Timur Seckin

Timur Seckin is a graduate of the University of California, Berkeley with a B.S in Molecular Environmental Biology. In addition to microbiology, biochemistry, and endocrinology, he has taken advanced courses in both statistics, public health, and psychology.

Adolescent endometriosis

A recent article, led by experts from Peking Medical Union College, describes the clinical characteristics and postoperative symptoms of adolescent endometriosis. The authors inform that their report, which is published in the "Journal of Pediatric and Adolescent Gynecology", can provide new insight for physicians when they are performing the counseling for the adolescent endometriosis patients. The study describes the clinical characteristics of 85 adolescents with histologically confirmed endometriosis, age less than 19 years. The study team, led by Song XC et…

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Anogenital distance and endometriosis

Endometriosis may be associated with exposure of the embryo to chemicals called ‘endocrine disruptors’. Exposure to endocrine disruptors can be estimated by measuring the anogenital distance (i.e. the distance between the clitoris and the anus), using a centimeter ruler with millimeter accuracy. This information is according to a research article published in the journal "Human Reproduction Open", a team led by Dr. Crestani. The team compared the anogenital distance in 168 patients with and without endometriosis in their prospective cohort study…

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Health inequalities in USA

Dr. E. Albert Reece, the vice president for medical affairs at the University of Maryland, Baltimore, specialized in maternal and fetal medicine, wrote on health disparities in the American nation, in Obstetrics and Gynecology News, on the website www.mdedge.com, in June 2017. "Health disparities, or inequities, translate not only into greater suffering for certain segments of the population, but also to significantly greater health care costs for everyone. Racial health disparities are associated with an estimated $35 billion annually in excess…

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Neglected needs of endometriosis and infertility patients during COVID-19 pandemic

With the global outbreak of the COVID-19, hospitals canceled surgeries and people are afraid of going to hospitals. However, chronic diseases still need to be managed. Rowe H. and Quinlivan J., researchers from Australia, pointed out the neglected needs of women with endometriosis during the global COVID-19 pandemic. Their paper has been recently published in the Journal of Psychosomatic Obstetrics & Gynecology. Here, the authors shortly reviewed endometriosis and its link to infertility as well as the emotional cost. Endometriosis…

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Endometriosis and Insomnia

There should be more awareness among clinicians for the relationship between insomnia and endometriosis, the study suggests. There needs to be a suspect of endometriosis whenever the clinician faces women of reproductive age with sleep or insomnia-related symptoms. This symptom is not pathognomonic, but the complaint may be associated with dysmenorrhea and pelvic pain, fortifying the suspicion. Endometriosis managing clinicians should investigate the sleep-related symptoms more carefully, even a specialist sleep professional may be necessary. The symptoms cause to increase the…

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Transvaginal sonography for predicting the distance between rectosigmoid endometriosis and the anal verge

For optimal surgery, pre-surgical assessment of the distance between rectosigmoid deep endometriosis lesions and the anal verge (Lesion to Anal Verge Distance-LAVD) is recommended by many specialists. A group of researchers from Norway, Austria, and Australia studied the accuracy of transvaginal sonography in the pre-surgical measurement of the LAVD compared to intraoperative in vivo measurement. This paper has recently been published in the journal "Ultrasound in Obstetrics & Gynecology". The present study included 133 symptomatic rectosigmoid endometriosis patients who were…

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The link between ovarian cancer and endosalpingiosis

The presence of benign glands lined by tubal-type epithelium in the peritoneum and subperitoneal tissues is called "endosalpingiosis". A recent study that investigates the possible association between endosalpingiosis and ovarian cancer was conducted by Hermens et al., from the Netherlands, and has been published in the journal Cancer Epidemiology. In total, 2,490 women with histologically proven endosalpingiosis identified between January 1, 1990, and December 31, 2015, from the database were included in the study. Among them, 1,005 (40.4%) had a concurrent histological…

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Urgent Need For Building Resilience

According to Naeem et al.’s article, “Coping with Covid”, Cognitive Behavioral Therapy (CBT) is the ideal intervention tool to increase resilience. Their study has recently been published in "Kyber Medical University Journal". The authors investigate the psychological impact of the Covid-19 pandemic on the general public and demonstrate how CBT can help alleviate the negative valence of people's moods, emotions, and attitudes. They also define how resilience can help people cope with their current situations.  Cognitive Behavioral Therapy is a useful intervention…

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Cycle-related gastrointestinal complaints in reproductive age young women

An analysis of 1-year data on 266 patients who presented to the Clinic and Polyclinic for Gynecology and Reproductive Medicine at Jena University Hospital to undergo surgery for endometriosis and its symptoms was performed by Nicolaous K. et al., a team of researchers from Germany. The team evaluated the type and duration of endometriosis-related symptoms and identified predictors for patterns of involvement depending on symptoms. Also, a questionnaire including parameters such as type and duration of symptoms before surgery, number…

