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OBJECTIVES To assess whether bacterial vaginosis affects the rates of conception and miscarriage in the first trimester. DESIGN Cohort study. SETTING Assisted conception unit of a teaching hospital in Leeds. PARTICIPANTS 867 consecutive women undergoing in vitro fertilisation. INTERVENTIONS Screening for bacterial vaginosis with a Gram stained vaginal smear before egg collection. MAIN...

Heterotopic pregnancy (HP) is a rare condition, with an incidence of 130,000 after spontaneous conception, which increases to 11,000-1100 following assisted reproduction technology (ART), but potentially life threatening, since the rupture EP may lead major internal bleeding, hemoperitoneum and hypovolemic shock.

ObjectiveTo compare short-term fertility rates after medical and surgical management of early miscarriage.DesignObservational cohort study.SettingAcademic tertiary-care center.Patient(s)A total 203 patients were enrolled between June 2017 May 2018, comprising 106 evacuations 97 evacuations.Intervention(s)Either or evacuation the uterine cavity.Main Outcome Measure(s)Conception 6 months miscarri...