Clinical Review
Clinical Review
Vaginal dilation: When it’s indicated and tips on teaching it
Dilator therapy can offer a nonsurgical approach to restoring vaginal capacity and elasticity and alleviating sexual discomfort. Here’s how to...
Clinical Review
Polycystic ovary syndrome: The long-term metabolic risks
Many of my patients with polycystic ovary syndrome (PCOS) have metabolic syndrome and are being treated with metformin. Can metformin be an...
Clinical Review
UPDATE ON OSTEOPOROSIS
What we’ve learned about when to measure BMD and how to identify lesser-known causes of bone loss, as well as the value of quantitative ultrasound...
Clinical Review
When and how to place an autologous rectus fascia pubovaginal sling
Although synthetic midurethral slings remain the standard of care for most women with stress urinary incontinence, an autologous graft is a safe...
Clinical Review
Polycystic ovary syndrome: How are obesity and insulin resistance involved?
Which of my patients with PCOS do I screen for insulin sensitivity? What screening tests are available, and which are most appropriate? Two...
Clinical Review
UPDATE: PELVIC FLOOR DYSFUNCTION
How to prevent recurrent urinary tract infection in sexually active premenopausal women, postmenopausal patients, and women undergoing pelvic...
Clinical Review
Your age-based guide to comprehensive well-woman care
Primary care interventions vary with the age of the patient, but there are similarities, too. A look at recommendations for four age intervals: 13...
Clinical Review
Polycystic ovary syndrome: Where we stand with diagnosis and treatment and where we’re going
PCOS is one of the most common reproductive endocrine disorders of women—and one of the most impenetrable to understand and difficult to manage....
Clinical Review
UPDATE: SEXUAL DYSFUNCTION
How to ask about, and manage, the undertreated problem of sexual dysfunction
Clinical Review
UPDATE ON CONTRACEPTION
Highlights (and lowlights) from the past year in contraception: the US unintended pregnancy rate and controversies in providing contraception.
Clinical Review
Malpositioned IUDs: When you should intervene (and when you should not)
A malpositioned intrauterine device may not be a complication requiring action. Knowing how to manage the situation optimally for your patients...