OB/GYN Clinical Alert – September 1, 2004
September 1, 2004
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Frequency of Symptoms of Ovarian Cancer in Women Presenting to Primary Care Clinics
It has been recently recognized and increasingly reported that ovarian cancer patients frequently manifest symptoms, predominately related to their gastrointestinal or urinary tracts, a significant period of time ahead of their diagnosis. -
Biophysical Profile with Amniotic Fluid Volume Assessments
The AFI offers no advantage in detecting adverse outcomes compared with the single deepest pocket when performed with the BPP. The AFI may cause more interventions by labeling twice as many at-risk pregnancies as having oligohydramnios than with the single deepest pocket technique. -
Analyzing Reproductive Performance Before and After Abdominal Myomectomy
Abdominal myomectomy might improve reproductive outcome in cases of intramural or subserosal fibroids especially if the patient is less than 30 years of age and the myoma is single. -
Long-Term Use of Phytoestrogens and the Endometrium
Long-term treatment (up to 5 years) with soy phytoestrogens was associated with an increased occurrence of endometrial hyperplasia. These findings call into question the long-term safety of phytoestrogens with regard to the endometrium. -
Patient Preferences for Treatment of Dysfunctional Bleeding
A majority of patients scheduled for endometrial ablation or a levonorgestrel-releasing IUD were willing to accept a 50% likelihood of treatment failure to avoid hysterectomy. -
Special Feature: Should Gynecologists Screen for Hypothyroidism?
It is hard to believe, but whom, how, and when to screen for thyroid disease is a highly controversial topic. The controversy is fueled by uncertainty about which populations are at risk, short-term cost vs benefit considerations, lack of consensus about when to initiate treatment, whether to use a mix of thyroxine and thyronine, and debate about the long-term risks of treating vs not treating asymptomatic individuals. -
Pharmacology Watch: New Clinical Guidelines on Cholesterol Management
Hypothyroidism and Pregnancy; Anti-Depressants and the Risk of Suicide; FDA Actions; Brief Notes. -
Clinical Briefs in Primary Care supplement