Pregnancy and Birth

SMFM 27th Annual Meeting 2007

SMFM 27th Annual Meeting 2007

SMFM 27th Annual Meeting 2007

SMFM 27th Annual Meeting 2007

A Collaborative Transnational Pilot Survey of In vitro Fertilization Programs in the Middle East

Question from Johanna: hormone replacement therapy My mother is 69. She had a total hysterectomy in her early 40's. She had to stop hormone treatment due to blood clots. She has not been on any HRT since. She now has bad Osteoarthritis, joint pains, muscle pains, etc. She had Lyme disease a few years ago also in severe stages (10 years ago.) She still feels better when ever they put her on any antibiotics for sore throats for instance. She had a bone density test done recently and her doctor prescribed Miacalcin. Mom has been on 1000 milligrams of Calcium with a combination pill of vitamin D and boron for years. She is becoming more and more bowlegged and has increasingly difficulty walking (it is painful) She does ride her bike since it is not a weight bearing activity. By the afternoon she is very tired. Is it too late for her to have hormone replacement therapy, what kind of doctor should she be seeing, med.'s etc.? Is there a way to reverse this process? Mom has allergies with sinus drainage and gets frequent bronchitis because of it during the winter months. She takes Allegra. Will this interfere with the Miacalcin? Any information you could possibly give me would be appreciated. Thank you very much, Johanna

Questions this month have been answered by:Barry L. Gruber, MD, OBGYN.net Osteoporosis Editorial Advisor Alice Rhoton-Vlasak, MD, OBGYN.net Osteoporosis Editorial AdvisoR. Wayne Whitted, MD, MPh, OBGYN.net Osteoporosis Editorial Advisor Harvey S.Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Questions this month have been answered by:Harvey S. Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Questions this month have been answered by:Paul D. Burstein, MD, FACOG, USA, OBGYN.net Osteoporosis Editorial AdvisorMichael Kleerekoper, MB, BS, FACP, FACE, OBGYN.net Editorial Advisor Harvey S. Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Questions this month have been answered by:Paul D. Burstein, MD, FACOG, USA, OBGYN.net Osteoporosis Editorial Advisor Michael Kleerekoper, MB, BS, FACP, FACE, OBGYN.net Editorial AdvisorMaria Luisa Bianchi, MD, Italy, OBGYN.net Osteoporosis Editorial Advisor Harvey S.Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Question from Russell: Male Osteoporosis I am 74 years old and had a CATscan 3 weeks ago. The xray doctor said that I had a 70% loss is my spine. My medical Doctor put me on Evista, I have been taking extra calcium along with the Evista. I had been taking Lipitor for high cholesterol but the Dr. took me off of that because my blood platelets had gone down to 121,000. Do you have any suggestions?

When Outcome is a Balance:Methods to Measure Combined Utility for the Choice Between Induction of Labour andExpectant Management in Mild Risk Pregnancy at Term

For the Treatment of Stress Urinary Incontinence in Women:A Systematic Review

Inside this Issue: Editor’s Corner President's Message ISGE Training Programme: Tribute to Frau Sybill Storz Hysteroscopic Myomectomy News from around the World Obituary Letter to the Editor

Is It Possible To Reduce the Incidence? What Are the Implications for Practice?

Questions this month have been answered by:Paul D. Burstein, M.D., FACOG OBGYN.net Osteoporosis, Editorial AdvisorClinical Professor Obstetrics & GynecologyUniversity of Wisconsin Medical SchoolMichael Kleerekoper, M.B., B.S.,OBGYN.net Editorial Advisor

Question from Russell: Male Osteoporosis I am 74 years old and had a CATscan 3 weeks ago. The xray doctor said that I had a 70% loss is my spine. My medical Doctor put me on Evista, I have been taking extra calcium along with the Evista. I had been taking Lipitor for high cholesterol but the Dr. took me off of that because my blood platelets had gone down to 121,000. Do you have any suggestions?

Questions this month have been answered by:Simon Kipersztok, MD, OBGYN.net Osteoporosis Editorial AdvisorHarvey S. Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Questions this month have been answered by:R. Wayne Whitted, MD, MPh, OBGYN.net Osteoporosis Editorial AdvisorHarvey S. Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial AdvisorPaul D. Burstein, MD, FACOG, USA, OBGYN.net Osteoporosis Editorial Advisor

Questions this month have been answered by:Maria Luisa Bianchi, MD, Italy, OBGYN.net Osteoporosis Editorial AdvisorHarvey S. Marchbein, MD, FACOG, FACS, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Answer from Dr. Gruber The answer to your question is not entirely known, although certain factors probably contribute. First however, it is important to recognize that the data indicate that among Asians the rate of hip fractures varies considerably whether one is speaking of Japanese, American-Asians, Koreans, New Zealand, Hawaii, etc. In general, Asian women have higher fracture rates than African-Americans but lower than Caucasians. Presumably racial and ethnic influences on risk for developing osteoporosis and fragility fractures depends on (undefined) genetic factors which govern bone mass, geometry, and size of bones (all contributing to strength), bone turnover rates, overall body composition (both muscle mass and fat lessen fracture rates), and calcium metabolism. In addition, lifestyle issues such as physical activity, smoking, etc. probably play a role although this has not been well studied in terms of its relationship to race and ethnicity. In summary, a wide range in fracture incidence worldwide suggests that many factors enter into the determination of skeletal health. Bone mass itself (i.e., bone density) is only a portion of the risk profile.

The following 2 articles appeared in the “Green Journal” in 1998. I wrote a commentary on them at that time. Now, 9 years later, I find most of that commentary is still true. I have added a few additional comments and describe the “I once had a patient” syndrome.

Serum Estradiol/progesterone Ratio on Day of Embryo Transfer May Predict Reproductive OutcomeFollowing Controlled Ovarian Hyperstimulation and In vitro Fertilization

Questions this month have been answered by:Simon Kipersztok, MD, OBGYN.net Osteoporosis Editorial Advisor Alice Rhoton-Vlasak, MD, OBGYN.net Osteoporosis Editorial AdvisoBarry L. Gruber, MD, OBGYN.net Osteoporosis Editorial Advisor Harvey S.Marchbein, MD, USA, OBGYN.net Osteoporosis Chairman and Editorial Advisor

Questions this month have been answered by:Harvey S. Marchbein, MD, FACOG, FACS, OBGYN.net Osteoporosis Chairman and Editorial AdvisorMichael Kleerekoper, MB, BS, FACP, FACE, OBGYN.net Editorial Advisor