Gynecology

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A screening protocol that takes into consideration CA-125 levels over time and results of transvaginal ultrasound (TVS) shows promise in early detection of ovarian cancer, according to a new report from investigators at the University of Texas MD Anderson Cancer Center. In a large, prospective study, the combination demonstrated excellent specificity and positive predictive value (PPV) in a group of women at average risk of ovarian cancer.

Enhanced recovery pathway (ERP) leads to earlier discharge, cost savings, better patient satisfaction, lower narcotic use, and more stable readmission rates in complex gynecologic surgery patients, according to a study recently published in Obstetrics & Gynecology.

Pregnancy after bariatric surgery is associated with a reduced risk of having a large-for-gestational-age infant and an increased risk of having a small-for-gestational-age infant, concluded a matched cohort study of singleton deliveries in Denmark.

Positioning sutures away from an intervertebral disc at the promontory may help reduce the risk of disc-related sequelae after sacrocolpopexy, concluded a review of spinal MRIs of women undergoing surgical repair of pelvic organ prolapse.

The British Menopause Society (BMS) on May 23 released updated recommendations on hormone replacement therapy (HRT), claiming that they are finally providing clarity to this murky issue. The new guidelines appear in the society’s flagship journal, Menopause International. Developed by a panel of experts, the guidelines discuss how women can optimize their menopause transition, focusing in particular on lifestyle and diet and the pros and cons of complementary therapies.

Results of a study of more than 116,000 women, published online May 14 in Human Reproduction reveal a 39% lower risk of endometriosis in those who were morbidly obese than in women with normal body mass index (BMI).

Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.

This surgical video shows resection of a 3-cm intracavity fibroid using minimally invasive surgical technology. The patient, a 40-year-old woman, presented with a 60-day history of abnormal bleeding.