Hot Flashes: Is the Road Even Longer Than We Thought?
Women's Health
Summary and Comment
Free
Vasomotor symptoms can persist for a decade or longer, depending on time of onset.
Early Postpartum Etonogestrel Implant Placement
Women's Health
Summary and Comment
Implant placement prior to hospital discharge did not adversely affect lactation.
Long-Acting Contraception Should Be a First-Line Option
Women's Health
Summary and Comment
Continuation rates with long-acting reversible contraceptives reflect a high degree of patient satisfaction.
Levonorgestrel-Containing Oral Contraceptives: Still Among the Safest of the Safe
Women's Health
Summary and Comment
Drospirenone-containing COCs were associated with higher risk for venous thromboembolism than were levonorgestrel-containing COCs.
By Eleanor Bimla Schwarz, MD, MS
May 12, 2011
Covering:
Jick SS and Hernandez RK., BMJ 2011 Apr 21; 342:d2151
Parkin L et al., BMJ 2011 Apr 21; 342:d2139
Hysterectomy With or Without Oophorectomy
General Medicine
Summary and Comment
Researchers found no evidence of adverse effects with oophorectomy.
By Thomas L. Schwenk, MD
May 10, 2011
Covering:
Jacoby VL et al., Arch Intern Med 2011 Apr 25; 171:760
Arnold LD and Colditz GA., Arch Intern Med 2011 Apr 25; 171:768
Antidepressants and Risks for Breast and Ovarian Cancer
Psychiatry
Summary and Comment
A meta-analysis found a modest association, but studies associated with industry ties produced different results from those without such ties.
By Joel Yager, MD
May 2, 2011
Covering:
Cosgrove L et al., PLoS ONE 2011 Apr 6; 4:e18210
Vitamin B for PMS?
Women's Health
Summary and Comment
Free
Higher dietary intake of thiamine and riboflavin was associated with lower risk for new-onset premenstrual syndrome.
By Anna Wald, MD, MPH
April 28, 2011
Covering:
Chocano-Bedoya PO et al., Am J Clin Nutr 2011 May; 93:1080
To Pee or Not to Pee?
Women's Health
Summary and Comment
Urine and endocervical samples were equally good for detecting chlamydial infections during pregnancy.
By Anna Wald, MD, MPH
April 28, 2011
Covering:
Roberts SW et al., Obstet Gynecol 2011 Apr; 117:883
Efavirenz Might Diminish Oral Contraceptive Efficacy
Women's Health
Summary and Comment
Women who received the non-nucleoside reverse transcriptase inhibitor efavirenz in conjunction with a combination OC had lower-than-expected progestin levels.
Can Weight Gain Be Predicted in Adolescent DMPA Users?
Women's Health
Summary and Comment
Free
Early weight gain foretold continued or excessive weight gain with prolonged use of this contraceptive method.
Contraceptive Adherence: Cost Isn't Everything
Women's Health
Summary and Comment
Nonadherence to oral, transdermal, and vaginal ring contraception was common even in the absence of financial barriers.
New Oral Contraceptive Pill Alleviates Heavy Menstrual Bleeding
Women's Health
Summary and Comment
Study provides best evidence to date that oral contraceptives can reduce heavy menstrual bleeding.
By Robert W. Rebar, MD
April 21, 2011
Covering:
Jensen JT et al., Obstet Gynecol 2011 Apr; 117:777
Periodic Assessments: Updated Recommendations from ACOG
Women's Health
Clinical Practice Guideline Watch
Routine office visits provide opportunities for preventive screening, evaluation, and counseling.
By Andrew M. Kaunitz, MD
April 21, 2011
Covering:
American College of Obstetricians and Gynecologists Committee on Gynecologic Practice., Obstet Gynecol 2011 Apr; 117:1008
Is a Year's Supply of OC Pills Better Than a Month at a Time?
Women's Health
Summary and Comment
Rates of unintended pregnancy and abortion were lower in women who received 1-year supplies of oral contraceptives.
