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Watching his state's medical care system crumble and many of hispartners shutter their practices spurred one Mississippi ob/gyn totake a personal stand on tort reform. His run for elected officewas successful-in more ways than one.

What right does a teenager have to confidential health care? What influence does HIPAA have on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.

When nonsurgical approaches don't quite fit a patient's needs,you'll want to have the latest facts available on options likeendometrial ablation, myomectomy, laparoscopic uterine arteryligation, uterine artery embolization, and hysterectomy.

What do you tell a pregnant patient with a previous third- orfourth-degree tear, for whom another vaginal delivery raises therisk of further injury? Can some women safely have a trial oflabor? Diagnose occult tears with ultrasound, advise theseexperts-and use it to assess the anal sphincters of allincontinent women.

Faced with a challenging, unusual presentation, accuratedocumentation that spells out the clinician's rationale forcare-or absence of care-takes on even greatersignificance.

When Lenard J. Rutkowski, MD, was sued for malpractice in 2001, he found himself fighting the lawsuit and, for the next 11 years, fighting for his financial future. The neurosurgeon found himself in hot water when he performed surgery on a patient, who later sued him for operating on the wrong vertebrae.

The risk of accidents with laparoscopic surgery could be reduced ifhospitals used fault-detection devices currently on the market.

Pressure against the Food and Drug Administration to make along-awaited decision on whether to approve the sale of Plan B(levonorgestrel) without a prescription has been increasinglately-from the courts and the U.S. Senate.

Serial human chorionic gonadotropin (hCG) cannot rule in or out anectopic pregnancy, according to the results of a recent study.

Maternal vitamin D insufficiency, a condition common among women ofchildbearing age and during pregnancy, may put offspring at greaterrisk for osteoporotic fractures in adulthood, according to theresults of a longitudinal study.

A low (<5 mg/dL) vaginal amniotic fluid (vAF) glucosemeasurement can predict the presence of intra-amniotic infection(IAI), and rule it out, but has a low sensitivity for thecondition.

It seems laser conization is associated with a slightly lower riskof adverse pregnancy outcomes than cold knife conization or largeloop excision of the transformation zone (LLETZ), and laserablation entails the lowest risk of all-findings that couldprove very important to the many women of reproductive agereceiving treatment for intraepithelial or early invasive cervicallesions.

How many times have you completed a patient visit and started to walk through the examine room door, only to hear the woman say, "Oh, by the way ...."? It's frustrating and challenging at the same time, because you don't know whether your patient's next words are going to signal something you can resolve in a few minutes or are just the tip of a clinical "iceberg."

The International Pelvic Pain Society program was held in Simsbury, Connecticut April 30 - May 1, 1999. The program was jointly sponsored by the University of Rochester School of Medicine and Dentistry and the International Pelvic Pain Society. The course directors were Dr. Fred Howard, President of the IPPS and Debra Metzger, Ph.D., M.D.

Are these symptoms of Menopause?Am I experiencing Perimenopause? What should I expect from HRT?

Are these symptoms of Menopause?Am I experiencing Perimenopause?What should I expect from HRT?

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.

This month's topics: Chronic Pelvic Pain, Hysterectomy Pain, Endometriosis & Adenomyosis, PID & Other Infections and Other Questions

With the help of PCR analysis, cell-free fetal RhD antigen can be detected in maternal serum, offering the promise of detecting mother/child incompatibilities long before any clinical damage can occur. Here's a brief overview of the technology and why it's still not ready for prime time in the U.S.

With the help of PCR analysis, cell-free fetal RhD antigen can be detected in maternal serum, offering the promise of detecting mother/child incompatibilities long before any clinical damage can occur. Here's a brief overview of the technology and why it's still not ready for prime time in the U.S.

Pregnant patients are more likely than ever to ask about stem cells and umbilical cord blood banking. In this article, an expert provides an update on the pros and cons of cord blood banking, and the controversy over private versus public banks, to help you counsel appropriately.

Can the right graft materials improve the success rates for vaginal repair surgery? Drawing upon the latest research, experts weigh the pros and cons of synthetic and biologic surgical graft materials, citing pore size as arguably the key factor in reducing complications.

Bimanual examination for measuring labor progress has its limitations. Early experience with an ultrasound-based system suggests it may have a role in monitoring cervical changes and directing oxytotic therapy.

Risk management in obstetrics and gynecology

Women with early ovarian cancer receive better care and live longer if their initial treatment is managed by a gynecologic oncologist. So say the results of a cohort study that compared ovarian cancer care delivered by gynecologic oncologists, gynecologists, and general surgeons.