Gynecology

The Society for Maternal-Fetal Medicine consult series #49 on cesarean scar pregnancy

June 11, 2020

Cesarean scar pregnancy (CSP) is a complication in which an early pregnancy implants in the scar from a prior cesarean delivery. Incidence and recognition of this condition appear to have increased over the past two decades, perhaps due to high worldwide cesarean delivery rates. The clinical presentation is variable, and many women are asymptomatic at presentation. CSP can be difficult to diagnose in a timely fashion. Ultrasound is the primary imaging modality for CSP diagnosis. Expectantly managed CSP is associated with high rates of severe maternal morbidity such as hemorrhage, placenta accreta spectrum (PAS), and uterine rupture. Given these substantial risks, pregnancy termination is recommended after CSP diagnosis. Several surgical and medical treatments have been described for this disorder, but at this time, optimal management remains uncertain.

Risk Factors for Dislodgment of Pessaries

June 10, 2020

With ongoing aging of the population, incidence of pelvic organ prolapse (POP) is on the increase, and with it the need to increased education for ob/gyns and their patient about proper use of pessaries.

Cervicovaginal microbiome and HPV progression

May 21, 2020

Results from a longitudinal study suggest that bacteria in the cervicovaginal microbiome (CVM) may play a role in risk of progression of high-risk human papillomavirus (HR-HPV) to cervical precancer.

Does IUD type impact cervical cancer risk?

May 21, 2020

More than 100 million women worldwide use IUDs as contraception so these findings could have global implications.

ACOG Guidelines at a Glance: Heavy Menstrual Bleeding in Adolescents

May 12, 2020

In this piece, read ACOG’s Committee Opinion #785 on Screening and Management of Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding, with expert commentary from Contemporary OB/GYN Board Member Dr. Paula J. Hillard.

Video Series: Dr. Dotters-Katz weighs in on COVID-19 in pregnancy

May 05, 2020

Dr. Sarah Dotters-Katz is a maternal-fetal medicine specialist and obstetrician and gynecologist at Duke Health in Durham, N.C. One of her research interests is clinical infectious diseases and how they impact pregnancy.

Sexually transmitted infections and risk of ovarian cancer

April 23, 2020

A new study suggests that certain sexually trasmitted infections, such as herpes simplex virus 2, may have a role in the development of certain types of ovarian cancer.

Executive function following risk-reducing salpingo-oophorectomy

April 08, 2020

New research indicates that adverse childhood experiences (ACE) and current mood may contribute to cognitive distress and poor executive function following risk-reducing salpingo-oophorectomy (RRSO).

Practical path for an onerous condition

April 06, 2020

Recurrent or chronic vulvovaginitis is frustrating to patients and a burden to the health care system. Here is a guide to addressing it.

Family CVD history and decision-making about BSO

March 24, 2020

Some women proactively choose bilateral salpingo-oophorectomy (BSO) to minimize cancer risk, but new research indicates that for some women, the procedure may be doing more harm than good.

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