYN care, with patients frequently being seen in this setting for nuanced, sensitive concerns. Up to 90% of OB/GYN residents desire more education on caring for the LGBTQ+ community. We explored the impact of a simulation-based learning experience (SBLE) designed around effective communication and the health care...

CONCLUSIONS: A core set of Kampo formulas commonly recommended by OB/GYNs was identified, providing a practical foundation for clinical education and the implementation of Kampo medicine by general clinicians managing female-specific conditions.

CONCLUSION: Dentists had the highest knowledge, gynecologists the lowest knowledge and practices, and pregnant women the strongest preventive behaviors.

The inaugural session of the Asian Society of Young Gynecologic Oncologists (ASYGO), held during Asian Society of Gynecologic Oncology 2025, focused on training pathways and learning curves in minimally invasive surgery (MIS) for young gynecologic oncologists. Country reports from Japan, South Korea, China, Thailand, and Indonesia highlighted the rapid expansion of MIS alongside persistent disparities in training infrastructure, mentorship access, and competency assessment. While digital...

CONCLUSIONS AND RELEVANCE: More than 3 years after Dobbs, the OBGYN workforce is under tremendous strain. OBGYN practitioners are essential providers of abortion care, maternal health, contraception, and complex gynecological conditions, and it is critical to understand how the post-Dobbs abortion policy environment continues to impact the OBGYN workforce and, by extension, patients.

Recent reforms in Japan's medical education, particularly the revision of the Model Core Curriculum, have emphasized hands-on clinical training to improve student competencies. Despite growing awareness, implementation varies across institutions, and clinical education remains largely observational with limited procedural experience. In contrast, Germany's medical education, rooted in practical training since the Meiji period influence, integrates structured clinical experience throughout the...

"From Congress to Clinic: Relevant Trials Presented at European Society of Gynaecological Oncology (ESGO) 2026" summarizes the most clinically relevant studies presented at the 27th Congress of European Society of Gynaecological Oncology, held in Copenhagen, Denmark, from February 26 to 28, 2026. The meeting gathered more than 3000 attendees from over 100 countries and featured more than 100 international speakers, over 1200 abstracts, and more than 200 scientific lectures highlighting advances...

CONCLUSION: Most patients undergoing genetic testing did not carry an inherited mutation; however, over one-third of those without a mutation had lifetime breast cancer risk ≥20% based on Tyrer-Cuzick and/or CRS. These findings underscore the importance of routine HCRA and individualised management based on comprehensive risk assessment.

The Zheng's in Kunshan, a respected family for Gynecology, has lasted for twenty-nine generations. Its earliest medical work can be traced back to the South Song Dynasty. Its important physicians at the beginning stage in the South Song Dynasty were Xue Jiangshi, Xue Xuan and Zheng Chunfu. However, the origins and lineage of the Zheng's in Kunshan are indistinct, with inconsistencies in genealogical records and conflicting authorship attributions. This paper examined and analysed its relevant...

CONCLUSION: Overall, negative laparoscopy rates are low compared to previously reported data. The discrepancy between the healthcare sectors likely relates to patient factors, surgical training, and clinician bias. Peritoneal biopsy for symptomatic patients undergoing laparoscopy should be considered due to the potential to miss superficial disease.

CONCLUSIONS AND RELEVANCE: An underlying bleeding disorder is far more frequent in HMB than currently appreciated. Gynecologists should be aware of this and be familiar with screening instruments and a diagnostic workflow for bleeding disorders. Multidisciplinary collaboration between gynecology and hematology is crucial for accurately diagnosing and managing potential bleeding disorders in women with HMB.

CONCLUSIONS: The study concludes that successful teleconsultation relies not merely on technological infrastructure but critically on a complex interplay of human, cognitive and ethical factors. These findings underscore the necessity for developing integrated teleconsultation systems that are explicitly designed to support both the technical and the collaborative cognitive dimensions of clinical reasoning.

CONCLUSION: In this sample of obstetrics and gynecology journals, substantial differences were observed in journal policies and in the implementation of clinical trial registration and CONSORT-related reporting practices between Chinese- and English-language publications. These findings highlight the association between journal policies and reporting transparency, while underscoring the need for continued efforts to strengthen trial registration and reporting standards within the field.

INTRODUCTION: This study aimed to assess the knowledge, attitudes, and practices (KAP) of obstetrics and gynecology medical staff concerning enhanced recovery after cesarean section (ERAC).

Obstetric and gynecological ultrasound has become one of the most important first-line diagnostic modalities in contemporary clinical practice, playing a central role in antenatal care, prenatal screening and gynecological diagnostics. The aim of this review is to provide a comprehensive overview of the development of obstetric and gynecological ultrasound in Hungary, its current national guideline framework and its integration into international standards, with particular emphasis on...

