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A new study highlights the connection between heavy or prolonged menstrual bleeding and increased fatigue in menopausal women, emphasizing the need for greater clinical awareness and early intervention.

Heavy menstrual bleeding linked to fatigue in menopausal women

A recent study reveals significantly lower initiation and continuation rates of Mother’s own milk feeding among late preterm infants compared to other gestational age groups, highlighting a need for targeted support.

Study reports reduced maternal breastfeeding in late preterm infants

John PFA Heesakkers, MD, PhD, MBA, with Maastricht Universitair Medisch Centrum, highlights a study revealing that the Revi System significantly reduces urinary incontinence episodes, offering a side-effect-free alternative to traditional treatments with high patient satisfaction.

Revi System shows efficacy against urgency urinary incontinence

A recent study found that women with a history of gestational diabetes who sleep less or snore regularly face a significantly higher risk of developing type 2 diabetes later in life.

Sleep health linked to type 2 diabetes risk in women with gestational diabetes

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A Psychedelic to Treat Postpartum Depression?

CMV: In the Know

RSV Roundtable

STIs

Supplement: Closing the Gap in Cervical Cancer Screening

Vaginismus: Managing a Misunderstood and Underdiagnosed Condition

Why vNOTES Make Sense for My Patients

1rem

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OBGYN.net Conference CoverageFrom AIUM 44th Conference held in San Francisco, California - April, 2000

Windows 2000

OBGYN.net Conference CoverageFIGO 2000 INTERNATIONAL FEDERATION of GYNECOLOGY & OBSTETRICS: Washington DC, USA

MedCases

A 27-year-old woman presents with an 18-month history of vulvar irritation. She is otherwise healthy except for episodes of depression. She has tried multiple agents for her condition including topical steroids, Vagisil, antibiotics, and fluconazole. She used oral steroids but developed knee pain. Tacrolimus has not helped. A biopsy revealed lichen simplex chronicus. Immunofluorescent studies were negative.

A 27-year-old woman presents with an 18-month history of vulvar irritation. She has tried multiple agents for her condition including topical steroids, Vagisil, antibiotics, and fluconazole without relief. What's your diagnosis?

Vulvar irritation in a 27-year-old woman

Preterm birth and its complications are the largest contributors to infant death in the United States and internationally. How does the U.S. stack up? 

Put your knowledge to the test in honor of Prematurity Awareness Month. 

Quizzes

Clinical

Can you guess the U.S. preterm birth rate?

Saying "obstetrician-gynecologist" is a mouthful for most people, and it's probably the most abbreviated specialty in medicine, both spoken and written. However, there doesn't seem to be a consensus on how to pronounce OB-GYN. First, is it the two-syllable "O-B" or the monosyllabic "Ob"? Second, is it "gin" or "gyne" (like "Lyme")? I wonder if you have a preference. I know I do.

Almost nobody says "obstetrician-gynecologist" when speaking about these specialist physicians. But what's the "correct" way to pronounce OB/GYN?

Is It Ob-Gin or Ob-Gyne?

Empowering patients in urge urinary incontinence treatment

New pSNM system

Jannah Thompson, MD, FPMRS, from Trinity Health Urogynecology, discussed the health needs being solved by the Neuspera sacral neuromodulation (pSNM) system.

According to Thompson, the system allows patients to be active participants in their care, increasing their odds of continuing treatment long-term. While the study primarily focused on patients with urge urinary incontinence, results indicated the system may be used in a generalized population.

What unmet needs does the pSNM system solve?

Well, I think that the involvement of the patient in their therapy, because they actually have to hold the external stimulator up against them for 2 hours each day, makes them an active and willing participant in their care. Right now, the device we have is sort of a set it and forget it, but what happens is the patient then expects the doctor, or the doctor staff, to really be the sole driver of their symptom improvement, where this allows for the patient to be actively involved. I think some of our biases as doctors might be that a patient wouldn't want to do this, right? That they wouldn't want to have to do something 2 hours each day. But what we found is that a significant portion of the patients, 90% of them, continued to maintain daily stimulation of their therapy out 6 months, and they actually in making that behavior change where they're actually involved in their therapy may often lead these patients to be committed to trying other things to improve their symptoms. Maybe reducing acids, maybe working on constipation, maybe doing their physical therapy exercises, because they can see on a regular basis, that stimulation of this small wire inside actually produces less leakage and the results they want, thereby creating buy in and commitment on the patient's side, and also just having them an active and willing participant in their care.

What patient profile does this treatment apply to?

Well, the patient profile was actually broader than what we've seen in some of these other studies with sacral modulation in that it was women that were brought into the study, but they could have mixed incontinence, mixed incontinence meaning they could have urge and stress incontinence, or just urge incontinence. The study was looking at specifically urge incontinence episodes, and that's what we were targeting the therapy for. But what it allowed for is a much broader categorization of women that leak, which can make it more generalizable to the population that we see. And so, we're excited about this therapy that's now been submitted to the FDA for approval, and hopefully we will see that soon.

This video is part 2 of a 2-part series. Click 

Padron O. Treatment of OAB symptoms using Neuspera's ultra-minaturized system: 6-month results of the sans-UUI phase 2 study. Presented at: Society of Urodynamics Female Pelvic Medicine & Urogenital Reconstruction. Rancho Mirage, California. February 26-March 1, 2025.

Jannah Thompson, MD, FPMRS, discusses how the Neuspera sacral neuromodulation system encourages patient involvement, improving long-term treatment success and offering broader applicability for those with urge urinary incontinence.

New pSNM system empowers patients in urge urinary incontinence treatment

Name the part arrowed in these images in this late 3rd trimester fetal head.

Daily Dx: Normal Anatomy Quiz

This middle-aged woman has severe dysmenorrhea and pelvic discomfort. Ultrasound images of the uterus are shown. What is your diagnosis?

Daily Dx: Dysmenorrhea and Pelvic Discomfort

Bruce Speyer

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