
Complete Invasive Mole

A 29-year-old gravida 10, para 3 (1 term gestation, 1 preterm gestation of twins, 1 stillbirth at 5 months, 2 spontaneous abortions, and 4 elective abortions) presented to the clinic at about 5 weeks’ gestation with abdominal pain and vaginal bleeding. She described the pain as sporadic, mostly on the left side, exacerbated by movement, and resolving with rest, and the bleeding as initially intermittent but then heavier “like a period.”

Implantation in the scar of a previous Cesarean is thought to be the rarest of ectopic pregnancies. With the increasing numbers of Cesareans performed, scar implantation may become more frequent as well. We present an illustrative case.

This study contributes to advances in knowledge by understanding the history of fetal gender and the ethical dilemma of choosing or detecting fetal gender at first trimester of the pregnancy. It gives new prospective and method to detect fetal gender as early as possible to better manage some genetic disease which can be found in male or female fetuses.

More than half of the 600,000 hysterectomies performed in the 1900s involved bilateral salpingo-oophorectomy, and it has been estimated that many of those were performed solely to reduce the risk for ovarian cancer. While there has been increased knowledge in the risk in women with familial history, a knowledge gap still exists for other women, which could lead them down the path of potentially unnecessary surgery

Clinicians and researchers have seen an increase in the prevalence of gastroschisis, with the greatest risk seen in women who are younger than 20 years. That, coupled with an evident increase in developing countries, has led researchers to believe that gastroschisis is associated with environmental factors (with or without underlying genetic susceptibility).

Persistent infection with HPV is the principal cause of cervical cancer, with HPV implicated in more than 99% of cervical cancer cases worldwide.1 The cobas HPV (human papillomavirus) Test, recently approved by the FDA, identifies women at highest risk for the development of cervical cancer.

Screening for osteoporosis should be conducted for all women 65 years and older and for younger women whose fracture risk is equal to or greater than that of a 65-year-old woman who has no additional risk factors, according to a US Preventive Services Task Force (USPSTF) recommendation statement draft. The proposed new USPSTF guideline would broaden the 2002 version, which recommended routine screening only for women 65 years and older and women aged 60 to 64 years who are at increased risk for osteoporosis fractures.

Patients are using email to communicate with their doctors more than ever. But what are they corresponding about? A group of researchers recently evaluated unsolicited emails sent from patients to their general obstetrician-gynecologist to better understand why patients email their physicians.

There is no denying that we live in a fast-paced, communications-driven world. Email is increasingly being used for business and personal communications, but how has this impacted communications between patients and their doctors?

Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome affects at least 1 in 4500 female births.1 The syndrome consists of vaginal aplasia with other müllerian duct abnormalities. The characteristic feature of MRKH syndrome is congenital absence or underdevelopment of the upper vagina and uterus; it is rarely associated with unilateral renal agenesis, ectopia, or horseshoe kidney.

When it comes to consulting with their doctors, Americans are not averse to email but do not like the idea of using social media such as twitter or Facebook.

Evidence is mounting that pelvic organ prolapse results from a disruption in the balance between the buildup and breakdown of the extracellular matrix in pelvic tissues.

The American Medical Association introduced its first-ever "app," an on-the-go reference guide that helps physicians determine the appropriate current procedural terminology evaluation and management billing codes.

Working 11 hours per day instead of 7 to 8 may make you wealthier, but it also may be deadly.

Worried about financial pressure and the effects of healthcare reform, an increasing number of physicians are considering making changes in how they practice medicine.

Thyroid disorders are among the most common endocrinopathies encountered during pregnancy.

The Institute of Medicine released new reports that recommend standards to enhance the quality and reliability of 2 important tools for informing healthcare decisions: clinical practice guidelines and systematic review of the evidence base for healthcare services.

Red blood cell alloimmunization is the formation of maternal antibodies to fetal RBC antigens.

Commercial insurers are instituting programs to allow physicians to preferentially prescribe the compounded 17-OHP.

Mothers who exclusively breastfeed their babies for the first 2 to 4 weeks of life are more likely to have a stronger emotional bond with their child during the first few months of life than mothers who exclusively formula feed.

Preterm birth-even late preterm birth-increases the chances that the child will be prescribed medication for attention-deficit/hyperactivity disorder later in life.

Overactive bladder and nocturia have a significant impact on the lives of middle-aged American women, affecting sleep patterns, relationships, intimacy, and social and physical activity, according to a recent study.

Combined oral contraceptives containing drospirenone are associated with a 2- and 3-times higher risk for nonfatal venous thromboembolism than COCs containing levonorgestrel, according to new findings from 2 studies.

Although teen birth rates in the US have declined over the past 20 years, they remain higher than in other developed nations, according to a new report.

Understand the perioperative considerations regarding thromboprophylaxis during cesarean delivery.

This list of US-based National Institutes of Health trials is derived from the NIH database and includes US phase III and IV clinical trials that are currently recruiting female participants.

Apparently the time of day when a heart attack occurs may determine how deadly it is.

Using available evidence on effectiveness, cost and utility values, hysterectomy is a more cost-effective solution for heavy menstrual bleeding than first- or second-generation endometrial ablation techniques or the levonorgestrel-releasing intrauterine system, according to a new UK analysis.

In this case, the patient alleged that the defender should not have induced her and that he had mismanaged administration of the butorphanol, theoretically contributing to poor maternal effort.