Perspective: Should we remove a woman's ovaries to prevent ovarian Ca?
February 1st 2002Consideration of benefits and risks of prophylactic oophorectomy suggest that is it appropriate for women at high risk for ovarian cancer but not warranted in the general public. Decisions about hysterectomy need to be made on a case-by-case basis.
Preparing your practice for a disaster
January 1st 2002The events of September 11 have heightened the need for disaster-planning in the health-care setting. Because women are among those most vulnerable to the health impact of disasters, ob/gyns have a unique responsibility to be prepared for the worst.
Cover Story: Finding the cause of chronic pelvic pain
January 1st 2002When patients present with pelvic pain, the list of diseases to consider is long and includes ectopic pregnancy, acute salpingitis, a variety of sexually transmitted diseases, acute dysmenorrhea, cervicitis, endometriosis, fibroids, and uterine inversion. But in your search for gynecologic causes, dont overlook common neurologic disorders outlined in this article.
CME: A gynecologist's guide to acne
January 1st 2002Gynecologists are in an ideal position to evaluate patients--particularly teens--for hyperandrogenism and initiate hormonal and nonhormonal treatment of acne. Topical therapy is appropriate first-line therapy and OCs are also an important part of the armamentarium.
CME: Identifying and treating hereditary colon and endometrial cancer
December 1st 2001Hereditary nonpolyposis colorectal cancer accounts for about 5% of all colorectal malignancies and is most commonly accompanied by endometrial cancer. Two experts on HNPCC outline the appropriate screening, diagnostic, and management strategies.
Stillbirth: The overlooked obstetric tragedy
December 1st 2001Adopting a universal definition of stillbirth and linking the results of a placental autopsy to the fetal death certificate can help us collect the accurate data needed to address this major public health problem. Two experts in maternal-fetal medicine include these recommendations in their list of imperatives.
Cover Story: What's new in vaginitis diagnosis and treatment?
November 1st 2001For this years update--taped during the annual meeting of the Infectious Diseases Society for Obstetrics and Gynecology in Quebec City, Canada--our distinguished panel reviews the latest developments in the diagnosis and management of classic vaginitis: vulvovaginal candidiasis, bacterial vaginosis (BV), and trichomoniasis.