
Although use of brachytherapy to treat invasive breast cancer after lumpectomy is increasing, whole-breast irradiation has proven superior in 2 important aspects.

Although use of brachytherapy to treat invasive breast cancer after lumpectomy is increasing, whole-breast irradiation has proven superior in 2 important aspects.

Women who experience early menopause?before age 47?have increased risks for osteoporosis, fragility fractures, and death.

The benefits and risks of breast cancer screening have often been debated by the clinical and epidemiological realms, with key arguments centering around overdiagnosis.

The FDA issued a public health notification regarding use of surgical mesh for the repair of pelvic organ prolapsed and stress urinary incontinence. Surgical mesh has caused severe complications in some patients.

Providers underestimate the intensity of patients’ pain during IUD insertion, and often misidentify the moment at which maximum pain occurs, according to a randomized trial of 200 women. Midlevel providers are slightly better at estimating pain intensity.

This is an ultrasound scan of the placenta.

The association between breast cancer and cadmium, a heavy metal that can be found in food, cosmetics, water, and air, has been explored in several new studies with varied findings.

Women who experience early menopause are almost twice as likely to have osteoporosis and are at greater risk for fracture and death than women who experience menopause later in life, according to results of a 34-year study conducted in Sweden.

Fatigue following adjuvant therapy for breast cancer doesn't affect all patients, and although debilitating, eventually resolves for most.

An enzyme-linked immunosorbent assay that identifies strain-specific T gondii antibodies associated with prematurity and severe disease helps clinicians treat pregnant patients infected with these strains.

Cerclage is associated with higher rates of chorioamnionitis after preterm premature rupture of membranes.

Use of cervical pessary-a small, silicone, ring-shaped device inserted around the cervix-is a safe, inexpensive, and reliable alternative for preventing preterm delivery in women with a short cervix, according to the authors of a new study conducted in Spain.

Laparoscopy has short-term advantages and seemingly equivalent long-term outcomes as compared with laparotomy for endometrial cancer according to a meta-analysis of randomized controlled trials.

Mesotherapy with dutasteride, a 5-alpha reductase enzyme inhibitor used to treate benign prostatic hyperplasia, has been shown to be effective in improving hair density, thickness, texture, and color in women with female pattern hair loss (FPHL), an Egyptian study reports.

Memory loss is a common complaint of women during the menopausal transistion.

Postpartum depression affects thousands of American women annually, particularly black women and Latinas. But a randomized, controlled trial of minority women in New York City syggests that a 2-step behavioral intervention may be effective in helping them manage their depressive symptoms.

An OB/GYN asks if current doctors are sending the wrong message about liability problems in the field of OB/GYN.

In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the manuevers required for successful cephalic version with 2 operators or 1.

Looking at the legal issues surrounding cerebral palsy, bowel complications, fistulas, hysterectomy, and cesarean delivery for large infants.

Vasomotor symptoms during menopause strongly effect women's quality of life. Those who do not want to use hormone therapy to control these symptoms may have another treatement option in selective serotonin reuptake inhibitors (SSRIs).

Sexual complaints can occur in up to 90% of women with a history of diagnosed cancer and in at least 50% of women with gynecologic and breast cancer. It's important to inform patients early in the course of their treatment that issues of sexuality may be relevant and that discussions on the topic are appropriate.

A study designed to guide clinicians in tailoring breast cancer therapy to their patients's individual genomes and those of their tumors has been announced by the Mayo Clinic in Rochester, Minnesota.

Oocyte cryopreservation may be one of the most innovative methods for safeguarding against age-relate degenerative changes and extending fertility opportunities.

This month's column will shed light on fetal monitoring theory that is unknown to most practicing clinicians, but recently has become popular in the legal arena.

In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the maneuvers required for successful cephalic version with 2 operators or 1. As the author notes, careful assessment of fetal presentation in the third trimester is important. Otherwise, patients may be deprived of the option of external cephalic version to decrease the risk of cesarean delivery. Before the procedure, fetal well-being and the presence of any contraindications should be ascertained. Informed consent and counseling with regard to the likelihood of success of the procedure should be performed. Post-version assessment for fetal presentation on subsequent encounters is vital in these patients.

In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the maneuvers required for successful cephalic version with 2 operators or 1. As the author notes, careful assessment of fetal presentation in the third trimester is important. Otherwise, patients may be deprived of the option of external cephalic version to decrease the risk of cesarean delivery. Before the procedure, fetal well-being and the presence of any contraindications should be ascertained. Informed consent and counseling with regard to the likelihood of success of the procedure should be performed. Post-version assessment for fetal presentation on subsequent encounters is vital in these patients.

Traditionally, transvaginal cerclage placed during the first or early second trimester has been a common treatment for cervical incompetence. Unfortunately, in about 13% of women with cervical incompetence, the transvagincal approach to cerclage will not work.

Letters discuss the many issues surrounding compounding pharmacy and 17P with a response from the Joe Cabaliero and cancer biomarkers

Simulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.

Emerging information on the link between ovarian cancer and endometriosis gives us an unprecedented opportunity to develop comprehensive screening plans for early detection and prevention of specific types of ovarian cancer.