Obstetrics/Gynecology
RSSArticles
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Breast Cancer and Hormonal Contraception: New Information or Sensationalism?
Highly publicized results from the Danish database demonstrate an increase in the risk of breast cancer associated with current use of hormonal contraception. Consistent with prior research, the risk is small, confined to current users, and disappears following discontinuation.
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Confidentiality Remains Essential for Young People to Seek Care
Access to confidential care can affect decisions to seek care, willingness to disclose behaviors, and the likelihood of returning for necessary follow-up.
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HIV Is Being Diagnosed Sooner After Infection
New information from the Centers for Disease Control and Prevention indicates the estimated median time from HIV infection to diagnosis improved from three years and seven months in 2011 to three years in 2015.
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Hot Flashes Could Be Precursor of Diabetes, Data Suggest
A just-published analysis of Women’s Health Initiative data indicates that hot flashes, especially when they also include night sweats, may increase the risk of developing diabetes.
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Update Your STI Management Skills
More than 2 million cases of chlamydia, gonorrhea, and syphilis were reported in the United States in 2016, the highest number ever. Most of the new diagnoses were attributed to chlamydia (about 1.6 million), with 470,000 cases of gonorrhea and almost 28,000 cases of primary and secondary syphilis.
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Raise Awareness of Progestin-only Options
Progestin-only contraceptives are safe and offer women flexible, non-estrogenic birth control options. However, use lags behind that of other methods.
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Study Examines Use of Hormonal Contraception and Breast Cancer Risk
Results from a study of 1.8 million Danish women ages 15-49 indicate that the risk of breast cancer is increased among women who currently or recently used contemporary hormonal contraceptives compared to those women who have never used such methods. While the risk increased with longer use, the absolute increases in risk were small.
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Does Postpartum Use of Hormonal Contraception Increase Risk of Depression?
An analysis of a large insurance database showed no consistent effect between postpartum initiation of hormonal contraception and the subsequent diagnosis of depression.
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Should Endocervical Curettage Be Performed Routinely During Colposcopy?
In this study, routine endocervical curettage (ECC) among women age 30 and older detected CIN 2 or worse in 14.4% of cases with higher likelihood of detection among women with high-grade squamous intraepithelial lesion, ASC-H, positive HPV 16 infection, or high grade colposcopic impression. The additional yield of ECC over lesion-directed ectocervical biopsies decreased with each additional biopsy.
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Dating Pregnancy: What Is the Most Accurate Method?
The NICHD Fetal Growth Studies – Singletons investigation recently yielded a new formula for determining gestational age based on standard biometric information. When compared to an often-used formula, it appeared to be more accurate after 21 weeks of gestation.