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Pharmacologic therapeutic options for sexual dysfunction
Purpose of review Sexual problems are reported by up to 45% of individuals assigned female at birth. Although sexual function is a complex biopsychosocial construct, there are a number of pharmacologic treatment options aimed at addressing the changing vaginal hormonal milieu in postmenopausal individuals and moderating the excitatory and inhibitory aspects of the central nervous system in those with hypoactive sexual desire disorder. Recent findings The last decade has seen an increase in the number and type of pharmacologic treatment options for dysfunction primarily associated with menopause and hypoactive se...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: UROGYNECOLOGY: Edited by Kavita Mishra Source Type: research

Platelet rich plasma for the management of urogynecological disorders: the current evidence
Purpose of review Our objective is to review the currently available literature on the use of platelet-rich plasma (PRP) in patients with pelvic floor disorders and to critically appraise the latest evidence on the safety and efficacy of the PRP application. Recent findings The evidence on the use of PRP for the treatment of stress urinary incontinence (SUI) appears promising, although limited to case series, case reports and animal studies. PRP has also been proposed to enhance the surgical outcomes of pelvic organ prolapse (POP) by native tissue repair with promising success rates. The application of PRP in ot...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: UROGYNECOLOGY: Edited by Kavita Mishra Source Type: research

Health inequities within the field of urogynecology
Purpose of review To summarize some of the most recent evidence on disparities in the prevalence, treatment and outcomes of pelvic floor disorders (PFDs), and to address potential interventions to dismantle these inequities. Recent findings There is a paucity of data on the prevalence and treatment of PFDs in racial minority women. The existing studies are limited and poor quality. These studies suggest that racial and ethnic minorities may be at a higher risk of PFDs, however the epidemiologic data regarding prevalence varies by disorder and at times are conflicting. Nevertheless, the data on treatment and comp...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: UROGYNECOLOGY: Edited by Kavita Mishra Source Type: research

Pregnancy options counseling
This article reviews key aspects of pregnancy options counseling, and highlights how inappropriate counseling can create barriers to timely and safe abortion care. Recent Findings Access to safe abortion services in the United States is increasingly constrained. One way to combat this hostile environment is to ensure that individuals presenting for care early in pregnancy have access to comprehensive and unbiased pregnancy options counseling. There are unfortunately many barriers to individuals receiving adequate pregnancy options counseling, and marginalized groups experience disproportionate effects of inappropria...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Update on medication abortion follow-up options: many sizes to fit all
Purpose of review To assess the efficacy, benefits, and limitations of available and emerging follow-up options for medication abortion. Recent findings Medication abortion follow-up does not have to be a ‘one size fits all’ protocol. From most to least invasive, follow-up options include facility-based ultrasound, laboratory-based repeat serum beta-human chorionic gonadotropin (hCG) testing, urine hCG testing (high sensitivity, low sensitivity, and multilevel pregnancy tests), self-assessment with symptom evaluation, and no intervention. Provider or facility-dependent follow-up, including ultrasound and ser...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

