journal
https://read.qxmd.com/read/38032828/the-postmenopausal-vaginal-microbiome-and-genitourinary-syndrome-of-menopause
#41
REVIEW
Elizabeth Micks, Susan D Reed, Caroline Mitchell
This review summarizes our current understanding of associations of the postmenopausal vaginal microbiome with genitourinary syndrome of menopause. We review the normal postmenopausal microbiota, examine the association of the microbiome with vulvovaginal symptoms, describe microbial communities associated with physical and laboratory findings, and report the impact of different treatments for genitourinary syndrome of menopause on microbiota and symptom improvement. Postmenopausal vaginal symptoms have an underlying pathophysiology that has not been fully elucidated...
March 1, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38032827/hormonal-medications-for-genitourinary-syndrome-of-menopause
#42
JOURNAL ARTICLE
JoAnn V Pinkerton, Monique H Vaughan, Andrew M Kaunitz
Genitourinary syndrome of menopause is a common, under-reported, and undertreated chronic progressive condition requiring long-term treatment. Hypoestrogenism in the urogenital tissues is associated with bothersome dyspareunia, vulvovaginal symptoms, overactive bladder, and frequent urinary tract infections. Vaginal hormone therapies, including vaginal estrogen and intravaginal dehydroepiandrostenedione, are safe and effective and improve symptoms and clinical findings. Systemic hormone therapy treats vulvovaginal atrophy less effectively than vaginal hormone therapies with increased stress and urge urinary incontinence...
March 1, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37972951/gsm-and-quality-of-life-measures
#43
JOURNAL ARTICLE
Susan J Diem, Elisheva R Danan
The impact of bothersome vulvovaginal symptoms related to hypoestrogenism on quality of life (QOL) has been evaluated in large international surveys and qualitative studies of vulvovaginal atrophy, most of which were completed before the introduction of the term genitourinary syndrome of menopause (GSM) and focus primarily on vulvovaginal atrophy. The QOL domain most affected in these studies is sexual function, although women also report impacts on self-confidence, self-esteem, sleep, and general enjoyment of life...
March 1, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38343037/when-change-chooses-you-my-journey-with-paralysis
#44
JOURNAL ARTICLE
Dale B Hull
Life sometimes provides unannounced challenges that threaten the structure of our existence. This personal account of an ob-gyn's encounter with paralysis will illustrate the impact of one such experience.
February 12, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38251758/the-road-well-traveled-making-choices-ensuring-progress-while-heeding-the-clarion-call
#45
JOURNAL ARTICLE
E Albert Reece
The career path of everyone is quite unique based on the goals and the choices we make, and success can take time to unfold. My career choices have been greatly influenced by remarkable mentors and opportunities. Reciprocally I have had the pleasure, as a faculty member, department chair, and medical school dean to mentor promising young physicians and scientists to launch successful careers. We need to continue to attract physicians and scientists to academic medicine to ensure that our field continues to innovate and improve the lives of our patients...
January 22, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38234166/teeter-totter-or-tapestry-a-life-in-academic-medicine
#46
JOURNAL ARTICLE
Kirtly Parker Jones
Constructing a career in academic medicine involves more than a focus on work-life balance. That image of a teeter-totter suggests that life is what happens when you are not working. The nature of the scope of interests (clinical, research, teaching) and values (service, leadership, curiosity, transparency, and honesty) creates a larger framework through which home life and work life become one interwoven tapestry. The author reflects on these perspectives as she looks back on a career in academic medicine.
January 18, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38230704/improving-the-lives-of-women-with-ovarian-cancer
#47
JOURNAL ARTICLE
Beth Y Karlan
Being a gynecologic oncologist is a privilege. Women with cancer address their challenges with grit and resilience. Their most basic questions motivated my career-long search for scientific answers hidden in genetics, novel therapeutics, and cancer prevention. But medicine is a team sport. Working alongside gifted colleagues and mentoring trainees to assume starring roles on the team has sustained and enriched my career. Advocating for patients and the specialty of gynecologic oncology provided another means to advance research and cancer awareness to improve patient outcomes...
January 15, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38151958/into-the-unknown-navigating-a-path-as-an-early-stage-physician-scientist-in-obstetrics-and-gynecology
#48
JOURNAL ARTICLE
Sarah A Wernimont
This piece is a reflection of one early-stage physician-scientist's professional journey. It highlights a few challenges of navigating this path while calling for continued investment and support for physician-scientists to enhance maternal and child lifelong health.
