Fertility & Hysteroscopy

Fertility & Hysteroscopy Pioneer Infertility & IVF Training Institute www.embryoedu.in

Role of progesterone in prevention of preterm labour : A 34-year-old woman (G2 P1) attends for her 20-week anomaly scan....
04/02/2026

Role of progesterone in prevention of preterm labour :
A 34-year-old woman (G2 P1) attends for her 20-week anomaly scan. Her previous pregnancy was an uncomplicated full-term delivery. The sonographer notes the cervical length is 21 mm. She has no history of cervical trauma or previous preterm births.
What is the next step in management according to NICE guidelines?
A. Offer prophylactic cervical cerclage
B. Offer prophylactic vaginal progesterone
C. Consider prophylactic vaginal progesterone
D. Consider prophylactic cervical cerclage
E. Reassure as she has no high-risk history

Ziwig’s Endotest saliva test : aims to transform endometriosis screening, though debate remains about its clinical impac...
01/02/2026

Ziwig’s Endotest saliva test : aims to transform endometriosis screening, though debate remains about its clinical impact.

With diagnosis still taking an average of about 7 years and often requiring invasive procedures, a reliable noninvasive test could significantly shorten delays and reduce patient burden.

The Ziwig Endotest® is a groundbreaking, non-invasive diagnostic tool designed to detect endometriosis using a simple saliva sample ,uses Next-Generation Sequencing (NGS) and Artificial Intelligence (AI) to analyze a signature of 109 different microRNAs in saliva.

High Accuracy: sensitivity of over 97% and a specificity of over 93%.

Scope: It is designed to detect all types of endometriosis, including superficial, deep infiltrating, and ovarian endometrioma.

Sample Collection Process

The test requires a, supervised saliva collection, ideally in the morning.

Precautions: Within 30 minutes before the test, patients must not eat, drink, smoke, chew gum, wear lipstick, or brush their teeth.

Turnaround Time: Results are generally available in 3 to 4 weeks.

Status: It has obtained the CE mark for in vitro diagnostic medical devices in Europe.

The test drew attention at the 2025 Paris Women’s Health Congress, even as its relevance continues to be discussed within the scientific community.

🎯Fellowship/Diploma in Infertility & Reprod. Medicine  💎Endorsed by World Fertility Academy 👉Hybrid ( both online and on...
30/01/2026

🎯Fellowship/Diploma in Infertility & Reprod. Medicine
💎Endorsed by World Fertility Academy
👉Hybrid ( both online and onsite ) 360° Course Module
📅 New batch starts on 20.02.2026
👩‍⚕️Dear Gynaecs , Register Today !
& Practise Infertility with confidence 👍🤘🫰
🚨 Limited Seats Available — Apply Soon!
📞Ask for more information📞
💬 Whatsapp : 078940 40500 , INDIA
🌐 www.embryoedu.in
👉Sessions exclusively on Fridays/Sundays Evenings
👉Country specific weekly once evening sessions.
🇮🇳 🇧🇩🇳🇵🇵🇭 🇸🇸 🇲🇾 🇰🇭 🇸🇬 🇹🇭 🇮🇩 🇱🇦 🇻🇳🇲🇲🇴🇲🇶🇦 🇺🇬

IntraUterine Estrogen - Releasing Stent : designed to reduce adhesion reduction rate• At 60 days post - operation, the a...
29/01/2026

IntraUterine Estrogen - Releasing Stent : designed to reduce adhesion reduction rate

• At 60 days post - operation, the adhesion reduction rate in the experimental group (intrauterine estrogen - releasing system) was 93.33%, while that in the control group (Foley catheter balloon combined with oral estrogen therapy) was 58.56%. The rate in the experimental group was significantly higher than that in the control group.

Endometrial thickness

• At 60 days post - operation, the thickness of the endometrium during the ovulatory period in the experimental group was significantly greater than that in the control group.

Menstrual improvement rate

• At 60 days post - operation, the menstrual improvement rate in the experimental group was higher than that in the control group. 85.00% vs 54.55% the improvement rate of menstrual cycle was 75.00% in the experimental group and 45.45% in the control group.

Re - operation rate and pregnancy rate

• During the 12 - month follow - up after the operation, there was no significant difference in the rate of repeat TCRA (transcervical resection of adhesions) and pregnancy rate between the two groups. The rate of repeat TCRA was 11.67% in the experimental group and 18.18% in the control group; the pregnancy rate was 26.67% in the experimental group and 22.73% in the control group.

Drug release amount

• During the 1 - year follow - up, the average daily drug release amount of the stent in the experimental group was 0.21mg/day. Moreover, no severe postoperative complications occurred in either group.

A recent study has classified polycystic o***y syndrome (PCOS) into four distinct data-driven subtypes, each with unique...
14/01/2026

A recent study has classified polycystic o***y syndrome (PCOS) into four distinct data-driven subtypes, each with unique reproductive and metabolic profiles. Understanding these subtypes is crucial for personalized treatment options and improving outcomes.

1️⃣ HA-PCOS (Hyperandrogenic)**: High testosterone levels and increased risk of dyslipidemia and second-trimester pregnancy loss.

2️⃣ OB-PCOS (Obesity)**: High BMI and insulin resistance leading to severe metabolic complications, but also the highest rate of PCOS remission over time!

3️⃣ SHBG-PCOS (High S*x Hormone-Binding Globulin)**: Milder form with high SHBG levels, lower BMI, favorable reproductive outcomes, and the least risk for metabolic disease.

