JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: The psycho-social impact of obstetric fistula and available support for women residing
in Nigeria: a systematic review
Version: 5 Date: 21 Sep 2022
Reviewer's report:
ABSTRACT- The statement"there is lack of psycho-social support for women living with
obstetric fistula in Nigeria"  should be reviewed, they are actually support for them but few.
Results and Discussion- You missed out on some available support for obstetric fistula patients
in Nigeria. You need to  get more articles on psychosocial support for obstetric fistula patients
in Nigeria. Some of these articles discussed the effect of support in the quality of life
Read this articles-
DOI: http://dx.doi.org/10.3126/njog.v13i2.21714
Shittu  SO,  Ojengbede AO, Walla  HIL. A  review  of  post-operative care for obstetric Þ stulas
in Nigeria. International Journal of Gynecology and Obstetrics. 2007; 99: S79- S84.
Capes  T,  Ascher-Walsh  C,  Abdoulaye  L,  Brodman  M. Obstetric Fistula in Low and middle
income countries. Mount Sinai Journal of Medicine 2011; 78: 352-61.54
Fistula  Foundation.  Nigeria.  Where  we  help.  Fistula Foundation. 2018
Fistula  Foundation.  Nigeria.  Where  we  help.  Fistula Foundation. 2018
Conclusion- Please include the available support for women in  Nigeria. The support is available
in a few centres
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 0 Date: 14 Oct 2022
Reviewer:  Shady Saleem
Reviewer's report:
I reviewed this manuscript and found this work need some corrections as followed:
1- the manuscript needed  editing for grammars
2- some results not recorded in this manuscript as  results of immunochemistry
3-  I recommend to do histopathological examination for excised polyps to diagnose the cause
of polyps as benign or malignant in origin as this will affect the recurrence rate, and this will
complete the methodology of this manuscript.
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 0 Date: 21 Oct 2022
Reviewer:  Mania Kaveh
Reviewer's report:
With respect
This study was a good study about the novel factors in endometrial polyps recurrence.
due to the high prevalence of endometritis  especially after vaginal procedures , more studies
should be designed with more samples and considering other factors involved in the occurrence
of endometritis after polypectomy.
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 0 Date: 21 Oct 2022
Reviewer:  Ban Hadi Hameed
Reviewer's report:
the dear author thanks for your work, please find the attached notes regarding your manuscript:
the abstract contains more than the journal words' instructions
the exclusion criteria include an unrelated etiology for EP which is endometriosis
Medications are given pre and postoperatively?
Intraoperative interventions and duration of the surgery?
factors affecting the risk of CE include other demographic variables that should be included in
the study
follow-up: TVS is not accurate in the diagnosis of EP there may be hyperplasia
the results are not conclusive for the association of CE with EP. What about other confounding
variables for CE as abortion and cesarean delivery, contraception IUCD, antibiotics used at the
time of hysteroscopy
What about histopathology results? Are there any malignant or premalignant conditions?
repetition of data to be avoided
According to the causative agents not always antibiotics treat CE
Regards
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 2 Date: 08 Dec 2022
Reviewer's report:
The hypothesis of this paper is well organized and presented and I have few points need to be
clarified.
1-Regarding abstract, method of diagnosing CE (immunohistochemical detection of CD138 on
the endometrial specimen) need to be mention.
2-Regarding study design, more information about CD 138 need to be highlighted. Also, line
104,  (the exclusion criteria were pelvic inflammatory disease (PID) occurring in the 12 months
after hysteroscopic polypectomy ), well PID include endometritis ,  And how they diagnose
those who develop PID and exclude them?
3-Regarding discussion, line 224, the causative organisms, what about chlamydia and other
sexually transmitted diseases?
