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.
Sexually Transmitted Diseases: Office-Based Screening and Diagnostic Tests
Recent advances have broadened and strengthened the available STD tests.
By Julia C. Dombrowski, MD, MPH
July 26, 2012
STDs: Practice Prevention and Get Tested
Women's Health
Patient Information
When and where to seek testing and what to expect.
Many Primary Care Physicians Underestimate Rates of Unintended Pregnancy
Women's Health
Summary and Comment
Survey results point out important knowledge gaps.
Hormonal Contraception and HIV: CDC Affirms Recommendations
Women's Health
Summary and Comment
Women with or at high risk for HIV infection can continue to use all hormonal contraceptive methods without restriction.
By Anna Wald, MD, MPH
July 26, 2012
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Wkly Rep 2012 Jun 22; 61:449
How Common Is Urinary Incontinence in Young Nulligravid Women?
Women's Health
Summary and Comment
Free
Australian survey indicates incontinence in this population is more prevalent than assumed.
What Is the Future of Cervical Cancer Screening in HPV-Vaccinated Populations?
Women's Health
Summary and Comment
Persistent infections with nonvaccine oncogenic HPV types occur, but probably not often.
By Anna Wald, MD, MPH
July 19, 2012
Covering:
Oakeshott P et al., BMJ 2012 Jun 22; 344:e4168
Medical Management of High-Grade Cervical Lesions Could be Imminent
Women's Health
Summary and Comment
Topical imiquimod shows promise against CIN 2–3.
MRI Is Safe for Women with Contraceptive Devices
Women's Health
Summary and Comment
Review provides reassurance for women with IUDs, implants, or tubal microimplants.
Restoring Body and Identity After Female Genital Cutting
Women's Health
Summary and Comment
Reconstructive surgery restored sexual function and genital appearance in most women who were evaluated 1 year after the procedure.
By Anna Wald, MD, MPH
July 12, 2012
Covering:
Foldès P et al., Lancet 2012 Jun 12
Abdulcadir J et al., Lancet 2012 Jun 12
Deinfibulation During Delivery
Women's Health
Summary and Comment
Intrapartum cutting of the infibulation scar appears safe and well tolerated.
By Anna Wald, MD, MPH
July 12, 2012
Covering:
Rouzi AA et al., Obstet Gynecol 2012 Jul; 120:98
Is Subclinical Pelvic Inflammatory Disease a Significant Cause of Infertility?
Women's Health
Summary and Comment
Study data indicate that the answer is yes.
By Robert W. Rebar, MD
July 12, 2012
Covering:
Wiesenfeld HC et al., Obstet Gynecol 2012 Jul; 120:37
The Contraceptive Implant: A Good Option for Overweight and Obese Women
Women's Health
Summary and Comment
Free
Contraceptive implants were similarly effective in obese, overweight, and normal-weight women.
Avoiding Ovarian Cancer with DMPA
Women's Health
Summary and Comment
In a Thai study, women with ovarian cancer were less likely than women without the disease to have ever used DMPA.
To Sling or Not to Sling?
Women's Health
Summary and Comment
Prophylactic midurethral sling placement at the time of vaginal prolapse repair lowered risk for de novo urinary incontinence but raised risk for surgical complications.
By Brent E. Seibel, MD
July 12, 2012
Covering:
Wei JT et al., N Engl J Med 2012 Jun 21; 366:2358
Iglesia CB., N Engl J Med 2012 Jun 21; 366:2422
Metformin for Antipsychotic-Induced Adverse Effects in Women with Schizophrenia
Psychiatry
Summary and Comment
Free
The medication reversed amenorrhea, promoted weight loss, and improved insulin resistance.
By Joel Yager, MD
July 9, 2012
Covering:
Wu R-R et al., Am J Psychiatry 2012 Jun 15
Antidepressants Linked to Shorter Gestation and Neonatal Seizures
Psychiatry
Summary and Comment
In a large population, most women stopped antidepressants in pregnancy, but their continued use increased neonatal risks.
By Deborah Cowley, MD
July 2, 2012
Covering:
Hayes RM et al., Am J Obstet Gynecol 2012 Jul; 207:49.e1
Estrogen for Depression in Menopausal Women?
Psychiatry
Summary and Comment
Free
Studies in mice provide a physiological rationale for the benefit of estrogen therapy in depressed menopausal women.
By Barbara Geller, MD
June 25, 2012
Covering:
Suzuki H et al., Mol Psychiatry 2012 Jun 5
Phan A et al., Neuropsychopharmacology 2012 Jun 6
Saving the Cervix: A More Rational Approach to Treating Women with Abnormal Pap Smears
Women's Health
Summary and Comment
Free
Conservative approaches to management of abnormal cervical cytology in younger women are gaining acceptance.
Reducing Risk for Rapid Repeat Pregnancy in Adolescents
Women's Health
Summary and Comment
Immediate postpartum implant placement dramatically lowered incidence of repeat pregnancy.
How Do Early Menopause and Hormone Therapy Affect Risk for Cerebral Aneurysms?
Women's Health
Summary and Comment
Endogenous and exogenous hormone exposure may be associated with lower risk, but findings are difficult to interpret.
Risk for Arterial Complications with Use of Hormonal Contraception
Women's Health
Summary and Comment
Free
In a Danish study, thrombotic stroke and myocardial infarction were uncommon with all available hormonal contraceptives.
No Need to Bleed — More Support for Eliminating the Hormone-Free Interval
Women's Health
Summary and Comment
Compared with cyclic oral contraceptive pills, continuous regimens alleviated primary dysmenorrhea sooner.
Balancing Positive and Negative Effects of Antidepressants During Pregnancy
Psychiatry
Summary and Comment
Free
Auditory sensory gating was impaired in infants whose mothers had prenatal anxiety but not in those whose mothers used antidepressants during pregnancy.
By Barbara Geller, MD
June 11, 2012
Covering:
Hunter SK et al., Am J Psychiatry 2012 Jun 1; 169:616
Prenatal Antibodies to Gluten Protein, but Not Casein, Linked to Psychosis
Psychiatry
Summary and Comment
Very high levels of maternal antibodies that cross the placenta are associated with elevated risk for nonaffective psychosis.
By Barbara Geller, MD
May 25, 2012
Covering:
Karlsson H et al., Am J Psychiatry 2012 Apr 25