Hysterectomy is the most common nonobstetric surgical procedure performed on women, with 1 out of 9 women undergoing it in their lifetime. Recent reports have indicated a sharp decline in the number of hysterectomies performed annually in the United States.
Guidelines from the National Institute for Health and Care Excellence (NICE) offer a unique perspective on diagnosis and management of menopause. Plus: A guide for hormone replacement therapy.
A 42 y.o. woman presents for her annual gynecologic exam and complains of a non-painful mass on her right vulva. Can you make the diagnosis and prescribe the best treatment plan?
When the head of a Kansas woman's baby did not descend easily, the nurse-midwife managing the labor sought an obstetrician’s intervention. The obstetrician used forceps to assist the delivery. The parents sued the obstetrician after the delivery alleging the infant suffered a skull fracture, lacerated ear, bruising around his scalp, and bleeding in the brain as a result of the forceps. What's the verdict? Plus more cases.
Expert commentary on Practice Bulletin No. 163: Screening for fetal aneuploidy.
The aim of this article is to educate ob/gyns about what not to do for acute and chronic pain, in the hope that increased awareness will help us prevent suffering and loss of life from opioid pain relievers.
This article reviews complications that may occur following perineal trauma, techniques to help prevent these complications, and best practices for management using case vignettes.
A study looks at the efficacy of aspirin in reducing preterm preeclampsia. Plus: The CDC reports on antidepressant use in the United States. Also, a look at whether vaginal estrogen postmenopause increases the risk of heart disease and certain types of cancer.
A recent study determined that magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) are of significant, but different value in determining the presence and depth of deep infiltrating endometriosis (DIE).
An algorithm for determining whether a woman has female sexual dysfunction and which one she may have.
A study looks at the suspected association between certain antibiotics and the risk of major congenital malformations. Plus: A look at the impact that diet may have on the rate of cesareans.
Despite its prevalence and adverse effect on women’s quality of life, female sexual dysfunction is often not addressed for a myriad of reasons.
There are books you enjoy reading, and then there are books you can’t wait to tell your friends about. But the best books are the ones you actually buy for your friends to make sure they read them. Michael Lewis’ The Undoing Project falls in that latter category.
This article reviews how migraines in women are impacted by the fluctuating hormone levels they experience throughout their lifecycle.
The CDC sets up a registry to document the disease in pregnancy and infants. Plus: A look at Zika, HIV infection. Also, Zika care standards updated.
Physiologic changes during pregnancy affect the body’s hormonal milieu as well as a woman’s sexual desires, responses, and practices. In this review, we discuss knowledge gaps, the physiology of the female sexual response during pregnancy, types of sexual activity during pregnancy, and existing literature on anatomic and physiologic changes by trimester and postpartum.
This article discusses the conditions that are unique to multifetal pregnancies.
Early imaging is key to detecting anomalies, some of which are unique to multiple gestations and some that also occur with singletons. Any anomaly that occurs in singletons can occur in 1 fetus in a multifetal pregnancy.
The plaintiffs alleged that a failure to properly monitor the patient and administer steroids for lung maturity; to place her on bed rest; or administer tocolytics to prolong pregnancy resulted in premature delivery, brain injury and neurologic developmental delays.
Two experts debate whether early delivery and active management are appropriate care in women with intrahepatic cholestasis
Contemporary OB/GYN congratulates Founding Editor John T. Queenan, MD, on the lifetime achievement award presented to him at the 9th Philadelphia Prenatal Conference. Held June 8 to 10 in the city for which it was named, the event was jointly sponsored by the American College of Obstetricians and Gynecologists and the Philadelphia Prenatal Diagnosis Institute/The Philadelphia pregnancy, Genetics and Ultrasound Center.
Small studies suggest effective strategies, but more trials are needed.
Results of a small new trial performed in a pediatric gynecology clinic show that an endometriosis therapy previously studied only in adults may be effective for teens. The findings reflect outcomes for quality of life in adolescents treated with “add-back” therapy with norethindrone acetate (NA) plus conjugated estrogens (CEE) versus NA alone.
Results of an online survey show that the type and severity of a woman’s endometriosis symptoms has a significant relationship with her productivity both at work and at home.
Mycoplasma genitalium. If you haven’t heard of it, you’re not alone. But in spite of its status as an emerging pathogen, the rising prevalence, linkage to adverse reproductive outcomes, and evidence of antibiotic resistance of M. genitalium all underscore the need for improved awareness of this organism.
Over the past few years, progress has clearly been made with regard to the professional liability crisis.
An inexpensive generic drug has been found to prevent hemorrhaging in women after childbirth.
Analysis of data from the Women’s Health Initiative study adds to concerns about potential risks of long-term use of bisphosphonates in elderly women.