CONCLUSIONS: Applicants rely on a diverse constellation of resources, each offering distinct contributions to the decision-making process. Program websites emerged as the most frequently utilized resource, while residency fairs have limited use. This may underscore the desire of applicants for asynchronous resources and can guide programs to focus their efforts on more utilized platforms.

OBJECTIVE: The American College of Obstetricians and Gynecologists recommends speculum exams rather than digital exams for cervical evaluation in preterm prelabor rupture of membranes (PPROM). However, making management decisions based on speculum exams has challenges. This study aims to investigate OB/GYN clinicians' self-reported adherence to and comfort with these recommendations.

CONCLUSIONS: An SLOE was submitted by most applicants to OBGYN residency programs. Iterative modification of the SLOE based on PD, applicant, and faculty advisor feedback is needed to assess its utility in the application process.

CONCLUSION: EP management, even within a country with a homogeneous healthcare system, may demonstrate considerable heterogeneity, strongly influenced by institutional size. These findings highlight the need for national guidelines to ensure standardized and evidence-based care.

CONCLUSIONS: Industry payments to gynecologic oncologists demonstrate persistent gender and geographic diffrences and reflect evolving therapeutic priorities within the field. Increased transparency and proactive efforts are needed to promote balanced access to industry-sponsored opportunities as novel treatments emerge.

CONCLUSIONS: This study elucidates resident and faculty perspectives on simulation training. Both groups endorsed key ideas, including the need for a structured and standardized curriculum. Currently, no simulation curriculum standards exist. Findings demonstrate the importance of communication between residents and faculty to create an effective training curriculum that addresses the unique needs and barriers of both trainers and trainees.

Reproductive health, infertility, and perinatal diseases significantly challenge human health development and continuity, requiring multidisciplinary approaches for enhanced academic understanding and practical solutions. This study used bibliometric analysis to examine related articles in the web of science (WoS) database, employing tools including bibliometrix and VOSviewer for systematic literature analysis. To capture the broader context of high-impact research, we first analyzed 1,026...

CONCLUSIONS: A structured, longitudinal multimodal educational intervention significantly improved obstetrics and gynecology residents' preparedness to provide gender-affirming care. These findings support the integration of a formal transgender and gender-diverse health education curriculum into graduate medical education to enhance clinical competency and promote equitable health care.

CONCLUSIONS: A podcast-based, case-discussion ambulatory curriculum is a feasible and well-accepted approach to enhancing resident education in the ambulatory setting. This adaptable model may be applicable to other residency programs and specialties seeking to strengthen ambulatory training.

CONCLUSIONS: This first large-scale evaluation of UI-related knowledge and practice among Chinese primary care gynecologists reveals substantial gaps, especially in rural areas. Incorporating UI into continuing medical education, promoting routine screening, updating diagnostic knowledge, and applying digital tools for real-time monitoring of pelvic floor training may improve early detection and care. Tailored interventions addressing urban-rural disparities are essential to strengthen UI...

In recent years, artificial intelligence (AI) has brought about a dramatic transformation in obstetrics, gynecology, and fertility medicine. AI, including methods such as machine learning, deep learning, and large language models (LLMs), is reshaping the way clinical data are collected, analyzed, and applied. Image processing, particularly through deep learning applications, significantly enhances the detection of fetal anomalies in prenatal ultrasound, the classification of embryo quality in...

CONCLUSIONS: Medical education research output in Japanese obstetrics and gynecology was modest and concentrated on surgical skills training and simulation-based education for senior residents, with minimal attention to earlier learner stages, nontechnical competencies, or international collaboration. These baseline data may inform strategic investment in broader educational themes, target populations, and partnerships.

This guideline provides evidence-based recommendations, drawn exclusively from recent randomized control trials, for the clinical management of frozen embryo transfers (FET). In Canada, the incidence of freeze-all cycles has increased from 24.0% to 78.4% over the last decade. While a freeze-all strategy can be a pivotal tool for preventing ovarian hyperstimulation syndrome, the available data do not support its routine use for improving live birth rates, reducing pregnancy loss or enhancing...

CONCLUSIONS: Despite relatively high levels of HCV knowledge, few participants have experience with HCV treatment in pregnancy or would consider such treatment. Further availability of safety evidence and the inclusion of specific recommendations in guidelines could increase uptake of DAAs for pregnant individuals.

CONCLUSIONS: These findings suggest opportunities to strengthen editorial and institutional safeguards, robust research-integrity training, and systematic implementation of fraud-detection tools to protect the quality of gynecologic-oncology literature.

