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Access to emergency contraception (EC) has been expanded. Shipments of the new dual-label version of Plan B, the levonorgestrel-only EC drug, are now hitting pharmacy market shelves.
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When using contraception to delay or stop menstrual periods, return to fertility is important to patients. Results of a national survey indicate 58% of women worry that menstrual suppression will affect their ability to have children.
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When is "that time of month" a problem for some women? When symptoms such as depression, wide mood swings, breast tenderness, or muscle pain enter into the picture, a diagnosis of premenstrual syndrome (PMS) may be in order. However, when symptoms are more severe, clinicians may consider a diagnosis of premenstrual dysphoric disorder (PMDD).
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The next patient in your exam room is in her mid-40s. She notes that her last monthly period was 11 months ago. She continues to use condoms for pregnancy prevention. She has a thin body and a small bone frame, and she smokes 15-20 cigarettes a day. Her medical history indicates a family history of osteoporosis. What is your next move?
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Access to Gardasil (Merck & Co., Whitehouse Station, NJ) continues to expand as the shot has been added to the federal Vaccines for Children (VFC) program for young women ages 9 to 18. The program is administered at the national level by the Centers for Disease Control and Prevention (CDC) through its National Immunization Program.
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You have just written a prescription for an adolescent female to treat a chlamydial infection. When you close her file, what are the chances it will reappear in your inbox in the next month or two?
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Your patient is a 29-year-old mother of three active young children. She has had limited success with using birth control pills and says that the daily dosing schedule is a challenge. She shakes her head "no" to the contraceptive patch and vaginal ring, and she doesn't want to limit her options with the choice of tubal sterilization.
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The purported advantages of the tension-free vaginal tape obturator (TVT-O) procedure include avoidance of bowel damage, reduction in risk of bladder and major vessel damage, and elimination of the need for routine cystoscopic evaluation during insertion.
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The therapeutic role of lymphadenectomy in patients with endometrial cancer is controversial and challenging to study given the relative infrequency of metastatic disease and the generally good prognosis of newly diagnosed patients. Nevertheless, prior work in limited sized cohorts has suggested that the number of nodes resected may be prognostic and informative in planning subsequent adjuvant treatment.
