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Debulking surgery for advanced stage IIC or IV ovarian cancer has more or less the same outcomes whether it is performed before or after adjuvant platinum-based chemotherapy, according to new study findings.

Inadequate prenatal care is strongly associated with preterm birth among adolescents, according to a 10-year retrospective study of 30,000 pregnant women under 20 years of age in the state of Washington.

Approximately 40% of women interviewed in the National Health Interview Survey used complementary and alternative therapies of some kind in the 12 months before taking the survey.

Recently, we had a patient referred to us at the beginning of her third trimester because of suspected abnormalities on an office scan. The patient had a "keepsake" ultrasound performed at 15 weeks, with her extended family in attendance, and came to us with the pictures. She had not been told that there were any abnormalities, and although the images she showed us clearly did not look normal, it was evident that she had been reassured by the scan.

Although previous studies have demonstrated health benefits for women who breastfeed for at least 6 months to 1 year, the findings of a recent population-based study show that just 1 month of breastfeeding can reduce a woman's risk for type 2 diabetes mellitus later in life, independent of physical activity and body mass index.

A novel multiple marker assay that uses serum HE4 and CA125 to calculate a risk of ovarian malignancy algorithm better predicts epithelial ovarian cancer in women with pelvic masses than the risk of malignancy index, according to recent research.

The AT-rich interactive domain 1A gene is a tumor-suppressor gene frequently disrupted in ovarian clear-cell and endometrioid carcinomas. Because AR1D1A mutation and loss of BAF250a, the protein encoded by AR1D1A, are detectable in preneoplastic lesions, they may herald the transformation of endometriosis into cancer, according to new research.

A 60-year-old woman came into our office for her annual examination. We noted that she had lost 1.5 inches in height.

To determine the efficacy of text-message reminders, researchers at Duke University randomly assigned 82 women, none of whom were currently taking oral contraceptives, to receive either a daily text message reminder at a time of their choice or not to receive such a reminder.

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Total Laparoscopic Hysterectomy using a new hand activated advanced bipolar device, the HALO™ PKS™ Cutting Forceps

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It is important to remember that you are not alone. In the U.S. there are over 600,000 hysterectomies performed each year, about 1,643 a day.

During this time of information gathering about your hysterectomy options, there are a few terms that are helpful to know about pelvic anatomy.

A hysterectomy is an operation to remove a woman’s uterus. Depending on the surgical approach and the woman’s symptoms, the ovaries, fallopian tubes and/or cervix may be removed as well. You should discuss with your physician what will be removed.

Ultimately, this is a question that can only be answered by you and your doctor. Often, a hysterectomy is an elective treatment, meaning there may be other options available to treat fibroids, endometriosis, uterine prolapse, and heavy bleeding.

Abdominal hysterectomy (removal of the uterus and cervix through a large abdominal incision) is what people traditionally think of when they refer to a hysterectomy. However, with the development of advanced techniques and surgical equipment, less invasive hysterectomy options are readily available by selectively trained surgeons.

What type of hysterectomy do you suggest for my condition? Is it minimally invasive or an abdominal hysterectomy?

Dr. William von Almen, M.D., FACOG is an experienced minimally invasive gynecologic surgeon who has been in private practice for 28 years.