Hormonal Contraception and Cervical Cancer Risk
Women's Health Summary and Comment
Free
Risk for cervical cancer increased in current users of hormonal contraception but declined after use stopped.
By Anna Wald, MD, MPH
December 20, 2007
Covering:
International Collaboration of Epidemiologic Studies of Cervical Cancer., Lancet 2007 Nov 10; 370:1609
New Rapid Chlamydia Test
Women's Health Summary and Comment
Free
Point-of-service diagnosis and treatment
By Wendy S. Biggs, MD
December 13, 2007
Covering:
Mahilum-Tapay L et al., BMJ 2007 Dec 8; 335:1190
Elevated Cervical Cancer Risk Continues for Decades After CIN 3 Treatment
Women's Health Summary and Comment
For 25 to 30 years after treatment of CIN 3, women are at increased risk for cervical and vaginal cancer.
By Wendy S. Biggs, MD
December 13, 2007
Covering:
Strander B et al., BMJ 2007 Nov 24; 335:1077
Bacterial Vaginosis: Condoms Might Prevent More Than Pregnancy
Women's Health Summary and Comment
Consistent condom use cut risk for new and persistent or recurrent BV by about half.
BV Incidence Among Lesbians
Women's Health Summary and Comment
In a community setting, BV prevalence was higher in lesbians than in heterosexual women.
By Anna Wald, MD, MPH
December 13, 2007
Covering:
Evans AL et al., Sex Transm Infect 2007 Oct; 83:470
Cervical Cancer Screening in Adolescents: Sometimes Less Is More
Pediatrics and Adolescent Medicine Clinical Practice Guideline Watch
Free
Updated guidelines state that HPV DNA testing has no role in the management of adolescents with abnormal Pap smears.
New Rapid Test for Chlamydia
Infectious Diseases Summary and Comment
An easy-to-read immunoassay-based test for <$EMPH_O>Chlamydia<$EMPH_C> shows good sensitivity, specificity, and turnaround time.
By Stephen G. Baum, MD
December 12, 2007
Covering:
Mahilum-Tapay L et al., BMJ 2007 Dec 8; 335:1190
Melanoma Risk: What Lies Beneath the Surface?
Women's Health Summary and Comment
History of endometriosis or uterine fibromas was associated with higher risk for melanoma.
By Wendy S. Biggs, MD
December 6, 2007
Covering:
Kvaskoff M et al., Arch Intern Med 2007 Oct 22; 167:2061
HPV DNA vs. Pap Screening Tests for Cervical Cancer
HPV testing is more sensitive than Pap testing, but the cost might be prohibitive for the women who need testing most.
By Susana M. Campos, MD, MPH
December 4, 2007
Covering:
Mayrand M-H et al., N Engl J Med 2007 Oct 18; 357:1579
Cervical Cancer: New Guidelines for Screening and Prevention
Consensus guidelines for screening and management of abnormal cervical findings have been updated.
All About Pap Smears: Why, When, and How
Women's Health Patient Information
The best way to prevent cervical cancer is to have regular Pap smears.
Pelvic Floor Dysfunction, Diabetes, and Obesity
Women's Health Summary and Comment
Free
Obese diabetic women were at highest risk for pelvic floor disorders.
Hysterectomy Associated with Subsequent Stress Incontinence
General Medicine Summary and Comment
This large population-based study makes a convincing case for the connection.
By Bruce Soloway, MD
November 1, 2007
Covering:
Altman D et al., Lancet 2007 Oct 27; 370:1494
Magos A., Lancet 2007 Oct 27; 370:1462
Hysterectomy: A Risk Factor for Urinary Incontinence?
Women's Health Summary and Comment
Free
Hysterectomy increased the risk for stress–urinary-incontinence surgery, particularly within 5 years.
By Anna Wald, MD, MPH
November 1, 2007
Covering:
Altman D et al., Lancet 2007 Oct 27; 370:1494
Magos A., Lancet 2007 Oct 27; 370:1462
HPV vs. Pap Smear for Cervical Abnormalities
General Medicine Summary and Comment
If such testing represents the best approach to screening, readily available HPV DNA tests will be needed.
By Robert W. Rebar, MD
October 25, 2007
Covering:
Naucler P et al., N Engl J Med 2007 Oct 18; 357:1589
Runowicz CD., N Engl J Med 2007 Oct 18; 357:1650
Is HPV Testing Better Than the Pap Smear?
Women's Health Summary and Comment
Free
As a screen for cervical neoplasia, HPV testing showed advantages over the Pap smear.
By Andrew M. Kaunitz, MD
October 17, 2007
Covering:
Mayrand M-H et al., N Engl J Med 2007 Oct 18; 357:1579
Combined Pap Smear and HPV Testing Improves Cervical Cancer Detection
Infectious Diseases Summary and Comment
Incidence of high-grade cervical lesions was 51% higher with combined testing than with Pap smears alone at initial screening but 42% lower at subsequent screenings.
By Neil M. Ampel, MD
October 17, 2007
Covering:
Naucler P et al., N Engl J Med 2007 Oct 18; 357:1589
Runowicz CD., N Engl J Med 2007 Oct 18; 357:1650
Does Family History Predict Thrombophilia Risk in Female Adolescents?
A reminder to consider family history of clotting disorders before administering oral contraceptives to adolescents
By M. Susan Jay, MD
September 19, 2007
Covering:
Dietrich JE et al., J Pediatr Adolesc Gynecol 2007 Aug; 20:221
HPV Vaccine Not Effective Therapeutically
Infectious Diseases Summary and Comment
Free
A randomized clinical trial has shown that a bivalent HPV vaccine does not affect the clearance of preexisting infection.
Subsequent Pregnancy Outcomes Are Similar After Medical and Surgical Abortion
General Medicine Summary and Comment
Free
Medical abortion is as safe as surgical abortion.
By Robert W. Rebar, MD
August 15, 2007
Covering:
Virk J et al., N Engl J Med 2007 Aug 16; 357:648-53
Is HPV Vaccine Therapeutic in Women with Preexisting Infection?
General Medicine Summary and Comment
The vaccine showed no evidence of clearing oncogenic HPV subtypes in infected women.
HPV Vaccine Is Prophylactic, Not Therapeutic
HPV vaccine does not affect clearance of preexisting infection.
Patterns of Symptoms Often Associated with Menopause
General Medicine Summary and Comment
Free
Hot flushes, depressed mood, and aches, joint pain, and stiffness were independently associated with menopausal stage.
By Robert W. Rebar, MD
August 14, 2007
Covering:
Freeman EW et al., Obstet Gynecol 2007 Aug; 110:230-40
Schiff I., Obstet Gynecol 2007 Aug; 110:228-9
MRI-Guided Focused Ultrasound Surgery for Uterine Fibroids
Women's Health Summary and Comment
Free
Patients undergoing the procedure had sustained symptom improvement for 1 year.
By Ann J. Davis, MD
August 9, 2007
Covering:
Fennessy FM et al., Radiology 2007 Jun; 243:885-93
How Do Women Feel About Menstrual Suppression with Oral Contraceptives?
Women's Health Summary and Comment
Free
White women were more likely than black women to find menstrual suppression acceptable.
By Diane E. Judge, APN/CNP
August 2, 2007
Covering:
Edelman A et al., Contraception 2007 Jun; 75:450-3
