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Topical may be more effective than oral estrogen at relieving certain sexually related symptoms in hysterectomized women, but neither form seems to significantly affect sexual desire or activity despite increasing vaginal blood flow, according to a randomized, comparative study conducted in China.

Although previous studies have found that taking vitamin supplements in early pregnancy doesn't seem to prevent preeclampsia, researchers have recently found that taking multi- or prenatal vitamins during the 6 months surrounding conception reduces the risk of preeclampsia by about 45%, according to data from the Pregnancy Exposures and Preeclampsia Prevention Study.

Women who remain at risk for very preterm birth 7 or more days after an initial course of corticosteroids should receive repeat doses to reduce neonatal morbidity, according to the findings of a recent hospital-based, randomized, controlled trial.

Increased blood levels of soluble endoglin and ratios of soluble fms-like tyrosine kinase 1 (sFlt1): placental growth factor (PlGF) trumpet the onset of preeclampsia, according to the results of a nested case–control study of healthy nulliparous women within the Calcium for Preeclampsia Prevention Trial.

New-onset breast discomfort has been linked to an increase in breast tissue density on mammography in postmenopausal women taking combination hormone therapy, which in turn is associated with an increased threat of breast cancer, according to the findings of a recent UCLA study.

The pathologic expression of the tumor suppressor genes p53 and p16 in curettage specimens may identify high-risk endometrial carcinoma patients with a poor prognosis, according to a study in the October issue of the American Journal of Obstetrics and Gynecology.

Oral contraceptives (OCs) are associated with a small increase in premenopausal breast cancer risk, especially in parous women who use them for 4 or more years before a first full-term pregnancy, according to a new meta-analysis.

Women who are on a 168-day extended oral contraceptive regimen and experience breakthrough bleeding for 7 days or more do better with a 3-day hormone-free interval rather than continuing hormones, according to the results of a study published in the October issue of the American Journal of Obstetrics & Gynecology.

Women who were exposed in utero to diethylstilbestrol (DES) have an increased chance of early menopause, according to a study in the Oct. 1 issue of the American Journal of Epidemiology.

"The rate of the foetal heart is subject to considerable variations which affords us a fairly reliable means of judging as to the well-being of the child." This was excerpted from Dr. J. Whitridge Williams, in the second edition of Williams Obstetrics, in 1908.

Many of the most significant changes in maternity-related care have been driven by women (for example, natural childbirth, dads in the delivery room, changing the "drive-through delivery" policy). Fortunately, a growing number of obstetrical specialists (perinatologists) do not accept that a premature baby is "God's will" or just "nature taking its course".

These Guidelines have been created through my own experiences with Chronic, Severe pain. Through many trials and errors, I have come up with a few ways of learning to deal and cope with chronic, unbearable pain and how to learn to adapt with the things it effects, in our life in general.

Howard I. Glazer, Ph. D., is a clinical associate professor of psychology in Obstetrics and Gynecology at Cornell University Medical College, and an associate attending psychologist at New York Hospital. He specializes in the use of surface electromyographic biofeedback in the treatment of vulvovaginal pain.

I would be so grateful for your perspective on my annoying chronic pelvic pain. I am 28 years old and in the past decade I have had an array of 'interesting problems: endometriosis, polycystic ovaries, vulvodynia and the popular irritable bowel syndrome.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

October Case Summaries

Clinical situations that typically result in litigation and the variation in jury verdicts and awards across the nation.