Clot Risk with Non-Oral Hormonal Contraception
Women's Health Summary and Comment
Risk for venous thromboembolism with progestin-releasing implants and intrauterine devices is no higher than with nonhormonal or no contraception.
Consequences of Early Menopause
Women's Health Summary and Comment
In a 34-year prospective study, early menopause led to more osteoporotic fractures and earlier death.
Newer Endometrial Ablation Techniques for Heavy Menstrual Bleeding
Women's Health Summary and Comment
Bipolar radiofrequency ablation appears to be the most effective among second-generation techniques.
U.S. Teen Birth Rate Trending Lower — Further Proof That Contraception (Including Abstinence) Works
Women's Health Summary and Comment
Free
Decrease in teen pregnancy rate could be due to increased abstinence and improved use of contraception.
Self-Administered Subcutaneous DMPA: Acceptable and Effective
Women's Health Summary and Comment
In two small studies, most women found self-administration to be easy and were likely to continue.
By Diane E. Judge, APN/CNP
May 17, 2012
Covering:
Prabhakaran S and Sweet A., Contraception 2012 May; 85:453
Cameron ST et al., Contraception 2012 May; 85:458
Likelihood of Bipolar Outcome Is Elevated with Postpartum Onset of Psychiatric Illness
Psychiatry Summary and Comment
Free
Women with illness presenting in the first postpartum month are particularly at risk.
By Steven Dubovsky, MD
May 14, 2012
Covering:
Munk-Olsen T et al., Arch Gen Psychiatry 2012 Apr; 69:428
Misconceptions about Contraceptive Effectiveness
Women's Health Summary and Comment
Most women overestimate the typical effectiveness of oral contraceptive pills.
Does Preoperative Urodynamic Testing Improve Outcomes of Stress–Incontinence Surgery?
Women's Health Summary and Comment
Randomized trial indicates the answer is no.
Progestin Therapy, Mood, and Menopause
Women's Health Summary and Comment
Free
Small trial suggests medroxyprogesterone acetate does not worsen mood in depressed women.
Prenatal Antipsychotics Affect Motor Performance in 6-Month-Olds
Psychiatry Summary and Comment
Lingering deficits at 6 months support caution in prescribing antipsychotics during pregnancy, especially for nonpsychotic disorders.
By Barbara Geller, MD
April 30, 2012
Covering:
Johnson KC et al., Arch Gen Psychiatry 2012 Apr 2
Menopausal Symptoms and the Workplace
Women's Health Summary and Comment
Psychological and somatic symptoms, but not vasomotor symptoms, were significantly correlated with impairment in work ability.
Surgery for Endometrial Cancer: Use of the Robot Is Growing
Women's Health Summary and Comment
Lack of cost advantage over traditional laparoscopy is offset by improved dexterity, ergonomics, and visibility.
By Brent E. Seibel, MD
April 26, 2012
Covering:
Wright JD et al., J Clin Oncol 2012 Mar 10; 30:783
Lau S et al., Obstet Gynecol 2012 Apr; 119:717
Does Injectable Contraception Lower Risk for Ovarian Cancer?
Women's Health Summary and Comment
Case-control study in Thailand suggests the answer is yes.
New Guidelines for Cervical Cancer Screening
Women's Health Clinical Practice Guideline Watch
Free
USPSTF and ACS guidelines recommend less-frequent cytologic screening and the addition of HPV testing for most women.
By Anna Wald, MD, MPH
April 12, 2012
Covering:
Moyer VA on behalf of the U.S. Preventive Services Task Force., Ann Intern Med 2012 Mar 14
Saslow D et al., Am J Clin Pathol 2012 Apr; 137:516
Homeward Bound: Pain Control and Recovery After Major Gynecologic Surgery
Women's Health Summary and Comment
Although inadequate pain relief was common, self-reported patient satisfaction was high.
Danish Findings Show Neither Benefit nor Harm of HRT After Myocardial Infarction
Cardiology Summary and Comment
However, population-wide observational data are potentially useful for estimating risk in individual patients.
Hyposexual Desire Disorder, Depression, and Antidepressant Use
Psychiatry Summary and Comment
Free
Depression is common in women with HSDD, but many are not — and have never been — depressed.
By Joel Yager, MD
April 9, 2012
Covering:
Clayton AH et al., Psychosom Med 2012 Apr; 74:305
Tools for Preventing Postpartum Psychosis and Mania
Psychiatry Summary and Comment
Free
Intrapartum lithium helps to minimize bipolar episodes, and postpartum lithium and sleep hygiene help to avoid postpartum psychosis.
By Joel Yager, MD
April 9, 2012
Covering:
Bergink V et al., Am J Psychiatry 2012 Mar 8
Postpartum IUD Placement Is on the Rise but Still Lags Behind Sterilization
Women's Health Summary and Comment
For every intrauterine device placed shortly after delivery, thousands of U.S. women still undergo postpartum sterilization.
NAMS 2012 Position Statement on Postmenopausal Hormone Therapy
Women's Health Practice Watch
Free
Data continue to support the benefits of HT for symptom management and fracture risk reduction.
Management of Bleeding and Spotting Associated with the LNG-IUS
Women's Health Summary and Comment
Naproxen performed better than transdermal estrogen or placebo.
Menorrhagia Associated with Anemia Is Underrecognized in Adolescents
Menorrhagia is surprisingly common and associated with higher risk for anemia and bleeding symptoms.
Estrogen Therapy and Breast Cancer Risk: More from the Women's Health Initiative
Women's Health Summary and Comment
Free
Incidence of and mortality from breast cancer were clearly lower than in women who received placebo.
Endometriosis Is Associated with Risk for Ovarian Carcinoma
Women's Health Summary and Comment
Associations were documented for clear-cell, endometrioid, and low-grade serous ovarian cancer.
By Robert W. Rebar, MD
March 15, 2012
Covering:
Pearce CL et al., Lancet Oncol 2012 Feb 22
Gourley C., Lancet Oncol 2012 Feb 22
Does Excess Body Weight Reduce Efficacy of Oral Contraceptives?
Women's Health Summary and Comment
Pregnancy rates in women using extended-regimen OCs were similar across weight and BMI categories.
