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Article ; Online: Polycystic ovary syndrome and assisted reproduction: splitters versus lumpers.

Garzon, S / Laganà, A S

BJOG : an international journal of obstetrics and gynaecology

2020 Volume 128, Issue 6, Page(s) 1011

MeSH term(s)	Female ; Humans ; Hyperandrogenism ; Polycystic Ovary Syndrome ; Pregnancy ; Reproduction ; Retrospective Studies
Keywords	covid19
Language	English
Publishing date	2020-11-12
Publishing country	England
Document type	Journal Article ; Comment
ZDB-ID	2000931-8
ISSN	1471-0528 ; 0306-5456 ; 1470-0328
ISSN (online)	1471-0528
ISSN	0306-5456 ; 1470-0328
DOI	10.1111/1471-0528.16577
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Article ; Online: Can the endometrioma be an obstacle to complete oocyte retrieval in IVF cycles? A retrospective study.

Baldini, G M / Laganà, A S / Mastrorocco, A / Malvasi, A / Baldini, D / Ferri, D / Sciorio, R / Trojano, G

European review for medical and pharmacological sciences

2024 Volume 28, Issue 7, Page(s) 2827–2836

Abstract: Objective: The study aimed to evaluate the utility and safety of ancillary maneuvers during oocyte retrieval for patients with endometrioma that makes ovum pick-up hard due to poor ovarian surgical accessibility.: Patients and methods: Cases of 251 ... ...

Abstract	Objective: The study aimed to evaluate the utility and safety of ancillary maneuvers during oocyte retrieval for patients with endometrioma that makes ovum pick-up hard due to poor ovarian surgical accessibility. Patients and methods: Cases of 251 women with ovarian endometriomas undergoing in vitro fertilization (IVF) in our infertility unit were retrospectively analyzed to evaluate the clinical IVF cycle outcomes after oocyte retrieval. Controls (n = 251) were age-matched women without endometriomas who underwent an uncomplicated oocyte retrieval. Results: No statistically significant differences were observed between groups except for the number of oocytes retrieved, which was higher in the control group than in the group of women with endometrioma. On the contrary, there were no differences between the experimental groups in the fertilization rate and number of embryos, and neither were there in the pregnancy and live birth rate. Moreover, the surgical complications were infrequent and similar between the two analyzed groups. Accidental or voluntary endometrioma punctures were not accompanied by increases in the risk of a pelvic infection. Conclusions: In conclusion, patients with endometrioma can undergo high-performance oocyte recovery procedures thanks to safe accessory maneuvers during the ovum pick-up.
MeSH term(s)	Pregnancy ; Humans ; Female ; Endometriosis/surgery ; Endometriosis/complications ; Retrospective Studies ; Oocyte Retrieval ; Fertilization in Vitro ; Infertility ; Pregnancy Rate
Language	English
Publishing date	2024-04-19
Publishing country	Italy
Document type	Journal Article
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202404_35911
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Article ; Online: D-Chiro-Inositol's action as aromatase inhibitor: rationale and potential clinical targets.

Laganà, A S / Unfer, V

European review for medical and pharmacological sciences

2019 Volume 23, Issue 24, Page(s) 10575–10576

MeSH term(s)	Aromatase/genetics ; Aromatase/metabolism ; Aromatase Inhibitors/chemistry ; Aromatase Inhibitors/pharmacology ; Female ; Humans ; Inositol/chemistry ; Inositol/pharmacology ; Polycystic Ovary Syndrome/drug therapy ; Polycystic Ovary Syndrome/enzymology ; Stereoisomerism
Chemical Substances	Aromatase Inhibitors ; Inositol (4L6452S749) ; Aromatase (EC 1.14.14.1)
Language	English
Publishing date	2019-12-19
Publishing country	Italy
Document type	Letter
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_201912_19752
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Article ; Online: Effects of herbal compounds on various aspects of endometriosis treatment: a systematic review.

