Gynecology

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Letters to the editor

Readers respond to articles on refractory vulvovaginitis and the bimanual pelvic examination.

The North American Menopause Society (NAMS) has issued guidelines for care of women at midlife, based on the textbook Menopause Practice: A Clinician’s Guide. Published in Menopause, the recommendations cover more than 50 topics, including vasomotor symptoms, osteoporosis, and vulvovaginal health.

An analysis of data from 46 states and the District of Columbia shows that the level of Medicaid reimbursement for office visits has an impact on likelihood of patient screening with Pap tests and other diagnostics for cancer.

A small four-institution study shows promise for use of an insufflated isolation bag as a way of reducing risks of power morcellation while retaining the benefits of minimally invasive surgery. The authors caution, however, that their results are observational and represent outcomes in the hands of high-volume surgeons.

According to a recent study in the Journal of the American Heart Association, postmenopausal women who increase their physical activity may reduce their risk of developing incident atrial fibrillation (AF).

A prospective Italian study published in The Journal of Clinical Endocrinology & Metabolism suggests that low levels of vitamin D [25(OH)D] may contribute to infertility. The finding, which the authors acknowledge does not confirm causality, could point to possible therapeutic benefits of the vitamin in women undergoing in vitro fertilization (IVF).

Despite earlier observational studies, bisphosphonate treatment for 3 to 4 years appears not to decrease the risk of invasive postmenopausal breast cancer, according to a new study in JAMA Internal Medicine.