Ob/Gyn Information Center Feature Archive
A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.
Although endocrine therapy following surgery is recommended for HR-positive/HER2-negative, axillary node-negative breast cancers, the value of adjuvant chemotherapy in the setting of moderate risk is unclear.
Although exclusive breastfeeding for the first 6 months of life is recommended by several health organizations, there may be a delay before abundant maternal milk production is established.
Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.
UTIs present clinically as dysuria, with symptoms of frequent and urgent urination secondary to irritation of the urethral and bladder mucosa.
Because of the high number of unintended pregnancies and the effectiveness of LARCs, they should be a first-line contraceptive option for most women.
Consensus regarding mammography screening varies, and conflicting guidelines from medical organizations can cause confusion for patients and providers.
A patient presents with chest pain 6 weeks after beginning use of a contraceptive device.
Understanding genetic testing allows providers to make the most of this resource in patient care.
Early diagnosis and treatment play a substantial role in a patient's prognosis and result in a decreased risk of malignancy and scarring.
A 30-year-old Caucasian woman reports a history of abnormal Pap test results with no other complaints.
Screening for asymptomatic bacteriuria may not lead to better outcomes among pregnant women and exposes them to unnecessary antibiotics.
Preventing yeast infections in skinfolds by using hand sanitizer.
Itching is a serious concern for patients with atrophic vaginitis, and alternative treatments can help.
One clinician took issue with the image published in a January 2016 Clinical Advisor article.
Despite the guideline, clinicians may choose to order MRI's for patients with dense breasts.
A clinician expresses concerns about potentially misleading flu vaccination information for pregnant women.
Contaminated water leads to high rates of birth defects, thyroid cancer, and spontaneous abortions.
More readers weigh in on the ethical issues surrounding the use of intrauterine devices.
Primary care clinicians should be proficient at assessing the potential for hereditary breast cancer risk in their patients.
Denosumab may reduce the risk of fracture in women with breast cancer on aromatase inhibitor therapy
Denosumab has been shown to reduce fracture risk in women with breast cancer with bone metastases.
Vitamin D deficiency is especially prevalent in postmenopausal women, and recommendations from current guidelines are inconsistent regarding vitamin D use.
For women who are pro-life advocates, copper IUD devices that prevent fertilization may be an acceptable alternative.
Confusion surrounds the current screening recommendations and guidelines.
Correctly position your patient to ensure a proper Pap smear.
ACOG's current recommendations regarding Pap smear testing for cervical cancer may be the best evidence-based practice for patients.
Disseminating accurate information can help women make informed decisions and potentially increase the overall use of intrauterine devices.
Hypertensive disorders are the most common medical complications of pregnancy, affecting 5-8% of all pregnancies in the U.S.
Fetal macrosomia is associated with an increased risk of neonatal and maternal complications.
Caring for a woman who is pregnant and dependent on opioids is an opportunity to make life-changing interventions for the sake of her health and the health of her unborn child.
A tampon lodged between the cervix and vagina can be the cause of vaginal discharge and odor.
A patient, aged 33 years, with a history of type 1 diabetes for 10 years presented to the hospital.
The risks of HRT have received so much attention that its benefits have been largely overlooked.
Hand hygiene and glove use are simple measures that have been shown to reduce infections in cohort studies of preterm neonates and other pediatric populations.
A 51-year-old woman with chronic vulvar itching was diagnosed with lichen sclerosus et atrophicus.
A patient was referred for a mammogram, but clinicians fail to follow up on the report.
Congenital cytomegalovirus is a very common cause of birth defects, yet many primary-care providers are not well-informed about this infection.
Increasing biotin levels by supplement or by ingesting more biotin-rich foods may result in important benefits.
One study of 6,459 U.S. women aged 55 years to 81 years revealed that the use of alendronate or placebo did not affect the proportion of women who developed breast cancer (1.8% and 1.5%, respectively).
With increased insurance for contraceptives, more providers will be called upon to guide women toward the most suitable extended-use options.
After reviewing a patient's history, this clinician prevented a potentially fatal mistake.
Always, always hand the speculum to a woman who has come in for her first pelvic exam, and allow her to check it out.
A second look at nodules in the thyroid found cancer.
A clinician helped save his son and gave him his first breath.
Sometimes patients just need to hear their own stories out loud to help make better choices.
A new program that focused on education both male and female patients about contraception decreased pregnancy rates in an inner-city school.
The longest time to achieve pregnancy occurred in couples in which both partners had high cholesterol levels.
