Assessing management practices for pelvic inflammatory disease (PID) complicated by tubo-ovarian abscesses (TOA) at Besançon University Hospital since the 2018 French guidelines.
Methods
A single-center, retrospective, observational and analytical study was undertaken from 1st January 2018 to 31st December 2023 to evaluate the rate of compliance with current PID management guidelines. We did groups comparisons, according to management accurate to the guidelines or not, to evaluate the differences between treatment groups and the probability of complications.
Results
Compliance to the 2018 French guidelines was 50% for surgical treatment and 90% for antibiotic therapy. Patients treated accordingly to guidelines had a non-significant decreased probability of PID recurrence OR 0.62 CI 95% [0.10–4.02] P = 0.6, a non-significant decreased probability of remote surgery OR 0.20 CI 95% [0.01–4.35] P = 0.3, a non-significant increased probability of persistent ultrasound image at follow-up OR 2.67 CI 95% [0.24–29.6] P = 0.4 and a non-significant increased probability of persistent pelvic pain OR 1.62 [0.25–10.5] P = 0.6.
Conclusions
Compliance to the guidelines for surgical treatment was 50% in our center.
目的：评估贝桑大学医院自2018年法国指南以来盆腔炎（PID）合并输卵管卵巢脓肿（TOA）的管理实践。方法：2018年1月1日至2023年12月31日进行单中心、回顾性、观察性和分析性研究，以评估当前PID管理指南的符合率。我们进行分组比较，根据治疗是否符合指南，评估治疗组之间的差异和并发症的发生概率。结果：2018年法国指南的手术治疗符合性为50%，抗生素治疗符合性为90%。患者相应的指导方针已经与PID或复发的概率下降0.62 CI 95% [0.10 - 4.02] p = 0.6,与远程手术或0.20的概率降低95% CI [0.01 - 4.35] p = 0.3,与概率的增加持续超声图像后续或2.67 CI 95% [0.24 - 29.6] p = 0.4和非重要的概率增加持久骨盆疼痛或1.62 (0.25 - 10.5)p = 0.6。结论：本中心手术治疗依从性为50%。
{"title":"Revue des pratiques de prise en charge des infections génitales hautes compliquées d’abcès tubo-ovarien","authors":"Laetitia Schmutz , Claire Toubin , Lise Lecointre , Rajeev Ramanah","doi":"10.1016/j.gofs.2025.10.018","DOIUrl":"10.1016/j.gofs.2025.10.018","url":null,"abstract":"<div><h3>Objectives</h3><div>Assessing management practices for pelvic inflammatory disease (PID) complicated by tubo-ovarian abscesses (TOA) at Besançon University Hospital since the 2018 French guidelines.</div></div><div><h3>Methods</h3><div>A single-center, retrospective, observational and analytical study was undertaken from 1<sup>st</sup> January 2018 to 31<sup>st</sup> December 2023 to evaluate the rate of compliance with current PID management guidelines. We did groups comparisons, according to management accurate to the guidelines or not, to evaluate the differences between treatment groups and the probability of complications.</div></div><div><h3>Results</h3><div>Compliance to the 2018 French guidelines was 50% for surgical treatment and 90% for antibiotic therapy. Patients treated accordingly to guidelines had a non-significant decreased probability of PID recurrence OR 0.62 CI 95% [0.10–4.02] <em>P</em> <!-->=<!--> <!-->0.6, a non-significant decreased probability of remote surgery OR 0.20 CI 95% [0.01–4.35] <em>P</em> <!-->=<!--> <!-->0.3, a non-significant increased probability of persistent ultrasound image at follow-up OR 2.67 CI 95% [0.24–29.6] <em>P</em> <!-->=<!--> <!-->0.4 and a non-significant increased probability of persistent pelvic pain OR 1.62 [0.25–10.5] <em>P</em> <!-->=<!--> <!-->0.6.</div></div><div><h3>Conclusions</h3><div>Compliance to the guidelines for surgical treatment was 50% in our center.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 1","pages":"Pages 3-7"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.gofs.2025.10.011
Michaël Racodon , Virginie Duvilliers
The changes associated with menopause and perimenopause significantly impact women's physical, emotional, mental, and social well-being, affecting their daily activities and overall quality of life, regardless of the severity of their symptoms. Therefore, it is crucial to explore the role of high-quality health education, not only for women themselves but also for healthcare professionals, in order to provide better support during this critical life stage. This study aims to examine educational strategies that could enhance the management of symptoms in women experiencing menopause or perimenopause. A systematic review was conducted following the PRISMA guidelines, utilizing the PICO model for article selection. The search covered multiple databases (Medline, EBSCO, Web of Science, Cochrane Library, PsycINFO, PEDro) from December 2024 to March 2025, focusing on studies that assessed the impact of educational interventions on the health of women in this demographic. Out of 584 articles identified, 10 were selected after a rigorous screening process. Primarily consisting of randomized controlled trials, these studies show that educational programs effectively increase knowledge about menopause, alleviate symptom severity, and improve women's quality of life. Group-based approaches and individualized interventions were found to be particularly effective, especially when they integrated lifestyle factors such as diet, physical activity, and mental health. This study underscores the significant benefits of health education programs in supporting women through menopause and perimenopause. However, there remain gaps, particularly in raising awareness of these issues. Strengthening training for healthcare professionals and engaging more partners involved could significantly enhance women's well-being during this important life transition.
