Endometrial receptivity and conception outcome among women with light menstrual bleeding of unidentified etiology

Gao, Yueqing; Hong, Xiumei; Wang, Zhewei; Zhu, Ying

doi:10.1002/ijgo.12335

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Scanty bleeding is usually an indication that the lining of the uterus is not as lush or thick. Light menstrual periods are also a big sign that the uterine lining is not getting the circulation it needs to really build up to the thickness for an embryo to implant ( 15 , 16 ), and women with light menstrual bleeding are associated with a poor conception outcome ( 17 ). In our current study, we found that there was no difference in the length of the menstrual cycle and menses between women with a history of caesarean scar pregnancy who had or did not have a subsequent pregnancy after unprotected sexual intercourse.…”

Section: Discussionmentioning

confidence: 99%

Subsequent Fertility in Women Treated for Caesarean Scar Pregnancy With Hysteroscopy: A 5-Year Follow-Up Descriptive Study in a Tertiary Hospital

et al. 2021

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ObjectiveThe outcomes of subsequent pregnancies and fertility in women with a history of caesarean scar pregnancy have not been well described. In this study, we followed up 149 women with a history of caesarean scar pregnancy and analysed the effect on their fertility.Methods149 women with a history of caesarean scar pregnancy were followed up for five years. Of them, 53 women had unprotected sexual intercourse attempting to become pregnant again. Data including clinical parameters and treatment options at the time of diagnosis of caesarean scar pregnancy, and the outcomes in subsequent pregnancy were collected. In addition, a questionnaire about the menstrual cycle after treatment was voluntarily completed by these women.ResultsOf the 53 women, 46 (84%) women had a subsequent pregnancy, while seven (14%) women did not. There was no association between the clinical parameters in previous caesarean scar pregnancy or treatment and future fertility. From the questionnaire, there was no difference seen in the length of the menstrual cycle and menses between the two groups. However, a higher number of women with light menstrual bleeding were seen in women without a subsequent pregnancy (67%), compared with women who did (28%). In addition, six women (13%) who had a subsequent pregnancy experienced foetus death in the first trimester.ConclusionWe reported that 14% of women with a history of cesarean scar pregnancy did not have a subsequent pregnancy, after unprotected sexual intercourse for more than two years. Light menstrual bleeding after treatment may be associated with this adverse effect. Our findings need to be further investigated with large sample size.

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Section: Discussionmentioning

confidence: 99%

Subsequent Fertility in Women Treated for Caesarean Scar Pregnancy With Hysteroscopy: A 5-Year Follow-Up Descriptive Study in a Tertiary Hospital

et al. 2021

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“…Heavy menstrual bleeding can be caused by processes interfering endocrine, paracrine and hemostatic functions of the endometrium and the myometrial contractility (e.g., endometrial polyps, adenomyosis, leiomyomas, coagulopathy, hyperplasia, polycystic ovarian syndrome) [ 68 ]. However, light menstrual bleeding sometimes is not clearly attributed to a specific cause [ 69 ]. Reports of heavy bleeding and menstrual blood clots appear to be lower than those identified in previous research [ 18 , 70 , 71 ].…”

Section: Discussionmentioning

confidence: 99%

Menstrual characteristics and associations with sociodemographic factors and self-rated health in Spain: a cross-sectional study

Medina-Perucha,

López-Jiménez,

Pujolar-Díaz

et al. 2024

BMC Women's Health

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Background Evidence on how menstrual characteristics may differ based on socioeconomic factors and self-rated health is significantly scarce. The main aim of this study was to investigate the associations between menstrual characteristics, sociodemographic factors and self-rated health among women and people who menstruate (PWM) aged 18–55 in Spain. Methods This cross-sectional study includes data from an online survey collected in March–July 2021 across Spain. Descriptive statistical analyses and multivariate logistic regression models were performed. Results The analyses included a total of 19,358 women and PWM. Mean age at menarche was 12.4 (SD = 1.5). While 20.3% of our participants experienced a menstrual abundance over 80 ml, 64.1% reported having menstrual blood clots; 6.4% menstruated for longer than 7 days. 17.0% had menstrual cycles that were shorter than 21 days or longer than 35 days. Reports of moderate (46.3%) and high (22.7%) intensity menstrual pain were common. 68.2% of our participants experienced premenstrual symptoms in all or most cycles. The odds for lighter menstrual flow, shorter bleeding days and menstrual cycles were higher as age increased, and amongst participants with less educational attainment. Caregivers presented higher odds for abundant menstrual flow and longer menstruations. Reporting financial constraints and a poorer self-rated health were risk factors for abundant menstrual flow, menstrual blood clots, shorter/longer menstruations and menstrual cycles, premenstrual symptoms, moderate and intense menstrual pain. Conclusions This study suggests that age, educational attainment, caregiving, experiencing financial hardship and a poorer self-rated health may shape or mediate menstrual characteristics. It thus highlights the need to investigate and address social inequities of health in menstrual research.

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“…No endometrium peristalsis wave within 3 min; score, 1; c two-dimensional gray-scale mode; endometrial thickness, 6.0 mm; score, 1; endometrial type, type C; score, 1; d 2D color Doppler mode; a little blood flow in the subendometrium; score, 2; e threedimensional mode; EV, 1.56 cm 3 ; score, 1; f three-dimensional mode; VFI, 0.027; score, 2 assessment of endometrial repair, but these features have limitations in the monitoring of disease condition and the diagnosis and treatment of diseases. In recent years, increasing attention has been paid to the role of recovery of endometrial receptivity in the endometrial repair [4,[14][15][16]. Although many studies have been conducted to investigate the endometrial receptivity, the methods in these studies are often different and there are no widely accepted criteria for the assessment of endometrial receptivity.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of studies have suggested that ultrasound can be used to assess the endometrial receptivity [3]. However, few studies were conducted to evaluate the endometrial receptivity in patients with induced abortion by using ultrasound multimodal score [4]. This study aimed to evaluate the clinical value of ultrasound multimodal score in the evaluation of endometrial receptivity in patients with induced abortion.…”

Section: Introductionmentioning

confidence: 99%

Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

et al. 2020

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Background: This study aimed to evaluate the value and feasibility of ultrasound multimodal score in the evaluation of endometrial receptivity in patients with artificial abortion (AA). Methods: Sixty-eight patients with AA (AA group) and 70 women of the childbearing age without any history of abortion (control group) were recruited between January 2018 and December 2018. All subjects received the examination of endometrium in the middle luteum phase (7-9 days after ovulation) with two-dimensional grayscale ultrasound, two-dimensional color Doppler ultrasound, and three-dimensional ultrasound, and the quantitative scores were obtained and compared between two groups. Results: The quantitative score of endometrial receptivity was 10.46 ± 2.99 in the AA group and 13.49 ± 2.21 in the control group showing significant difference (p < 0.05). Conclusions: Ultrasound multimodal quantitative scores can be used to evaluate the endometrial receptivity of patients with AA.

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Endometrial receptivity and conception outcome among women with light menstrual bleeding of unidentified etiology

Cited by 5 publications

References 22 publications

Subsequent Fertility in Women Treated for Caesarean Scar Pregnancy With Hysteroscopy: A 5-Year Follow-Up Descriptive Study in a Tertiary Hospital

Subsequent Fertility in Women Treated for Caesarean Scar Pregnancy With Hysteroscopy: A 5-Year Follow-Up Descriptive Study in a Tertiary Hospital

Menstrual characteristics and associations with sociodemographic factors and self-rated health in Spain: a cross-sectional study

Application of ultrasound multimodal score in the assessment of endometrial receptivity in patients with artificial abortion

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