Gynecology and Reproductive Endocrinology

 
 

Gynecology and Reproductive Endocrinology

  • Unique Pap Smear Scenarios What are the recommendations for managing liquid-based Pap tests with absent endocervical/transformation zone component? What about a normal Pap with positive high risk for HPV?
  • Injectable Contraception and Skeletal Health Should it be standard clinical practice to perform baseline bone density studies on young women starting Depo-Provera and to continue follow-up studies periodically thereafter?
  • Complete Uterine Procidencia An individualized approach to treating pelvic organ prolapse is key.
  • Menorrhagia During Perimenopause Is leuprolide acetate the best choice to suppress menses in a 53-year-old woman recently started on warfarin who has since developed severe menorrhagia?
  • Complete Androgen Insensitivity Syndrome An 18-year-old girl presents with testicular feminization syndrome, testis at the labia, and presence of gonads in the peritoneal cavity.
  • Vaginal Noises During Sex What causes vaginal noises with position changes during intercourse?
  • Menstrual Epistaxis Could menstruation or PCOS or menopause be a reason for epistaxis in this 45-year-old woman?
  • Endometrial Hyperplasia What is the optimal dose and schedule for treatment of endometrial hyperplasia using the various progestins?
  • DMPA for Women With History of Thromboembolic Disease or CAD? Is it safe to use DMPA to treat menorrhagia in a woman who is on coumadin because of a history of DVTs/PEs?
  • Dysmenorrhea A 25-year-old woman with severe cerebral palsy has developed severe dysmenorrhea. What are her treatment options?
  • Uterine Anomalies Management of these conditions typically relates to 3 primary issues: menstrual problems, fertility problems, and sexual function problems.
  • DMPA, BMD, and Teens: Recent and Reassuring Data With recent studies showing BMD loss during DMPA use, is there a length of time after which alternative contraception should be used in an adolescent? Is there any role for add-back therapy?
  • Ovulation Induction in Sheehan's Syndrome A woman with Sheehan's syndrome has not responded to ovulation induction. What is the cause of the lack of response?
  • Symptomatic Adenomyosis in a Perimenopausal Woman What are the management options for a 47-year-old multigravid female with severe dysmenorrhea and prolonged, profuse vaginal bleeding?
  • Actinomycetes-Like Organisms on Pap A G1P1 patient in her 20s with mild hepatitis C has actinomyces-like organisms on Pap smear and a copper IUD in place for 1 year.
  • DMPA for Endometriosis Is there any evidence to support more frequent dosing with DMPA either to treat irregular bleeding associated with its use or to treat endometriosis?
  • Conization for Cervical Carcinoma in Situ and Hysterectomy The 44-year-old patient has had a successful resection; is hysterectomy indicated?
  • When to Cease Depot Medroxyprogesterone Acetate (DMPA) It can be a challenge to know when a woman who is approaching menopause and using depot medroxyprogesterone acetate (DMPA) birth control should stop her injections.
  • Elevated DHEAS Levels in Women With PCOS Is there any merit in treating elevated DHEAS levels in thin women with PCOS with metformin?
  • Estrogen Therapy Alone in a Menopausal Woman With a Uterus Findings from the estrogen-alone component of the WHI will increase interest in using estrogen therapy without progestin.