Cervical Pessary Shows Promise for Delaying Preterm Births
May 2nd 2012Use of cervical pessary-a small, silicone, ring-shaped device inserted around the cervix-is a safe, inexpensive, and reliable alternative for preventing preterm delivery in women with a short cervix, according to the authors of a new study conducted in Spain.
BPH drug shows efficacy in treating female hair loss
May 1st 2012Mesotherapy with dutasteride, a 5-alpha reductase enzyme inhibitor used to treate benign prostatic hyperplasia, has been shown to be effective in improving hair density, thickness, texture, and color in women with female pattern hair loss (FPHL), an Egyptian study reports.
Action-based postpartum TX effective in minorities
May 1st 2012Postpartum depression affects thousands of American women annually, particularly black women and Latinas. But a randomized, controlled trial of minority women in New York City syggests that a 2-step behavioral intervention may be effective in helping them manage their depressive symptoms.
How to talk about sexual issues with cancer patients: Beginning the dialogue
May 1st 2012Sexual complaints can occur in up to 90% of women with a history of diagnosed cancer and in at least 50% of women with gynecologic and breast cancer. It's important to inform patients early in the course of their treatment that issues of sexuality may be relevant and that discussions on the topic are appropriate.
Protocol 16-External Cephalic Version: Singleton Fetus
May 1st 2012In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the maneuvers required for successful cephalic version with 2 operators or 1. As the author notes, careful assessment of fetal presentation in the third trimester is important. Otherwise, patients may be deprived of the option of external cephalic version to decrease the risk of cesarean delivery. Before the procedure, fetal well-being and the presence of any contraindications should be ascertained. Informed consent and counseling with regard to the likelihood of success of the procedure should be performed. Post-version assessment for fetal presentation on subsequent encounters is vital in these patients.
Prophylactic laparoscopic abdominal cerclage: Tips for success
May 1st 2012Traditionally, transvaginal cerclage placed during the first or early second trimester has been a common treatment for cervical incompetence. Unfortunately, in about 13% of women with cervical incompetence, the transvagincal approach to cerclage will not work.
Can You Give Your Patients Too Much Information?
April 24th 2012Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans. In this era of digital info, we can all feel more empowered, more often, more quickly. It seems like there's always room for more information, doesn't it?