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Primary Hypothyroidism Associated With Multicystic Ovaries And Ovarian Torsion In An Adult, Bradley Van Voorhis, T. Neff, Craig Syrop, F. Chapler Jun 2013

Primary Hypothyroidism Associated With Multicystic Ovaries And Ovarian Torsion In An Adult, Bradley Van Voorhis, T. Neff, Craig Syrop, F. Chapler

Bradley J Van Voorhis

BACKGROUND: Primary hypothyroidism is known to be associated with multicystic ovaries in juvenile females, but this association has been reported only once previously in an adult. This report describes an unusual case of bilateral multicystic ovaries occurring in an adult patient with profound hypothyroidism. CASE: A 26-year-old woman presented with an acute abdomen and bilateral adnexal masses. An emergency exploratory laparotomy revealed bilateral enlarged multicystic ovaries with torsion of the right ovary. Because this ovary was necrotic, it was removed; pathology revealed multiple hemorrhagic follicular cysts. Laboratory studies to evaluate the cause of the multicystic ovaries revealed negative serum beta-hCG, …


Lymphoid Enhancing Factor 1 (Lef-1) Is Over Expressed In Benign Endometria As Body Mass Index Increases, E. Rosenbluth, D. Shelton, T. Neff, Bradley Van Voorhis, M. Goodheart Jun 2013

Lymphoid Enhancing Factor 1 (Lef-1) Is Over Expressed In Benign Endometria As Body Mass Index Increases, E. Rosenbluth, D. Shelton, T. Neff, Bradley Van Voorhis, M. Goodheart

Bradley J Van Voorhis

No abstract provided.


The Efficacy And Cost Effectiveness Of Embryo Cryopreservation Compared With Other Assisted Reproductive Techniques, Bradley Van Voorhis, Craig Syrop, B. Allen, Amy Sparks, D. Stovall Jun 2013

The Efficacy And Cost Effectiveness Of Embryo Cryopreservation Compared With Other Assisted Reproductive Techniques, Bradley Van Voorhis, Craig Syrop, B. Allen, Amy Sparks, D. Stovall

Bradley J Van Voorhis

OBJECTIVE: To evaluate the efficacy and cost effectiveness of embryo cryopreservation compared with other assisted reproductive techniques (ARTs). DESIGN: Retrospective review of medical records and health care costs. SETTING: Tertiary care academic medical school ART program. PATIENTS: For determination of the efficacy of cryopreserved ET, we analyzed 610 patients undergoing the first 1,000 oocyte retrievals in our program. For determination of cost effectiveness, we analyzed the costs associated with 334 initiated ART cycles in 1992. MAIN OUTCOME MEASURES: The ongoing pregnancy rate (PR) per initiated cycle and per oocyte retrieval. The medical costs associated with each procedure. RESULTS: The transfer …


Role, Epidemiology, And Natural History Of Benign Uterine Mass Lesions, Ginny Ryan, Craig Syrop, Bradley Van Voorhis Jun 2013

Role, Epidemiology, And Natural History Of Benign Uterine Mass Lesions, Ginny Ryan, Craig Syrop, Bradley Van Voorhis

Bradley J Van Voorhis

No abstract provided.


What Do Consistently High-Performing In Vitro Fertilization Programs In The Us Do?, Bradley Van Voorhis, Mika Thomas, Eric Surrey, Amy Sparks Jun 2013

What Do Consistently High-Performing In Vitro Fertilization Programs In The Us Do?, Bradley Van Voorhis, Mika Thomas, Eric Surrey, Amy Sparks

Bradley J Van Voorhis

No abstract provided.