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.

Jun 15, 2019 Issue
Bartholin Duct Cyst and Gland Abscess: Office Management [Article]

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.

Apr 1, 2019 Issue
Abnormal Uterine Bleeding in Premenopausal Women [Article]

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.

Mar 1, 2019 Issue
Management of Uterine Fibroids [Implementing AHRQ Effective Health Care Reviews]

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?

Feb 1, 2019 Issue
First Trimester Bleeding: Evaluation and Management [Article]

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.

Jan 15, 2019 Issue
Prasterone (Intrarosa) for Dyspareunia [STEPS]

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.

Dec 1, 2018 Issue
Mifepristone Pretreatment Improves Success Rate of Misoprostol for Early Pregnancy Loss [POEMs]

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.

Oct 1, 2018 Issue
Fleshy Mass Passed Vaginally by a Young Woman [Photo Quiz]

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.

Jan 1, 2018 Issue
Female Genital Mutilation or Cutting [Curbside Consultation]

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.

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