与更年期和围绝经期相关的变化显著影响妇女的身体、情感、精神和社会福祉，影响她们的日常活动和整体生活质量，无论其症状的严重程度如何。因此，探索高质量健康教育的作用至关重要，不仅对妇女本身，而且对保健专业人员，以便在这个关键的生命阶段提供更好的支持。本研究旨在探讨教育策略，以加强更年期或围绝经期妇女的症状管理。按照PRISMA指南进行系统评价，采用PICO模型进行文章选择。从2024年12月到2025年3月，搜索涵盖了多个数据库（Medline， EBSCO, Web of Science, Cochrane Library, PsycINFO, PEDro），重点是评估教育干预对这一人口统计学中妇女健康影响的研究。在584篇文章中，经过严格的筛选，选出了10篇。这些研究主要由随机对照试验组成，表明教育计划有效地增加了对更年期的认识，减轻了症状的严重程度，提高了妇女的生活质量。研究发现，以群体为基础的方法和个性化干预特别有效，特别是当它们将饮食、身体活动和心理健康等生活方式因素结合起来时。这项研究强调了健康教育项目在支持妇女度过更年期和围绝经期方面的重要益处。但是，仍然存在差距，特别是在提高对这些问题的认识方面。加强对保健专业人员的培训并使更多的合作伙伴参与进来，可在这一重要的人生转变期间大大提高妇女的福祉。
{"title":"L’impact d’une éducation à la santé sur la qualité de vie des femmes ménopausées ou en périménopause : revue systématique de la littérature","authors":"Michaël Racodon , Virginie Duvilliers","doi":"10.1016/j.gofs.2025.10.011","DOIUrl":"10.1016/j.gofs.2025.10.011","url":null,"abstract":"<div><div>The changes associated with menopause and perimenopause significantly impact women's physical, emotional, mental, and social well-being, affecting their daily activities and overall quality of life, regardless of the severity of their symptoms. Therefore, it is crucial to explore the role of high-quality health education, not only for women themselves but also for healthcare professionals, in order to provide better support during this critical life stage. This study aims to examine educational strategies that could enhance the management of symptoms in women experiencing menopause or perimenopause. A systematic review was conducted following the PRISMA guidelines, utilizing the PICO model for article selection. The search covered multiple databases (Medline, EBSCO, Web of Science, Cochrane Library, PsycINFO, PEDro) from December 2024 to March 2025, focusing on studies that assessed the impact of educational interventions on the health of women in this demographic. Out of 584 articles identified, 10 were selected after a rigorous screening process. Primarily consisting of randomized controlled trials, these studies show that educational programs effectively increase knowledge about menopause, alleviate symptom severity, and improve women's quality of life. Group-based approaches and individualized interventions were found to be particularly effective, especially when they integrated lifestyle factors such as diet, physical activity, and mental health. This study underscores the significant benefits of health education programs in supporting women through menopause and perimenopause. However, there remain gaps, particularly in raising awareness of these issues. Strengthening training for healthcare professionals and engaging more partners involved could significantly enhance women's well-being during this important life transition.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 1","pages":"Pages 32-40"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-01DOI: 10.1016/j.gofs.2025.07.006
Amandine Lioux, Marion Cortet, Lucia Rugeri, Gil Dubernard, Giulia Gouy
Objectives
Menorrhagia affects 20 to 50% of women of reproductive age and represents the leading cause of consultation among women aged 30 to 50 years. The aim of this study is to evaluate the impact of multidisciplinary management of patients with menorrhagia within the dedicated day hospital (HDJ) of the Hospices Civils de Lyon (HCL), the first structure of this kind in France.
