Women's Health Archives - Page 71 of 76 - Clinical Advisor

Women’s Health

In tubal ligation, the fallopian tubes are cut and tied to prevent eggs from reaching the uterus.

Sterilization vs. tubal ligation

Would you recommend the permanent sterilization procedure Essure, which involves insertion of flexible coils to create blockage of the fallopian tubes, over tubal ligation? Have there been any reports of severe infection or rejection of the coils?—STEPHANIE RETHABER, RN, MSN, FNP, Floresville, Tex. Introduced in 2002, Essure consists of flexible “micro-inserts” placed in the fallopian…

Midwife-led care recommended as an option for pregnant women

Level 1: Likely reliable evidence A recent Cochrane review of 11 randomized trials involving 12,276 pregnant women has recommended midwife-led care as a safe and effective option for childbirth (Cochrane Database Syst Rev. 2008;[4]:CD004667; accessed April 8, 2009). Compared with other models, midwife-led care was associated with significantly lower rates of antenatal hospitalization, instrument birth,…

Statins for premenopausal women?

A physically active 47-year-old woman who has no true risk factors for coronary artery disease (CAD) has a total cholesterol of 235 mg/dL, LDL 160 mg/dL, and HDL 53 mg/dL. She has done most of what she can with diet and exercise. While I would start a statin in a man, the literature is confusing…

After infection, Chlamydia (blue) replicate in a large vesicle inside the cell.

Chlamydia, gonorrhea top list of STDs

Chlamydia and gonorrhea were the two most common infectious diseases in 2007, hitting young women and minorities especially hard, the CDC announces in its annual report on sexually transmitted disease (STD) (accessed April 15, 2009). The more than 1.1 million new diagnoses for chlamydia comprise the most cases ever reported to the CDC for any condition.…

Incidence of cervical intraepithelial neoplasia was lower in those who tested negative for HPV DNA.

Negative HPV DNA testing may predict very low risk of CIN grade 3 or cancer

Level 2: Mid-level evidenceA multinational cohort study evaluated 24,295 women who had cervical cytology and HPV screening at baseline and one or more cervical cytology or histopathology exams within the five- to six-year follow-up period (BMJ. 2008;337:a1754). Follow-up was completed by 20%-31% of women, which may weaken the predictive value of negative HPV DNA results.…

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