Hysterectomy is superior to expanded efforts with oral medications for alleviating abnormal uterine bleeding but may lead to more days of restricted activity.
The postsurgery use of medical care resources is comparable for patients who receive a total hysterectomy and those who receive a supracervical hysterectomy.
A variety of periurethral masses, including urethral diverticulum, leiomyoma, vaginal cysts, and malignancies, can be encountered in women with lower urinary tract symptoms.
Among 540 women whose husbands underwent vasectomy, the cumulative probability of pregnancy (per 1,000 procedures) was 9.4 at 1 year after vasectomy and 11.3 at years 2, 3, and 5.
Mifepristone and vaginal misoprostol can be administered on the same day for medical abortion with high efficacy and low rates of side effects.
A single 600-{micro}g dose of misoprostol is effective for treatment of incomplete abortion.
Vaginal misoprostol administration offers higher bioavailability than either oral or rectal administration in early pregnancy.
Ultrasound evaluation of endometrial thickness after medical termination with mifepristone and misoprostol does not predict the need for further clinical intervention.
The considerable increased plasma carnitine concentrations, together with the accumulation of lipids, supports the hypothesis of abnormal lipid metabolism in the pathophysiology of preeclampsia.
In postmenopausal women, the use of continuous combined estrogen plus progestin therapy is associated with significantly higher incidence rates of benign endometrial proliferation, endometrial polyps, and cystic atrophy than treatment with raloxifene.
Soy-derived phytoestrogens do not appear to accumulate in human breast tissue after ingestion, and tissue concentrations are consistently lower than the corresponding serum levels.
Women using depot medroxyprogesterone acetate for contraception continue to lose bone mineral density at the lumbar spine (L1-L4) during the second year of use.
Cesarean delivery compared with spontaneous vaginal delivery is associated with increased risks of endometritis, blood transfusion, and pneumonia, but rates are lower than reported previously.
Preeclampsia is associated with a form of leukocyte activation that differs both qualitatively and quantitatively from the leukocyte activation seen in uneventful pregnancies.
Oral rofecoxib for 48 hours is as effective as intravenous magnesium sulfate in arresting acute preterm labor.
Platelet activation, but not platelet concentration, is associated with reduced plasma volume in nulligravid women of reproductive age.
Prenatal diagnosis with ultrasonography and scheduled cesarean delivery at approximately 35 weeks of gestation are crucial to prevent poor perinatal outcomes with vasa previa.
Paracervical block with psychological support given to patients for the management of pain is comparable to management of pain using only psychological support; neither regimen supplies sufficient management of pain during manual vacuum aspiration.
In adolescent and young adult women attending a teen health center, human papillomavirus DNA results obtained by self-collected and clinician-collected samples are similar when results are categorized as high-risk human papillomavirus positive versus high-risk human papillomavirus negative.
Premenstrual syndrome decreases in the menopausal transition but predicts hot flushes and other menopausal symptoms, including depressed mood, poor sleep, and decreased libido.
Liability insurance costs have a more negative impact on clinicians' satisfaction with their professional lives and job-specific activities than managed care and continuing medical education requirements.
Suture closure of subcutaneous fat decreases wound disruption in patients undergoing cesarean delivery.
More than 2 decades after the term HELLP syndrome was first coined, and after the publication of numerous reports in which the term "HELLP" syndrome was used, the diagnosis and management of this syndrome remain controversial.
