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Am I experiencing Perimenopause? What should I expect from HRT?

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.

This month's topics: Chronic Pelvic Pain, Ovarian Pain & Cysts, Vulvodynia, Vulvar Pain and Other Questions

New research has found that relaxation and music, separately or together, significantly reduce patients' pain following major abdominal surgery. The study, published in the May issue of Pain, found that these methods in combination with pain medication reduce pain more than pain medication alone.

As a group, anxiety disorders are the most common mental illness in the United States. According to the National Institute of Mental Health, more than nineteen million Americans face anxiety disorders each year. And women are more vulnerable to most types of anxiety disorders than men.

There is no sure way to predict which patients will suffer uterinerupture if they attempt VBAC. U/S, however, holds promise forevaluating factors that may suggest increased risk.

Watching his state's medical care system crumble and many of hispartners shutter their practices spurred one Mississippi ob/gyn totake a personal stand on tort reform. His run for elected officewas successful-in more ways than one.

What right does a teenager have to confidential health care? What influence does HIPAA have on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.

When nonsurgical approaches don't quite fit a patient's needs,you'll want to have the latest facts available on options likeendometrial ablation, myomectomy, laparoscopic uterine arteryligation, uterine artery embolization, and hysterectomy.

What do you tell a pregnant patient with a previous third- orfourth-degree tear, for whom another vaginal delivery raises therisk of further injury? Can some women safely have a trial oflabor? Diagnose occult tears with ultrasound, advise theseexperts-and use it to assess the anal sphincters of allincontinent women.

Faced with a challenging, unusual presentation, accuratedocumentation that spells out the clinician's rationale forcare-or absence of care-takes on even greatersignificance.

When Lenard J. Rutkowski, MD, was sued for malpractice in 2001, he found himself fighting the lawsuit and, for the next 11 years, fighting for his financial future. The neurosurgeon found himself in hot water when he performed surgery on a patient, who later sued him for operating on the wrong vertebrae.

The risk of accidents with laparoscopic surgery could be reduced ifhospitals used fault-detection devices currently on the market.

Pressure against the Food and Drug Administration to make along-awaited decision on whether to approve the sale of Plan B(levonorgestrel) without a prescription has been increasinglately-from the courts and the U.S. Senate.

A recently published systematic literature review suggests thatwomen who have a factor V Leiden mutation-and possibly thosewho have other thrombogenic mutations-who take combined oralcontraceptives (COCs) are at greater risk for venousthromboembolism (VTE) (risk ratios of 1.3–25.1) and cerebralvein or cerebral sinus thrombosis than nonusers with mutations.

Serial human chorionic gonadotropin (hCG) cannot rule in or out anectopic pregnancy, according to the results of a recent study.

Maternal vitamin D insufficiency, a condition common among women ofchildbearing age and during pregnancy, may put offspring at greaterrisk for osteoporotic fractures in adulthood, according to theresults of a longitudinal study.

A low (<5 mg/dL) vaginal amniotic fluid (vAF) glucosemeasurement can predict the presence of intra-amniotic infection(IAI), and rule it out, but has a low sensitivity for thecondition.

It seems laser conization is associated with a slightly lower riskof adverse pregnancy outcomes than cold knife conization or largeloop excision of the transformation zone (LLETZ), and laserablation entails the lowest risk of all-findings that couldprove very important to the many women of reproductive agereceiving treatment for intraepithelial or early invasive cervicallesions.

How many times have you completed a patient visit and started to walk through the examine room door, only to hear the woman say, "Oh, by the way ...."? It's frustrating and challenging at the same time, because you don't know whether your patient's next words are going to signal something you can resolve in a few minutes or are just the tip of a clinical "iceberg."

The International Pelvic Pain Society program was held in Simsbury, Connecticut April 30 - May 1, 1999. The program was jointly sponsored by the University of Rochester School of Medicine and Dentistry and the International Pelvic Pain Society. The course directors were Dr. Fred Howard, President of the IPPS and Debra Metzger, Ph.D., M.D.

Are these symptoms of Menopause?Am I experiencing Perimenopause? What should I expect from HRT?

Are these symptoms of Menopause?Am I experiencing Perimenopause?What should I expect from HRT?

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