A woman suffers cyclic pain after multiple abdominal and pelvic surgeries.
Newborns who were exposed to certain substances in utero face unique challenges during their first months of life.
Buccal dextrose gel minimizes the need for unnecessary interventions that separate newborns with low blood glucose levels from their mothers.
Do blood transfusions affect implementation of the routine immunization schedule?
Why does low amniotic fluid occur so late in pregnancy despite regular prenatal visits and good prenatal care?
Vulvar biopsy is a helpful tool that should be utilized to diagnose and to guide the management of vulvar abnormalities.
Folic acid supplementation at least one month prior to conception is recommended.
Should oral progesterone be prescribed in combination with vaginal estrogen?
How do you explain to a patient when a positive test results is likely, but inconclusive due to insufficient specimen quality?
I tried to keep my voice steady, as I described what looked like an inch-long piece of cooked linguine attached to the patient's buttock.
Sometimes it is hard to ask our patients personal questions. But if we don't, who is?
Guidance for the primary-care clinician to identify and treat this chronic and highly prevalent condition.
A family faces a life and death decision when a patient is given a poor prognosis after experiencing a major stroke from eclampsia.
What is the likelihood of HPV-caused cervical cancer recurrence after loop electrosurgical excision procedure?
An embarrassed teenager obscures the truth until a healthcare provider identifies the source of pain upon exam.
A thorough work-up helps a clinician make an unusual diagnosis in a young patient.
This challenging diagnosis presents as a dull, throbbing and achy pain in the vulvar region and may require referral to an interventional radiologist.
Counseling parents on the avoidance of feeding-associated infections.
Incidental exposure of the heart to radiation is a common unintended consequence of radiation therapy for breast cancer.
Ask patients who present with fatigue about abnormal cravings for ice.
Does evidence support red wine for menstrual cramp prevention?
A number of potential causes of vaginal bleeding in early pregnancy must be considered when deciding what type of management is required.
Minimally invasive surfactant treatment reduces need for ventilation in spontaneously breathing preterm infants requiring increased oxygen.
To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.
Omega-3 supplements can help constipation in postmenopausal women taking calcium and vitamin D supplements.
The seeds of the fenugreek plant, which are used for medicinal purposes, contain saponins, alkaloids and other antioxidants.
Advice for preventing shaving-related chafing, itching, bumps and lesions.
A nurse practitioner shares a tip for teaching students how to insert a speculum and locate the cervix.
A patient continues to have breakthrough bleeding while taking oral contraceptives, despite changing pills. What could be the cause?
Experienced by up to one in five mothers, postpartum depression often goes untreated. Learn what risk factors to be alert for.
Taking the pulse of neonatal screening for critical congenital heart disease.
Can thyroid hormone replacement therapy affect bone density?
What considerations exist regarding the safety of using aripiprazole during pregnancy?
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
Many parents are anxious about cutting their infant's fingernails.
What treatment regimen would have the least adverse effect on the fetus?
How should patients whose Pap smear results show inflammation and no other abnormalities be managed?
A nurse practitioner offers tips to get patients in the proper position for a cervical exam.
Could a vegetarian diet be contributing to an older woman's alopecia?
Could positive thyroid peroxidase adversely affect a mother's milk supply?
Are there other treatment options for eating disorders after therapy, acupuncture, nutrition counseling and in-patient hospital stays have failed?
If follicle-stimulating hormone is >20 mIU/mL, most clinicians counsel patients against contraception, as the risk of pregnancy is virtually nil.
What is the rationale behind the new combined oral contraceptive that adds folate to the estrogen and progestin?
Are certain oral contraceptive pills better for women with a family history of breast cancer?
When a patient does not comply with medical recommendations, how do you protect yourself?
Wild yam is an herbal remedy for menstrual discomfort and menopausal symptoms, and has also been suggested as an alternative to hormone replacement therapy (HRT).
Teens often tell me they forget to take their birth-control pills (BCPs), sometimes as often as three or more times per cycle.
How would you proceed with a 64-year-old woman who has complex endometrial hyperplasia and secretory changes?
Insulin is the only agent recommended to lower glucose levels in pregnant women, but a second-generation sulfonylurea may provide another option.
A nurse offers advice for patients that are unsure how to properly place the contraceptive vaginal ring.
How often should follow-up ECG be performed on a pregnant patient with atrial fibrillation (AF) that resolves with medication that is then discontinued?
Breast pain can be an frightening experience, but the primary-care provider can often allay the patient's fears and capably manage the condition.