Evidence mapPaperPMID 40528461Full record

ReviewMultiple sclerosis (Houndmills, Basingstoke, England)2025

Gynecological health: A missing link in comprehensive treatment monitoring for multiple sclerosis.

Melika Arab Bafrani, Viviana Rios, Min Ji Kim, Ayushi Balan, Riley Bove

Abstract readReview
In one paragraph

Review in Multiple sclerosis (Houndmills, Basingstoke, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

5 authors.

Melika Arab BafraniUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-3983-5844
Viviana RiosUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
Min Ji KimUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0009-0006-2528-9666
Ayushi BalanUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.
Riley BoveUCSF Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-2034-8800

Funding

Sex and Gender Enriched NeurologyR25NS136037 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$162k
NINDS NIH HHS R25 NS136037
6 · The paper itself

Abstract

Safety monitoring of disease-modifying therapies (DMTs) used to treat multiple sclerosis (MS) has largely overlooked the domain of gynecological health. This topical review aims to provide MS clinicians with an overview of the three categories of complications described to date, as well as risk mitigation strategies. These are increased risk of human papilloma virus (HPV) positivity and related cervical dysplasia/cancers; inflammatory and infectious vaginitis and susceptibility to bacterial vaginosis (BV); and herpesvirus infections, including genital Herpes Simplex Virus (HSV). Current knowledge may be biased due to limited studies and lack of gynecological focus in neurological encounters. Risk mitigation strategies include promoting HPV vaccination, following guidance for immune compromised individuals relating to cervical cancer screening and antiviral suppression, and proactive communication with patients about gynecological health when starting DMTs. Together, these might improve gynecological health and thereby quality of life in females with neuroinflammatory diseases.

Indexed as

Multiple SclerosisFemaleHumansPapillomavirus InfectionsVaginosis, Bacterialcervical cancergynecological healthHPVimmune suppressionVaginal complications

Identifiers

PMID40528461
PMCPMC12357974

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.