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I have had severe cramps with my menstrual period. About 3 years ago I started having severe pelvic pain around the time I would be ovulating.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

I do not advocate starting any particular insulin-sensitizing agent (ISA) unless the benefits outweigh the risks. For short-term use to aid with ovulation induction, Metformin has > been studied in small series of patients.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.

Oral contraceptives (OCs) are associated with a small increase in premenopausal breast cancer risk, especially in parous women who use them for 4 or more years before a first full-term pregnancy, according to a new meta-analysis.

Hormonal therapy with drospirenone plus estradiol (E?) lowers blood pressure and spares potassium in postmenopausal women on hydrochlorothiazide (HCTZ). So say results of a small randomized, placebo-controlled trial presented at the 17th annual NAMS meeting.

Be frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.

Data from the FASTER and BUN trials show that first-trimester NT measurement can reveal a lot more than just trisomy 21. Although not ready for prime time as a screening test for congenital heart disease, we can't ignore the strong association between increased NT and an elevated risk of several cardiac birth defects and to a lesser degree diaphragmatic hernia. But what can we do about it?

When you need some time off, finding coverage for your practice typically involves two routes: You can either reach an agreement with outside physicians to step in as needed or hire locum tenens physicians.

Thanks to a ruling by Michigan's Supreme Court, physicians in the state may now sue hospitals and peer review committees for wrongful peer review. The high court's ruling overturns almost 25-year-old case law, which kept courts from getting involved in hospitals' staffing decisions because of its lack of expertise. As a result, physicians' claims of unfair peer review were often rejected.

Osteoporosis-related health-care costs are lower for postmenopausal women prescribed bisphosphonates-if they comply with therapy. That is the conclusion of a retrospective analysis of prescription and treatment data presented at this year's NAMS meeting.

With treatment up to 8 years, raloxifene has no impact on benign breast conditions, symptoms, or biopsies, according to extended data from the Multiple Outcomes of Raloxifene Evaluation (MORE) trial. The findings were presented by investigators from Eli Lilly and Company at this year's NAMS meeting.

Bone mineral density (BMD) improves through up to 2 years of treatment with IV ibandronate, according to a post hoc analysis presented at the 17th annual meeting of the North American Menopause Society in Nashville, Tenn.

A 900-mg daily dose of gabapentin reduces hot flashes in women with natural menopause. So said Canadian investigators reporting on results of a new randomized clinical trial at the 17th annual meeting of the North American Menopause Society in Nashville, Tenn.

Second-born twins are at significantly greater risk for serious perinatal morbidity than first-born twins at all gestational ages, according to the results of a retrospective cohort study conducted in Nova Scotia. And the higher risk prevails regardless of presentation, chorionicity, or infant sex.

Topical may be more effective than oral estrogen at relieving certain sexually related symptoms in hysterectomized women, but neither form seems to significantly affect sexual desire or activity despite increasing vaginal blood flow, according to a randomized, comparative study conducted in China.

Although previous studies have found that taking vitamin supplements in early pregnancy doesn't seem to prevent preeclampsia, researchers have recently found that taking multi- or prenatal vitamins during the 6 months surrounding conception reduces the risk of preeclampsia by about 45%, according to data from the Pregnancy Exposures and Preeclampsia Prevention Study.