Uterine fibroids (leiomyomas or myomas) are a major issue for individuals with a uterus as well as a disease with profound disparities for Black/African American (Black) individuals. These disparities have roots in early gynecologic practic…
Sponsoring Organization: American College of Obstetricians and Gynecologists (ACOG)BackgroundChronic pelvic pain (CPP; defined as pain originating from
Chronic pelvic pain (CPP) can have unpleasant behavioral, sexual, and emotional sequelae. Although gabapentin is recommended for treating women with
Pinkerton, JoAnn V. MD, FACOG, NCMP; Kaunitz, Andrew M. MD, FACOG, NCMP; Manson, JoAnn E. MD, DrPH, FACP, NCMP
OBJECTIVES: The clinical utility of extended regimen combined oral contraceptives (COCs) is increasingly being recognised. Our objective was to understand the attitudes of women and clinicians about the use of these regimens. We present the…
Most menopausal women experience vasomotor symptoms with bothersome symptoms often lasting longer than one decade. Hormone therapy (HT) represents the most effective treatment for these symptoms with oral and transdermal estrogen formulatio…
In 2008, the American College of Obstetricians and Gynecologists issued guidance discouraging routine oophorectomy at the time of hysterectomy for benign disease in premenopausal women (Obstet Gynecol 2008; 111:231). In 2012, investigators …
The use of the levonorgestrel intrauterine device effectively treats heavy menstrual bleeding even when associated with adenomyosis or leiomyomas and is as effective as endometrial ablation in reducing heavy menstrual bleeding. This informa…
OBJECTIVE: The purpose of this study was to critically appraise the diagnostic accuracy of transvaginal sonography for diagnosing adenomyosis. STUDY DESIGN: Computerized databases were used to identify relevant reports published between 19…
Chronic pelvic pain in women is a common condition that impairs quality of life and often necessitates diagnostic laparoscopy. Nerves in the
BACKGROUND: In the fall of 2007, the controversy about the contraceptive use of depot-medroxyprogesterone acetate (DMPA) and its potential impact on skeletal health reached the media in the province of Quebec, Canada, thereby becoming a mat…
Endometriosis is a common, chronic condition, and new treatment strategies offering improved pain reduction or better tolerability would be welcome. These investigators examined the efficacy of an aromatase inhibitor for treating pelvic pai…
Secondary dysmenorrhea (acquired menstrual pain) is the most common symptom caused by endometriosis. Although cyclic use of oral contraceptives (OCs) reduces such pain, dysmenorrhea often recurs during the pill-free week. In this single-cen…
The gynecologic problems associated with the perimenopause and detailed in this review represent common and often vexing concerns for women during this transition. By heeding the evidence-based approaches to evaluation and treatment describ…
Perimenopause represents a transition period lasting about 5 years before the permanent cessation of spontaneous menses. During this transition, the emphasis of clinical care changes. Although women still need effective contraception during…
Injectable contraceptions appeal to women who value the efficacy, convenience, and safety provided by this reversible birth control option. Since FDA approval for contraceptive use in 1992, depot medroxyprogesterone acetate (DMPA)--already …