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Advanced tubal pregnancy,a rare complication misinterpreted twice on ultrasound imaging and discovered at hysterectomy, is described.

With no reliable screening tests available, ob/gyns have tried to use their clinical judgment and the patient's medical history to detect the disease in its early stages. Recent studies have found, however, that a specific set of persistent signs and symptoms may signal emerging disease and warrant follow-up diagnostic testing.

With no clear-cut set of signs and symptoms to advertise its presence, experts suggest diagnosis may require MRI, transvaginal U/S, and/or needle biopsy. Among your treatment options: hysterectomy, GnRH agonists, and the levonorgestrel IUD.

Treat your nonpregnant patient with one of these drug regimens to reduce out-of-control blood loss while she's waiting for the operating room-and she may not need surgery to stop hemorrhage, after all, says this expert. Noting that our standard treatments for this challenging, often overlooked emergency are based on scant data, he assesses your options.

Treat your nonpregnant patient with one of these drug regimens to reduce out-of-control blood loss while she's waiting for the operating room-and she may not need surgery to stop hemorrhage, after all, says this expert. Noting that our standard treatments for this challenging, often overlooked emergency are based on scant data, he assesses your options.

New Products

The latest in medical products for obstetrics and gynecology.

Women who start or restart combined hormone therapy (HT) or estrogen therapy alone about 15 years after menopause are at greater risk for cardiovascular disease and venous thromboembolism, at least during the first few years of treatment.

It seems a Thai herb that is a relative of the soybean causes estrogen-like effects on vaginal tissue, including alleviating vaginal dryness and dyspareunia, improving vaginal atrophy, and restoring the atrophic vaginal epithelium in healthy postmenopausal women.

Q: A request for Information about Premenopause osteoporosis. I am a 31 year old woman and after the birth of my second child 4 months ago have had back pain. After an x-ray that showed a collapse in one part of my spine, I was sent for a bone density test. At the test they took my height and I was 2 inches shorter. I'm looking for information on pre menopause osteoporosis and can find very little. I would like to be informed on what can be done to help me before I go over my test results with my doctor and to better understand my options. Can you help?

If your patient is in an at-risk group according to the guidelines of the US Preventive Services Task Force, she should be referred for genetic counseling and be considered for testing.

New Products

The latest in medical products for obstetrics and gynecology.

Clomiphene is still the first choice to treat infertility and the gold standard for women with PCOS, argues this expert. He critiques research that suggests metformin is superior and discusses the reason two key trials yielded such starkly different results.