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General OB/GYN

News, opinions and meeting coverage in obstetrics and gynecology.

Staples or Sutures: Which Is Better After C-Section?

The decision to use sutures or staples to close incisions after a cesarean delivery has been debated in the obstetrics community, but results from a new study seem to give sutures the edge.

Estrogen Alone May Not Suppress Testosterone

CHICAGO -- Simply giving estrogen to male-to-female transgender patients won't completely suppress testosterone levels, researchers reported here.

PDE4 Inhibitor May Help PCOS Patients Slim Down

CHICAGO -- Adding the phosphodiesterase-4 inhibitor roflumilast to metformin may help obese women with polycystic ovarian syndrome shed pounds and improve other metabolic markers, researchers reported.

AMA Highlights: VA, Cheerleaders, and Guns

CHICAGO -- Wrapping up a full agenda, the AMA agrees cheerleading is a sport, doctors outside the VA need to pitch in to help care for veterans, and e-cigarettes need to be regulated.

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

'Thyroid' Issues May Really Be Hypothalamic

LAS VEGAS -- Obese patients who continue to have "thyroid symptoms" even when their levels are normalized may have a hypothalamic dysfunction, researchers reported here.

FDA Warns of Cancer Risk With Laparoscopic Device

WASHINGTON -- Hysterectomy and procedures to remove uterine fibroids should avoid use of laparoscopic power morcellation, according to a safety advisory from the Food and Drug Administration.

Cancer Ascites Responds to Outpatient Tx

TAMPA, Fla. -- Outpatient treatment of malignant ascites with a monoclonal antibody proved safe and feasible and led to a survival benefit in gynecologic cancer patients who could receive chemotherapy, a small clinical study showed.

Early Preeclampsia Often Overlooked

Clinicians wait too long before diagnosing and treating preeclampsia, a hesitance that can be costly, according to an anesthesiologist who serves on a California preeclampsia task force.

Tamoxifen Found in Bodybuilding Supplement

British researchers have found tamoxifen in supplements used by bodybuilders -- an active ingredient that isn't clearly labeled on the bottle.

Older Maternal Age Tied to Lower Risk of Fetal Anomalies

NEW ORLEANS -- Women 35 and older seemed to have a lower risk for major congenital abnormalities compared with younger women, researchers reported here.

A Brain-Dead Mother, a Million-Dollar Baby

The costs associated with maintaining a pregnant, brain-dead, Texas woman on life support until her fetus is viable are likely to approach $1 million, and long-term costs could easily top $1.5 million.

10 Questions: Rep. Phil Gingrey, MD (R-Ga.)

If you could change one thing about the healthcare system, what would it be? Eliminate Obamacare, says Rep. Phil Gingrey, MD (R-Ga.). That's his answer to just one of the 10 Questions the 妖姬直播 staff is asking leading clinicians, researchers, and leaders in their community to get their personal views on their chosen profession. In this series we share their uncensored responses.

OTC Thyroid 'Boosters' May Harm

Patients who take over-the-counter supplements that promise to enhance thyroid function may get more than they bargained for, endocrinologists warn.

Antidepressant Dressed Up for Menopause

One drug company can now brag about a nonhormonal option for menopausal hos flashes. But Brisdelle is just an old drug dressed up in a new feminine name and packaging -- it's the antidepressant paroxetine, better known by its brand name, Paxil.

Arimidex: Top Drug for Breast Ca Prevention?

SAN ANTONIO -- Should anastrozole (Arimidex) be the first choice in pharmacologic primary prevention of breast cancer, based on IBIS-II trial results presented here? No, said most experts.

FDA: Nipple Test No Substitute for Mammogram

A nipple aspirate test shouldn't take the place of mammography or otherwise be used on its own to screen for breast disease, the FDA warned.

Women on Seizure Meds Need More Folic Acid

WASHINGTON -- About half of epileptic women taking anti-seizure drugs who could have become pregnant said they were not taking the recommended folic acid supplements, results of a survey found.

Post-Menopause Brain Drain Tied to Progesterone

Estrogen levels after menopause may have no impact on cognitive function, but progesterone levels might, researchers found.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

Few Lupus, IBD Patients Getting HPV Vaccine

SAN DIEGO -- Despite being at greater risk of infection, few children and young adults with autoimmune diseases are being vaccinated against human papillomavirus, according to a study.