Momenimovahed, Z / Salehiniya, H / Allahqoli, L / Laganà, A S / Mazidimoradi, A / Moawad, G / Gitas, G / Alkatout, I

European review for medical and pharmacological sciences

2024 Volume 28, Issue 9, Page(s) 3375–3383

Abstract: Objective: Endometriosis means the presence of tissue similar to normal endometrium outside the uterus. Although surgical, hormonal, and analgesic treatment relieves symptoms and improves fertility, it is associated with side effects and a high ... ...

Abstract	Objective: Endometriosis means the presence of tissue similar to normal endometrium outside the uterus. Although surgical, hormonal, and analgesic treatment relieves symptoms and improves fertility, it is associated with side effects and a high recurrence rate. Alternative medicines like medicinal plants have been used for the treatment of chronic diseases. Given the global importance of endometriosis as a chronic disease affecting over 15% of all women in their fertile period, this systematic review aimed to give a comprehensive view of research on medicinal plants. Materials and methods: Comprehensive searches were performed on three databases, including PubMed/MEDLINE, Web of Science Core Collection (Indexes = SCI-EXPANDED, SSCI, A, and HCI Timespan), and Scopus, to identify papers published until June 2023. Keywords, such as "Endometriosis" and "Herbal Medicine", were used to search. A manual search of valid journals followed by a manual search of the references of the retrieved full-text articles was performed. All retrieved articles were imported into a database into Endnote X9. Articles that did not meet the inclusion criteria were excluded from the study, and the full texts of all the articles that met the inclusion criteria were assessed. Studies that evaluated the effects of herbal compounds on various aspects of endometriosis treatment were included in the review. Results: In total, 11 studies were included in the present study. The evidence showed that in addition to safety, drugs available alongside treatments could play an effective role in improving the symptoms associated with endometriosis. In this study, the positive results of using Chinese treatments were reported in aspects such as fertility rate, pain, endometriosis recurrence rate, quality of life, sexual function, CA-125 level, and menopause symptoms. Conclusions: A wide range of preclinical and clinical studies evaluated the effectiveness and safety of medicinal plants in the treatment of endometriosis symptoms. Thus, alternative treatments for endometriosis with no or low side effects should be included in the holistic treatment of endometriosis upfront. However, there is still a need for well-designed trials to investigate standard interventions and specific and safe doses of herbal medicines.
MeSH term(s)	Endometriosis/drug therapy ; Humans ; Female ; Plants, Medicinal/chemistry ; Phytotherapy ; Plant Preparations/therapeutic use
Language	English
Publishing date	2024-05-20
Publishing country	Italy
Document type	Journal Article ; Systematic Review
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202405_36182
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Article ; Online: Effect of the COVID-19 pandemic on oncology screenings: it is time to change course.

Scioscia, M / Noventa, M / Palomba, S / Laganà, A S

BJOG : an international journal of obstetrics and gynaecology

2021 Volume 128, Issue 13, Page(s) 2213–2214

MeSH term(s)	Adenoma/diagnosis ; Adenoma/pathology ; Breast Neoplasms/diagnosis ; Breast Neoplasms/pathology ; COVID-19 ; Carcinoma/diagnosis ; Carcinoma/pathology ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/pathology ; Early Detection of Cancer/trends ; Female ; Humans ; Italy ; Missed Diagnosis/trends ; SARS-CoV-2 ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/pathology
Language	English
Publishing date	2021-08-17
Publishing country	England
Document type	Letter
ZDB-ID	2000931-8
ISSN	1471-0528 ; 0306-5456 ; 1470-0328
ISSN (online)	1471-0528
ISSN	0306-5456 ; 1470-0328
DOI	10.1111/1471-0528.16857
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Article ; Online: Does Alpha-lipoic acid improve effects on polycystic ovary syndrome?

Laganà, A S / Monti, N / Fedeli, V / Gullo, G / Bizzarri, M

European review for medical and pharmacological sciences

2022 Volume 26, Issue 4, Page(s) 1241–1247

Abstract: Alpha-lipoic acid (ALA) plays a key role in many physiological processes, exerting anti-inflammatory, immunomodulatory, antioxidant, detoxifying, and insulin sensitizing activities. Since ALA improves insulin resistance (IR), it has been suggested that ... ...

