OB/GYN Clinical Alert – May 1, 2013
May 1, 2013
View Issues
-
DMPA Use and Bone Fractures
Although users of depot medroxyprogesterone acetate (DMPA) experienced more bone fractures than users of other contraceptives, their risk of bone fractures was higher at baseline before initiating DMPA and did not change while on DMPA. This suggests that confounding, unknown factors led to the association between DMPA and fractures in previous studies. -
Ectopic Pregnancy and Subsequent Fertility
In a large, multicenter, randomized study of women in Europe who presented with ectopic pregnancy, there was no significant difference in the rate of subsequent intrauterine pregnancy observed following early ectopic pregnancy managed with medical therapy or conservative (salpingostomy) surgery, or following acute ectopic pregnancy managed with radical (salpingectomy) or conservative surgery. -
Farewell and Welcome
OB/GYN Clinical Alert editorial board transitions. -
Reproductive and Sexual Function after Gastric Bypass Surgery
In a prospective cohort of obese, reproductive-aged women, there were no changes in the number of ovulatory cycles, but there was a shortening of the follicular phase and an improvement in sexual function after gastric bypass surgery. -
Thyroid Disease in Pregnancy
Overt maternal hypothyroidism and hyperthyroidism each complicate about 3/1000 pregnancies. However, subclinical hypothyroidism can accompany as many as 2.5% of pregnancies. Both problems require careful surveillance because of the potential to cause significant maternal and fetal complications. -
Pharmacology Watch: New Study on Chelation Therapy Proves Controversial
-
Clinical Briefs in Primary Care supplement