OB/GYN Clinical Alert
RSSArticles
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Does Childhood Adversity Affect the Menopausal Transition?
The number and timing of adverse childhood experiences in relation to puberty affect the risk of incident major depressive disorder in the menopausal transition.
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The Risk of Malignancy in Hysterectomy
There has been significant publicity about the risk of malignancy associated with morcellation in hysterectomy, but in reality the incidence is quite low.
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Is Vaginal Estrogen Still the Gold Standard for Treating GSM?
In this 12-week randomized, controlled trial of 302 women, neither vaginal estrogen nor vaginal moisturizer was more effective than placebo for reducing the participants’ most bothersome symptom (pain with vaginal penetration, vulvovaginal itching, vulvovaginal pain, vaginal dryness, or vulvovaginal irritation).
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Fertility Preservation in Women With Borderline Ovarian Tumors
A large retrospective cohort analysis from a single medical center suggests that fertility preservation in women with borderline ovarian tumors does not decrease length of survival.
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Brain Imaging and Alzheimer’s Risk: Valid Surrogates or Just Pretty Pictures?
In an observational multimodality brain imaging study, investigators found sex and age differences correlated with endophenotypes of late-onset Alzheimer’s disease.
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Update on Early Pregnancy Loss Management
Early pregnancy failure typically is defined as an intrauterine pregnancy in the first trimester that is not viable, either because the gestational sac is empty or because the embryo or fetus has no cardiac activity. This article will discus the main options for the management of early pregnancy failure: expectant management, medical management with misoprostol, and surgical management. Women’s preferences should guide treatment decisions, given that all three options are medically safe.
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Interpregnancy Interval and Chances for Recurrent Miscarriage
Authors of a recent study surprisingly have shown that the best chances of avoiding another early pregnancy loss is to become pregnant within six months of a miscarriage.
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Can We Use Manual Vacuum Aspiration for Molar Pregnancies?
In this retrospective cohort study, manual vacuum aspiration in a hospital setting was equivalent to electric suction for uterine evacuation of molar pregnancy in terms of the risks of incomplete abortion and development of postmolar gestational trophoblastic disease.
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After the WHI: How Is Your Sex Life?
Women who discontinued systemic postmenopausal hormonal therapy following participation in the Women’s Health Initiative studies experienced an increase in vaginal and sexual symptoms.
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The Latest in Genetic Screening for Gynecologic Malignancies
Genetic testing is changing rapidly. With the advent of more sophisticated genetic mutation panels, it is important that providers of women’s healthcare consider appropriate referral and testing for those women at increased risk of malignancy.