As the coronavirus pandemic is far from ending, more questions regarding the female reproductive system, particularly fertility issues, arise. The purpose of this paper is to bring light upon the possible link between COVID-19 and women’s reproductive health. This review emphasizes the effect of SARS-CoV-2 on the hormones, endometrium and menstrual cycle, ovarian reserve, follicular fluid, oocytes, and embryos. The results showed that endometrial samples did not express SARS-CoV-2 RNA. Regarding the menstrual cycle, there is a large range of alterations, but they were all reversible within the following months. The ovarian reserve was not significantly affected in patients recovering from both mild and severe infection in most cases, except one, where the levels of AMH were significantly lower and basal follicle-stimulating hormone (FSH) levels were increased. All COVID-19 recovered patients had positive levels of SARS-CoV-2 IgG in the follicular fluid. The amount of retrieved and mature oocytes and the fertilization rate were unharmed in three studies, except for one study, where the quantity of retrieved and mature oocytes was reduced in patients with higher levels of SARS-CoV-2 antibodies. The numbers of blastocysts, top-quality embryos, and euploid embryos were affected in most of the studies reviewed.
Coming from a female pacient's point of view, breast cancer is a hard to bare diagnosis. But what about the male patient? Although is very rare, male breast cancer does exist, and in the majority of cases, it is diagnosed in a very advanced stage with minimal curative posibilities. The critical medical education in our country along with the absence of a well structured national screening program are both provocative factors for the existence of this kind of disease. This work is based upon a retrospective study on 976 patients (919 females and 57 males) who were diagnosed and requiring medical treatment for mammary neoplasm between 2008-2013 under the auspices of the Surgery Clinic inside the Clinical and Emergency District Hospital of Constanta. From all the patient's anamnestic common elements like smoking, liver diseases, stress, radiation exposure, family antecedents that are related to the actual suffering, we can draw a latiogeneral instalation pattern of cancer. This study is meant to point out the similarities and especially the differences between the specialised bibliography and the collected information from the existing pathology concerning the age incidence, the type of neo formation, the location, histo-pathologic diagnosis, the types of surgical procedures and also to make evident the causes producing delay in starting the surgical treatment with visible consequential effects on both surviving and the quality of life.
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