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 2 Date: 12 Dec 2022
Reviewer's report:
Comments to the editor
Thank you for the opportunity to re review the article titled: Chronic endometritis increases the
recurrence of endometrial polyps in premenopausal women after hysteroscopic polypectomy
In this study, the authors have evaluated the the recurrence of endometrial polyps in
premenopausal women after hysteroscopic polypectomy.They have reached a conclusion that
chronic endometritis was a harmful factor for the recurrence of EPs in premenopausal women
after hysteroscopic polypectomy. Thus, I think that this paper needs some adjustments and
corrections that I have mentioned below, otherwise I believe that it contains important scientific
data which are valuable for the field.
Specific comments
1. Introduction: line 68 …..in CE (103).is it a reference ?as the last reference is no 30.please
recheck
2. Materials and methods for patients and sample collection:
• there are a lot of detrimental pitfalls in methodology :
Line 98 :The expression of CD138 in the endometrium was analyzed by immunohistochemistry
to identify CE.please explain the details of the  procedure
Line 112: Endometrial samples what was the size of endometrial samples ? is it fixed in all
cases ?the author mentioned they depend on visual diagnosis to determine the site of taking
the sample then how in all cases took fixed and if they really depend on visual assessment the
site should be changed from patient to another . (the direct visual assessment of endometrium,
hysteroscopy is now considered the golden standard for the diagnosis of endometrial pathology)
Garuti, G., Angioni, S., Mereu, L. et al. Hysteroscopic view with targeted biopsy in the
assessment of endometrial carcinoma. What is the rate of underestimatated diagnosis? The
results of a multicenter Italian trial.Gynecol Surg 17, 10 (2020). https://doi.org/10.1186/
s10397-020-01077-0
Line 118 : endometrial hyperplasia were excluded. Should be added to exclusion criteria
line 133 the type of the machine please mention
the author did not explain thoroughly how the diagnosis of chronic endometritis were done as
its regarded as one of the main corners of this study ( what are the diagnostic criteria )
line 105 : pelvic inflammatory disease (PID). What are the diagnostic criteria please be spesific
(acute or  chronic )
3. Result:
4. Discussion:
5. Conclusion: the author concluded (Multiple EPs also contributed to polyp recurrence) but he
did not involve the no of polyps in his study so how can he conclude it recheck this point please .
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 5 Date: 30 Jan 2023
Reviewer's report:
Thank you for reffering me the manuscript for Review process but I have some notes about it
to be corrected before publician
1.The authors should write after taking the endometrial biopsy the diagnosis of chronic
endometritis should done first by looking to the morphology of the field and the presence of
plasma cell with or without lymphoid follicles and if the morphology is controversial then should
send for immunohistochemical stain
2.Currently no specific guidlines about the required number of plasma cells required for the
diagnosis(pathology outlines)
3.Regarding the immunohistochemical stain the authors can add the manufacturing of the
antibody marker
4.In the text the author said no relaitionship of age &BMI with recurrence of endometrial polyp
but Why in the tables you put age&BMI?
5.The authors can add additional markers for plasma cells useful in the diagnosis like MUM 1
in addition to CD 138
Title: Chronic endometritis increases the recurrence of endometrial polyps in premenopausal
women after hysteroscopic polypectomy
Version: 5 Date: 31 Jan 2023
Reviewer:  Wisam Akram
Reviewer's report:
Dear colleagues
I acknowledge greatly the receipt of you kind email about reviewing the article entitled as
Chronic endometritis increases the recurrence of endometrial polyps in premenopausal women
after hysteroscopic polypectomy
Which really I have only one point put me in conservative attitude about this article.
Let me in very brief and precise manner explain my point of view about this article in those
3 points!
1- I will skip the grammatical correction and other notes to my other dear colleagues.
2- I agree 100% with conclusion reached by the author about the recurrence of polyp following
stereoscopic surgery.
3- Yet, I have some doubts about his choice of Kaplan  Meier survival analysis to prove his
primary assumption put in the aim of the study. As a matter of fact Cox Hazard regression is the
more logical choice of proving the aim of this type of study!?
Yet Cox hazard regression require other types of variables to be included in his analysis!