Abstracts: The effects of strontium ranelate on the risk of vertebral fracture in women with postmenopausal osteoporosis Obstet Gynecol 2004 103: 992. [Full Text] [PDF] Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies Obstet Gynecol 2004 103: 992-a. [Full Text] [PDF] Outcome of subsequent pregnancy three years after previous operative delivery in the second stage of labor: cohort study Obstet Gynecol 2004 103: 992-b. [Full Text] [PDF] Circulating angiogenic factors and the risk of preeclampsia Obstet Gynecol 2004 103: 993. [Full Text] [PDF] Antibiotic use in relation to the risk of breast cancer Obstet Gynecol 2004 103: 993-a. [Full Text] [PDF] Previous preterm and small-for-gestational-age births and the subsequent risk of stillbirth Obstet Gynecol 2004 103: 993-b-994-b. [Full Text] [PDF] A prospective study of aspirin use and the risk for colorectal adenoma Obstet Gynecol 2004 103: 994. [Full Text] [PDF]
Letters to the Editor: Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE Database Martin Weisberg Obstet Gynecol 2004 103: 995. [Full Text] [PDF] Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE Database Shawn E. Gurtcheff, Howard T. Sharp Obstet Gynecol 2004 103: 995-a. [Full Text] [PDF] Complications Associated With Global Endometrial Ablation: The Utility of the MAUDE Database Susan Gardner, Daniel G. Schultz Obstet Gynecol 2004 103: 995-b-996-b. [Full Text] [PDF] Foley Balloon to Tamponade Bleeding in the Retropubic Space Ian A. Oyama, Ricardo Caraballo Obstet Gynecol 2004 103: 996-997. [Full Text] [PDF] Foley Balloon to Tamponade Bleeding in the Retropubic Space Matthew Aungst, Michael Wagner Obstet Gynecol 2004 103: 997. [Full Text] [PDF] Outcome of Fertility-Sparing Treatment With Progestins in Young Patients With Endometrial Cancer Ofer Lavie Obstet Gynecol 2004 103: 997-a-998-a. [Full Text] [PDF] Outcome of Fertility-Sparing Treatment With Progestins in Young Patients With Endometrial Cancer Walter H. Gotlieb, Gilad Ben-Baruch Obstet Gynecol 2004 103: 998. [Full Text] [PDF] Package Insert for Rhesus Immune Globulin Kenneth J. Moise, Jr, Mark E. Brecher Obstet Gynecol 2004 103: 998-a-999-a. [Full Text] [PDF] First-Trimester Sonographic Screening for Down Syndrome Ron Wapner, Lawrence D. Platt Obstet Gynecol 2004 103: 999-1000. [Full Text] [PDF] First-Trimester Sonographic Screening for Down Syndrome Naomi Greene Obstet Gynecol 2004 103: 1000. [Full Text] [PDF] First-Trimester Sonographic Screening for Down Syndrome Fergal D. Malone, Mary E. D’alton Obstet Gynecol 2004 103: 1001. [Full Text] [PDF] Asthma During Pregnancy Michael B. Bracken, Elizabeth W. Triche Obstet Gynecol 2004 103: 1001-a-1002-a. [Full Text] [PDF] Asthma During Pregnancy Mitchell Dombrowski, Michael Schatz, Roger Newman, Valerija Momirova Obstet Gynecol 2004 103: 1002. [Full Text] [PDF] Intrapartum Computerized Fetal Heart Rate Parameters and Metabolic Acidosis at Birth Georges Boog Obstet Gynecol 2004 103: 1002-a-1003-a. [Full Text] [PDF] Intrapartum Computerized Fetal Heart Rate Parameters and Metabolic Acidosis at Birth Obstet Gynecol 2004 103: 1003. [Full Text] [PDF] Vaginal Versus Cesarean Delivery for Breech Presentation in California: A Population-Based Study Lionel Carbillon Obstet Gynecol 2004 103: 1003-a-1004-a. [Full Text] [PDF] Vaginal Versus Cesarean Delivery for Breech Presentation in California Obstet Gynecol 2004 103: 1004. [Full Text] [PDF] Acyclovir Prophylaxis to Prevent Herpes Simplex Virus Recurrence at Delivery: A Systematic Review Nandkishor S. Kabra, Lehana Thabane Obstet Gynecol 2004 103: 1004-a. [Full Text] [PDF] Acyclovir Prophylaxis to Prevent Herpes Simplex Virus Recurrence at Delivery: A Systematic Review Jeanne S. Sheffield, Lisa M. Hollier, James B. Hill, Gretchen S. Stuart, George D. Wendel, Jr Obstet Gynecol 2004 103: 1004-b-1005-b. [Full Text] [PDF] Helicobacter pylori Infection and Dyspepsia in Pregnancy Arif Serhan Cevrioglu Obstet Gynecol 2004 103: 1005. [Full Text] [PDF] Helicobacter pylori Infection and Dyspepsia in Pregnancy Daniel McKenna, Peter Watson, James Dornan Obstet Gynecol 2004 103: 1006. [Full Text] [PDF]
ABOG Certification: Diplomates Passing the 2003 Ob/Gyn Oral Examination in November 2003, December 2003, and January 2004 Obstet Gynecol 2004 103: 1007-1018. [Full Text] [PDF]
Errata: ERRATA Obstet Gynecol 2004 103: 1019. [Full Text] [PDF] ERRATA Obstet Gynecol 2004 103: 1019-a. [Full Text] [PDF]
A patient with an entero mesh vaginal fistula was successfully treated with removal of the mesh and small bowel resection.
