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While repeated use of clomiphene may be associted with a higher risk of neural tube defects and severe hypospadias, overall increased risk for congenital anomaly is only about 1% to 2%.

Combining a PHR with a patient's electronic medical record (EMR) can help ob/gyns better manage complications, improve patient safety and perhaps increase practice revenue. Dr Lockwood's editorial outlines the obstacles to acheiving this electronic panacea.