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OB/GYN Clinical Alert editorial board transitions.
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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.
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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.
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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.
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The contraceptive vaginal ring (NuvaRing, Merck & Co., Whitehouse Station, NJ) and patch (Ortho Evra, Ortho Womens Health & Urology, Raritan, NJ). are two effective options for women who choose combined hormonal methods.
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When it comes to family planning, more women are choosing long-acting reversible contraception (LARC) methods such as intrauterine devices (IUDs) and the contraceptive implant, say respondents to the 2012 Contraceptive Technology Update Contraception Survey.
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The upswing of use of long-acting reversible contraception is making an impact on the use of combined oral contraceptives (oCs), according to responses to the 2012 Contraceptive Technology Update Contraception Survey.
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Birth control sabotage in which a partner deliberately pokes holes in condoms, destroys birth control pills, or tampers with the efficacy of a method is not uncommon.
