gynecology

New gene linked to breast cancer riskMutations in the PALB2 gene may be associated with a significant increase in the risk of breast cancer, according to a recent study in The New England Journal of Medicine. PALB2 binds to BRCA2—a gene that confers increased lifetime risk of developing breast or ovarian cancer—and likely permits its stable nuclear localization and accumulation.
Does recent OC use impact breast cancer risk?A National Cancer Institute-funded case control study suggests that some current formulations of oral contraception (OCs) may increase risk of breast cancer.
Do older women benefit from mammograms?According to a recent study in Radiology, women older than age 75 may still derive benefits from mammography screening.
Recurrent vulvovaginitis: Tips for treating a common condition
Recurrent vulvovaginitis: Tips for treating a common conditionClinicians routinely encounter patients with bacterial vaginosis and candidiasis. Here’s how to differentiate and treat these bothersome conditions.
Common pediatric vulvar complaintsVulvovaginal disorders in prepubertal girls—including vulvovaginitis, lichen sclerosus, labial adhesions, urethral prolapse, and genital ulcers—are common and can be managed on an outpatient basis by a skilled clinician.
New pelvic exam guidelines: An expert perspective"I worry that women will conclude that there is no value to an annual well-woman visit," says author Paula Hillard, MD.
Cost and lack of time keep women from seeing physiciansAlthough women are often thought of as the drivers for healthcare in their families, many face financial and logistical barriers to obtaining healthcare for themselves, according to a new study by the Kaiser Family Foundation.
Postmenopausal genital tract tuberculosis in the United States: A report of two cases
Postmenopausal genital tract tuberculosis in the United States: A report of two casesWhen a postmenopausal patient presents with signs and symptoms of a gynecologic malignancy, one should consider the possibility of genital tuberculosis in women who have immigrated to the United States.
Managing acute heavy menstrual bleeding
Managing acute heavy menstrual bleedingPatients with excessive bleeding need treatment now. First-line options include progestin-only therapies, the Munro regimen, and DMPA and short-course oral MPA.
"Isn't it time to separate the O from the G?"This was the question posed by Javier F. Magrina, MD, in his presidential address at the opening ceremony of the 42nd AAGL global congress on minimally invasive gynecology on November 11. His answer to this question (which of course referred to obstetrics and gynecology) was a resounding "yes," and he backed up this conviction with statistics and anecdotes that illustrated the need for specialized training in minimally invasive gynecologic procedures.