Evidence map›Paper›PMID 41682604›Full record

ReviewJournal of clinical medicine2026

Gynecologic and Reproductive Health in Patients with Sickle Cell Disease: Underrecognized Challenges and Care Management Opportunities.

Rachel Michel, Caitlin S Stukel, Alexandra Myers, Abigail Lepsch Combs, Mostafa A Borahay, Alexander D Fuld, Gregory W Kirschen

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachel MichelGeisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA.ORCID 0009-0002-4591-8168
Caitlin S StukelGeisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA.ORCID 0009-0001-3855-6691
Alexandra MyersGeisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA.ORCID 0009-0005-3062-592X
Abigail Lepsch CombsDepartment of Gynecology & Obstetrics, Johns Hopkins University, Baltimore, MD 21287, USA.
Mostafa A BorahayDepartment of Gynecology & Obstetrics, Johns Hopkins University, Baltimore, MD 21287, USA.ORCID 0000-0002-0554-132X
Alexander D FuldGeisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA.ORCID 0000-0002-3974-4010
Gregory W KirschenDepartment of Obstetrics & Gynecology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-7155-6546

Funding

Mechanisms of actions(s) of simvastatin in uterine leiomyomaR01HD094380 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BORAHAY, MOSTAFA A. · 2018 to 2022
$4.0M
Role of senescent cells in uterine fibroid pathogenesisR01HD111243 · NICHD · JOHNS HOPKINS UNIVERSITY · PI Mostafa A. Borahay, JENNIFER H ELISSEEFF · 2023 to 2026
$3.2M
NIH HHS R01HD094380NIH HHS R01HD111243
6 · The paper itself

Abstract

Sickle cell disease is an autosomal recessive hemoglobin disorder affecting about 100,000 people in the United States, predominantly those of African descent. A point mutation in the β-globin gene in red blood cells causes these cells to sickle under hypoxemic conditions, reducing blood flow and oxygen delivery to tissues. This manifests in the form of painful vaso-occlusive episodes, acute chest syndrome, and acute infarction of various organs, including the spleen, bone, and lung. While sickle cell disease complications such as hemolytic anemia, tissue hypoxia, and chronic organ damage are well studied, attention to the unique reproductive challenges faced by patients with sickle cell disease remains underrecognized and underappreciated. This review aims to explore key reproductive health issues in patients with sickle cell disease, including diminished ovarian reserve, infertility, and obstetric and perinatal risk. Secondly, this review aims to identify key counseling and care opportunities for providers to support patients with sickle cell disease in meeting their reproductive goals.

Indexed as

diminished ovarian reservegenetic counselinginfertilityrecurrent pregnancy lossreproductive autonomy

Identifiers

PMID41682604
PMCPMC12897835

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.