OB/GYN Clinical Alert
RSSArticles
-
The LNG IUS and Stress Reactivity: A Mechanism for Mood Effects or False Signal?
Users of the levonorgestrel (LNG) intrauterine system showed an exaggerated response to stress compared to women using a combined LNG pill or those with natural cycles.
-
Just Which Patients Are at Risk of Developing Uterine Fibroids?
Uterine fibroids occur commonly and are the most frequent reason for hysterectomy in the United States. Recognizing the risk factors for developing fibroids can help clinicians identify affected individuals and may lead to new approaches to treatment.
-
Subclinical Hypothyroidism: What Is It and When Should We Treat It?
The current diagnosis and treatment of subclinical hypothyroidism in women of reproductive age is controversial and may well change as new studies become available.
-
Antenatal Steroids for Very Early PTB
A large European multicenter study has shown that antenatal corticosteroid administration in patients at risk for imminent very early preterm birth (24 to 31 weeks) will decrease perinatal mortality and morbidity substantially, even after only three hours of exposure.
-
Irritable Bowel Syndrome, Constipation, and Quality of Life in Women
Irritable bowel syndrome has a negative effect on women’s quality of life and affects one-third of women who present for care with fecal incontinence.
-
Do Antibiotics Reduce Hormonal Contraceptive Effectiveness?
This is a systematic review of studies evaluating the effect of concomitant non-rifamycin antibiotic use on hormonal contraceptive effectiveness. Although data are limited, there is no evidence to support the existence of drug interactions.
-
Reproductive Rights in 2017: Follow-up and Call for Advocacy
The Trump administration has made good on a number of promises to roll back reproductive rights. As clinicians, we need to fight back to ensure access for our patients to essential services. This article seeks to document where we stand as of summer 2017, and present opportunities for engagement.
-
Is Bariatric Surgery the Antidote for Female-associated Cancers?
This study investigated gastric surgery as a prevention for female-associated cancers. Women with a body mass index of ≥ 38 kg/m2 who had surgery had an average of 28 kg of weight loss compared to the control group. This resulted in a statistically significant decrease in endometrial cancer.
-
Video Colposcopy: Does It Reduce Patient Anxiety?
This German randomized, controlled trial of 225 women naïve to colposcopy found that video colposcopy did not reduce patient anxiety during the procedure. However, the authors found that the real-time video feed increased participants’ understanding of their disease.
-
17 P vs. Vaginal Progesterone
A recent randomized study suggested that vaginal progesterone is at least as good as, and may be superior to, intramuscular 17 alpha-hydroxy progesterone caproate in preventing recurrent preterm birth, but shortcomings in the study indicate that more investigation is needed.