Obstetrics & Gynecology News & Articles

1 Precision intrauterine contraception may significantly increase continuation of use: a review of long-term clinical experience with frameless copper-releasing intrauterine contraception devices International Journal of Women's Health, May 1, 2013
Wildemeersch D et al. - The purpose of this paper is to review the experience with the frameless, anchored, GyneFix copper-releasing intrauterine contraceptive devices (IUCDs/IUDs) (Contrel Europe, Belgium), and to demonstrate their high acceptability and low rate of discontinuation of use, which could contribute to current efforts that aim to reduce radically the high number of unintended pregnancies and induced abortions, particularly in young women. The unidimensional GyneFix ...

2 Prophylactic use of levonorgestrel-releasing intrauterine system in women with breast cancer treated with tamoxifen: a randomized controlled trial Obstetrics and Gynecology, May 13, 2013
Wong AWY et al. - This study aimed to estimate the rate of endometrial pathology with the prophylactic use of levonorgestrel-releasing intrauterine system in women with breast cancer treated with tamoxifen. Prophylactic levonorgestrel-releasing intrauterine system prevents de novo endometrial polyps in women using tamoxifen. However, its role in the prevention of endometrial hyperplasia and adenocarcinoma as well as its effect on risk of breast cancer recurrence remain ...

3 Safety and efficacy of the levonorgestrel-releasing intrauterine system: recent insights Expert Review of Obstetrics & Gynecology, May 14, 2013
Gemzell-Danielsson K et al. - This review provides an overview of the published literature on the LNG-IUS from the last 5 years, focusing on cost-effectiveness, safety-related outcomes, the use of LNG-IUS by young and/or nulliparous women as well as by various different patient groups. After decades of dominance by the `the Pill', it is likely that in the future, long-acting reversible contraceptives, such as the LNG-IUS, will become the ...

4 Customized growth chart for twin gestations to optimize identification of small for gestational age fetuses at risk for intra-uterine fetal death Ultrasound in Obstetrics & Gynecology, February 1, 2013
Odibo AO et al. - The authors sought to compare the association between small for gestational age (SGA) and intrauterine fetal death (IUFD) in twins using customized growth charts designed for twin gestations versus using one designed for singletons. Customized charts designed specifically for twins are more efficient at identifying twin pregnancies at risk for IUFD compared with those derived using singleton birth data.

5 Intrauterine System Eases Heavy Menstrual Bleeding First Report Managed Care, April 30, 2013
Koutnik-Fotopoulos E - For women presenting to their primary care providers with menorrhagia, the levonorgestrel-releasing intrauterine system (IUS) leads to greater improvement in alleviating the adverse effects on daily life of heavy menstrual bleeding compared with usual medical treatments, according to results of the 2-year ECLIPSE (Effectiveness and Cost-Effectiveness of Levonorgestrel-Containing intrauterine System in Primary Care against Standard ...

6 Complications and continuation of intrauterine device use among commercially insured teenagers Obstetrics and Gynecology, May 13, 2013
Berenson AB et al. - The IUD is as appropriate for teenagers to use as it is for older women, with serious complications occurring infrequently in all groups. The levonorgestrel-releasing intrauterine system may be a better choice than the copper IUD as a result of lower odds of complications, discontinuation, and failure.

7 Management of pain associated with the insertion of intrauterine contraceptives Human Reproduction Update, May 16, 2013
Gemzell-Danielsson K et al. - This review critically evaluates the evidence for pain management strategies, formulates evidence-based recommendations and identifies data gaps and areas for further research. No prophylactic pharmacological intervention has been adequately evaluated to support routine use for pain reduction during or after IUC insertion. Women's anxiety about the procedure may contribute to higher levels of perceived pain, which highlights the importance of ...

8 Switching from Oral to Intrauterine Contraception May Result in Cost Savings for Health Plans First Report Managed Care, May 20, 2013
Mihalovic M - Switching oral contraceptive (OC) users to a low-dose levonorgestrel-intrauterine (LNG-IUS) system may result in overall cost savings for healthcare plans, due to subsequent decreases in pharmacy costs and a decrease in medical costs related to unintended pregnancies, according to information presented during a poster session at the AMCP meeting. The poster was titled Budget Impact of the Introduction of a Low-Dose Levonorgestrel-intrauterine ...

9 Can intrauterine death of a co-twin result in renal failure in the survivor Renal Failure, May 22, 2013
Aydin B et al. - Multiple pregnancies are characterized by significantly higher rates of intrauterine and perinatal morbidities and fetal death compared to singleton pregnancies. It is well known that the death of a co-twin during the second and third trimester can cause damage in the other fetus. Here the authors report two newborn cases presenting with renal failure probably caused by intrauterine death of their co-twins shortly before birth.

10 Bilateral ampulary pregnancy after clomifen citrate and intrauterine insemination a unique case report Gynecological Endocrinology, May 22, 2013
Terzic MM et al. - The authors report a case with bilateral tubal ampullary pregnancy after Clomifen Citrate medication. The first conception in the right tube was after intrauterine insemination or intercourse performed before insemination, while the second one was achieved 10 d after insemination, during the intercourse, in the left tube. This life-threatening and routinely unexpected finding must always have in mind all doctors dealing with patients in emergency care, especially ...