Methods
This is an observational, prospective cohort, single-center study including all patients with menorrhagia who were consecutively admitted to the HDJ of the Croix Rousse Hospital (HCL) from January 2022 to July 2023. The primary outcome it's the evolution of the Higham score after the HDJ.
Results
A total of 295 patients were included, of whom 138 (46.78%) responded to the follow-up questionnaire at least 3 months after their visit. All patients presented with menorrhagia, with a median Higham score of 320 [220; 572]. Eighty patients (27.12%) had anemia, and 137 patients (46.44%) had iron deficiency. Among the 138 patients who responded to the questionnaire, the Higham score was significantly reduced after hospitalization at the HDJ (8 [0; 224] vs. 305 [207; 508], P < 0.001).
Conclusions
This study demonstrates significant clinical and biological improvement in patients managed in this new multidisciplinary structure, along with high patient satisfaction. These findings encourage the promotion of such structures.
目的：月经过多影响20%至50%的育龄妇女，是30至50岁妇女咨询的主要原因。本研究的目的是评估在里昂平民临终关怀医院（HCL）的专用日间医院（HDJ）内对月经过多患者进行多学科管理的影响，这是法国第一个此类医院。方法：这是一项观察性、前瞻性队列、单中心研究，纳入了2022年1月至2023年7月在Croix Rousse医院（HCL） HDJ连续住院的所有月经过多患者。主要的结果是highham评分在HDJ之后的演变。结果：共纳入295例患者，其中138例（46.78%）在访视后至少3个月回复了随访问卷。所有患者均出现月经过多，海格姆评分中位数为320 [220；572]。贫血80例（27.12%），缺铁137例（46.44%）。在回答问卷的138名患者中，在HDJ住院后，highham评分显著降低(8 [0；[224] vs . 305 [207；[508]，结论：该研究表明，在这种新的多学科结构中，患者的临床和生物学得到了显著改善，患者满意度也很高。这些发现鼓励了这种结构的推广。
{"title":"Prise en charge pluridisciplinaire des patientes atteintes de ménorragies","authors":"Amandine Lioux, Marion Cortet, Lucia Rugeri, Gil Dubernard, Giulia Gouy","doi":"10.1016/j.gofs.2025.07.006","DOIUrl":"10.1016/j.gofs.2025.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Menorrhagia affects 20 to 50% of women of reproductive age and represents the leading cause of consultation among women aged 30 to 50<!--> <!-->years. The aim of this study is to evaluate the impact of multidisciplinary management of patients with menorrhagia within the dedicated day hospital (HDJ) of the Hospices Civils de Lyon (HCL), the first structure of this kind in France.</div></div><div><h3>Methods</h3><div>This is an observational, prospective cohort, single-center study including all patients with menorrhagia who were consecutively admitted to the HDJ of the Croix Rousse Hospital (HCL) from January 2022 to July 2023. The primary outcome it's the evolution of the Higham score after the HDJ.</div></div><div><h3>Results</h3><div>A total of 295 patients were included, of whom 138 (46.78%) responded to the follow-up questionnaire at least 3<!--> <!-->months after their visit. All patients presented with menorrhagia, with a median Higham score of 320 [220; 572]. Eighty patients (27.12%) had anemia, and 137 patients (46.44%) had iron deficiency. Among the 138 patients who responded to the questionnaire, the Higham score was significantly reduced after hospitalization at the HDJ (8 [0; 224] vs. 305 [207; 508], <em>P</em> <!--><<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>This study demonstrates significant clinical and biological improvement in patients managed in this new multidisciplinary structure, along with high patient satisfaction. These findings encourage the promotion of such structures.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 1","pages":"Pages 26-31"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Trophoblastic retention is a frequently observed complication following voluntary termination of pregnancy. At present, however, its diagnosis is not codified, and its management varies considerably from one healthcare facility to another. The main objective of this study is to identify the factors that might have motivated the therapeutic decision between the two currently recommended management techniques, namely expectant and revision surgery.