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Endometriosis in the Urinary Bladder

A case of bladder endometriosis is reported by Geng JH, from Taiwan, and the paper has been recently published in The New England Journal Of Medicine. The patient was a 38-year-old woman presented to the outpatient urology clinic with complaints of intermittent gross hematuria, pain with urination, and pelvic pain for 6 months. She delivered by cesarean section six years earlier and had a total abdominal hysterectomy for uterine myoma and adenomyosis 1 year earlier. A hypervascular mass measuring 5.3x4.3x4.3…

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Hemorrhagic Ascites, Belly-Blood: The cause may be endometriosis!

A paper on the presentation of hemorrhagic ascites in endometriosis patients, written by Bernard et al. from the United States and China, was published in the journal Fertility and Sterility. From 1978 to 2016, the authors found only 37 articles, which describe 42 endometriosis patients with clinically significant ascites, encapsulating peritonitis, or frozen abdomen. In most of the cases reviewed, ascites started gradually and women presented with complaints of abdominal distention. Many of the patients described in these articles presented with one of the…

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Endometriosis of the Appendix

Endometriosis of the gastrointestinal tract is infrequent, and it rarely involves the appendix. A group of researchers from the United States of America reported a case of a 50-year-old postmenopausal woman with endometriosis in the vermiform appendix presenting as acute appendicitis. Their paper was published in the journal "Cureus". The patient presented to the emergency department with a three-week history of sharp, non-radiating, intermittent, moderate right lower quadrant abdominal pain. She had a history of hypertension and adenomyosis with abnormal…

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How to predict complications for endometriosis surgery?

In a new study co-led by scientists at Sorbonne University, a nomogram is built to better inform patients about the risk of deep endometriosis surgery without bowel involvement. The findings have been published in the European Journal of Obstetrics & Gynecology and Reproductive Biology: X, a peer-reviewed and open access mirror journal of the European Journal of Obstetrics & Gynecology and Reproductive Biology. To find the incidence of complications after surgery for deep endometriosis without bowel involvement, Poupon C and colleagues…

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Fusion US/MR imaging in the evaluation of deep infiltrating endometriosis

Scioscia M. et al., from Italy presented a case of a large deep infiltrating nodule of the uterosacral ligament and discussed the importance of a relatively new technique, fusion US/MR imaging in their article. The article containing a video of dynamic evaluation using MR/ultrasound fusion technique and at laparoscopy has been published in the "Journal of Minimally Invasive Gynecology". The lesion deepened into the parametrium and medially infiltrates the rectum. MR/ultrasound fusion imaging verified the entrapment of the left hypogastric…

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Plasma Energy for Ovarian Endometriomas

There are many different approaches used in the management of ovarian endometriomas such as stripping cystectomy, ablation, including electrical/thermal and CO2 laser ablation, fenestration/aspiration, and combined techniques. Plasma energy is a new promising treatment option for ovarian endometrioma and may be an alternative to stripping cystectomy. This is according to a study conducted by researchers from the Netherlands and published in the Facts, Views and Vision in Obstetrics and Gynaecology. In this retrospective cohort study, researchers evaluated the efficacy of this…

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A Brief Review of Endometriosis

Endometriosis is a common disease among women of reproductive age. It is more frequently seen among women without prior pregnancies, women with a family history of endometriosis, and women with abnormal menstrual periods. Peiris et al., researchers from the United States and China, reviewed the symptoms, causes, diagnosis, and treatment of endometriosis in their recently published paper in The Journal of the American Medical Association. Endometriosis patients may experience pain, bleeding in between periods, intestinal problems, chronic pelvic inflammatory disease,…

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An overlooked symptom of endometriosis: Fatigue

A majority of endometriosis patients experience fatigue. This is according to a multicenter study conducted by a group of researchers from Switzerland, Germany, and Austria. Fatigue, and feeling spoonie, may be a symptom of endometriosis affecting the daily activities and quality of life of women with endometriosis. But, there are not may large scale studies analyzing fatigue as a symptom of endometriosis. To determine the prevalence of this underestimated symptom of endometriosis, Ramin-Wright et al. evaluated 560 women with endometriosis…

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A rare location of endometriosis: Perineum

A rare case of perineal endometriosis is reported by Dr. Ravikant, from India, and has been recently published in the "Journal of Medical Ultrasound".  The patient, a 28-year-old woman with one living child, presented with a 6-month history of a painful palpable lesion within the right perineum during menstruation. Six months after her delivery, she developed cyclical pain without bloody discharge at the episiotomy site. A hard nodule was felt at the scar area on examination. A focal hypoechoic lesion…

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