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The optimal surgical approach to treatment of stress urinary incontinence (SUI) in women continues to be a topic of controversy. This debate is fueled, in part, by the difficulty in comparing data on the different surgical procedures due to variations in patient selection, diagnostic methods, techniques, outcome criteria, and length of follow-up.

Interview with Steve Fleischman

Roberta Speyer: “This is Roberta Speyer and I’m reporting for OBGYN.net. I have the pleasure of talking to Dr. Fleischman who is an Assistant Clinical Professor at Yale University and in private practice with Gynecology & Infertility, PC. Today we are going to talk about urinary incontinence and how OBGYN physicians can fit this into their practice. As a practicing OBGYN yourself, this is something you have a great degree of specialization in. Tell us a little about your practice Dr. Fleischman.”

A study sponsored by the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health found that postmenopausal women with heart disease who took hormone therapy and high dose antioxidant vitamins - either alone or in combination with hormones - did not have fewer heart attacks, deaths, or progression of coronary disease.

Urinary incontinence (leakage) refers to the involuntary loss of urine from the bladder, which constitutes a social or hygienic problem for the individual. Bladder control problems affect about 17 million people in the United States.

Each year, about 180,000 women in the United States discover they have breast cancer. Those at greatest risk are women over the age of 50. Nevertheless, it is important to keep in mind that younger women account for up to 30% of cases.

Many women experience vasomotor symptoms at or around the time of menopause. Hot flushes and night sweats are considered primary menopausal symptoms that may also be associated with sleep and mood disturbances, as well as decreased cognitive function.

The average age of natural menopause in Western societies is estimated to be 51 years; women in Canada can therefore expect to live, on average, a third of their lives in post-menopausal years. During these years women are at increased risk of chronic diseases such as osteoporosis and cardiovascular disease.

Researchers from Italy have found that premenopausal breast cancer patients treated with triptorelin and chemotherapy were less likely to experience early menopause and were more likely to resume menses than patients who received chemotherapy alone.

The use of chemotherapy for the treatment of breast cancer can result in transient or permanent amenorrhea, and research indicates that each month of chemotherapy translates into 1.5 year of lost reproductive life. This is especially significant for women younger than 40 years, which accounts for 6% of the population diagnosed with breast cancer.

Recent studies have indicated that β-adrenergic signaling is involved in the regulation of immune responses to breast tumor cells, and data from in vivo studies show an association between β-adrenergic signaling with increased nodal involvement and development of metastasis but no effect on primary tumor growth. Based on this evidence, Dr Thomas I. Barron, from the department of pharmacology and therapeutics at Trinity Centre for Health Sciences, in Dublin, Ireland, and colleagues chose to explore the relationship between beta blocker use and breast tumor characteristics as well as breast cancer morbidity.

Cervical cancer is preventable. Early detection of pre-cancerous changes - through screening - is key.

Study Links Clinical Benefits of Sacral Nerve Stimulation for Treatment of Urinary Urge Incontinence to Improved Quality of Life

Painful bladder condition affects about one million Americans

Commercial Calcium Carbonate Vs. Commercial Calcium Citrate

Questions to help you begin the conversation about HPV and HPV testing with your doctor. These can help determine if HPV testing is right for you.

This is the exercise which, when done faithfully and correctly, can help decrease the urgency a patient may have and help with both urge incontinence and stress incontinence. The pelvic floor muscle is like a hammock that stretches from the pubic bone in the front to the tailbone in the back.

It is easier to understand uterine and vaginal wall relaxation (prolapse) if one has a working knowledge of normal anatomy. The support system of the uterus, urethra, bladder and to some degree the rectum is the vagina, specifically the "fascia".

Women may or may not be happy to know that age and anti-Mullerian hormone level can accurately predict to within a relatively small range of years when menopause will ensure, according to findings of a new study.

Myofascial pain syndrome represents the largest group of poorly recognizd and undertreated acuate and chronic medical problems in clinical practice.

Most clinicians consider communicating information to patients about risk among their most important duties; however, few have time to effectively convey all relevant information.

This list of US-based National Institutes of Health trials includes US phase III and IV clinical trials recruiting female participants.

Primary cesarean births account for most of the increasing cesarean birth rate in the US, according to recent study findings.

Analysis of data from the 2006-2008 National Survey of Family Growth reveals that use of emergency contraception in the US has more than doubled since 2002, from 4.2% to 9.7%, but remains highly dependent on whether physicians provide counseling about EC.

Although mode of delivery does not seem to influence the occurrence of postpartum depression, a number of other factors do, according to a study.

A diet high in sodium and low in potassium raises the risk of death from any cause by 50% and doubles the risk of death from heart attack, according to a new study.

A Virginia woman went to her gynecologist for an annual physical. The pap smear revealed human papillomavirus and abnormal cells. A cone biopsy was performed and the pathology report from the biopsy revealed adenoid cystic carcinoma. However, the gynecologist did not tell the patient about the cervical cancer; instead she was told to undergo a hysterectomy.

Women who don't smoke, have a body mass index lower than 25, exercise at least 30 minutes a day, and adhere to a Mediterranean-style diet, have a significantly lower risk of sudden cardiac death, a new study finds.