In front of this paradox I have been left amazed about how to resolve this issue. Indeed I would
suggest you take the opinion of other more efficient statistician opinions to verify my point of
view as really I can't be 100% sure whether the kind author has put the correct design for his
study.
I hope that my humble point of view may be as much as satisfactory to both the author as well
as to the Journal committee
My best regards to you indeed
Wisam Akram
Consultant Obstetrician and Gynecologist
Mustansiriyah Medical college
Title: Analysis of the Effect of Hashimoto's Thyroiditis and Insulin Resistance on Ovarian
Volume in Patients with Polycystic Ovary Syndrome
Version: 1 Date: 24 Dec 2022
Reviewer's report:
The title should be corrected:  Comparison of Insulin Resistance and Overian Volume in Patients
with Polycystic Ovary Syndrome with and without Hashimoto
The objective is not clear:  In this study, our aim was to divide the patients diagnosed with
polycystic ovary syndrome (PCOS) and Hashimoto's thyroiditis (HT) into subgroups according
to different clinical and laboratory findings. It is to investigate whether it will exacerbate it.
The aim of the study is to divide?! The last sequence is totally unclear. "It is to investigate
whether it will exacerbate it". What does it mean?
The methodology is not clear. Why 46 patients? Which statistical analysis do authors use?
Conclusion: In addition, it has been observed that insulin resistance affects left ovarian volume
in patients with PCOS+HT, while insulin resistance affects the volume of the right ovary more
in patients with PCOS. In addition, it has been determined that long-term metabolic diseases
may affect at least one ovary.
How do the authors explain the connection between the left ovary and insulin resistance+ HT,
and the right ovary more with insulin resistance?
What are the limitations, if any, of the study?
The manuscript should be revised to be accepted for publication.
Title: Analysis of the Effect of Hashimoto's Thyroiditis and Insulin Resistance on Ovarian
Volume in Patients with Polycystic Ovary Syndrome
Version: 1 Date: 02 Jan 2023
Reviewer:  Mario Palumbo
Reviewer's report:
I was pleased to review this paper
The methodology used by the Authors is appropriate for the purpose of the article description.
The English language is fluid and well understood. Nevertheless, minor revision is needed.
For the abstract I found clear  the schematization of the content.
Regarding the introduction you can add this paper to deepen the topic.
DOI:  10.3390/ijms22042048
As regards the paper’s structuring (methods/discussion): There is a good structure of the project,
but the number of patients is small compared to the importance of the project.
In the patients with PCOS+HT: Does the type of thyroid replacement therapy affect the impact
of the disease on the ovaries?
Metabolic syndrome worsens the picture in patients with pcos in international literature? read
more.
in literature have you found other score cut offs with respect to the ovarian volume to be taken
in reference?
Results
- The statistical structure seems to me well done;
- Good subdivision into subparagraphs.
- mention clearly the limitations of the study.
Conclusion
Increase the number of references;
The data obtained are good with respect to the structuring of the work.
Title: Comparison of the efficacy of dienogest and GnRH-a after endometriosis surgery
Version: 0 Date: 09 Aug 2022
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and improve the discussion, as suggested below.
Authors should consider the following recommendations:
- Manuscript should be further revised in order to correct some typos and improve style.
- Although peritoneal superficial lesions and ovarian endometriomas represent the majority
of endometriotic implants within the pelvis, deep infiltrating endometriosis and extrapelvic
endometriosis are the most challenging conditions to face off. Despite sometimes medical
therapy is enough to reduce symptoms and signs (PMID: 28537213; PMID: 30074068), in
a large number of patients a complete eradication, with nerve-sparing and vascular sparing
approach (PMID: 27579309; PMID: 30415128) is needed to restore the normal pelvic anatomy
and its functions. I would add few lines to discuss these points, referring to the abovementioned
works.
