From the publishers of The New England Journal of Medicine

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Gynecology

The latest information on colposcopy, endometriosis, fibroids, Pap smear, and more, drawn from across our primary care and specialty care areas. Sign up now for monthly e-mail alerts on new content.

SUMMARY AND COMMENT

Testing Midstream Urine for Chlamydia trachomatis

Midstream samples might be adequate for evaluating both chlamydial and urinary tract infections, but study results were not definitive.

SUMMARY AND COMMENT

Medical Management of Symptomatic Uterine Fibroids: A New Option?Free

Ulipristal acetate was effective and did not cause hypoestrogenism.

SUMMARY AND COMMENT

Firming up the Benefits of Cervical HPV DetectionFree

Compared with cytology alone, performing human papillomavirus DNA testing plus cytology led to fewer high-grade cervical lesions 5 years later.

SUMMARY AND COMMENT

Do Vasomotor Symptoms Influence Mood — Or Vice Versa?

Vasomotor symptoms were related to next-day negative affect.

SUMMARY AND COMMENT

Ovarian Preservation at HysterectomyFree

Although hysterectomy is linked to early ovarian failure, rates of ovarian preservation at surgery are rising.

SUMMARY AND COMMENT

Herpes Simplex Vaccine Trial Yields Mixed Results

In a large cohort of young women, the vaccine showed efficacy against HSV-1 infection — with or without disease — but not against HSV-2 infection.

Ovarian Cancer Screening: No Effect on Mortality

Annual screening with measurement of CA-125 and vaginal ultrasound led to harm among women with false positives and did not lengthen survival.

FEATURE

The Menstrual Cycle and Mood: Premenstrual Dysphoric DisorderFree

Prospective mood tracking helps establish diagnoses; treatments include antidepressants and oral contraceptives.

PATIENT INFORMATION

What to Do When Premenstrual Symptoms Interfere with Your Life

Premenstrual dysphoric disorder, a severe form of premenstrual syndrome, can be treated effectively.

SUMMARY AND COMMENT

Can Ovarian Cancer Screening Save Lives?

New data from the University of Kentucky offer hope, although positive predictive value is still too low.

Read more Gynecology articles >>

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