
Controversies in OB/GYN

Consideration 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.

News Briefs

The 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.

When 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.

Are elevated NRBC counts an indication of acute or chronic hypoxic-ischemic events? Is there an association with CP? With the answers still unclear, the authors review the existing evidence.




Gynecologists 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.

Therapeutic successes and a trend toward delaying childbearing now permit survivors of breast, ovarian, endometrial, and cervical cancers to consider future fertility. How should this affect the advice you offer your patients?

News Updates

Hereditary 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.


Adopting 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.

After nearly a quarter century of research, fetal surgery has emerged as an accepted therapy--but only for a carefully selected few.


New approaches to contraception and hormone replacement therapy, advances in assisted reproduction, and insights on endometriosis were among topics covered at the 57th AMASRM.

For 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.

Once a rare complication of pregnancy, the incidence of placenta accreta has continued to increase since the 1930s. An expert on the disorder outlines the best approach to diagnosis and management.







Androgen insensitivity



An early chapter in the evolution of the pregnancy test