Feb 15, 2004 Issue
ACOG Releases Recommendations on Sterilization [Practice Guidelines]

The Committee on Practice Bulletins-Gynecology of the American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin on sterilization. The bulletin lists methods of surgical sterilization, including laparoscopy, minilaparotomy, and transcervical and transvaginal approaches.

Jan 15, 2004 Issue
ACOG Releases Bulletin on Managing Cervical Insufficiency [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical insufficiency. This report also includes evidence for screening asymptomatic at-risk women.

Dec 1, 2003 Issue
Does Metformin Improve Clinical Features of Polycystic Ovary Syndrome? [Cochrane for Clinicians]

Metformin therapy improves fasting insulin levels and blood pressure. It has no clinically significant effect on body weight, waist:hip ratio, or LDL cholesterol level. Metformin, taken with or without clomiphene, appears to be an effective first-line agent for ovulation induction in women with poly...

Nov 1, 2003 Issue
Rethinking the Gynecologic Examination [Curbside Consultation]

These questions often arise but without any obvious answer because the practice of medicine is an art as well as a science. The history of the annual physical examination for healthy women illuminates the “science” of medicine.

Aug 15, 2003 Issue
Current Perspectives in Polycystic Ovary Syndrome [Article]

Polycystic ovary syndrome has been viewed primarily as a gynecologic disorder requiring medical intervention to control irregular bleeding, relieve chronic anovulation, and facilitate pregnancy. A large body of evidence has demonstrated an association between insulin resistance and polycystic ovary ...

Jul 1, 2003 Issue
Management of Bartholin's Duct Cyst and Gland Abscess [Article]

Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally pea-sized gl...

Apr 1, 2003 Issue
ACOG Releases Guidelines on Diagnosis and Management of Polycystic Ovary Syndrome [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has published a clinical management guideline on the diagnosis and management of polycystic ovary syndrome (PCOS). As proposed by the National Institutes of Health (NIH), the diagnostic criteria are chronic anovulation and hyperandrogeni...

Oct 1, 2001 Issue
What Is the Best Way to Treat Trichomoniasis in Women? [Cochrane for Clinicians]

Nitroimidazoles (such as metronidazole [Flagyl]) are the most effective treatment for parasitological cure of trichomoniasis. Single-dose treatment is as effective as longer term treatment but increases side effects.

Oct 15, 2000 Issue
Using Progestins in Clinical Practice [Article]

Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception. Because of the reported side effects of synthetic analogs called "pro...

Sep 1, 2000 Issue
Polycystic Ovarian Syndrome: It's Not Just Infertility [Article]

Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome. Clinical features of the syndrome include anovulation, hyperandrogenism and menstrual dysfunction, but several other abnormalities, including hyperinsulinemia, luteinizing hormone hypersecre...

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