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Letters to the editor

Readers respond to articles on refractory vulvovaginitis and the bimanual pelvic examination.

Testing urine may be an acceptable alternative for detecting human papillomavirus (HPV)-including HPV16 and HPV18-in certain patients, according to a systematic review and meta-analysis in The BMJ. However, the findings must be viewed with caution because the method is not yet consistent and reproducible.

The North American Menopause Society (NAMS) has issued guidelines for care of women at midlife, based on the textbook Menopause Practice: A Clinician’s Guide. Published in Menopause, the recommendations cover more than 50 topics, including vasomotor symptoms, osteoporosis, and vulvovaginal health.

A behavioral program that includes group meetings can help reduce pregnancy weight gain in obese women and the prevalence of large-for-gestational-age (LGA) infants, according to the results of a study supported by the National Institute of Child Health and Human Development. The findings, from a randomized clinical trial (RCT), were published in Obesity.

The US Preventive Services Task Force (USPSTF) has issued a new report supporting prophylaxis with low-dose aspirin (81 mg/d) after 12 weeks’ gestation in women at high risk of preeclampsia.

In this era of highly regulated medical training, most residency and fellowship programs establish rigorous educational objectives and procedural curricula for their trainees. Guided by the expectations set by ACOG and ABOG, Ob/Gyn training programs rely upon structured didactic sessions and guided reading recommendations to keep their residents in compliance with these benchmarks.

Improving patient-doctor communication is the goal of genitourinary syndrome of menopause (GSM), the new name for vaginal atrophy and other menopause symptoms.