Methods
Retrospective study of prospectively collected data, including patients who presented with trophoblastic retention following an abortion performed at Lille University Hospital between January 2020 and December 2022. Epidemiological, clinico-biological and ultrasonographic characteristics of patients were compared between the two management groups.
Results
Analyses show a linear relationship between endometrial thickness and therapeutic decision, with the rate of repeat surgery increasing with endometrial thickness (P < 0.001, OR 1.46 [1,30–1,63]). Plasma chorionic gonadotropin hormone (CGH) assay was also associated with management, with surgical revision more frequent when it was ≥ 750 UI/L (P < 0.1).
Conclusions
Endometrial thickness appears to be the main determinant of the therapeutic decision. Nevertheless, further studies are needed to confirm these results and harmonize practices. Conversely, symptomatology does not seem to have any impact on treatment orientation, despite the recommendations on this subject.
目的：滋养细胞潴留是自愿终止妊娠后常见的并发症。然而，目前，其诊断尚未编纂，其管理在各个医疗机构之间差异很大。本研究的主要目的是确定可能在两种目前推荐的治疗技术（即期待手术和翻修手术）之间做出治疗决定的因素。方法：回顾性研究前瞻性收集的数据，包括2020年1月至2022年12月在里尔大学医院进行流产后出现滋养层保留的患者。比较两组患者的流行病学、临床生物学和超声特征。结果：分析显示子宫内膜厚度与治疗决策呈线性关系，重复手术率随子宫内膜厚度的增加而增加（p < 0.001, OR 1.46[1,30-1,63]）。血浆绒毛膜促性腺激素（CGH）测定也与治疗相关，≥750 UI/L时手术翻修更频繁（p < 0.1）。结论：子宫内膜厚度似乎是决定治疗决定的主要因素。然而，需要进一步的研究来证实这些结果和协调实践。相反，尽管有关于这一主题的建议，但症状学似乎对治疗方向没有任何影响。
{"title":"État des lieux de la prise en charge des rétentions post-interruption volontaire de grossesse","authors":"Pauline Austruy, Constance Devemy, Anne-Laure Rolland, Carine Martin, Victoire Delporte, Sophie Catteau-Jonard","doi":"10.1016/j.gofs.2025.06.008","DOIUrl":"10.1016/j.gofs.2025.06.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Trophoblastic retention is a frequently observed complication following voluntary termination of pregnancy. At present, however, its diagnosis is not codified, and its management varies considerably from one healthcare facility to another. The main objective of this study is to identify the factors that might have motivated the therapeutic decision between the two currently recommended management techniques, namely expectant and revision surgery.</div></div><div><h3>Methods</h3><div>Retrospective study of prospectively collected data, including patients who presented with trophoblastic retention following an abortion performed at Lille University Hospital between January 2020 and December 2022. Epidemiological, clinico-biological and ultrasonographic characteristics of patients were compared between the two management groups.</div></div><div><h3>Results</h3><div>Analyses show a linear relationship between endometrial thickness and therapeutic decision, with the rate of repeat surgery increasing with endometrial thickness (<em>P</em> <!--><<!--> <!-->0.001, OR 1.46 [1,30–1,63]). Plasma chorionic gonadotropin hormone (CGH) assay was also associated with management, with surgical revision more frequent when it was<!--> <!-->≥<!--> <!-->750 UI/L (<em>P</em> <!--><<!--> <!-->0.1).</div></div><div><h3>Conclusions</h3><div>Endometrial thickness appears to be the main determinant of the therapeutic decision. Nevertheless, further studies are needed to confirm these results and harmonize practices. Conversely, symptomatology does not seem to have any impact on treatment orientation, despite the recommendations on this subject.</div></div>","PeriodicalId":56056,"journal":{"name":"Gynecologie Obstetrique Fertilite & Senologie","volume":"54 1","pages":"Pages 19-25"},"PeriodicalIF":0.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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