Robotic Surgery for Pelvic Organ Prolapse: More Time, More Pain, Higher Cost
Women's Health Summary and Comment
Robotic-assisted sacrocolpopexy exhibited no clear advantages over the conventional laparoscopic approach.
By Brent E. Seibel, MD
December 8, 2011
Covering:
Paraiso MFR et al., Obstet Gynecol 2011 Nov; 118:1005
Venous Thromboembolism Prophylaxis After Gynecologic Surgery
Women's Health Summary and Comment
Free
Guidelines should be followed more closely.
By Andrew M. Kaunitz, MD
December 1, 2011
Covering:
Wright JD et al., Obstet Gynecol 2011 Nov; 118:978
Clarke-Pearson DL., Obstet Gynecol 2011 Nov; 118:973
Further Evidence That Route of Estrogen Administration Affects VTE Risk
Women's Health Summary and Comment
Another retrospective study shows that risk for venous thromboembolism is lower with transdermal estrogen than with oral estrogen.
By Robert W. Rebar, MD
December 1, 2011
Covering:
Laliberté F et al., Menopause 2011 Oct; 18:1052
Canonico M and Scarabin P-Y., Menopause 2011 Oct; 18:1038
VTE Risk as a Guiding Factor in Oral Contraceptive Selection
Women's Health Summary and Comment
Analysis suggests that drospirenone, desogestrel, and gestodene carry twice the venous thromboembolism risk of levonorgestrel and norethindrone.
If It's Not Bothering Her, Leave That Malpositioned IUD Be
Women's Health Summary and Comment
In asymptomatic women, lower-uterine intrauterine devices are best left in place.
Contraceptive Counseling for Women Who Are Prescribed Teratogenic Medications
Women's Health Summary and Comment
Missed opportunities could be remedied with better training of primary care clinicians.
HPV-16/18 AS04-Adjuvanted Vaccine Shows High Efficacy Against Cervical Neoplasia
Infectious Diseases Summary and Comment
Free
It also provided cross-protection against several nonvaccine oncogenic HPV types.
By Mary E. Wilson, MD
November 16, 2011
Covering:
Lehtinen M et al., Lancet Oncol 2011 Nov 9
Wheeler CM et al., Lancet Oncol 2011 Nov 9
Schiffman M and Wacholder S., Lancet Oncol 2011 Nov 9
Why Do Oral Contraceptives that Cause Monthly Bleeding Still Predominate?
Women's Health Summary and Comment
Healthcare providers' attitudes about menstruation and medically induced amenorrhea are key factors.
Many Teens with Polycystic Ovarian Syndrome Screen Positive for Sleep Problems
About half of adolescents with PCOS screened positive for sleep-disordered breathing or excessive daytime sleepiness.
HPV Vaccination: Three Doses Might Not Be Necessary
Women's Health Summary and Comment
Free
One or two doses of HPV-16/18 vaccine seemed as effective as three doses for preventing persistent infection.
By Anna Wald, MD, MPH
October 27, 2011
Covering:
Kreimer AR et al., J Natl Cancer Inst 2011 Oct 5; 103:1444
When Persistence Is Not a Virtue: HPV Infection and Cervical Cancer
Women's Health Summary and Comment
Cervical cancer risk was 75 times higher in women with persistent carcinogenic HPV infections than in those who were HPV-negative.
By Anna Wald, MD, MPH
October 27, 2011
Covering:
Chen H-C et al., J Natl Cancer Inst 2011 Sep 21; 103:1387
Modeling the Most Equitable Approach to Cervical Cancer Prevention
Women's Health Summary and Comment
The most cost-effective strategy included HPV vaccination coverage at 33% and screening frequencies targeted at equalizing uptake across races and ethnicities.
By Anna Wald, MD, MPH
October 27, 2011
Covering:
Goldie SJ and Daniels N., J Natl Cancer Inst 2011 Sep 21; 103:1374
Traditional Sexuality Labels Don't Apply to Many Adolescents and Young Adults
Some self-described heterosexual youth report same-sex experiences, and most homosexual and bisexual youth report opposite-sex experiences.
Treating Pemphigus During Pregnancy
Dermatology Summary and Comment
Although IVIg is labeled pregnancy Category C, it is likely an excellent choice of therapy.
By Mark V. Dahl, MD
October 21, 2011
Covering:
Ahmed AR and Gürcan HM., J Eur Acad Dermatol Venereol 2011 Sep; 25:1073
Can the Pill Strengthen the Skeleton?
Women's Health Summary and Comment
Cross-sectional study suggests oral contraceptives deliver bone benefits later in life.
Does Prophylactic Misoprostol Lead to a Better IUD Placement Experience?
Women's Health Summary and Comment
Misoprostol did not alleviate pain or affect ease of insertion.
Intrauterine Devices Might Prevent More Than Pregnancy
Women's Health Summary and Comment
Free
Meta-analysis shows that IUDs provide protection against cervical cancer.
Vaginal or Cesarean Delivery: Which Is Harder on the Pelvic Floor?
Women's Health Summary and Comment
Vaginal birth was associated with higher risk for pelvic organ prolapse and incontinence 5 to 10 years postpartum.
By Andrew M. Kaunitz, MD
October 13, 2011
Covering:
Handa VL et al., Obstet Gynecol 2011 Oct; 118:777
Nygaard I., Obstet Gynecol 2011 Oct; 118:774
Estradiol Vaginal Ring vs. Oral Oxybutynin for Overactive Bladder
Women's Health Summary and Comment
Both treatments were equally effective at diminishing urinary frequency.
By Robert W. Rebar, MD
October 13, 2011
Covering:
Nelken RS et al., Menopause 2011 Sep; 18:962
Eckler K., Menopause 2011 Sep; 18:941
More Data on Hormone Therapy and the Timing Hypothesis
Women's Health Summary and Comment
Results of an angiogram-based study reinforce the theory that HT use by recently menopausal women prevents coronary artery disease.
Fluconazole and Risk for Birth Defects
Women's Health News in Context
High-dose fluconazole is now in FDA category D; single-dose therapy for vaginal candidiasis remains category C.
Consequences of Oral Anticoagulation on Menstrual Bleeding and Contraceptive Use
Women's Health Summary and Comment
Free
OA therapy was associated with heavier bleeding and changes in or discontinuation of contraception.
By Robert W. Rebar, MD
September 1, 2011
Covering:
Huq FY et al., Contraception 2011 Aug; 84:128
Again, Soy Didn't Prevent Menopausal Bone Loss or Vasomotor Symptoms
Women's Health Summary and Comment
Two-year placebo-controlled trial failed to find benefit.
By Andrew M. Kaunitz, MD
August 25, 2011
Covering:
Levis S et al., Arch Intern Med 2011 Aug 8/22; 171:1363
Newton KM and Grady D., Arch Intern Med 2011 Aug 8/22; 171:1369
Cranberries vs. Antibiotics for Recurrent Urinary Tract Infections
Women's Health Summary and Comment
Trimethoprim-sulfamethoxazole was more effective than cranberry extract; antibiotic resistance developed but was reversible.
By Anna Wald, MD, MPH
August 25, 2011
Covering:
Beerepoot MAJ et al., Arch Intern Med 2011 Jul 25; 171:1270
Gurley BJ., Arch Intern Med 2011 Jul 25; 171:1279
Pelvic Organ Prolapse Repair: Enmeshed in Complications
Women's Health News in Context
The FDA has updated its safety communication on transvaginally placed surgical mesh.
By Brent E. Seibel, MD
August 18, 2011
