Sign Out: What I've learned from the emotional and political response to WHI
June 1st 2004When I finished my presentation at the annual meeting of the North American Menopause Society, I was amazed to see the audience stand and applaud. It was heartwarming, but as I thought about it, I realized the applause was not for me.
Money-back IVF guarantees: weighing the pros and cons
May 1st 2004IVF "refund" programs have been around for more than a decade and patients seem to like them. But critics question whether such "money-back" offers--and the physicians involved--are ethical or exploitative. This article will help you better answer patients' questions about the pros and cons.
Rh disease: It's still a threat
May 1st 2004Once a common cause of perinatal death, Rhesus (Rh) disease is now quite rare in pregnant women, thanks in large part to advances in ultrasound and DNA technology. But the fact that roughly 7 out of every 1,000 liveborn infants are delivered by Rh-sensitized women emphasizes the need for more vigorous preventive efforts and up-to-date management skills.
What's the best approach to hyperprolactinemia?
May 1st 2004The dopamine agonists cabergoline and bromocriptine have replaced surgery for prolactinomas, a key cause of infertility. Two experts share their protocols for treating these benign tumors and explain which drug to choose when pregnancy is the goal--and which better restores menses.
Grand Rounds: Rh disease: It's still a threat
May 1st 2004Once a common cause of perinatal death, Rh disease is now quite rare in pregnant women, thanks in large part to advances in U/S and DNA technology. But the fact that roughly 7 out of every 1,000 liveborn infants are delivered by Rh-sensitized women emphasizes the need for more vigorous preventive efforts and up-to-date management skills.
Identifying perinatal depression--sooner is better
April 1st 2004Depression does occur in pregnant women and not just in those with preexisting mood symptoms. Knowing how to detect the disorder and when to refer is important because you may be the only physician these patients see during the perinatal period.
Grand Rounds: The short and funneled cervix: What do I do now?
April 1st 2004Measuring cervical length and funneling with transvaginal ultrasound can help ob/gyns predict which patients will deliver preterm. But how do you interpret U/S results and put them to use in patient care? An expert in the field offers practical guidelines for meeting this challenge.