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  • What Hormonal Side Effects Should New Users of the Levonorgestrel 52-mg IUD Expect?

    This secondary analysis compares the incidence of hormone-related side effects of the levonorgestrel 52-mg intrauterine device (IUD) between users who previously were using combined hormone contraceptives vs. nonhormonal contraceptives to understand which side effects can be directly attributed to the IUD and which are more likely secondary to discontinuation of combined hormonal contraceptives.

  • Are Male Partners the Key to Preventing Recurrent Bacterial Vaginosis?

    In this open label, randomized controlled trial, couples in monogamous relationships whose female partner was diagnosed with bacterial vaginosis were randomized to treatment of the female partner only or to treatment of the female partner plus the male partner. After 150 couples had completed the 12-week follow-up period, recurrence of bacterial vaginosis occurred in 24 of 69 women (35%) in the partner-treatment group and in 43 of 68 women (63%) in the control group, indicating an absolute risk difference of -2.6 recurrences per person-year (95% confidence interval, -4.0 to -1.2; P < 0.001).

  • Mass Casualty Incidents

    Mass casualty incidents are frightening and challenging for both victims and the healthcare professionals who must provide the highest level of care to the most individuals possible, often in uncertain environments. The authors review critical aspects of mass casualty incidents and the latest evidence regarding optimal care and management for patients and staff.

  • Could Use of Oral Contraceptive Pill Help Asthma Symptoms?

    A noncontraceptive benefit of people using oral contraceptive pills (OCPs) could be that these may help modulate asthma severity, new research suggests.

  • Breastfeeding and Postpartum Contraception

    Adequate birth spacing is an important way to reduce the risk of preterm births. For it to succeed, providers need to include contraception counseling when meeting with pregnant patients and also discuss patients’ contraception plans after delivery.

  • Is Childbirth History Associated with Pain Level During Medication Abortion?

    Patients who had painful childbirth experiences or a prior cesarean delivery reported more severe pain after receiving medication abortion, a new study shows.

  • Contraceptive Access Initiative Can Help People in Suburban, Rural Areas

    Indiana has a statewide contraceptive access initiative that works to improve contraceptive access over a large geographic area.

  • Solutions to Ending Barriers to Permanent Contraception

    Among various barriers to permanent contraception, the Medicaid waiting period is one of the chief challenges for the many pregnant women who are receiving Medicaid during their pregnancy. It is a 30-day waiting period that begins when a person signs the Medicaid sterilization form.

  • Bilateral Salpingectomy: The Preferred Method of Permanent Contraception

    Permanent contraception, specifically fallopian tube surgery, is the most common contraception method used both in the United States and throughout the world, and its popularity is growing as more people are choosing this method in the wake of the safe and effective use of bilateral tubal salpingectomy.

  • Managing Pediatric Wounds

    Wounds are a common and critical aspect of emergency medicine practice. Children pose unique challenges, which are comprehensively reviewed by the authors with strategies for optimal management.