Hyperthyroid Drugs Tied to Birth Defects

SAN JUAN -- Two of the most commonly used drugs for treating hyperthyroidism were linked to birth defects when used in early pregnancy, though they have differing effects, researchers reported here.

TSH Suppression: More Harm Than Good After Cancer Surgery?

SAN JUAN -- Suppressing thyroid-stimulating hormone (TSH) after thyroidectomy for low-risk cancer increases the risk of osteoporosis in women without cutting back on cancer recurrence, researchers reported here.

Effects of Early Puberty in Girls Persist as Adults

Women with a history of idiopathic precocious puberty had increased rates of clinical hyperandrogenism, but fertility was normal in adulthood among those who had been treated for the condition, a cross-sectional study found.

Xenical Helps PCOS Patients Slim Down

Lifestyle changes plus the weight-loss drug orlistat (Xenical) helped women with polycystic ovarian syndrome (PCOS) shed pounds, leading to metabolic improvements, researchers found.

Range of Due Dates Better for Expectant Moms

Pregnant women may be better off with a range of delivery dates rather than a set date due to variability in gestation times, researchers found.

A Little Estrogen Goes a Long Way in Preventing UTI

Short-term estrogen therapy induced cellular changes in urothelium consistent with improved ability to fight off urinary tract infection, results from clinical and preclinical studies suggested.

FDA Limits Magnesium to Prevent Preterm Labor

The FDA today advised clinicians not to give pregnant women magnesium sulfate to prevent preterm labor for more than 5 to 7 days because it may harm developing fetal bones.

Triptans Go-To Migraine Drugs Even in Pregnancy

The triptans, most experts agree, are the go-to drugs for frequent or serious migraines in pregnancy.

Protein Rich Diet May Boost IVF Success

Results from a small study suggest that women whose diets consist of at least 25% protein may have more successful outcomes when undergoing assisted reproduction.

On-Call Pay Varies Widely by Specialty

Surgeons commanded more than $1,000 a day for being on-call at the hospital, while primary care physicians reported compensation rates of around $150 a day, according to annually compiled data.

FDA Lowers Age for OTC Plan B

WASHINGTON -- The FDA has approved over-the-counter sale of the emergency contraceptive Plan B One-Step to women and girls as young as 15.

Abortion Rate No Higher in Women on RA Drug

Women with rheumatoid arthritis (RA) being treated with methotrexate had no increase in the rate of induced abortions despite the drug's known teratogenicity, a case-control study showed.

Ondansetron Safe for Fetus, Study Affirms

Use of the antiemetic ondansetron during pregnancy was not associated with any adverse fetal outcomes, an observational study showed.

Contraception: Condoms Are King, Plan B Takes Hold

In the realm of contraception, the condom reigns supreme, but one in 10 have used emergency contraception such as Plan B, according to two reports on the contraceptive methods used by women of reproductive age in the U.S.

FDA Lowers Ambien Dosages

WASHINGTON -- Makers of sleep drugs containing zolpidem, including Ambien and Ambien CR, must cut the recommended dosages for women by half to reduce morning drowsiness, the FDA announced Thursday.

Colon Cancer Risk Rises After Endometrial Ca

LAS VEGAS -- A history of endometrial cancer at a younger age quadrupled the likelihood of a subsequent diagnosis of colorectal cancer, a retrospective analysis of administrative data showed.

Study Counters WHI on Risk of Hormones in Menopause

Hormone therapy may actually help the heart in some respects for newly menopausal women, a randomized trial showed, although the impact on hard outcomes like stroke and breast cancer still remains to be seen.

Lying Prone for Radiation Best for Breast Tx

Lying face down for radiation therapy lessens the amount of collateral damage to breast cancer patients' heart and lungs, researchers found.

Persistence of Finasteride Side Effects Raised at Meeting

CHICAGO -- One of the topics under discussion among sexual medicine specialists, gathered here from around the world, is whether the sexual side effects of a hair-loss drug are long-lasting, according to a leader in the field.

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