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Identification and management of patients at increased risk for breast cancerWith breast cancer being the most diagnosed invasive cancer in the United States, OB-GYN practitioners play a crucial role in identifying high-risk patients and guiding them through screening, prevention, and risk-reduction strategies.
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Does low blood pressure increase the risk of stillbirth?While most ob/gyns can recite a long list of risk factors for this lethal complication, mounting evidence suggests that maternal hypotension should be taken into account as well.
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Targeted bio weapons in the war against gynecologic cancersWill biological warfare revolutionize the battle against gynecologic cancers? Two experts share the latest molecular tactics using "special" agents. Lethal weapons like Herceptin can throw up some roadblocks, even when they can't always destroy a tumor.
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ERAS: Improved outcomes post-cesareanAn ob/gyn shares her experience with implementing enhanced recovery after surgery (ERAS) and its effect on patient care at her institution
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Taking aim at the top 3 patient safety errors in ob/gynWhat can you do right now in your daily practice to prevent the three most common-and potentially dangerous-types of medical errors?
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Alternatives to traditional surgery for fibroidsExperts provide an update on current and emerging drugs and procedures as an alternative to myomectomy for uterine leiomyomas.
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The importance of women’s health research: a call for actionDespite making up more than half of the US population, women remain underrepresented in medical research, leading to critical gaps in understanding and treatment.
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Leveling with patients about the risks of ARTBe frank about the real and potential complications when counseling patients considering assisted reproductive technologies. The list includes the link between multiple gestations and preterm delivery, the possibility of ectopic pregnancies or malformations-and much more.
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Alternative approaches to overactive bladderAlthough traditional drugs work for most patients, potential side effects turn some patients off. Examining the evidence, two experts argue for trying approaches like magnetic and electrical stimulation, acupuncture, or Botox.
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Grand Rounds: Finding the best approach to dysmenorrheaCombining NSAIDs with a new way of administering a centuries-old "folk" remedy offers many women significant relief.
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Office-based hysteroscopy: getting started nowWhat's holding you back? Cost? Worries about managing pain or complications? An expert debunks common excuses for not doing more office-based procedures and explains why you need both U/S and diagnostic hysteroscopy-and the rewards you can reap from taking your practice in this direction.
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HBOC and Lynch syndrome testing: All in a day’s workOb/gyns have a responsibility and can no longer be passive in this genomic era.
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Distinguishing and treating PMS and PMDDWith as many as 9 out of 10 menstruating women reporting some premenstrual moody blues, what criteria do you use to differentiate mild PMS from severe PMS from premenstrual dysphoric disorder? And what treatments are effective?
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Ob/gyn complications of celiac diseaseHalf of all adults with this autoimmune disorder don't have the classic GI symptoms, which include bloating and diarrhea. So should you screen women with otherwise unexplained infertility for it? Other ob/gyn complications in women with celiac disease include miscarriage, iron deficiency anemia, and IUGR.
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Grand Rounds: A thorough approach to pelvic painWith a treatment algorithm that encourages gynecologists to think 'outside the box,' one expert focuses on approaches originally developed for neuropathic pain, irritable bowel syndrome, and low back pain.
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Evaluating the infertile male, Part 1An expert in infertility and microsurgery explains how to interpret semen analysis in Part 1 of a two-part series on male infertility. He also tells why much traditional treatment of male infertility, including varicocelectomy, is pointless.
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Letters to the EditorLetters discuss the myriad of issues affecting the practice of specialties. Joshua A. Copel responds.
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Are you ready for MOC?The American Board of Obstetrics and Gynecology stopped issuing their usual certificates in 2008 and have switched to a "maintenance of certification" protocol that requires all ob/gyns to walk through a more demanding 6-year process involving CME offerings, a written examination, and chart reviews.
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Sign Out: Can you see the silver lining in ob/gyn?Anyone who's been practicing ob/gyn for more than 20 years knows that our profession has changed tremendously, and largely to our great frustration.
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Genitourinary syndrome of menopause: Underdiagnosed and undertreatedDespite the prevalence of GSM, the condition continues to be under-recognized and undertreated due to a combination of patient and provider factors. Providers need to take the initiative in screening and patient education.
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Routine cystoscopy after minimally invasive hysterectomy associated with increased UTIsResults presented at the 2019 AAGL Congress demonstrated a higher rate of UTI among younger patients with increased estimated blood loss (EBL) following the procedure.
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Alternative approaches to overactive bladderAlthough traditional drugs work for most patients, potential side effects turn some patients off. Examining the evidence, two experts argue for trying approaches like magnetic and electrical stimulation, acupuncture, or Botox.
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Taking a rational approach to hypertension in the pregnant patientAshley S. Roman, MD, MPH, reviews some of the new updates discussed in ACOG Practice Bulletin #203: Chronic Hypertension in Pregnancy.
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NAMS Notes: Highlights of a new position statement on calciumTo guide health-care providers about the role of calcium in peri-and postmenopausal women, The North American Menopause Society recently developed an evidence-based statement.
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Sign Out: Our 40-year ride on the hormone therapy rollercoasterWhen I started practicing "menopause medicine" 40 years ago, Dr. Robert Wilson's book, Feminine Forever was on the bestseller list. Today, as I approach the pinnacle of my career, Suzanne Somers' Ageless: The Naked Truth About Bioidentical Hormones is on the shelves. The titles are different but the message is the same: the promise of eternal youth . . . .
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Sign Out: Protocols for High-Risk PregnanciesI truly believe that "Protocols for High-Risk Pregnancies" has contributed to improving perinatal care.
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ECG analysis: the next generation in electronic fetal monitoring?As fetal electrocardiograph analysis comes of age, there's a growing body of research to suggest it can serve as a valuable adjunct to traditional EFM. Here's an expert review on the technology and the data supporting it.
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Will screening for endometrial cancer soon be routine?A rigorous assessment of who, when, and how to screen may lead to regular testing in a broader population.
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Eight tips to improve outpatient visits for spinal cord injury patientsThese recommendations, based on the observations of a patient, is a Top 8 list of ways to optimize an outpatient visit for reproductive health care for women with spinal cord injury or disease.
