Diagnostic Radiation, BRCA1/2 Mutations, and Breast Cancer Risk
General Medicine
Summary and Comment
Higher cumulative radiation exposure was associated with increased risk.
Hospital Promotion of the Robot in Gynecologic Surgery: Mainly Hype?
Women's Health
Summary and Comment
Hospital websites often contain information that is manufacturer-influenced and not evidence-based.
Robotic-Assisted vs. Traditional Laparoscopic Hysterectomy for Benign Disease
Women's Health
Summary and Comment
Free
Longer operating times and no clear advantage to robotic-assisted hysterectomy.
By Brent E. Seibel, MD
October 4, 2012
Covering:
Sarlos D et al., Obstet Gynecol 2012 Sep; 120:604
Uterine Perforation Following Placement of Intrauterine Contraception Is Uncommon
Women's Health
Summary and Comment
But drawing conclusions about risk factors is difficult.
By Robert W. Rebar, MD
October 4, 2012
Covering:
Kaislasuo J et al., Hum Reprod 2012 Sep; 27:2658
Do Women with Rectovaginal Endometriosis Have Excess Risk for Placenta Previa?
Women's Health
Summary and Comment
A retrospective study indicates this may be so, but the underlying mechanism remains unknown.
Alleviating Pain at IUD Placement
Women's Health
Summary and Comment
The challenge continues: Intracervical lidocaine gel showed no benefit.
Screening for Ovarian Cancer: Current USPSTF Advice
Women's Health
Practice Watch
Once again, the task force recommends against routine screening in asymptomatic women.
How to Enhance Maternal Responsiveness in Pregnant Women with Depression
Psychiatry
Summary and Comment
Free
A small pilot study suggests that cognitive-behavioral therapy is helpful.
By Deborah Cowley, MD
September 10, 2012
Covering:
Pearson RM et al., J Affect Disord 2012 Aug 9
CIN Treatment and Preterm Birth: Revisiting the Association
Women's Health
Summary and Comment
Free
British study indicates that quality-assured treatment for cervical intraepithelial neoplasia does not raise obstetric risk.
OB/GYN Hospitalists: Emerging Trend or Sustainable Model?
Women's Health
Summary and Comment
Free
The role has both advantages and challenges.
Minimizing Risk for Thromboembolic Events Associated with Hormonal Contraception
Women's Health
Summary and Comment
Thromboembolism is rare with progestin-only contraceptives.
Vitamin D Supplementation Does Not Reduce Depression Risk in Older Women
Psychiatry
Summary and Comment
Free
Results from a very large, population-based, randomized study
By Peter Roy-Byrne, MD
August 30, 2012
Covering:
Bertone-Johnson ER et al., Am J Epidemiol 2012 Jul 1; 176:1
Restless Leg Syndrome Increases the Risk for Clinical Depression in Women
Psychiatry
Summary and Comment
A 6-year prospective study clarifies the links between the two disorders.
By Joel Yager, MD
August 30, 2012
Covering:
Li Y et al., Am J Epidemiol 2012 Aug 15; 176:279
Guidelines for Well-Woman Gynecologic Visits
Women's Health
Clinical Practice Guideline Watch
Free
The ACOG recommendations emphasize the value of annual visits and encourage shared decision making.
By Diane E. Judge, APN/CNP
August 23, 2012
Covering:
Committee on gynecologic practice, the American College of Obstetricians and Gynecologists., Obstet Gynecol 2012 Aug; 120:421
Managing Unscheduled Bleeding Associated with Oral Contraception
Women's Health
Summary and Comment
Flexible dosing schedules lowered the number of bleeding and spotting days.
Birth Control Saves Women's Lives
Women's Health
Summary and Comment
Free
Meeting the global need for contraception could cut maternal mortality by an additional 29%.
Postcesarean Intrauterine Contraception
Women's Health
Summary and Comment
IUD placement immediately after cesarean delivery was well tolerated, with low likelihood of expulsion.
Cervical Cancer Screening in HIV-Positive Women
Women's Health
Summary and Comment
Risk for cervical dysplasia in HPV-negative women is low, regardless of HIV status.
By Anna Wald, MD, MPH
August 16, 2012
Covering:
Keller MJ et al., JAMA 2012 Jul 25; 308:362
BRCA1/2 Mutational Analysis in Ovarian Cancer: Moving Beyond Family History
Women's Health
Summary and Comment
A Canadian study suggests that all women with high-grade serous ovarian malignancies be tested for <$EMPH_O>BRCA1<$EMPH_C> and <$EMPH_O>BRCA2<$EMPH_C> mutations.
By Andrew M. Kaunitz, MD
August 16, 2012
Covering:
Schrader KA et al., Obstet Gynecol 2012 Aug; 120:235
Berchuck A., Obstet Gynecol 2012 Aug; 120:221
Wake Up: Objective and Subjective Assessments of Hot Flashes' Effects on Sleep Don't Always Match
Women's Health
Summary and Comment
Free
Clinicians and researchers should focus on vasomotor symptoms labeled bothersome by women.
Embolization of Uterine Leiomyoma Is an Effective Long-Term Treatment
Women's Health
Summary and Comment
Cumulative failure rate was only 18% during 7 years of follow-up.
By Robert W. Rebar, MD
August 9, 2012
Covering:
Tropeano G et al., Obstet Gynecol 2012 Aug; 120:269
Does Choice of Menstrual Protection Affect IUD Expulsion Risk?
Women's Health
Summary and Comment
Canadian report suggests use of tampons and menstrual cups does not raise risk.
By Andrew M. Kaunitz, MD
August 9, 2012
Covering:
Wiebe ER and Trouton KJ., Contraception 2012 Aug; 86:119
Progestin Dose and Unscheduled Bleeding with Continuous OC Use
Women's Health
Summary and Comment
Lowering progestin dosing levels by 10% did not lower likelihood of unscheduled bleeding.
Women's Predictions about Coping after Pregnancy Termination
Women's Health
Summary and Comment
Demographic and medical factors, as well as women's attitudes about abortion, affected their likelihood of anticipating difficulty coping after the procedure.
HIV Screening and Testing: Are We Following Recommendations?
Women's Health
Summary and Comment
A minority of OB/GYNs report recommending HIV testing for all their nonpregnant patients, despite American College of Obstetricians and Gynecologists guidelines that support the practice.