Abstract	Alpha-lipoic acid (ALA) plays a key role in many physiological processes, exerting anti-inflammatory, immunomodulatory, antioxidant, detoxifying, and insulin sensitizing activities. Since ALA improves insulin resistance (IR), it has been suggested that ALA could be beneficial it in the treatment of PCOS. The natural polyol myo-Inositol (myo-Ins) and its isomers (D-Chiro-Inositol, D-Chiro-Ins) has proven to improve PCOS features and clinical outcome, according to a compelling body of available studies. Few studies have proposed to strengthen the inositol effect by associating ALA. ALA does not seem to influence significantly reproductive hormones, while its beneficial effects are presumably restricted to the metabolic features of insulin resistant PCOS women. Therefore, ALA usefulness in improving inositol activity still awaits convincingly confirmation. Experimental studies as well as proper randomized clinical trials, should be specifically tailored to assess this hypothesis. In absence of reliable evidence, ALA should not be recommended in the routinary clinical management of PCOS, even if associated to myo-Ins.
MeSH term(s)	Female ; Humans ; Inositol/therapeutic use ; Insulin/metabolism ; Insulin Resistance ; Polycystic Ovary Syndrome/drug therapy ; Polycystic Ovary Syndrome/metabolism ; Thioctic Acid/therapeutic use
Chemical Substances	Insulin ; Inositol (4L6452S749) ; Thioctic Acid (73Y7P0K73Y)
Language	English
Publishing date	2022-02-18
Publishing country	Italy
Document type	Journal Article
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202202_28116
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Article ; Online: Inositol and pulmonary function. Could myo-inositol treatment downregulate inflammation and cytokine release syndrome in SARS-CoV-2?

Bizzarri, M / Laganà, A S / Aragona, D / Unfer, V

European review for medical and pharmacological sciences

2020 Volume 24, Issue 6, Page(s) 3426–3432

Abstract: The outbreak of Sars-CoV-2 (COVID-19) poses serious challenges to people's health worldwide. The management of the disease is mostly supportive, and respiratory failure from acute respiratory distress syndrome is the leading cause of death in a ... ...

Abstract	The outbreak of Sars-CoV-2 (COVID-19) poses serious challenges to people's health worldwide. The management of the disease is mostly supportive, and respiratory failure from acute respiratory distress syndrome is the leading cause of death in a significant proportion of affected patients. Preliminary data point out that dramatic increase in IL-6 and subsequent cytokine release syndrome may account for the development of fatal interstitial pneumonia. Inhibition of IL-6 by blocking its specific receptor with monoclonal antibodies has been advocated as a promising attempt. Here we assess the potential utility of myo-Inositol, a polyol already in use for treating the newborn Respiratory Distress Syndrome, in downregulating the inflammatory response upon Sars-CoV-2 infection. Myo-Inositol proved to reduce IL-6 levels in a number of conditions and to mitigate the inflammatory cascade, while being devoid of any significant side effects. It is tempting to speculate that inositol could be beneficial in managing the most dreadful effects of Sars-CoV-2 infection.
MeSH term(s)	Betacoronavirus/drug effects ; Coronavirus Infections/complications ; Coronavirus Infections/drug therapy ; Coronavirus Infections/physiopathology ; Cytokine Release Syndrome/etiology ; Down-Regulation ; Humans ; Inositol/therapeutic use ; Interleukin-6/metabolism ; Lung Neoplasms/metabolism ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/drug therapy ; Pneumonia, Viral/physiopathology
Chemical Substances	IL6 protein, human ; Interleukin-6 ; Inositol (4L6452S749)
Keywords	covid19
Language	English
Publishing date	2020-04-08
Publishing country	Italy
Document type	Journal Article
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202003_20715
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Article ; Online: A multicenter clinical study with myo-inositol and alpha-lactalbumin in Mexican and Italian PCOS patients.

