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
Sexual Behavior in Adolescents and Young Adults: Ask, but They Might Not Tell
Ten percent of young adults with a confirmed sexually transmitted infection reported abstaining from sexual activity during the previous 12 months.
Where Can Women Obtain Long-Acting Reversible Contraception?
Women's Health
Summary and Comment
More Title X clinics than office practices provided most methods onsite, but more office practices provided the levonorgestrel-releasing intrauterine system.
By Diane E. Judge, APN/CNP
February 17, 2011
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Wkly Rep 2011 Jan 14; 60:1
Are 24-Day Drospirenone-Containing Oral Contraceptives More Effective Than Other Regimens?
Women's Health
Summary and Comment
Surveillance data say yes, but possible confounders must be taken into account.
By Ann J. Davis, MD
February 17, 2011
Covering:
Dinger J et al., Obstet Gynecol 2011 Jan; 117:33
Selective Serotonin Reuptake Inhibitors for Menopausal Hot Flashes: How Effective?
Women's Health
Summary and Comment
Free
Escitalopram was modestly more effective than placebo.
LNG-IUS vs. Combination Oral Contraceptives for Heavy Menstrual Bleeding
Women's Health
Summary and Comment
Levonorgestrel-releasing intrauterine system was more effective than COCs.
By Robert W. Rebar, MD
February 10, 2011
Covering:
Shabaan MM et al., Contraception 2011 Jan; 83:48
Influence of Subspecialty Care on Survival in Women with Endometrial Cancer
Women's Health
Summary and Comment
Women with advanced disease had better outcomes when care was provided by gynecologic oncologists.
Migraines Are Common in Women with Chronic Pelvic Pain
Women's Health
Summary and Comment
Prevalence of migraine was not influenced by presence of endometriosis; only two thirds of participants with migraines had received prior diagnoses of migraine.
Does Polycystic Ovary Syndrome Raise Risk for Cardiovascular Disease?
Women's Health
Summary and Comment
PCOS was associated with excess risk for incident diabetes and dyslipidemia during nearly 2 decades of follow-up.
By Robert W. Rebar, MD
January 27, 2011
Covering:
Wang ET et al., Obstet Gynecol 2011 Jan; 117:6
Polycystic Ovary Syndrome as a Risk Factor for Depression
Women's Health
Summary and Comment
Psychological distress should be considered in all women with PCOS.
By Robert W. Rebar, MD
January 27, 2011
Covering:
Dokras AS et al., Obstet Gynecol 2011 Jan; 117:145
How Does the Levonorgestrel-Releasing Intrauterine System Prevent Conception?
Women's Health
Summary and Comment
Free
LNG-IUS use blocked sperm penetration of cervical mucus in vitro.
By Robert W. Rebar, MD
January 6, 2011
Covering:
Lewis RA et al., Contraception 2010 Dec; 82:491
Vaginal Hysterectomy Outcomes: Does Surgical Volume Matter?
Women's Health
Summary and Comment
Patients of high-volume surgeons had better outcomes, but questions about clinical importance remain unanswered.
By Brent E. Seibel, MD
December 22, 2010
Covering:
Rogo-Gupta LJ et al., Obstet Gynecol 2010 Dec; 116:1341
To Prevent Dementia, Is Timing Everything?
Psychiatry
Summary and Comment
Clinical and preclinical evidence of a critical window for hormone therapy to prevent dementia
By Jonathan Silver, MD
December 20, 2010
Covering:
Whitmer RA et al., Ann Neurol 2010 Nov 12
Smith CC et al., Proc Natl Acad Sci U S A 2010 Nov 9; 107:19543
Is Screening for Endometrial Cancer Feasible?
Women's Health
Summary and Comment
Free
British findings suggest that transvaginal ultrasound fills the bill, but experts caution, "Not so fast."
By Andrew M. Kaunitz, MD
December 16, 2010
Covering:
Jacobs I et al., Lancet Oncol 2010 Dec 13
Vergote I et al., Lancet Oncol 2010 Dec 13
New Recommendations for Ultrasound Follow-Up of Ovarian and Other Adnexal Cysts
Women's Health
Clinical Practice Guideline Watch
Free
Guidelines will allay anxiety and diminish need for follow-up of benign cysts.
New Report on U.S. Sexual Practices Across the Life Span
Women's Health
Summary and Comment
A nationally representative survey included questions about a broad range of solo and partnered behaviors.
By Diane E. Judge, APN/CNP
December 9, 2010
Covering:
Herbenick D et al., J Sex Med 2010 Oct; 7:255
Herbenick D et al., J Sex Med 2010 Oct; 7:277
Reece M et al., J Sex Med 2010 Oct; 7:291
Mixed News About Condom Use in the U.S.
Women's Health
Summary and Comment
Condom use was common among teens, but not among adults older than 50 with partners outside of established relationships.
By Ann J. Davis, MD
December 9, 2010
Covering:
Fortenberry JD et al., J Sex Med 2010 Oct; 7:305
Schick V et al., J Sex Med 2010 Oct; 7:315
How Often Are Endometrial Polyps Cancerous?
Women's Health
Summary and Comment
What factors are associated with risk for malignancy? Postmenopausal status and abnormal vaginal bleeding.
By Robert W. Rebar, MD
November 18, 2010
Covering:
Lee SC et al., Obstet Gynecol 2010 Nov; 116:1197
Emergency Contraception: OB/GYNs' Beliefs and Practices
Women's Health
Summary and Comment
Most obstetrician/gynecologists believe that access to emergency contraception prevents unintended pregnancies; male and religious physicians are more likely to restrict its use.
Zolpidem Helps Women with Breast Cancer and Hot Flashes Sleep Better
Women's Health
Summary and Comment
Combination treatment with this hypnotic plus an antidepressant did not prevent daytime hot flashes but did help women sleep through nocturnal ones.
Adding Methyltestosterone to Esterified Estrogens Improved their Efficacy in Controlling Hot Flashes
Women's Health
Summary and Comment
But is this finding clinically meaningful?
Stopping Estrogen Therapy Might Trigger Hot Flashes That Weren't There in the First Place
Women's Health
Summary and Comment
Free
In the WHI trial of conjugated equine estrogen, some women who had no bothersome vasomotor symptoms before starting hormones developed them after stopping.
Tranexamic Acid: Recently Approved for Heavy Menstrual Bleeding
Women's Health
Summary and Comment
Free
New oral formulation was well tolerated and effective at diminishing menstrual blood loss.
By Robert W. Rebar, MD
October 7, 2010
Covering:
Lukes AS et al., Obstet Gynecol 2010 Oct; 116:865
Even with Texted Reminders, Women 4got 2 Take Their OCPs
Women's Health
Summary and Comment
Free
Text-message reminders did not improve oral contraceptive pill adherence rates.
Does Injectable Contraception Raise Fracture Risk?
Women's Health
Summary and Comment
Although the data might seem alarming, study methodology and biological plausibility raise questions about its validity.