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.
HPV Vaccination History: A Window on Cervical Health
Women's Health Summary and Comment
Identifying barriers to vaccine uptake
Do HIV-Positive Women with Prior Hysterectomies Require Pap Testing?
Women's Health Summary and Comment
Although HIV-positive women frequently have abnormal Pap results, the absolute risk for vaginal dysplasia and malignancy is low.
By Anna Wald, MD, MPH
March 8, 2012
Covering:
Massad LS et al., Obstet Gynecol 2012 Mar; 119:582
Levonorgestrel-Releasing Intrauterine System Effective in Reducing Pain of Endometriosis Postoperatively
Women's Health Summary and Comment
Use of the LNG-IUS as an adjunct to conservative surgery should be strongly considered in women with symptomatic endometriosis.
By Robert W. Rebar, MD
March 8, 2012
Covering:
Tanmahasamut P et al., Obstet Gynecol 2012 Mar; 119:519
Surgical Management of Benign Ovarian Masses in Girls and Adolescents
Women's Health Summary and Comment
Choice of surgical route (laparoscopy vs. laparotomy) and type (cystectomy vs. oophorectomy) is highly variable.
By Brent E. Seibel, MD
March 1, 2012
Covering:
Berger-Chen S et al., Obstet Gynecol 2012 Feb; 119:270
Does Polycystic Ovary Syndrome Abate with Age?
Women's Health Summary and Comment
Some features of PCOS subsided during a 20-year follow-up.
By Robert W. Rebar, MD
February 23, 2012
Covering:
Carmina E et al., Obstet Gynecol 2012 Feb; 119:263
Cefpodoxime Flunks as a First-Line UTI Drug
General Medicine Summary and Comment
Free
Response rates were clearly inferior to those achieved with short-course ciprofloxacin.
By Abigail Zuger, MD
February 16, 2012
Covering:
Hooton TM et al., JAMA 2012 Feb 8; 307:583
Bones and Hormones: Information for Women Who Use Hormone-Containing Birth Control Methods
Women's Health Patient Information
Benefits of hormonal birth control methods outweigh concerns about bone health.
Large Uterine Fibroids Linked with Adverse Obstetric Outcomes
Women's Health Summary and Comment
Fibroids larger than 5 cm were associated with earlier delivery and with maternal blood transfusion.
By Robert W. Rebar, MD
February 16, 2012
Covering:
Shavell VI et al., Fertil Steril 2012 Jan; 97:107
Alleviating Discomfort During Vaginal Speculum Examinations: Lubricant vs. Water
Women's Health Summary and Comment
Women randomized to gel lubricant had significantly lower pain scores.
By Andrew M. Kaunitz, MD
February 9, 2012
Covering:
Hill DA and Lamvu G., Obstet Gynecol 2012 Feb; 119:227
Picking a Postpartum Pill
Women's Health Summary and Comment
Progestin-only oral contraceptive pills were as effective as combination pills in preventing early repeat pregnancy with no adverse effects on lactation.
Texting 4 Contraception
Women's Health Summary and Comment
Text messages may promote continued use of oral contraceptives.
Testing Midstream Urine for Chlamydia trachomatis
Women's Health Summary and Comment
Midstream samples might be adequate for evaluating both chlamydial and urinary tract infections, but study results were not definitive.
By Anna Wald, MD, MPH
February 2, 2012
Covering:
Mangin D et al., Ann Fam Med 2012 Jan/Feb; 10:50
Medical Management of Symptomatic Uterine Fibroids: A New Option?
Women's Health Summary and Comment
Free
Ulipristal acetate was effective and did not cause hypoestrogenism.
By Andrew M. Kaunitz, MD
February 1, 2012
Covering:
Donnez J et al., N Engl J Med 2012 Feb 2; 366:409
Donnez J et al., N Engl J Med 2012 Feb 2; 366:421
Stewart EA., N Engl J Med 2012 Feb 2; 366:471
Firming up the Benefits of Cervical HPV Detection
Women's Health Summary and Comment
Free
Compared with cytology alone, performing human papillomavirus DNA testing plus cytology led to fewer high-grade cervical lesions 5 years later.
By Anna Wald, MD, MPH
January 26, 2012
Covering:
Rijkaart DC et al., Lancet Oncol 2012 Jan; 13:78
Do Vasomotor Symptoms Influence Mood — Or Vice Versa?
Women's Health Summary and Comment
Vasomotor symptoms were related to next-day negative affect.
By Anne A. Moore, WHNP/ANP-BC, FAANP
January 19, 2012
Covering:
Gibson CJ et al., Menopause 2011 Dec; 18:1270
Genazzani AR and Gambacciani M., Menopause 2011 Dec; 18:1265
Ovarian Preservation at Hysterectomy
Women's Health Summary and Comment
Free
Although hysterectomy is linked to early ovarian failure, rates of ovarian preservation at surgery are rising.
By Robert W. Rebar, MD
January 5, 2012
Covering:
Moorman PG et al., Obstet Gynecol 2011 Dec; 118:1271
Novetsky AP et al., Obstet Gynecol 2011 Dec; 118:1280
Herpes Simplex Vaccine Trial Yields Mixed Results
Infectious Diseases Summary and Comment
In a large cohort of young women, the vaccine showed efficacy against HSV-1 infection — with or without disease — but not against HSV-2 infection.
