Chronic pelvic pain is a common gynecologic complaint, affecting about 5% of American women. The differential diagnosis is broad, including many medical diseases, surgical indications, musculoskeletal problems, and somatic dysfunction. Women are more affected than men by pelvic pain because their bodies are subject to more changes. These changes include a cyclic hormonal milieu, major alteratio...

The clinical examination revealed a size 145 cm (-3 SD/M. SEMPE) with a total impuberism. The hormonal tests showed a hypergonadotropic hypogonadism. The abdominal CT scan revealed a left hemi-abdominal mass with a large vascular pedicle (supernumerary spleen?) Figure 1. Our patient was followed for cardiac heart failure. The echocardiographic exploration found a left systolic ventricular dysfu...

Excision of all endometriotic lesions is the method of choice in the treatment of severe endometriosis resistant to medical therapy. The infiltrating nature of the disease as well as extensive surgery may, however, cause chronic pain that cannot be relieved by either surgery or hormonal treatment. As a pilot treatment, we tested the effect of sacral neuromodulation (SNM) for four endometriosis ...

The expectation of being rewarded for one’s actions is crucial for motivation and goal-directed behaviour. Imaging studies have identified the dopaminergic reward system, especially the nucleus accumbens, as the underlying brain structure for the anticipation of rewards. Dysfunction of this system is the central problem in a variety of psychiatric disorders leading to abnormal brain activation ...

Infertility, considered as one of the main public health issues, affects about 10%-15% of the couples in reproductive age. Male factors are known to be responsible for 50% of all infertilities. It is well-established that the chromosomal abnormality is more prevalent in infertile men than in fertile men [1]. In developed countries, the incidence factor is considered to be less, when compared to...

The sexuality of patients with rheumatic diseases is a significant interdisciplinary problem, requiring intensified action not only of rheumatologists, sexologists, and psychologists but also physiotherapists. The sexuality problems and motor disability in chronic diseases such as rheumatoid arthritis or ankylosing spondylitis, as well as other rheumatic diseases, are generally still taboo subj...

Autonomic nervous system dysfunction observed in fibromyalgia, characterized without exception by a sympathetic hyperactivity and hyporeactivity, has been reported. However, several studies demonstrated reduced levels of norepinephrine and neuropeptide Y at rest and after tilt table in some patients, which was improved by beta-stimulating agents. These findings support heterogeneity in fibromya...

Abnormal uterine bleeding is a frequent debilitating symptom resulting in unnecessary, incorrect and expensive treatment and invariably ends up in surgical treatment with its attendant risk of morbidity and mortality. It occurs in 9-14% of women between menarche and menopause, significantly impacting quality of life and imposing financial burden (3). After excluding the structural causes of AUB...

Obesity can impact on reproductive functions by causing hormonal imbalance and ovulatory dysfunction. Furthermore, obesity is associated with a range of adverse health consequences. There is a tight coupling between the reproductive system and energy balance. Obesity results from chronic imbalance between energy intake and energy expenditure, and therefore changes in energy expenditure impact o...

The temporomandibular disorder (TMD) consists of the functional alteration orofacial muscles, joints, or both. Among therapeutic options available for treating TMD, acupuncture appears as a relevant therapy to relieve pain and reduce symptoms clicking discomfort joint. This study investigated use an auxiliary in management patients with TMD. A narrative review literature was performed using Pub...