Hernandez Marin, I / Picconi, O / Laganà, A S / Costabile, L / Unfer, V

European review for medical and pharmacological sciences

2021 Volume 25, Issue 8, Page(s) 3316–3324

Abstract: Objective: This open-label non-randomized clinical study aimed at evaluating the effects of myo-inositol plus alpha-lactalbumin in two groups of PCOS women, treated in Mexico and Italy. Alpha-lactalbumin was used being effective in increasing myo- ... ...

Abstract	Objective: This open-label non-randomized clinical study aimed at evaluating the effects of myo-inositol plus alpha-lactalbumin in two groups of PCOS women, treated in Mexico and Italy. Alpha-lactalbumin was used being effective in increasing myo-inositol intestinal absorption. This effect is very useful in greatly reducing the therapeutic failure of myo-inositol in some patients (inositol resistant subjects). Patients and methods: The study involved 34 normal weight or overweight patients (14 in Mexico and 20 in Italy), aged 18 to 40 years, with anovulation and infertility > 1 year and insulin resistance diagnosed by HOMA-Index. Patients were administered orally with 2 g myo-inositol, 50 mg alpha-lactalbumin, and 200 µg of folic acid twice a day for 6 months. Controls were the same patients at t0 (baseline). The primary outcome was HOMA-index decrease after 3 and 6 months of treatment. Other parameters monitored were BMI, progesterone, LH, FSH, total testosterone, free testosterone, androstenedione, total cholesterol, HDL, LDL, triglycerides. Results: Recovery was general, and its relevance was higher when the starting point was further away from the normal range. The most important results were obtained with insulin, HOMA-index, LH, and androstenedione. No significant adverse effects were detected in both groups of patients. Conclusions: This clinical trial demonstrated for the first time that myo-inositol and alpha-lactalbumin improve important parameters in PCOS patients characterized by different metabolic profiles.
MeSH term(s)	Adolescent ; Adult ; Female ; Humans ; Inositol/therapeutic use ; Italy ; Lactalbumin/therapeutic use ; Mexico ; Overweight/drug therapy ; Polycystic Ovary Syndrome/drug therapy ; Young Adult
Chemical Substances	Inositol (4L6452S749) ; Lactalbumin (9013-90-5)
Language	English
Publishing date	2021-03-23
Publishing country	Italy
Document type	Clinical Trial ; Journal Article ; Multicenter Study
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
DOI	10.26355/eurrev_202104_25743
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Article ; Online: T-shaped uterus: stepping up the ladder of evidence.

Carugno, J / Laganà, A S / Haimovich, S / Pacheco, L Alonso / Sardo, A Di Spiezio

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology

2021 Volume 57, Issue 3, Page(s) 509–510

MeSH term(s)	Female ; Humans ; Urogenital Abnormalities ; Uterus/diagnostic imaging
Language	English
Publishing date	2021-03-01
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	1073183-0
ISSN	1469-0705 ; 0960-7692
ISSN (online)	1469-0705
ISSN	0960-7692
DOI	10.1002/uog.23603
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Article: Inositol and pulmonary function. Could myo-inositol treatment downregulate inflammation and cytokine release syndrome in SARS-CoV-2?

Bizzarri, M / Laganà, A S / Aragona, D / Unfer, V

Eur Rev Med Pharmacol Sci

Abstract	The outbreak of Sars-CoV-2 (COVID-19) poses serious challenges to people's health worldwide. The management of the disease is mostly supportive, and respiratory failure from acute respiratory distress syndrome is the leading cause of death in a significant proportion of affected patients. Preliminary data point out that dramatic increase in IL-6 and subsequent cytokine release syndrome may account for the development of fatal interstitial pneumonia. Inhibition of IL-6 by blocking its specific receptor with monoclonal antibodies has been advocated as a promising attempt. Here we assess the potential utility of myo-Inositol, a polyol already in use for treating the newborn Respiratory Distress Syndrome, in downregulating the inflammatory response upon Sars-CoV-2 infection. Myo-Inositol proved to reduce IL-6 levels in a number of conditions and to mitigate the inflammatory cascade, while being devoid of any significant side effects. It is tempting to speculate that inositol could be beneficial in managing the most dreadful effects of Sars-CoV-2 infection.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #51429
Database	COVID19

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