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When neurologic injury occurs despite following all the right medical procedures, a no-fault compensation system may be the best way to handle the situation.

Many women have sexual dysfunction, and effective treatments are available for some conditions. Routinely discussing sexual function with your patients, and their partners, is important because dysfunction truly is a couples issue.

In June 2000, I arrived a few minutes late to the American College of Obstetricians and Gynecologists' headquarters for a meeting of the Committee on Obstetric Practice. As Chair, I was used to dealing with political hot potatoes, but that day, I was handed a real sizzler. Earlier that morning, then ACOG president, Benjamin Harer, MD, speaking for himself and not the College, had seemingly endorsed "elective" cesarean deliveries (CD) in an interview with Diane Sawyer on "Good Morning America." After watching an excerpt of the interview in which Dr. Harer debated a non-physician advocate of home VBACs attended by midwives, I was struck by the logic of his arguments and his grace under fire. Yet it fell to my committee to restate ACOG's official position against such surgeries, which we did in a press release

Your patient has a twin gestation at almost 29 weeks and one of the fetuses has IUGR. How should you proceed?

Last month, I reviewed the factors that have driven the dramatic increase in cesarean delivery (CD) rates over the past several years. This month, I'll review the potential impact of this trend on a "typical" obstetric service. While both staff and physical capacity will be taxed by increased CD rates, I believe that patient safety may also be threatened as a result of the incremental demand on limited obstetrical operating room (OR) availability. I offer several strategies to manage the coming chaos.

Using reproductive and genetic technologies to provide prospective parents with information about a future child or to avoid having a child with a genetic abnormality is an emerging field of medicine-one that has its share of legal risks, according to a report entitled "Reproductive Genetics and the Law."

If a patient on hormonal contraceptives (HC) is complaining about lack of interest in sex, one of the first things to think about is stopping her contraceptive.

While the Women's Health Initiative questioned the value of long-term HRT in preventing cardiovascular disease (CVD), a new analysis of the raw data presented at the annual ASRM meeting in Philadelphia strongly suggests that long-term use of OCs does protect a woman's heart, and reduces the threat of cancer.

In a recent issue of Lancet, researchers reported on one of the first successful cases in which ovarian tissue that had been removed and frozen before a patient underwent cancer chemotherapy was later re-implanted and led to a successful pregnancy.

Women who receive fine-needle aspiration (FNA) or large-gauge needle core biopsy of breast cancer tissue are about 50% more likely to have sentinel node metastases than women who undergo tumor removal, according to a recent prospective database study from California.

Specially designed visual aids and written materials-intended to help surgeons present treatment options to women newly diagnosed with early-stage breast cancer and to help them participate in the treatment decision process-left women better educated about their disease and treatment options.

While women younger than 70 years of age with invasive breast cancer should probably still receive radiotherapy plus tamoxifen following lumpectomy, those over age 70 who receive lumpectomy early, estrogen-receptor-positive breast tumors can probably get by with just tamoxifen.

An expert in infertility and microsurgery explains how to interpret semen analysis in Part 1 of a two-part series on male infertility. He also tells why much traditional treatment of male infertility, including varicocelectomy, is pointless.

The latest official guidelines on cystic fibrosis screening have some clinicians bewildered--and others looking for an easy way to put them to good use. A top expert in the field provides practical advice on how to individualize the recommendations.