ITEMS IN AFP WITH KEYWORD:
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.
In women with early pregnancy loss between five and 12 weeks' gestation, pretreatment with 200 mcg of oral mifepristone before 800 mcg of vaginal misoprostol increases the likelihood of successful expulsion of the gestational sac.
A women presented with worsening cramps and lower abdominal pain six weeks after starting medroxyprogesterone acetate (Depo-Provera). The discomfort subsided after she vaginally passed a bloody fleshy mass.
FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.
Aug 15, 2017 Issue
Screening for Gynecologic Conditions with Pelvic Examination: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of performing screening pelvic examinations in asymptomatic, non-pregnant adult women.
Aug 15, 2017 Issue
Screening for Gynecologic Conditions with Pelvic Examination [Putting Prevention into Practice]
A 37-year-old woman presents to your office for her annual wellness visit. She is not due for a Papanicolaou (Pap) smear this year. She is not pregnant, reports no problems, and has no risk factors for sexually transmitted infections. She asks if she should have a pelvic examination today.
Patients may be hesitant to discuss pelvic floor disorders such as prolapse with their physicians. A high number of women are affected by prolapse, and the causes and risk factors are broad.
Jul 1, 2017 Issue
Surgery vs. Medical Therapy for Heavy Menstrual Bleeding [Cochrane for Clinicians]
In women of reproductive age with chronic heavy menstrual bleeding, hysterectomy is the most effective treatment for controlling symptoms. Conservative surgery is more effective for controlling bleeding symptoms at one and two years than oral medications or the levonorgestrel-releasing intrauterine system, but by five years there is no difference.
In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.