December 28, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38149681/career-reflections-delivering-excellence-by-building-great-teams
#49
JOURNAL ARTICLE
Charles J Lockwood
Building great teams who can act rapidly and training energetic leaders who are empowered to innovate have been central themes in my leadership journey: Career reflections of Charles J. Lockwood, MD, MHCM, dean of the USF Health Morsani College of Medicine and executive vice president of USF Health at the University of South Florida (USF).
December 27, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38108399/genitourinary-syndrome-of-menopause-in-cancer-survivors
#50
JOURNAL ARTICLE
Catherine L Dugan, Alisha A Othieno, Mindy E Goldman
Genitourinary syndrome of menopause (GSM) encompasses the symptoms of estrogen deprivation in the vaginal, vulva, and bladder areas. Because many cancer treatments induce a hypoestrogenic state, GSM is common in cancer survivors. The number of cancer survivors is increasing, and the unique aspects of GSM management for cancer survivors, such as the safety of hormonal therapies, is important to understand. In this review, we cover important considerations in the assessment of GSM; nonpharmacologic, behavioral, integrative, pharmacologic, and medical device treatments for GSM: the unique considerations in GSM by cancer treatment modality; bladder manifestations of GSM; and GSM in specific populations...
December 18, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38095083/integrated-care-for-pregnant-and-parenting-people-with-substance-use
#51
JOURNAL ARTICLE
Kaylin A Klie, Sarah Nagle-Yang, Lulu Zhao, Melanie E Fringuello
Caring for pregnant people with substance use requires knowledge about specific substances used, treatment options, and an integrated, trauma-informed care team. This chapter will discuss crucial information for clinicians regarding evidence-based practice for screening, intervention, and ongoing support for pregnant people and their families impacted by substance use.
December 14, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963348/index
#52
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963347/general-principles-for-counseling-and-management-of-triplet-pregnancies
#53
JOURNAL ARTICLE
Mohak Mhatre, Sabrina Craigo
Compared with singleton pregnancies, triplet pregnancies are associated with a significantly increased risk of adverse pregnancy outcomes. Early ultrasound examination is the best way to diagnose triplets, establish dating, and determine the number of placentas to provide appropriate counseling and monitoring. Dichorionic placentation adds risks specifically associated with a shared placenta, and limits options for intervention. Multifetal reduction is an option that can significantly improve pregnancy outcomes compared with non-reduced triplet pregnancies...
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963346/structural-anomalies-in-multifetal-gestations
#54
REVIEW
Elizabeth A Hoover, Yasuko Yamamura, Gwyneth Thompson
Multifetal gestations are at increased risk for structural anomalies relative to singletons. Determination of chorionicity is critical, as the risk is highest for monochorionic pregnancies. In a singleton gestation, counseling is structured around optimization of fetal outcomes and careful consideration of the patient's choices in management decisions. However, in multifetal gestations affected by a fetal anomaly, complex counseling with consideration for the pregnancy as a whole is necessary. We review the incidence of structural anomalies in twins and highlight unique considerations including selective termination for discordant anomalies...
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963345/foreword-multiple-gestations
#55
JOURNAL ARTICLE
Elizabeth Ramsey Unal
No abstract text is available yet for this article.
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963344/contributors-multiple-gestations
#56
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963343/threatened-periviable-delivery-and-abortion-clinical-considerations
#57
JOURNAL ARTICLE
Natalie Tanya Ohly, Rasha Khoury
Periviable delivery, or a pregnancy at risk of delivery between 20 0/7 and 25 6/7 weeks gestational, is an uncommon event with profound physical, psychological, and financial impact. Neonatal outcomes can be hard to predict and with the changing legal landscape around abortion access, management options may be compromised. Dynamic maternal and fetal factors make a cohesive and supportive care team critical for optimal care. Management of threatened periviable delivery in a post-Roe United States may prioritize fetal outcomes regardless of threat to maternal health due to legal restrictions...
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963342/foreword-abortion-care
#58
JOURNAL ARTICLE
Katherine Rivlin
No abstract text is available yet for this article.
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37963341/contributors-abortion-care
#59
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/37910137/timing-of-delivery-for-twins
#60
JOURNAL ARTICLE
Dana Senderoff Berger, Young Mi Lee
The optimal gestational age for delivery of twin gestations balances the risk to the mother with the risks to the fetus and newborn. Primary considerations should include chorionicity and the presence or absence of other obstetrical complications such as fetal growth restriction or hypertensive disorders of pregnancy. More than half of twin gestations will deliver preterm, and a significant portion will be due to spontaneous labor or medical indications, such that the timing of delivery for twins is typically less determined by the provider discretion...
December 1, 2023: Clinical Obstetrics and Gynecology
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