In this video, Maryam Siddiqui, MD, and Katrina Lee, MD, review updated ACOG guidance on the evaluation of postmenopausal bleeding—including a shift to dual biopsy and imaging—and discuss changes to cervical cancer screening that prioritize primary HPV testing and self-collection to improve access to care.
Maryam Siddiqui, MD, and Katrina Lee, MD, examine new CPT codes for obstetric care introduced at ACOG 2026, discussing how the revised framework more accurately captures the cognitive and clinical complexity of antepartum and postpartum care and what implementation will require from practices.
In this video, Maryam Siddiqui, MD, and Katrina Lee, MD, discuss ACOG's emphasis on physician well-being, systems-level approaches to workforce sustainability, and a featured session on artificial intelligence and its implications for obstetric and gynecologic practice.
Maryam Siddiqui, MD, and Katrina Lee, MD, reflect on record attendance at the 2026 ACOG Annual Clinical & Scientific Meeting and discussing new certificate tracks designed to deepen expertise in menopause, emergency obstetrics, and perinatal mental health.
The HRT uptake meta-analysis is largely drawn from high-income country data and cannot be generalized globally, whereas the ongoing influence of WHI-era risk framing on prescribing underscores the need for individualized absolute risk assessment—supported by decision aids that do not yet adequately exist for many clinical scenarios.
Ob-gyn clinicians should counsel patients on microplastic exposure reduction through accessible, incremental steps rather than anxiety-inducing perfection, while resisting the clinical tendency to normalize bladder symptoms in younger women—with referral to urology or urogynecology warranted when symptoms persist, cultures are repeatedly negative, or hematuria or complex pelvic floor pain is present, according to Aleece Fosnight, MSPAS, PA-C.
As GLP-1 RA prescribing in the perinatal period grows, ob-gyns must be prepared to elicit disclosure from patients who may feel ashamed, counsel on the absence of a clear teratogenicity signal while emphasizing ongoing uncertainty, and address the underrecognized fertility implications of GLP-1 RA-associated weight loss—while recognizing that most prescribing occurs outside obstetric care, according to Kevin Y. Xu, MD, MPH, and Jeannie C. Kelly, MD, MS.
Mark Simon, MD, MMM, highlights the role of the OB hospitalist as a collaborative partner who can initiate rapid treatment for hypertensive crises in the hospital setting.
Hyperactivation of hypothalamic KNDy neurons—which express kisspeptin, neurokinin B, and dynorphin—drives VMS during estrogen deprivation, providing the mechanistic basis for dual NK1/NK3 receptor antagonism as a nonhormonal strategy that may also improve sleep quality.
Vasomotor symptoms affect more than 50% of patients receiving endocrine therapy for hormone receptor–positive breast cancer and can reach 90% in younger patients on ovarian function suppression, with more than 20% of affected patients discontinuing treatment—a factor directly linked to increased recurrence risk and reduced survival.
In the final episode, "Long-Term VMS Management and Key Takeaways for Clinical Practice," the panelists explore the critical importance of viewing menopause management as a long-term, patient-centered endeavor rather than a time-limited intervention.
In "Evaluating Newer Non-Hormonal Therapies for VMS," our panel explores the similarities and distinctions between fezolinetant and elinzanetant as NK receptor antagonists, with a focus on how these differences inform clinical decision-making for a patient with inadequate response to MHT.
In "Evaluating Newer Non-Hormonal Therapies for VMS," our panel explores the similarities and distinctions between fezolinetant and elinzanetant as NK receptor antagonists, with a focus on how these differences inform clinical decision-making for a patient with inadequate response to MHT.
In this episode, "Addressing Cognitive Symptoms and Transitioning from MHT to Non-Hormonal Therapy for VMS," two menopause experts explore the clinical and societal burden of cognitive dysfunction in menopausal women, and the decision-making process around transitioning from hormonal to non-hormonal therapy.
This episode, titled "A Case of a 51-Year-Old Woman with VMS and Inadequate Response to MHT," features panelists examining the clinical approach to a patient presenting with persistent moderate to severe VMS following what appears to be an inadequate response to menopause hormone therapy.
Bladder symptoms in patients seeing ob-gyns require a multifactorial evaluation framework that builds patient timelines across medications, hormonal changes, pelvic floor function, and environmental exposures, whereas counseling on microplastic exposure during pregnancy should emphasize practical, evidence-based reduction strategies rather than fear, according to Aleece Fosnight, MSPAS, PA-C.
Practical strategies including waiting-room symptom questionnaires and a direct, symptoms-based conversational approach can help ob-gyns incorporate HSDD screening into time-limited visits, whereas the cultural visibility of "female Viagra" as a search term represents an underutilized entry point for patient education and provider-initiated conversations.
A meta-analysis of 53 studies found that Black women had 53% lower odds of HRT use than White women, and that diabetes, obesity, stroke, and VTE history were each associated with lower uptake—findings that point to both racial inequities and potentially overcautious prescribing in women with cardiovascular risk factors who may benefit from individualized assessment.
Susan Loeb-Zeitlin, MD, FACOG, breaks down the recently-updated ACOG guidance related to postmenopausal bleeding.
Melissa Loseke, DO, highlighted evidence that testosterone therapy in women may improve energy, mood, cognition, and cardiometabolic markers beyond sexual function.
Learn how clinicians counsel menopause hormone therapy: debunk WHI myths, set expectations for relief, weigh risks, and refer for heart screening.
Learn how clinicians counsel hesitant patients on menopause hormone therapy—debunk WHI myths, set expectations, and tailor safety with referrals.
Learn how perimenopause shifts heart and clot risks, and why transdermal estrogen plus progesterone may be safer for women with BMI and hypertension.
Learn how clinicians monitor liver safety for new hot-flash therapies and why teamwork improves menopause care during cancer treatment.
For patients who express hesitancy about receiving multiple vaccines at once, Sonneveld pointed to the layered reassurance the evidence base now provides.
A novel methylation signature may help identify patients unlikely to respond to progestin therapy, according to Hugh Taylor, MD.
Genevieve Neal-Perry, MD, PhD, highlights that phase 4 real-world data confirm that fezolinetant significantly reduces VMS bother, particularly in high-burden groups such as Black women and patients with obesity.
Progressive menstrual pain should prompt earlier evaluation for endometriosis to prevent missed opportunities and delayed care, Hugh Taylor, MD, explained.
David Shalowitz explains why experts now recommend a dual approach for most patients with postmenopausal bleeding due to limitations in ultrasound accuracy.
Learn how clinicians monitor liver safety for hot-flash therapies and why multidisciplinary teams improve menopause care during cancer treatment.
