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Does emergency contraception promote teen sex?
The scientific evidence to date—including the authors' recent RCT—says no. Were EC to be available over-the-counter, it would not encourage risky sex nor increase rates of STI.
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Legally Speaking: Was this myomectomy botched?
The patient, a 43 year-old African-American woman, was referred to the defendant obstetrician/gynecologist in July 1998 for surgical management of menorrhagia that resulted from a fibroid uterus. Her past medical history was significant for development of fibroids as early as 1983. In 1994, she underwent myomectomy and left-sided salpingo-oophorectomy (LSO), but 6 months later, her symptoms, including heavy bleeding and pain, returned. After 3 to 6 months of leuprolide, which was prescribed by her gynecologist, her complaints persisted. The woman's subsequent referral to the defendant was done through correspondence from the original gynecologist, who indicated the patient wanted a "laparoscopic laser myomectomy."
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New techniques for correcting vaginal apical prolapse
Correcting apical vaginal prolapse can be a challenge for even the most experienced gynecologic surgeon. Many women with the condition have a history of pelvic surgery, co-existing medical conditions, are elderly, or present with a vaginal hernia sac that contains portions of the bladder, rectum, and peritoneum. Traditional surgery for vaginal prolapse involves either fixing the hernia through the abdomen or vagina or obliterating the vagina with a partial or complete colpocleisis. Newer, minimally invasive techniques build on our previous success with the well-described abdominal and vaginal procedures.
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Clinician to Clinician: Combining in-office sterilization and endometrial ablation
New technology is making it possible for obstetrician/gynecologists to perform more and more minimally invasive procedures in the office. New technology is making it possible for obstetrician/gynecologists to perform more and more minimally invasive procedures in the office. In my experience, doing transcervical occlusion and endometrial ablation together, on an outpatient basis, has benefits for both patient and physician.
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