The ongoing crisis of abortion care education and training in the United States
This article reviews the current state of abortion education and training as well as available curricula and programmes to support continued training. Recent findings Prior to Dobbs, a national residency-level training programme, the Ryan Residency Training Program, has helped expand abortion care training in residency programs nationally, yet there remained many barriers to incorporating this training into practice, including practice and hospital restrictions. New state restrictions now additionally constrain almost half of all the Ob-Gyn residency programmes. Medical students benefit from education on options cou...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Physicians and healthcare professionals as advocates for abortion care and reproductive choice
Purpose of review The current review discusses the overarching role of advocacy as a primary component of access to abortion care. Abortion is viewed differently from any other form of health care, resulting in a marginalized, but essential healthcare component: without ongoing effective and strategic advocacy, abortion will not become or remain available. Lack of access to abortion care disproportionately affects historically excluded communities. Recent findings Advocacy is core to the provision of sexual and reproductive health. The antiabortion community has effectively used policy to achieve long-term goals...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Second-trimester abortion care for those with complex medical conditions
Purpose of the review This review focuses on patients who are most likely to experience morbidity associated with second trimester abortion care and risk mitigation strategies. Recent findings Prior cesarean birth, particularly multiple prior cesarean births, is the most significant risk factor associated with complications during second trimester abortion because of increased risks of hemorrhage, with or without placenta accreta spectrum (PAS), and distorted anatomy, which increases the risk of uterine perforation. Recent data suggests that first trimester ultrasound findings may be predictive of PAS, including...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Optimizing postpartum contraception for high-risk obstetric patients
Purpose of review This review will focus on those who are at greatest risk of maternal and neonatal morbidity from a subsequent unplanned or short interval pregnancy and the interventions to increase contraceptive uptake in the postpartum period. Recent findings Populations at highest risk of maternal or neonatal morbidity – those with a history of preterm birth or those with complex medical conditions – are also those at the highest risk for unintended pregnancies attributed to low-efficacy contraceptive failure/ noncontraceptive use, and many are discharged from birth hospitalization without understanding ...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Progestins of today and tomorrow
Purpose of review To review the current literature on the multiple types and uses of progestins in reproductive healthcare. Recent findings Progestins for contraceptive use are available in multiple forms, with the ongoing development of transdermal, intravaginal, and male contraception formulations. Noncontraceptive use of progestins often overlaps with contraceptive indications, which allows for simultaneous multipurpose progestin use, especially in reproductive-aged patients. More studies are needed to determine contraceptive doses of progestins used for noncontraceptive purposes. Side effect profiles of prog...
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Editorial: Updates in contraception and abortion care: turbulence, upheaval, and chaos, but keeping calm and continuing to care
No abstract available (Source: Current Opinion in Obstetrics and Gynecology)
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: FAMILY PLANNING: Edited by Paul D. Blumenthal Source Type: research

Editorial introductions
No abstract available (Source: Current Opinion in Obstetrics and Gynecology)
Source: Current Opinion in Obstetrics and Gynecology - November 15, 2022 Category: OBGYN Tags: Editorial introduction Source Type: research

Research integrity in clinical trials: innocent errors and spin versus scientific misconduct
This article focuses on analyzing the current literature to promote research integrity across clinical trials. Recent findings Recent admissions of questionable practices by researchers have undermined practitioner and public confidence. There is limited evidence specifically for ethical and professional standards in clinical trials to guide researchers and institutions to embed integrity into research practice. Summary Unintentional errors and spin in research are not uncommon as training in design and conduct of clinical trials is not part of health education for medical and allied health professions. There...
Source: Current Opinion in Obstetrics and Gynecology - September 10, 2022 Category: OBGYN Tags: WOMEN'S HEALTH: Edited by Joseph Aquilina Source Type: research

Effectiveness of ultrasound for endometriosis diagnosis
Purpose of review Endometriosis is a chronic benign gynaecological condition characterized by pelvic pain, subfertility and delay in diagnosis. There is an emerging philosophical shift from gold standard histopathological diagnosis through laparoscopy to establishing diagnosis through noninvasive imaging. Recent findings The ENZIAN classification system was updated in 2021 to be suitable for both diagnostic imaging and laparoscopy. The accuracy of transvaginal ultrasound (TVUS) in diagnosing endometriosis varies depending on location of the lesion. A recent international pilot study found that when ultrasound is...
Source: Current Opinion in Obstetrics and Gynecology - September 10, 2022 Category: OBGYN Tags: WOMEN'S HEALTH: Edited by Joseph Aquilina Source Type: research

Nonsurgical management of adenomyosis: an overview of current evidence
Purpose of review Adenomyosis is a condition where endometrium-like tissue spreads within the myometrium. Although its prevalence in the general population is not exactly known, its clinical manifestations are well established and include pelvic pain, dysmenorrhea (painful periods), heavy menstrual bleeding and subfertility [1]. Adenomyosis often coexists with other gynaecological conditions, such as endometriosis or fibroids, and may cloud the clinical presentation [2]. The aim of this article is to review current noninterventional, nonsurgical management modalities and wherever possible offer information that allows ...
Source: Current Opinion in Obstetrics and Gynecology - September 10, 2022 Category: OBGYN Tags: WOMEN'S HEALTH: Edited by Joseph Aquilina Source Type: research