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Is It Safe to Skip the Pelvic Examination Before Gender-Affirming Hysterectomy and Vaginectomy?
A retrospective chart review of individuals undergoing gender-affirming hysterectomy, vaginectomy, or both found no difference in 30-day perioperative outcomes between those who received a preoperative internal pelvic examination and those who did not. These findings indicate that omitting such potentially triggering exams may be safe.
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Abortion Bans Lead Physicians, Nurses to Avoid Certain States
Medical students, residents, and practicing OB/GYNs are saying they do not want to train and practice in states with extreme abortion bans, including Texas, Arkansas, Louisiana, Tennessee, Oklahoma, and others. The authors of a recent study found that four in five physicians and trainees preferred to avoid working in states with abortion bans.
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Stress, Burnout, Quitting May Increase in Coming Years
Nurses, physicians, and others who work in reproductive healthcare are under increasing stress and pressure since states began to enforce abortion laws that range from total bans to restrictions on most abortion care. The authors of a recent study found that abortion providers are burdened and affected emotionally when they help people who are turned away from abortion care in their own communities or state.
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Patients Face Barriers to Permanent Contraception
For people who want a permanent contraception method, both tubal surgery and vasectomy are safe, highly effective, and result in a quick recovery. The chief obstacles are insurance restrictions, finding a clinician who can do the procedure, securing an operating room, religious hospitals’ policies, and inconvenience to patients.
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Base Permanent Contraception Counseling on Patients’ Preferences
Increasingly, reproductive health providers are meeting with patients who are interested in a permanent contraceptive method. Roadblocks to these procedures include a patient’s personal concerns about the procedure or future regret, as well as insurance/cost concerns, and clinicians who turn them down because they are too young or have no or too few children.
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Permanent Contraception Options More Appealing After Abortion Ruling
The results of recent studies and reports revealed a spike in people seeking permanent contraception procedures in the United States. This trend may be the result of the Supreme Court’s 2022 decision to overturn Roe v. Wade, which said there was no constitutional right to abortion care.
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Anesthesiologists Call on Patients to Stop Taking Trendy Drug Before Surgery
Patients using a popular type 2 diabetes medication to lose weight might experience complications during elective procedures.
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USPSTF Recommends Screening for Anxiety
The group suggests including all patients younger than age 65 years, calls for more study of screening older patients.
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How Many Abnormal Findings?
No history was available for the tracing in the figure. There are at least seven ECG findings to note. How many can you identify?
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Sotagliflozin Tablets (Inpefa)
Sotagliflozin tablets can be prescribed to lower the risk of cardiovascular death, hospitalization for heart failure, and urgent heart failure visits among adults living with heart failure or type 2 diabetes mellitus, chronic kidney disease, and other cardiovascular risk factors.