Obstetrics/Gynecology
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Legislators, Listen Up, Learn, and Perhaps Beware
Combined oral contraceptives have been shown to provide health benefits beyond birth control.
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Science Focuses on the Use of Metronidazole for Endometriosis
Researchers are exploring the use of metronidazole for the treatment of endometriosis, which affects up to 10% of U.S. women between the ages of 25 and 40. The current treatment options include hormone therapy and surgery, but these approaches involve significant side effects and recurrence of the condition after treatment.
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Overcome Barriers to HPV Vaccination
A new analysis of a national survey underscores the importance of continued efforts to strengthen practitioner adoption of evidence-based approaches to recommending the HPV vaccine.
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Antiretroviral Treatment Prevents Sexual Transmission of HIV in MSM
New research indicates that antiretroviral treatment that leads to viral suppression prevents sexual transmission of HIV in discordant gay male couples as well as it does among heterosexual couples.
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Researchers Investigate Contraceptive Vaginal Ring
Scientists are now investigating a nonhormonal monthly ring (Ovaprene) as a potential contraceptive. The device involves a permeable mesh in the center of the ring that creates a partial barrier to sperm and locally acting spermiostatic agents to create an inhospitable environment for sperm.
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LARC Contraceptives: Remove the Barriers
Despite guidance stating that a patient should be offered the option to begin her chosen long-acting reversible contraception birth control method at the time of the office visit rather than waiting for her next period or returning for another appointment, just 29% of clinicians say they provide same-day placement.
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Estrogens Used in Hormonal Therapy
To practice as a consultant in reproductive medicine, clinicians require a strong background in hormonal therapy. In this feature, we will review the role of steroidal estrogens used in contraceptive and hormone therapy.
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Perioperative Antibiotics in Gynecologic Surgery: The Case for Myomectomy
The authors of a retrospective cohort study suggest that perioperative antibiotics reduce the risk of surgical site infection in women undergoing myomectomy.
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Does Hormone Therapy Increase the Risk of Alzheimer’s Disease?
A large Finnish case-control study suggests that postmenopausal hormone therapy results in a 9-17% increase in the risk of Alzheimer’s disease. However, the small effect size, and likely confounding of use effect, does not provide strong evidence for a causal relationship.
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Multimodal Stepwise Post-Cesarean Pain Control Reduces Opioid Use
These investigators found that the routine use of acetaminophen alone rather than a combination acetaminophen-opioid significantly reduced overall and daily opioid use. In addition, there was no worse effect on overall pain score or length of stay.