An abdominal sacral colpopexy mesh erosion complicated by the formation of a sinus tract requires complete resection.
Transvaginal endoscopic removal of eroded mesh after abdominal sacral colpopexy is an effective, minimally invasive option for removal.
Intramuscular injection of depot medroxyprogesterone acetate can cause anaphylactic shock.
An unusual anaphylactoid reaction to a commonly used medication is reported.
A severe desquamating reaction may occur following the use of chlorhexidine gluconate to prepare the vagina for pelvic surgery.
Advanced primary endometrial stromal sarcomas of the ovary can be treated successfully with complete tumor resection and progestational therapy.
Recombinant factor VIIa is an effective and potentially life-saving adjunct in the treatment of preeclamptic patients with expanding or ruptured subcapsular liver hematoma.
A rare case of a noncommunicating accessory uterine cavity in a young woman with worsening pelvic pain is presented.
Chest pain, tachypnea and tachycardia in conjunction with gigantomastia and pulmonary hypertension at 30 weeks' gestation led to diagnosis of stage IV diffuse large B cell lymphoma.
An advanced abdominal pregnancy managed by preoperative arterial embolization, laparoscopically assisted fetal delivery, and postoperative methotrexate resulted in successful subsequent pregnancy and no adverse sequelae.
Intravenous leiomyomatosis extending even to the right ventricular cavity was removed completely by one-stage cardiotomy combined with laparotomy.
Pregnancy after thermal balloon endometrial ablation resulted in near-term delivery of a live-born infant despite an oddly shaped uterine cavity.
Cervical arteriovenous malformation is difficult to diagnose and treat and may be life-threatening.
Uterine arteriovenous malformations/fistulae should be considered in the evaluation of uterine hemorrhage, and radiologic imaging with color and spectral flow Doppler can be diagnostic.
After thrombolytic therapy, massive subchorionic hematomas may develop; the significance for pregnancy outcome needs to be determined.
Late relapses occurring more than 20 years after initial treatment of an ovarian cancer are rare.
The use of prophylactic oral ketanserin may help prevent superimposed preeclampsia and intrauterine growth restriction in women with chronic hypertension and underlying thrombophilia.
A 21-cm dermoid was removed via laparoscopy without intraperitoneal rupture by using a retrieval bag.
Massive hemoperitoneum caused by rupture of the left uterine vessels associated with decidualized endometriosis occurred in a woman at 20 weeks of gestation.
We report a case of human fetal malformations attributable to mycophenolate mofetil, an immunosuppressant drug that is increasingly used after organ transplantation.
Elevated androgens in human immunodeficiency virus lipodystrophy syndrome are derived from the ovary and are responsive to gonadotropin suppression.
A hemoglobin-based artificial oxygen carrier restored oxygen delivery in a severely anemic patient (lowest hemoglobin level of 3.1 g/dl) with severe uterine bleeding.
Magnetic resonance imaging may help delineate the course and orientation of vaginal cysts and identify others not readily apparent on physical examination.
We report a successful maternal-fetal outcome in a pregnant woman with primary pulmonary hypertension with long-term intravenous epoprostenol and intrapartum inhaled epoprostenol therapy.
In well-selected cases, uterine conservation is an acceptable alternative to hysterectomy for women undergoing reoperation because of necrosis of the uterine incision complicating cesarean delivery.
Immature ovarian teratoma cells may produce a vasopressin-like factor responsible for inappropriate antidiuretic hormone secretion syndrome, which precedes specific tumor symptoms.
Aortic dissection should be considered when a pregnant woman presents with preeclampsia superimposed on chronic hypertension with intractable chest pain.
Nitroglycerin offers an alternative method for uterine relaxation in the EXIT procedure.
Growth restriction may occur early in the first trimester of pregnancy in chromosomally normal fetuses with abnormal placentation.
Enhancement of the nitric oxide-cyclic guanine monophosphate pathway by sildenafil and l-arginine may constitute effective therapy for pulmonary hypertension in pregnancy.
In young patients with small cell carcinoma of the ovary, consideration should be given to conservative surgery and aggressive chemotherapy.
A menopausal woman with mullerian agenesis presented with a large leiomyoma, an inguinal hernia, and bilateral benign serous cystadenofibroma.
Complete anatomical reconstruction after vulvectomy including clitoral protrusion can be accomplished with random and axial-pattern skin flaps.
Purulent infection resulting from long-term laminaria retention is a rare complication of induced abortion.
This article is the first report of a uterine cervical diverticulum.
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