Title: Comparison of the efficacy of dienogest and GnRH-a after endometriosis surgery
Version: 0 Date: 14 Aug 2022
Reviewer's report:
dear
thank you to giving me the chance to review this paper
despite discrete overall merit I have some comments:
- please update references and discuss about the possibility of extragenital and
extradbominal localizations (eg doi: 10.1016/j.jmig.2012.03.005;  10.1016/j.jmig.2018.08.031;
10.1080/01443615.2017.1349083)
- please list as symptoms dysfunctions of pelvic organs, including urinary, sexual or bowel
dysfunction related to endometriosi per se or previous complex surgery, complicating qol of
patients (i.e. 10.1016/j.jmig.2014.05.012; 10.1136/jfprhc-2014-100993;  10.1111/ajo.12358;
10.1002/ijgo.14088)
-  please discuss about pathogenesis of endometriosis adding new insights from relevant
literature  (doi: 10.23736/S2724-606X.21.04788-2; doi: 10.1007/s43032-020-00370-9; doi:
10.1080/09513590.2020.1766440. PMID 32401078
- actually since surgery is associated to unpleasent complications and reduced efficacy along
time, hormonal therapy is the first choice; in patients with contraindications or intollerance to
them, pain symptoms resistant to estroprogestinic or progestinic therapy  or complicated cases
(urinary or bowel occlusion) surgery can be performed in order to ameliorate symptoms and qol
(ie. doi: 10.1186/s10397-021-01096-5 )
- is it a retrospective study? please state the design in the materials section
- how was selected patients? randomly? please specify
- please reformulate the paragraph: Ineffectiveness: the patient's pain is basically not improved,
uterine activity is limited, and cysts or lumps were found with B ultrasound;
Recurrence: After surgery, the symptoms were worsen to premorbid levels after 6 months of
treatment, or cysts or cysts were detected after the course of treatment.
If lesion recurr did you note ineffective or recurrence? how was detected recurrence?
- did you perform sample size analysis or power analysis?
- results are redundant with the tables, please add only fundamental findings avoiding repetitions
- table 1: did you perform surgery for superficial or deep lesions? it is very frequent to have
deep co-localizations
- table 2: the vas score is related to which pain symptoms?
- please include "strenghts and limitations" paragraph
- The authors need to thoroughly revise the grammar of this manuscript
Title: Comparison of the efficacy of dienogest and GnRH-a after endometriosis surgery
Version: 0 Date: 25 Aug 2022
Reviewer's report:
I have read this manuscript with interest because most published studies compare Dienogest and
GnRH-a in a non-inferiority trial.
Manuscript should be further revised in order to correct some typos and improve style.
Limitations of the study for the small sample size should be better discussed.
In my honest opinion, the topic is interesting enough to attract the readers' attention, but I have
some questions for the authors:
- How did you calculate the sample size? I have some perplexities about the amount of
recurrences in the group treated with GnRH-a in relation to the sample size , could you motivate
this?
- The range of age of patients was till 57 and 59 years old respectively, did these women still
have regular menses?
- You write that in the observation group the therapy consists of 2 mg of dienogest twice a day
which is the double of quantity generally prescribed. Do you have data about side effects with
this amount?
- I did not understand this sentence: " It can effectively relieve pain and improve the quality of
pregnancy, and has also been confirmed in treatment of endometriosis"
Thank you
Best regards
Title: Decreasing Reproductive and Abortion Care Barriers:  Findings on Student Health Center
Role from Student Survey
Version: 2 Date: 22 Jan 2023
Reviewer's report:
The authors’ revisions have strengthened the manuscript and improved its readability. My final
suggestions are minor edits. Thank you for the opportunity to provide feedback.
1) Suggest changing USA to US (lines 34 and 68), which is how I have seen it in BMC Women’s
Health articles.
2)  Methods Line 149 – I realize the survey was different lengths depending on branching, but
is it possible to add a range of time or average that the survey took to take? I think Qualtrics
can generate an average.
3) Throughout the manuscript, check verb tense so that it is consistently past tense when
describing participants’ responses. For example, line 238 (change “make” to “made”), line 241
(change “do” to “did”), line 235 (“live” to “lived”), line 268 (“varies” to “varied”), etc.
