August 29th 2025
Review some of the top stories from the Contemporary OB/GYN website over the past week and catch up on anything you may have missed.
Are Patients With Chronic Inflammatory Disease at Risk for Early Menopause?
December 6th 2011Lead researcher Dr Janet McLaren discusses the results of a new study exploring new concerns that rheumatoid arthritis, lupus, and inflammatory bowel disease may lead to premature ovarian failure and early menopause.
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Transdermal Contraception: Contraception Patch. Interview with Ronald T. Burkman, MD
“We just heard a presentation about one of the several new devices for contraception and you took part in a lot of research about this Transdermal Patches for contraception.
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To Sleep, Perchance To Dream: Recognizing and Addressing Menopause-Related Sleep Disruption
November 9th 2011Hormone fluctuations. Hot flashes and night sweats. Depression and changes in mood. Coincidental and age-related changes in health and social issues. All of these factors associated with menopause can affect a patient’s sleep quality.
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Bioidentical Hormones: Advances in Research and What to Ask Your Provider
November 7th 2011One of the earliest uses of HRT was documented in an 1897 publication highlighting the use of desiccated ovarian extracts to alleviate vasomotor symptoms. As science evolved, publications emerged describing the extraction of hormones from pregnant female urine (Emmenin®) in 1934 and eventually pregnant mare urine (Premarin®) in 1937 for the therapeutic relief of menopausal symptoms.
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Despite the positive effects of hormone replacement therapy for treating menopause-related issues, HRT’s association with negative adverse outcomes has cast a dark shadow on it. Now, new research out of Europe shows that HRT also increases severe asthma attacks in patients.
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Advances in the Prevention and Management of Osteoporosis New Clinical Insights
October 14th 2011During the past decade, research into postmenopausal osteoporosis has led to a heightened understanding of the disease process. Awareness of current diagnostic guidelines, prevention strategies, and treatment options is key to the successful management of this condition.
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HRT May Prevent Fractures in Postmenopausal Women Without Adverse Side Effects
October 14th 2011Researchers at the Rush Center for Clinical Studies at Rush-Presbyterian-St. Luke’s Medical Center in Chicago will investigate whether the hormone replacement therapy tibolone prevents spinal fractures in osteoporotic postmenopausal women.
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Bone Densitometry as a Screening Tool for Osteoporosis in Postmenopausal Women
October 14th 2011Osteoporosis is a degenerative bone disease that affects approximately 24 million Americans. Of these, 33 percent are postmenopausal women who have decreased bone density due to lowered estrogen levels.
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Osteoporosis is a decrease in bone mass and strength causing susceptibility to fractures. It is the major cause of bone fractures in postmenopausal women and older persons in general. Osteoporosis has no clear beginning, and until recently its first visible sign was a debilitating fracture of the hip, wrist, or vertebral bodies causing pain or deformity.
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AACE Clinical Practice Guidelines for the Prevention and Treatment of Postmenopausal Osteoporosis
October 13th 2011In this era of constrained health-care resources, a critical need exists for efficient, measurable systems of disease management that strike a balance between social responsibility and patient welfare.
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Assessing Bone Resorption Levels to Predict Skeletal Responses to HRT
October 13th 2011Osteoporosis is recognized as a significant contributor to morbidity and mortality in postmenopausal women. Several effective strategies, including calcium supplementation, weight-bearing exercise, and, most importantly, hormone replacement, have been developed to prevent or at least delay clinically significant bone loss.
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Thyroid Dysfunctional State Detected by QUS Measurements at Multiple Skeletal Sites
October 13th 2011Hyperthyroidism in postmenopausal women is associated with accelerated bone loss that results in lower BMD as detected by DEXA, SPA, QCT as well as bone markers’ levels. However, there is no data of QUS evaluation in thyrotoxic patients.
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"Doctor, just what is a hot flash?"
October 7th 2011Hot flashes, hot flushes, power surges-- they go by a variety of names and are one of the most common symptoms of the perimenopause and menopause. Often a premenopausal woman will ask, "how will I know if I am having hot flashes"? This can be compared to the question a woman who has never had a baby asks, "how I will know if it's really a contraction"? If a woman is having significant hot flashes, she will not have to ask!
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"Doctor, is the patch better, and how do I use it?"
October 7th 2011The benefits of using the patch for hormone replacement, with a few exceptions, are not significantly different from those when taken in a pill form. The choice should depend primarily upon the woman's preference, and for those choosing the patch there are a few small tricks for making it easier to use.
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Staying Smart with Estrogen: Estrogen Replacement and Mental Functioning
October 7th 2011Losing your keys? Losing your patience? Losing your mind? If you are a midlife woman having difficulties, the solution may be increasing your estrogen level. More and more research studies are showing beneficial effects of hormone replacement on mental functioning. Women taking estrogen showed increased brain activation and reinstated patterns observed in younger subjects performing memory tasks, according to a recent study.
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The Significance of Bleeding after Menopause
October 7th 2011Bleeding after menopause or "postmenopausal bleeding" ("PMB") can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiences her last menstrual period. This assumes of course that she is indeed menopausal ie. in her late 40's, perhaps having hot flashes and night sweats, mood swings, insomnia, perhaps experiencing some vaginal dryness.
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Theories of Fibroid Information
October 3rd 2011Despite the major public health impact of leiomyomas, little is known about their cause. Until recently, the steroid hormones estrogen and progesterone were considered the most important regulators of leiomyoma growth. There is abundant evidence that estrogen promotes fibroid growth including the clinical observations that fibroids grow in the presence of high levels of estrogen, such as during the reproductive years, and that they regress in the presence of low levels of estrogen, such as following menopause or during gonadotropin releasing hormone (GnRH) agonist therapy.
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Is HRT still indicated for the primary prevention of osteoporosis?
October 2nd 2011Hormone Replacement Therapy: In most European countries, the actual Guideline on the Evaluation of New Medicinal Products in the Treatment of Primary Osteoporosis is incomplete in that, unlike the previous Note for Guidance on Postmenopausal Osteoporosis in Women (EMEA 2001 Guidance), it fails to address the prevention of osteoporosis indication.
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Climacterium and the menopause
October 2nd 2011The world of menopausal care is changing. For many years, the scientific community involved in menopause research has been amassing evidence that the menopause is associated with multiple complaints and chronic diseases, and that postmenopausal hormone therapy has the potential to prevent or treat most of them.
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Aging, Not Menopause, Linked to Increased Risk of Heart Disease
September 30th 2011Hormonal changes associated with menopause do not increase a woman’s risk for heart disease and heart disease mortality, according to new research published in BMJ. The work of Dr Dhananjay Vaidya, assistant professor of medicine at John Hopkins School of Medicine, and colleagues contradict the previously hypothesis that heart disease and heart attacks rise dramatically after menopause.
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Venous Thromboembolism and Estrogen Hormone Therapy: Patch Presents Less Risk Than Pill
September 25th 2011A new study provides a real-world snapshot of risks associated with venous thromboembolism in women receiving hormone replacement therapy, demonstrating that women who use an estradiol transdermal system may have less risk of developing thromboembolism than their counterparts who receive oral estrogen-only hormone therapy agents.
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FDA Bounces Request to Approve Desvenlafaxine (Pristiq) for Menopause
September 21st 2011Pfizer Inc. reports that it has received a "complete response letter" from the Food and Drug Administration (FDA) denying its application to approve desvenlafaxine (Pristiq) for moderate to severe vasomotor symptoms of menopause such as hot flashes.
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