Gynecology

A South Korean prospective study has concluded that an injection of port-site bupivacaine hydrochloride following gynecologic laparoendoscopic single-site surgery (LSSS) does not provide any additive effect in alleviating postoperative umbilical pain.

The North American Society for Pediatric and Adolescent Gynecology offers a patient handout on endometriosis. Continue reading for more.

Cesarean scar pregnancy (CSP) is a complication in which an early pregnancy implants in the scar from a prior cesarean delivery. Incidence and recognition of this condition appear to have increased over the past two decades, perhaps due to high worldwide cesarean delivery rates. The clinical presentation is variable, and many women are asymptomatic at presentation. CSP can be difficult to diagnose in a timely fashion. Ultrasound is the primary imaging modality for CSP diagnosis. Expectantly managed CSP is associated with high rates of severe maternal morbidity such as hemorrhage, placenta accreta spectrum (PAS), and uterine rupture. Given these substantial risks, pregnancy termination is recommended after CSP diagnosis. Several surgical and medical treatments have been described for this disorder, but at this time, optimal management remains uncertain.

With ongoing aging of the population, incidence of pelvic organ prolapse (POP) is on the increase, and with it the need to increased education for ob/gyns and their patient about proper use of pessaries.

Results from a longitudinal study suggest that bacteria in the cervicovaginal microbiome (CVM) may play a role in risk of progression of high-risk human papillomavirus (HR-HPV) to cervical precancer.

More than 100 million women worldwide use IUDs as contraception so these findings could have global implications.

In this piece, read ACOG’s Committee Opinion #785 on Screening and Management of Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding, with expert commentary from Contemporary OB/GYN Board Member Dr. Paula J. Hillard.

Dr. Sarah Dotters-Katz is a maternal-fetal medicine specialist and obstetrician and gynecologist at Duke Health in Durham, N.C. One of her research interests is clinical infectious diseases and how they impact pregnancy.

A new study suggests that certain sexually trasmitted infections, such as herpes simplex virus 2, may have a role in the development of certain types of ovarian cancer.

New research indicates that adverse childhood experiences (ACE) and current mood may contribute to cognitive distress and poor executive function following risk-reducing salpingo-oophorectomy (RRSO).

Recurrent or chronic vulvovaginitis is frustrating to patients and a burden to the health care system. Here is a guide to addressing it.

Some women proactively choose bilateral salpingo-oophorectomy (BSO) to minimize cancer risk, but new research indicates that for some women, the procedure may be doing more harm than good.

The American Association of Gynecologic Laparoscopists (AAGL) has joined several other ob/gyn organizations to endorse the US Surgeon General's recommendation to suspend elective surgeries amidst the coronavirus (COVID-19) pandemic.

Can technology help provide answers to a complex condition? This guide demonstrates how to use ultrasound as a first-line diagnostic tool.

In this video, Jon Einarsson, MD, PhD MPH, discusses his work to develop a less invasive technique for removal of the transmural bowel nodules. 

These four patient cases can help improve your decision-making about the best hormonal regimen for this population.

Experience in more than a quarter million women shows no significant association between use of powder in the genital area and ovarian cancer.  

Two ob/gyns provide arguments for and against offering the procedure. This article, from Dr. Naumann, covers the pro side of the argument.

Two ob/gyns provide arguments for and against offering the procedure. This article, from Dr. Fader, covers the con side of the argument.

From managing endometrial polyps to tips on using ultrasound imaging effectively, these were our top five gynecologic-focused articles of 2019.

In this video, a clinician discusses new data on how surgeons are doing tissue extraction for uterine fibroids.

Published research from Sexually Transmitted Diseases indicates a woman’s risk of vulvovaginal candidiasis could be increased by certain personal behaviors as well as the composition of her vaginal microbiota.

Results presented at the 2019 AAGL Congress demonstrated a higher rate of UTI among younger patients with increased estimated blood loss (EBL) following the procedure.

Pioneers in uterine transplantation provide an update on an investigational procedure that holds promise for women with absolute uterine factor infertility.

A recent research letter in JAMA looked at crowd-diagnoses via social media to determine whether they were for a second opinion after seeing a health care professional.

Hysteroscopic removal of intrauterine devices (IUDs) during the first trimester is a viable option for patients who wish to continue their pregnancy, according to a presentation at the AAGL 2019 Global Conference.

A presentation at the 2019 AAGL Global Congress described how advanced administration of pre-operative oral analgesics could reduce patient usage of immediate post-operative opioid use following minimally invasive hysterectomy.

Ranging from sexual function among cancer patients to how lifetime estrogen exposure affects late-life cognition to state strategies to address opioid use, these were Contemporary OB/GYN's selections for the top gynecologic studies published in October 2019. 

Volatile organic compounds (VOCs) have been associated with several toxic effects and a recent study appearing in the Journal of Women’s Health suggests that douching may contribute to higher VOC exposure in women.

Tell us if you see surgical simulation as a valuable tool for ob/gyns