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.
Effect on Behavior and Bone Mineral Density of Individualized Bone Mineral Density Feedback
July 28th 2011The Effect on Behavior and Bone Mineral Density of Individualized Bone Mineral Density Feedback and Educational Interventions in Premenopausal Women: A Randomized Controlled Trial [NCT00273260]
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An Overlooked Connection: Serotonergic Mediation of Estrogen-related Physiology and Pathology
July 28th 2011In humans, serotonin has typically been investigated as a neurotransmitter. However, serotonin also functions as a hormone across animal phyla, including those lacking an organized central nervous system.
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Breast Cancer in Younger Women Assessment and Risk Management
July 28th 2011Breast cancer is a growing concern among premenopausal women. With an emphasis on this patient population, this article discusses the known risk factors for breast cancer; models for quantitative risk assessment; and strategies for modifying breast cancer risk, including screening mammography, prophylactic mastectomy, and primary pharmacologic prevention.
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Hormone Replacement Therapy and Mammogram Accuracy
July 28th 2011A report just published in the Journal of the American Medical Association confirmed previous studies which found that women who take hormone replacement therapy (HRT) may develop denser breast tissue, which in turn may make it more difficult to detect breast cancer through mammography.
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OCs for Perimenopausal Women: Who Might Benefit from the Pill?
July 28th 2011Healthy, nonsmoking perimenopausal women can derive a host of benefits from using oral contraceptives (OCs). Along with providing effective contraception, OCs can regulate their menstrual cycles, reduce hot flashes, and protect against two gynecologic cancers.
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Don't Wait for a Fracture Identifying Osteoporosis
July 28th 2011Like the proverbial elephant, osteoporosis has been described in ways that vary according to the scientific orientation of the describer. It has been defined clinically as the presence of fracture; biomechanically as decreased bone strength; radiographically as osteopenia; histomorphometrically as reduced bone matrix per unit of bone volume; and epidemiologically as increased fracture risk.
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Update on Retropubic Incontinence Surgery
July 28th 2011A 27-year study of 1300 women undergoing retropubic cystourethropexy using either the modified Marshall-Marchetti-Krantz procedure or the modified Pereyra procedure compares long-term results when the type of surgery is selected on the basis of patient criteria.
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Melatonin Effects on Luteinizing Hormone in Postmenopausal Women: A Pilot Clinical Trial NCT00288262
In many mammals, the duration of the nocturnal melatonin elevation regulates seasonal changes in reproductive hormones such as luteinizing hormone (LH). Melatonin's effects on human reproductive endocrinology are uncertain.
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European Active Surveillance Study of Women Taking HRT (EURAS-HRT): Study Protocol [NCT00214903]
July 27th 2011The post marketing safety surveillance program for a drug containing a new chemical entity should assess both, the safety outcomes that relate specifically to the targeted population, as well as those that could potentially be related to special pharmacological characteristics of the drug.
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Discordance in Diagnosis of Osteoporosis using Spine and Hip Bone Densitometry
July 27th 2011Diagnostic discordance for osteoporosis is the observation that the T-score of an individual patient varies from one key measurement site to another, falling into two different diagnostic categories identified by the World Health Organization (WHO) classification system.
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A Discussion of Natural Hormones
July 26th 2011The request for "natural hormones" is nearly universal. But there is a lot of misunderstanding regarding this idea. What is natural? Compounds derived from nature? Or compounds from pharmaceutical companies that are structurally similar to hormones produced by the ovaries?
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Podcast: What Should You Tell Your Patients About Bioidentical Hormones?
July 18th 2011Menopausal women often present with a list of complaints, questions and worries. While they seek effective treatment to alleviate their symptoms, they express their concerns regarding the potential adverse effects associated with conventional hormone treatment-namely, coronary heart disease, stroke and breast cancer. As a result, many women ask their clinicians about alternative options. They come armed with anecdotal stories, advice from friends, and information from television and internet sources.
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