Hormone fluctuations. Hot flashes and night sweats. Depression and changes in mood. Coincidental and age-related changes in health and social issues. All of these factors associated with menopause can affect a patient’s sleep quality.
Heidi Anne Duerr, MPH
A 35 year old patient presents with a high grade squamous intraepithelial lesion (HGSIL) Pap smear. There is an unsatisfactory colposcopy; the transformation zone was not sampled. The biopsy shows slight atypia. What’s your next move?
As the use of assisted reproductive technologies has increased, so, too, has the concern over its effects on the female reproductive system. Specifically, the increased gonadotrophin levels in ovarian cancer pathogenesis coupled with the multiple ovarian punctures and repeated ovarian stimulation associated with in vitro fertilization have raised concerns that IVF may increase the risk of ovarian malignancies.
What do you do when a patient has a recurrent yeast infection? This conundrum recently became a discussion on the OBGYN.net forum.
The American College of Obstetricians and Gynecologists released a new committee opinion urging clinicians to treat all patients presenting with vulvar intraepithelial neoplasia (VIN). The opinion is a result of an increasing incidence of VIN, particularly among US women in their 40s. The full opinion was published in the November issue of Obstetrics & Gynecology.
Oral and topical pre-exposure prophylaxes are successful in preventing the transmission of human immunodeficiency virus via sexual intercourse, according to a presentation at the 13th European AIDS Conference of the European AIDS Clinical Society (EACS). Established in 1991, the EACS is a leading scientific society composed of clinicians that aims to educate, train and compose guidelines for those clinicians in Europe treating patients with HIV and AIDS.
Now open for public comment, the US Preventive Task Force (USPTF) has drafted a recommendation statement that updates their 2003 recommendations for screening for cervical cancer. Based on research examining benefits and risks associated with screening across various groups of women, the new draft recommendations note which women most benefit from cervical cancer screening.
Women with breast cancer have a new ally in their fight, as researchers now believe zoledronic acid will help prevent bone loss associated with adjuvant aromatase inhibitor therapy. The latest results from the Z-FAST trial were published in Cancer by Dr Adam M. Brufsky, professor of medicine at the University of Pittsburgh School of Medicine and associate director of clinical investigation for the University of Pittsburgh Cancer Institute, and colleagues.
Despite the positive effects of hormone replacement therapy for treating menopause-related issues, HRT’s association with negative adverse outcomes has cast a dark shadow on it. Now, new research out of Europe shows that HRT also increases severe asthma attacks in patients.
By some estimates, as many as 80% of women will have fibroids at some point in their lives. And, although many women are asymptomatic, their presence can cause extreme pain in some women and also may be a factor in infertility issues, with submucosal, intramural and subserosal fibroids (in a decreasing order of importance) impacting infertility. Moreover, some research has linked the presence of uterine fibroids with recurrent miscarriage in women, but the data thus far had been inconclusive.