Ilaria Ianes

Adenomyosis, Infertility and Maternal–Fetal Outcomes: Diagnostic and Therapeutic Strategies Across Disease Phenotype—A Narrative Review

Francesco Giuseppe Martire, Eugenia Costantini, Ilaria Ianes, Claudia d’Abate et autres

Adenomyosis is a chronic estrogen-dependent disorder that may adversely affect reproductive health. Increasing evidence suggests that its reproductive and obstetric consequences may vary according to disease phenotype, including focal versus diffuse forms and inner versus outer myometrial localization. This narrative review summarizes …

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Transvaginal Sonographic Features of Diffuse Adenomyosis and Associated Symptoms in 18–30-Year-Old Nulligravid Women Without Endometriosis: Is Our Diagnosis Still Valid 10 Years Later? A Re-Evaluation of Previous Results

Irene Colombi, Francesco Giuseppe Martire, Eugenia Costantini, Ilaria Ianes et autres

Background: The introduction of the Morphological Uterus Sonographic Assessment (MUSA) 2022 criteria for diagnosing adenomyosis has reduced diagnoses compared with previous criteria. However, the impact of each ultrasonographic sign on diagnosis and symptom management remains unexplored. Methods: We retrospectively re-evaluated data from …

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Ultrasound-guided radiofrequency ablation of an intramural fibroid in a woman desiring fertility with coexisting focal adenomyosis: a case report

Francesco Giuseppe Martire, Claudia d’Abate, Eugenia Costantini, Ilaria Ianes et autres

Objective: To report the reproductive outcome after ultrasound-guided radiofrequency ablation (RFA) in a woman with an intramural uterine fibroid and coexisting focal adenomyosis who experienced infertility and desired pregnancy. Design: Case report. Patient: A 40-year-old nulligravid woman with heavy menstrual bleeding, dysmenorrhea, …

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Abdominal Wall Elevation for Pneumoperitoneum in Laparoscopic Gynecologic Surgery: A Retrospective Comparative Study of Experienced and Trainee Surgeons

Francesco Giuseppe Martire, Ilaria Ianes, Eugenia Costantini, Errico Zupi et autres

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The Gut Microbiota in Perimenopausal Anxiety: A Novel Therapeutic Pathway Through Diet

Giuseppe Marano, Claudia d’Abate, Ilaria Ianes, Giuseppe Sorrenti et autres

Background: Perimenopause is characterized by pronounced fluctuations in ovarian steroids, which are associated with an increase vulnerability to anxiety symptoms. Growing evidence indicates that declining estrogen levels influence gut microbiota composition and microbial metabolic activity, thereby modulating neuroimmune and neuroendocrine pathways involved …

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Premenstrual Syndrome and Nutritional Factors: A Narrative Review of Current Evidence and Clinical Implications

Francesco Giuseppe Martire, Eugenia Costantini, Ilaria Ianes, Claudia d’Abate et autres

Premenstrual syndrome is a common hormone-related condition marked by recurrent physical and affective symptoms that can substantially impair daily functioning. While cyclical ovarian hormone fluctuations are physiological, clinically relevant symptoms occur only in a subset of women, indicating the contribution of individual …

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When the Body Hurts, the Mind Suffers: Endometriosis and Mental Health

Giuseppe Marano, Claudia d’Abate, Ilaria Ianes, Eugenia Costantini et autres

Endometriosis is a chronic, estrogen-dependent inflammatory condition associated with severe pelvic pain and infertility. Beyond its somatic manifestations, it is increasingly recognized as a disorder with significant psychological sequelae. This review examines the bidirectional relationship between endometriosis-related chronic pain and mental health …

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Nutrition and Uterine Fibroids: Clinical Impact and Emerging Therapeutic Perspectives

Francesco Giuseppe Martire, Ilaria Ianes, Claudia d’Abate, Maria De Bonis et autres

Nutritional factors play a crucial role in many gynecological disorders, particularly those influenced by estrogen. Uterine fibroids are benign tumors that affect a large proportion of women of reproductive age, especially between 30 and 40 years. These lesions may cause significant symptoms, …

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Associations of Nausea and Vomiting of Pregnancy with Maternal and Fetal Outcomes

Maria De Bonis, Giuliana Cimino, Ilaria Ianes, Claudia d’Abate et autres

Background: Nausea and Vomiting in Pregnancy (NVP) and Hyperemesis Gravidarum (HG) are common pregnancy-related conditions that can significantly impair maternal quality of life and, in severe cases, impact pregnancy outcomes. This study aimed to assess the prevalence of NVP and HG, evaluate …

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Fertility Sparing in Endometrial Cancer: Where Are We Now?

Gabriele Centini, Irene Colombi, Ilaria Ianes, Federica Perelli et autres

Endometrial cancer is the most common gynecological neoplasm with an increased incidence in the premenopausal population in recent decades. This raises the problem of managing endometrial cancer in fertile women who have not yet achieved pregnancy. In these women, after careful selection, …

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