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Jul 15, 2020 Issue
Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.
Endometrial biopsy is a safe and efficient method to evaluate the endometrium. The biopsy is performed using a catheter that is inserted through the cervix into the uterine cavity. Cramping is a common adverse effect, and complications are rare. Patients should be referred for further evaluation if the procedure fails or an insufficient sample is obtained.
Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.
Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.
Jul 1, 2019 Issue
Preventing Spontaneous Abortion with Progestin Therapy [Medicine by the Numbers]
The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full support. Find out more.
Two percent of women will develop a Bartholin duct cyst or gland abscess in their lifetime, and physicians should be familiar with the range of treatment options. Find out which procedures are most effective, how to make a ring catheter in the office, and when to refer patients to a gynecologist for lesion excision.
Abnormal uterine bleeding is a common symptom in reproductive-aged women. Learn how the acronym PALM-COEIN can help classify bleeding, and find out how to tell which patients can be managed medically and which ones are candidates for surgery.
What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids?
The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Guidelines are available to decrease the likelihood of falsely diagnosing a nonviable pregnancy and of intervening in a desired viable pregnancy. Find out which patients can be managed expectantly and which ones should be treated medically or surgically.
Prasterone is similarly effective to nonprescription options for treating vaginal dryness and itching associated with menopause and may offer a small benefit in the treatment of dyspareunia.