By Ann J. Davis, MD
April 7, 2011
Covering:
Foster DG et al., Obstet Gynecol 2011 Mar; 117:566
Lengthened WHI Follow-Up: Postmenopausal Estrogen Therapy
Women's Health
Summary and Comment
Free
Women's Health Initiative follow-up of postintervention phase showed estrogen had no substantial adverse effects on most health outcomes; reduction in relative risk for breast cancer persisted.
By Andrew M. Kaunitz, MD
April 5, 2011
Covering:
LaCroix AZ et al., JAMA 2011 Apr 6; 305:1305
Jungheim ES and Colditz GA., JAMA 2011 Apr 6; 305:1354
HT Timing and Cardiovascular Risk: Pendulum Continues Its Swing Toward Reassurance
Women's Health
Summary and Comment
Free
Current hormone therapy use was associated with lower risk for death from coronary heart disease, particularly among users younger than 59.
By Andrew M. Kaunitz, MD
March 31, 2011
Covering:
Stram DO et al., Menopause 2011 Mar; 18:253
Allison MA and Manson JE., Menopause 2011 Mar; 18:243
Hot Flashes and Cardiovascular Risk: A Matter of Timing?
Women's Health
Summary and Comment
Early-occurring vasomotor symptoms were associated with lower CV risk, and late symptoms with excess risk.
By Wendy S. Biggs, MD
March 31, 2011
Covering:
Szmuilowicz ED et al., Menopause 2011 Feb 19
LNG-IUS Use in Women with Inherited Bleeding Disorders
Women's Health
Summary and Comment
The levonorgestrel-releasing intrauterine system attenuated menstrual bleeding and improved quality of life.
Major Depression and Menopause
Psychiatry
Summary and Comment
Free
Major depressive episodes become more common during and immediately after the menopausal transition.
By Deborah Cowley, MD
March 21, 2011
Covering:
Bromberger JT et al., Psychol Med 2011 Feb 9
Dermoscopy for Diagnosing Pigmented Lesions of the Vulva
Dermatology
Summary and Comment
Common characteristics of these lesions as seen by dermoscopic examination
By Mark V. Dahl, MD
March 18, 2011
Covering:
Ronger-Savle S et al., Br J Dermatol 2011 Jan; 164:54
Ramifications of Over-the-Counter Availability on Oral Contraceptive Use
Women's Health
Summary and Comment
Free
Users of over-the-counter oral contraceptive pills were more likely to continue their contraceptive method but were more likely to have contraindications.
By Diane E. Judge, APN/CNP
March 17, 2011
Covering:
Potter JE et al., Obstet Gynecol 2011 Mar; 117:551
Grossman D et al., Obstet Gynecol 2011 Mar; 117:558
Breast Cancer Risk in Premenopausal Women Who Ever Used the LNG-IUS
Women's Health
Summary and Comment
The levonorgestrel-releasing intrauterine system did not raise risk for breast cancer.
By Anna Wald, MD, MPH
March 17, 2011
Covering:
Dinger J et al., Contraception 2011 Mar; 83:211
Degree of Endometrial Biopsy Pain Doesn't Depend on the Device
Women's Health
Summary and Comment
Patient-reported pain was similar for two common types of instruments.
Illness Course in Women with Bipolar Disorder
Psychiatry
Summary and Comment
Free
Premenstrual exacerbations are associated with a more difficult course of bipolar illness.
By Joel Yager, MD
March 14, 2011
Covering:
Dias RS et al., Am J Psychiatry 2011 Feb 15
Is Robotic-Assisted Laparoscopic Myomectomy More Efficacious Than Other Approaches?
Women's Health
Summary and Comment
Retrospective analysis suggests there might be a place for robotic-assisted laparoscopic myomectomy in some women but does little to define that role.
By Robert W. Rebar, MD
February 24, 2011
Covering:
Barakat EE et al., Obstet Gynecol 2011 Feb; 117:256