gynaecology

The BMJ has published a meta-analysis about weight gain in pregnant women and the risks it poses to their health and that of their babies. According to the study, 68% of pregnancies involve weight gain that is either above or below the recommended level, which is associated with complications such as premature birth, high birth weight, and admission to intensive care. The review included data from 1.6 million women from various regions of the world and different income levels, recorded between 2009 and 2024.

In humans, larger birth canals are associated with slower labour and less back pain, but a higher risk of osteoarthritis of the hip, while narrower birth canals are associated with a lower risk of pelvic floor disorders, but a higher risk of obstructed labour, according to one study. The analysis published in Science is based on genetic and clinical data and bone densitometry images from more than 31,000 people in the UK Biobank to identify 180 genetic positions associated with seven ‘highly heritable’ pelvic characteristics.

A US study analysed data from more than 110,000 women since 1993 and found that those with a history of endometriosis had a 31% higher risk of premature death (before the age of 70). In absolute terms, the rate of premature death in women with and without endometriosis was 2 and 1.4 per 1,000 person-years, respectively. In contrast, the presence of uterine fibroids was not associated with an overall increased risk, although the risk of death from gynaecological tumours was increased. The results are published in The BMJ.

Several studies have linked endometriosis to an increased risk of developing ovarian cancer. New research conducted in the United States on nearly half a million women has confirmed this association. Although the absolute risk remains low, the overall likelihood is four times higher than in the general population. However, the risk is higher when the endometriosis is of the infiltrative type or when an endometrioma develops in the ovary. The authors, who publish their results in the journal JAMA, raise the possibility of screening these women, because "precision medicine is more than just genetics".

Hormonal therapy to treat breast cancer is associated with a lower risk of Alzheimer's disease and dementia in women over 65, a study says. The retrospective analysis is based on data from more than 18,000 women with breast cancer in the US: two-thirds of them had received hormone therapy and one-third had not. The "protective effect" of hormone therapy declines with age and varies by ethnicity, adds the article published in JAMA Network Open. 

Artemisinins, plant-based antimalarials, may serve as a treatment for polycystic ovary syndrome - which affects millions of women worldwide and can lead to infertility - according to a new study published in Science. The compounds suppressed ovarian androgen production in rodents, as well as in a small cohort of 19 human patients for 12 weeks, leading to more regular menstrual cycles without side effects. 

Research published in JAMA Network Open indicates that women with premenstrual disorders diagnosed before the age of 25 have a higher risk of all-cause mortality and death by suicide. For death by suicide, the risk increased regardless of age at diagnosis. However, in general, women with premenstrual disorders do not have an increased risk of premature death from natural and unnatural causes. The study compares over several years a group of more than 67,000 women in Sweden with a diagnosed disorder with a group of more than 338,000 women without such a diagnosis. 

The ovarian cycle is regulated by internal circadian rhythms rather than external processes, says a study published in Science Advances. Using menstrual cycle data from some 3,000 women in Europe and North America, the authors add that the influence of the lunar cycle on women's menstrual cycle is weak, but significant.

The menopause should be tackled not just by treating specific symptoms, but more broadly, argue a group of researchers in an article published in The Lancet, one of a series on the subject. A medicalised approach can disempower women and lead to overtreatment, the authors warn. "Instead of focusing on menopause as an endocrine deficiency, we propose an empowerment model", they say. This model would incorporate the influence of psychological, social, and contextual factors that can be modified, and would also value the patient as the expert on her own condition.

At an informative meeting organized by the Science Media Centre Spain, the coauthor of a paper published this week in the journal Cell discussed his findings with journalists. Although the study was conducted with mice, he is confident in being able to analyze human eggs to see if his conclusions could explain the loss of fertility that occurs in women with age.