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CME learning objectives Upon completion of this article, participants will be able to: * Employ clinical practice guidelines. * Integrate evidence-based medicine into clinical practice. * Become familiar with new [...]

Users of the prescription blood thinner warfarin should consult their doctor or pharmacist before using an OTC vaginal miconazole product, according to the FDA [FDA Talk Paper, March 5, 2001]. [...]

This special section summarizes key papers and posters from the 47th Annual Meeting of the American College of Obstetricians and Gynecologists. Contemporary OB/GYN interviewed the authors in Philadelphia to get [...]

Here is some sobering news: Teenaged mothers are twice as likely to experience postpartum depression (PPD) as adults. (1) For this population who are still maturing on a cognitive level [...]

Endometriosis is a chronic inflammatory disease defined as the presence of ectopically implanted endometrial tissue outside of the uterus. (1) It responds to hormonal changes that affect the normal endometrium, [...]

Background With ~ 10 million procedures performed annually, laparoscopy is one of the most common surgeries performed in the United States. (1) Benefits include faster recovery times, less pain and [...]

CASE SL is a 14.5-year-old girl with heavy periods, dysmenorrhea, and acne seeking menstrual management. Her medical history includes 2 traumatic lifetime upper-extremity fractures and lactose intolerance. Menarche occurred at [...]

Cervical cancer is the fourth-most-common cancer in women, with an estimated 600,000 new cases each year around the world. (1) Approximately 14,100 women in the United States will receive new [...]

Recognizing and appropriately managing common vulvar conditions is essential to preserve patient quality of life and prevent irreversible architectural sequelae. Patients with vulvar dermatoses often report a significant delay from [...]

'This notice provides important information regardingyour drinking water. We are providing this information because our water system exceeded the PFAS (per-and polyfluoroalkyl substances) drinking water standard.... This is not an [...]

Brain arteriovenous malformations (AVMs) are one of several vascular malformations that occur within the brain. Unlike most other such deformities, brain AVMs are particularly dangerous because their rupture can lead [...]

Vulvovaginal complaints make up the majority of gynecologic clinic visits by prepubertal girls. Vulvovaginal symptoms can be caused by infection, trauma, hygiene, dermatologic conditions, and congenital anomalies. Though these conditions [...]

Transgender and nonbinary (TGNB) adolescents are those whose gender identity differs from their sex assigned at birth (Figure). In the United States, 2% of adolescents identify as TGNB. (1) Given [...]

Gynecologic conditions that are common in girls and adolescents are often not seen in adult patients or can present differently, creating a dilemma for the provider. (1) Because these are [...]

The case A 26-year-old gravida 2 para 2 with a history of 2 elective abortions presented for prenatal care in the first trimester of pregnancy. She had a body mass [...]

Language evolves, and perhaps nowhere is that more apparent than in clinical settings. Some would argue that perhaps nowhere is any evolution more important, especially when it comes to using inclusive language that encompasses the totality of the human experience. It can affect everything from how one is treated within a medical facility to research. The use of pregnant woman or pregnant person and their respective plurals is being debated within many levels of the medical world, including major journals, societies, and associations. When it comes to pregnancy, what noun should prevail, or should any? Two editorial advisory board members of Contemporary OB/GYN[R]--Sarah J. Kilpatrick, MD, PhD, and Christian Pettker, MD--sat down with Senior Editor Angie DeRosa to discuss the topic. Kilpatrick is the Helping Hand of Los Angeles Chair in Obstetrics and Gynecology, chair of the Department of Obstetrics and Gynecology and professor and associate dean of faculty development at Cedars-Sinai Medical Center in Los Angeles, California. Pettker is professor of obstetrics, gynecology, and reproductive sciences; associate chief quality officer; and chief of the Department of Obstetrics, Gynecology, and Reproductive Sciences at Yale School of Medicine in New Haven, Connecticut., DEROSA: What is the purpose of this change in language? KILPATRICK: This change in language--which is specifically the change of pregnant women to pregnant persons that we're talking about--to me, [...]

The lichenoid vulvar disorders are a group of inflammatory dystrophic conditions with some overlapping clinical features but unrelated pathophysiology. Lichen planus, lichen sclerosus, and lichen simplex chronicus are distinct conditions [...]

In this article, adapted from the video interview, the surgeons discuss the current state of robotic surgery; the current robotic options available; and how new technology can be factored into [...]

Introduction Early pregnancy loss (miscarriage) is defined as a nonviable, intrauterine pregnancy with either an empty gestational sac or a gestational sac containing an embryo or fetus without cardiac activity [...]

The Facts On June 2, 2011, the 8-year-old patient presented to the defendant Emergency Department (ED) accompanied by her parents with a chief complaint of right-sided abdominal pain that started [...]

