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.
Urinary incontinence can often be successfully treated without referral, but first ob/gyns need to broach the subject! Two experts tell how to evaluate this widespread condition.
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.
Urinary incontinence can often be successfully treated without referral, but first ob/gyns need to broach the subject! Two experts tell how to evaluate this widespread condition.
Ob/gyns should ensure that women have the information they need to make an informed decision about breastfeeding. This article addresses the two key concerns that new mothers most express about contraception and breastfeeding.
Ob/gyns with even a little gray hair have witnessed an extraordinary evolution in our collective thinking about cesarean delivery (CD) over the past three decades. I believe that a variety of factors are behind high CD rates in the United States, and that continued increases are inevitable.
Both high and low doses of oxytocin can safely and effectively induce or augment labor. When do you use each approach and when do high doses constitute abuse?
Is it possible to be too cautious about prescribing medication to a breastfeeding patient? Absolutely. Two experts in this area provide an informed, balanced perspective.
Thanks to advances in U/S technology, clinicians can now detect ventricular enlargement in its earliest stages. Unfortunately, a few fetuses with borderline ventriculomegaly still have chromosomal or structural malformations.
No one prepares you for the stresses of day-to-day practice--like keeping increasingly Internet-savvy and demanding patients satisfied--that take multitasking to a whole new level. Let's mentor residents and newcomers so they don't repeat our mistakes. It could help preserve our specialty.
These experts offer a common sense approach to reduce pregnancy-linked deaths.
Using a technique called super crowning, avoiding episiotomy, and reaching for a vacuum device rather than forceps during operative vaginal deliveries are among the strategies that can help reduce the number of third- and fourth-degree lacerations.
Here are several ways to help keep quality up and costs down for this common procedure.
We may have seen the first glimmer of light in the otherwise dark tunnel of the professional liability insurance crisis. On July 12, during a speech at the National Press Club, U.S. Senate Majority Leader Bill Frist proposed "an expert medical court system with transparent decisions, limits on punitive damages, and scheduled compensatory damages to provide rapid relief to truly injured patients (instead of trial lawyers)" while holding negligent doctors accountable.
What's the right number of embryos to transfer in each patient? An authority on the subject discusses the newly released ASRM committee guidelines and their practical implications.
Although some critics continue to question the value of breast screening, the scientific evidence supporting it is rock solid.
What's the right number of embryos to transfer in each patient? An authority on the subject discusses the newly released ASRM committee guidelines and their practical implications.