4️⃣ LH-PCOS (High Luteinizing Hormone–Anti-Müllerian Hormone)**: Elevated LH and AMH levels, lowest disease remission rate, and high risk of ovarian hyperstimulation syndrome during IVF.

Gao, X., Zhao, S., Du, Y., et al. (2025) subtypes of polycystic o***y syndrome and their association with clinical outcomes. Nature Medicine 29.10.2025

The human Y chromosome was once similar in size and gene content to the X chromosome, but over millions of years it has ...
14/01/2026

The human Y chromosome was once similar in size and gene content to the X chromosome, but over millions of years it has lost almost 97% of its original genes, now carrying only about 50–55 essential genes including the SRY gene that triggers male s*x development.
This gene loss has occurred because the Y chromosome stopped recombining with a partner chromosome, making it prone to mutation and decay over evolutionary time.
These dramatic changes have sparked debate about the long-term stability of the Y chromosome and whether some species might eventually evolve new s*x-determining systems if the Y were lost.
Despite this, many scientists believe that the human Y chromosome has stabilized and is unlikely to disappear soon, with the remaining genes conserved and functionally important.

New year. New energy. New magic.Every sunrise brings a new chapterMake yours inspiring in 2026
31/12/2025

New year. New energy. New magic.
Every sunrise brings a new chapter
Make yours inspiring in 2026

🎯Fellowship/Diploma in Infertility & Reprod. Medicine  💎Endorsed by World Fertility Academy 👉Hybrid ( both online and on...
07/12/2025

🎯Fellowship/Diploma in Infertility & Reprod. Medicine
💎Endorsed by World Fertility Academy
👉Hybrid ( both online and onsite ) 360° Course Module
📅 New batch starts on 16.01.2026
👩‍⚕️Dear Gynaecs , Register Today !
& Practise Infertility with confidence 👍🤘🫰
🚨 Limited Seats Available — Apply Soon!
📞Ask for more information📞
💬 Whatsapp : 078940 40500 , INDIA
🌐 www.embryoedu.in
👉Sessions exclusively on Fridays/Sundays Evenings
👉Country specific weekly once evening sessions.
🇮🇳 🇧🇩🇳🇵🇵🇭 🇸🇸 🇲🇾 🇰🇭 🇸🇬 🇹🇭 🇮🇩 🇱🇦 🇻🇳🇲🇲🇴🇲🇶🇦 🇺🇬

Preconception and first-trimester metformin on pregnancy outcomes in women with polycystic o***y syndromeContinuation of...
23/11/2025

Preconception and first-trimester metformin on pregnancy outcomes in women with polycystic o***y syndrome
Continuation of metformin in 1st trimester has more benefits and should be continued till more larger studies come .
-a systematic review and meta-analysis

Microwave Ablation Treatment for Adenomyosis and Uterine Fibroids : MicroWave (MWA – Microwave Ablation) technology is o...
20/11/2025

Microwave Ablation Treatment for Adenomyosis and Uterine Fibroids :

MicroWave (MWA – Microwave Ablation) technology is one of the most innovative mini-invasive therapeutic options for the treatment of adenomyosis and uterine fibromatosis. It is based on the use of microwave energy to induce controlled necrosis of the pathological tissue, while preserving the structure of the uterus and minimizing the surgical risks.

Directions

MicroWave ablation is particularly indicated:
• when traditional surgery is contraindicated, for example in patients with significant comorbidities, high operational risk or a desire to avoid more invasive procedures;
• to support complex surgery of deep endometriosis, in the presence of widespread or focal adenomyosis, to reduce pain, bleeding and uterine volume and to facilitate the mini-invasive surgical approach.

The safe and effective use of MicroWave technology requires advanced skills and a consolidated case.

Only precise imaging makes it possible to customize the therapeutic plan and choose the most appropriate technique for each individual case.

An extraordinary treatment option for Gynaecologists.

The standard method for closing the uterus after cesarean delivery, used for over 50 years, may be causing a host of lon...
19/11/2025

The standard method for closing the uterus after cesarean delivery, used for over 50 years, may be causing a host of long-term health issues for millions of women.

According to Dr. Emmanuel Bujold and Dr. Roberto Romero, leaders in obstetrics and gynecology, current closure practices—where sutures join the uterine lining with surrounding muscle—fail to restore the uterus’s natural structure, leading to serious complications.

Their exhaustive review reveals the risks: abnormal placenta attachment affects up to 6% of women, uterine rupture up to 3%, and premature births up to 28%. Many suffer pelvic pain (up to 35%), excessive bleeding (up to 33%), and endometriosis or adenomyosis (up to 43%). Such complications are linked directly to the scarring produced by the conventional closure method.

Bujold and Romero propose a nuanced technique: suturing tissues only of the same type, carefully reconstructing the muscle layer while leaving the uterine lining untouched for natural regeneration. Although this new method takes 5–8 minutes—twice as long as the traditional approach—the additional blood loss is minimal and outweighed by better outcomes for future reproductive health.

With cesarean rates rising globally, especially in countries like Canada where 27% of births are by C-section, prioritizing meticulous uterine repair is a critical public health concern. This shift in surgical thinking may help millions experience safer subsequent pregnancies and better long-term well-being.

📌 Emmanuel Bujold et al, "Uterine closure after cesarean delivery: surgical principles, biological rationale, and clinical implications", American Journal of Obstetrics and Gynecology (2025)

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