Endometriosis is a chronic inflammatory condition estimated to affect up to 10% of 176 million reproductive-aged women. 1,2 The classic collection of signs and symptoms include cyclical pain during menstruation [...]

Introduction Assessment of placental location in the mid-trimester fetal anatomic scan is a critical component of sonographic examination as recommended by various national and international guidelines. (1,2) It allows for [...]

When it comes to infant feeding, national and global health experts acknowledge that breast milk is the ideal source of nutrition for at least the first few months of life. [...]

Accordingto findings from a recent study published by the National Institutes of Health, women receiving a diagnosis of and treatment for breast cancer may experience increased biological aging. Cell and [...]

With nearly 2000 pregnancy and fertility apps available to mobile phone users, app overload and inaccuracy are major problems for ob/gyns and their patients. During the 2021 American College of [...]

The patient in this case was a 36-year-old G3P2002, who presented to the emergency department (ED) on May 30 with complaints of lower abdominal pain (8 out of 10) and [...]

A few months ago, I transitioned into my third year of residency, crossing that invisible line that demarcates the junior residents from the seniors. In my program, this means assuming [...]

Presentation A 44-year-old woman presents to your clinic in consultation due to issues with vaginal itching and irritation. She has noted yellowish discharge on her pad on a daily basis. [...]

Let's be positive! I had long understood that it takes fewer muscles to smile than frown. However, I recently learned that this may be incorrect, and more muscles are involved [...]

Period poverty isn't just a problem in resource-poor countries or among lowincome adolescents and women. In the United States, thousands struggle to afford menstrual products, which are too often viewed [...]

Multinational consumer goods company Unilever announced a voluntary product recall in October 2022 of various popular dry shampoo aerosol products, including those from brands such as Dove, Nexxus, Suave, TIGI, [...]

The financial health of a practice directly affects clinical performance. Optimal revenue cycle management (RCM) provides the financial assistance to competitively payyour top employees, purchase state-of-the-art equipment, and obtain continuing [...]

COVID-19 has resulted in short-term effects on contraceptive needs and access, along with reproductive outcomes in low- and middle-income countries, according to a recent review. (1) Health care systems have [...]

The focus of work is on being up-to-date with medical information and providing the best care for patients. However, taking some time to consider how a practice is marketed to [...]

For the cover story in this technology-focused issue of Contemporary OB/GYN[R], Dr. Kristen Pepin discusses the most dangerous but sometimes overlooked step of laparoscopic surgery, the initial entry into the [...]

As the 2-year mark since the start of the COVID-19 pandemic creeps in, one can't help take stock of what the pandemic has shone a light on. From supply chain [...]

In cases of perineal cyclical pain with or without previous perineal damage, clinicians should consider perineal endometriosis, according to findings from a review in journal Frontiers in Surgery. For their [...]

A young general practitioner in New York was on the front lines of an epidemic that was as mysterious in its pathology as coronavirus disease 2019 (COVID-19). Some patients would [...]

A literature review has concluded that although some studies find that vitamin K might increase bone mineral density (BMD) and reduce fracture risk in people with osteoporosis, the potential benefits [...]

Quality of care in family planning demands that obstetrician/gynecologists be knowledgeable about every birth control method in order to educate a patient about all her options. An important component in [...]

A 15-year-old girl (we'll call her "Cindy") comes to your office with an atypical chief complaint: "I want to talk to the doctor." With her mother outside in the waiting [...]

Some physicians find the idea of advertising their practice distasteful, thinking that med-professionals shouldn't stoop to the type of promotion typically used by retail businesses. But let's face it: You [...]

As described in the first half of this roundtable (see Contemporary OB/GYN, November 2004), the professional liability insurance crisis has had a broad and pernicious impact on the country's obstetrician/ [...]

Ob/gyns who treat new mothers are in an ideal position to advise them about postpartum contraception and prescribe an effective yet safe method. Tradition dictates limiting medication during breastfeeding, but [...]

Although damage to the vaginal and perineal tissues and anal sphincter often occurs during vaginal delivery, many clinicians don't think of them as significant risks to a woman's health, at [...]

We've long known that asepsis, antisepsis, and prophylactic antibiotics play a major role in reducing surgical wound infections. Even so, surgical site infections (SSI) will always be around to some [...]

Despite more than 40 years of investigation, there are still those who doubt the value of screening mammography for breast cancer. Contrary to arguments from opponents, however, data from several [...]

Key points * We can measure levels of progesterone, a hormone necessary for the survival of an early pregnanc, to document ovulation, predict pregnancy viability, and help identify ectopic pregnancy. [...]

Drug therapy isn't recommended for all women with osteopenia, a precursor to osteoporosis. Clinicians need to identify, early on, the patients with low bone mass at additional risk for future [...]

Despite the ready availability of safe, reliable, and effective contraception, the United States is still beset by an embarrassingly high rate of unintended pregnancy. Essentially one half of all pregnancies [...]