CONCLUSIONS: Game show format led to improved performance on selected topics on the ITE. Educators should consider gamification when constructing review curricula for residents and other health professions learners.

CONCLUSION: This study demonstrated that the novel in-house 3D-printed simulator significantly outperformed the commercial model in objective surgical performance, learning progression and user satisfaction.

The World Health Organization identifies infertility as a major public health issue, affecting about 17.5% of people globally. Depression among infertile women has bidirectional physiological, social, and economic effects. However, limited data exists in Ethiopia, where infertility is often linked to social discrimination. Investigating this issue is especially important in low-income countries. This study was aimed at assessing the prevalence of depression and its associated factors among...

Since its nationwide implementation in 2014, China's standardized residency training system has aimed for homogeneous clinical competency outcomes. In obstetrics and gynecology, where minimally invasive techniques now dominate, this goal faces significant challenges. The high volume of laparoscopic procedures necessitates efficient training, yet traditional apprenticeship models within real-world clinical settings are often inconsistent, time-intensive, and carry inherent patient safety...

CONCLUSION: ChatGPT-4 generated management recommendations that were rated similarly to those of board-certified urogynecologists. However, AI responses demonstrated greater variability and a more polarized distribution of ratings. These findings suggest that large language models may function as adjunct decision-support tools in structured scenarios, while complex clinical reasoning still requires specialist oversight.

CONCLUSIONS AND RELEVANCE: A sharp reduction in benign gynecological care did not result in strategies to minimize patient harm like prioritization or substitution of care, as observed with our available claims data. Our findings indicate a lack of flexibility in health care provision to adjust to rapidly changing demands. Data limitations underscore the need for complementary research using other data sources to assess patient harm.

CONCLUSIONS: There is a high administrative burden placed on OBGYN ACs, causing stress and negatively impacting well-being. There is interest amongst ACs and PDs in changing the AC role such that it no longer falls on a current resident.

CONCLUSIONS: Despite strong perceived benefits and a high level of comfort with prescribing, one in four gynaecologists does not systematically offer MHT as first-line therapy for moderate to severe VMS. A gap persists between guidelines and real-life menopause care. Patient hesitancy and risk perceptions underline the need for improved education and decision-support tools.

All global organisations involved in setting standards of care for sexual and reproductive rights for women have strongly emphasised that care during pregnancy, labour and post-partum should not only focus on preventing maternal deaths and complications but should provide a women centred care to meet their individual needs and human rights principles. Maternity care should respect autonomy, privacy, dignity, confidentiality and involve women in decision making at each stage during pregnancy. It...

CONCLUSION: Racial bias in assessment of OB/GYN medical students and residents consistently shows negative impacts on historically minoritized trainees. Current literature inadequately addresses effective strategies to mitigate this bias. Future research should prioritize developing and testing targeted interventions aimed at reducing disparities and creating evidence-based institutional policies to ensure equity.

CONCLUSIONS: These findings support the use of EMIGS as a gynecologic-specific simulation tool in surgical education, although further research with larger numbers of participants are needed to confirm these observations.

CONCLUSION: Uninsured status, unemployment, and non-English speaking patients are associated with nonattendance to this postpartum subspecialty clinic; it is imperative to bridge this care gap.

Physician well-being is a multidimensional concept encompassing physical, mental, and social health; life satisfaction; and purpose. Broader than wellness, which focuses on health behaviors, well-being and its importance to patient safety and care quality are well-documented, with poor clinician well-being contributing to burnout, medical errors, and diminished outcomes. Experienced by physicians at higher rates than other professionals, burnout is driven by chronic workplace stress and is...

CONCLUSION: The findings highlight the urgent need for targeted training and improved multidisciplinary access to address the sexual and psycho-physical needs of breast cancer patients. Institutional commitment and systemic changes are essential to ensure comprehensive and patient-centered care.

CONCLUSIONS: The observed increase in the number of alleged victims of sexual violence requiring examination supports the health policy assumption that structured and correct forensic evidence collection is becoming increasingly vital. Adequate funding for the examination and the storage of evidence carriers is mandatory for long-term quality assurance. This is the only way to ensure optimal support and care for presumed victims in these stressful situations.

As genomic sequencing becomes more prevalent in reproductive medicine, clinicians must remain knowledgeable about the purpose of each ordered test, the principles of variant classification, and how to interpret and integrate findings into clinical decision-making. This review outlines the American College of Medical Genetics and Genomics (ACMG) standardized guidelines for sequence variant interpretation and highlights anticipated updates in the forthcoming v4.0 framework. When next-generation...