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There is a clearly defined rounded mass just below the endometrial stripe of the uterus. The endometrium itself appears normal in thickness ruling out hyperplasia.The mass is within the uterine fundus and body ruling out a cervical mass.

Fewer than 20% of obstetrics and gynecology residents receive formal training in menopause medicine. With an expected 50 million menopausal women in the US by 2020, how will we address the knowledge gap?

"We need a complete shift in how we offer contraception to patients." So said the Principle Investigator of the CHOICE Project, Jeffery Peipert, MD, vice chair for clinical research at Washington University School of Medicine in St. Louis, at ACOG's 61st annual clinical meeting on Tuesday.

"Should all women freeze their eggs?" This question was posed by Marcelle Cedars, MD, during a Tuesday afternoon session at ACOG's 61st annual clinical meeting. In a session offering late-breaking news from SGO, the Society for Maternal-Fetal Medicine (SMFM), the American Urogynecologic Society (AUGS), and the Society for Reproductive Endocrinology and Infertility (SREI), Dr. Cedars pointed out that as of October 2012, ASRM no longer considers egg freezing experimental.

Most women think both hormonal contraception and pregnancy are safe and many have fewer concerns about pregnancy than contraception, researchers from the University of Rochester reported at the Annual Clinical Meeting of the American College of Obstetricians and Gynecologists (ACOG).

Uterine artery embolization for fibroids results in a tremendous reduction in menorrhagia. But while complication rates are low, up to 15% of patients are readmitted for indications like pain, bleeding and infection.

In a randomized study of 249 women treated for urge incontinence, Botulinum toxin A (Botox) reduced episodes from an average of 5 per day to 3.3 per day, equal to standard anticholinergic treatment.

“Using a prophylactic sling during prolapse repair significantly reduces postoperative stress incontinence,” said Anthony Visco, a representative of the American Urogynecologic Society at the 61st annual American Congress of Obstetricians and Gynecologists meeting.

Diana Bianchi discusses noninvasive prenatal testing, including false positives and testing average-risk women, at ACOG's Annual Meeting.

The US Food and Drug Administration has announced that the children of mothers who took medications including or related to valproate sodium during pregnancy show decreased IQ scores, and that these drugs are now contraindicated for pregnant women.

This middle-aged woman has pelvic pain and vaginal discharge. What is your diagnosis based on these ultrasound images of the uterus?

Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.

Hormones, particularly transdermal estradiol, may help women maintain mood, cognition and memory in middle-age and beyond. “What we have learned the past decade is that not all estrogens are the same,” said ACOG presenter Sarah Berga, MD, of Women’s Health at Wake Forrest School of Medicine, “and that the differences can be critical.”

One in seven women will experience pelvic pain in her lifetime, and between one- and two-thirds will have chronic pain that persists for more than three years. But although it’s common, it can be one of the most difficult and frustrating conditions physicians treat.

The female hormone megestrol acetate (MA) improves appetite and is associated with slight weight gain in patients with cancer, AIDS, and other underlying pathology, but comes with significant adverse events.

Fish oil supplementation that is rich in omega-3 fatty acids does not prevent depressive symptoms during pregnancy or in the postpartum period, according to the results of a double-blind, randomized controlled trial.

Women with high levels of antibodies related to celiac disease are more likely to deliver low birthweight (LBW) babies, according to a large Belgian study published in Gastroenterology.

The US Food and Drug Administration (FDA) has approved the Plan B One-Step levonorgestrel pill for emergency contraception (EC) without prescription for women aged 15 and older, although proof of age must be provided at the time of purchase.

The American Academy of Pediatrics (AAP) has issued a policy statement that advocates standards of practice for planned home births that are consistent with standards of practice for infants born in medical care facilities.

This surgical video shows resection of a 3-cm intracavity fibroid using minimally invasive surgical technology. The patient, a 40-year-old woman, presented with a 60-day history of abnormal bleeding.

The average ob/gyn might deliver 10 to 15 babies a month over a 30-year career-let’s say 4000 to 5000 in total. Inspire one medical student to enter our field every year by striking up a relationship during his or her clerkship, and you could influence the births of more than 100,000 babies down the road.

In utero exposures to altered maternal nutrition, stress, or environmental toxins may alter organ structure or function, leading to adult obesity.

Medical management of early pregnancy failure is an appropriate and safe option for many women who want to avoid surgical intervention or expectant management.

When it comes to discussing exercise, it seems that many of us are at a loss for words. What kind of exercise should I recommend? How much exercise is enough? How much is too much? How do I know that my patient is actually exercising? How do I prescribe exercise? As you can imagine, there are apps for this!

This difficult defense-a young woman dying shortly after a routine tubal ligation-was further complicated by conflicting reports about who said what to whom and when.

Two physicians discuss the pros and cons of universal assessment for ob/gyns and their patients.

In patients with an American Fertility Society class V or class VI septate uterus, hysteroscopic metroplasty is associated with a significant improvement in reproductive performance.