Title: Reproductive Health of Syrian Refugee Women in Lebanon: A Descriptive Analysis of
the Sijilli Electronic Health Records Database
Version: 1 Date: 19 Apr 2022
Reviewer's report:
The manuscript aims to report on a secondary analysis of data collected among female Syrian
refugees living in Informal Tented Settlements in Lebanon by looking at their obstetric history
and comparing pre- and post displacement.
As such a good idea and potentially worth a publication. However, both the methodology and
the way results are reported contain many  unclarities that will need to be addressed.
Some examples of unclarities include:
---method section:
-the Sijilli database apparently has data on 10,082 refugees. How were these selected? Was it
a (random?, multistage?) sample?
-were age-limits used for inclusion in the database? if so, what was the lower limit?
-what does this sentence mean: "....for reporting with proportionate sample sizing to the overall
Syrian refugee population." ?
-while inclusion was displacement after 2011, how come that in the results women are reported
to have been displaced before 2011?
-why use this inclusion criteria of 2011, since displacement only started that year?
-how did you arrive at the 1942 women included in the study? the Sijilli database should have
at least 5,000 women - why could only 1942 women be included?
-multiple logistics regresssion is mentioned, but unclear where and how this is used
---results section:
-see the statement regarding % of women being over 18 in results and in abstract (under?)
-table 1: lots of missing data reported. This should be commented upon in discussion / limitation
section
-table 1: unclear use of the p-value - which parameters are compared?
-table 2:  the results for gravidity before/after displacement may warrant its own table, so the
results can be put adjacent. And why no p-values are used here?
-table 4: comparing gravidity and parity before/after displacement does not seem to make sense,
since the period (nr of years) this covers is very different.
---discussion:
-issue of missing data (see above) and possible bias in the sampling should be discussed,
including how refugees living in ITS may differ from other refugees
-line 286 on 'UN estimates' - the data found in the sample are better compared to Figure 3.
Contraceptive prevalence by method among women of reproductive age (15-49 years), by
region, 2019 in the quoted publication, in particular the part on 'northern africa and western asia'
- this is more or less comparable, with maybe still bit lower sterilisation rate.
---conclusion:
-good to add that the collected data and hence conclusion pertain to syrian refugees living in
Informal Tented Settlements.
-The highlight of the study is then indeed the decreased birth spacing in this subpopulation,
for which then -rightly so- a number of interventions are being suggested [be it that the word
'wholesome' could be replaced by alternative, like 'integrated')
-The recommendation to pay more attention to psychological impact might in itself be true, but
was not part of the study or the collected data.
Title: Reproductive Health of Syrian Refugee Women in Lebanon: A Descriptive Analysis of
the Sijilli Electronic Health Records Database
Version: 3 Date: 06 Aug 2022
Reviewer's report:
In this revised version, overall,l authors responded very well to the (many) comments that
were raised by both reviewers for the first version. Much more clarity on methods and better
differentiation between the various 'groups' of pregnant women, before and after displacement.
However, to fully properly assess the paper, a thorough edit would be required, which will then
hopefully reveal if some inconsistencies are due to real errors in the text or the result of language
issues.
Some examples would include:
-unclear sentence like this one in the abstranct:  "When compared to pre-displacement data, the
mean spacing between pregnancies and spontaneous abortions were significantly higher"
-needs edit, page 4: "Although there has recently been a recent focus on the chronic conditions
among SR that require greater follow-up and service provision "
-'rapture' instead of 'rupture' at various places
-line 897 reads: "which was not observed in our study", while the next sentences seems to say
the opposite
-line 1021: "Results showed that the age of first pregnancy, C-section deliveries, spontaneous
abortions and maternal complications has all increased by SR women after being displaced to
Lebanon"   - the indicator 'age of first pregancy' may have increased, but the age itself may have
gone down. Will need some rephrasing.
And rephrase 'increased by SR women' (eg increased in)