Hormones, particularly transdermal estradiol, may help women maintain mood, cognition and memory in middle-age and beyond. “What we have learned the past decade is that not all estrogens are the same,” said ACOG presenter Sarah Berga, MD, of Women’s Health at Wake Forrest School of Medicine, “and that the differences can be critical.”

This middle-aged woman has pelvic pain and vaginal discharge. What is your diagnosis based on these ultrasound images of the uterus?

Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.

One in seven women will experience pelvic pain in her lifetime, and between one- and two-thirds will have chronic pain that persists for more than three years. But although it’s common, it can be one of the most difficult and frustrating conditions physicians treat.

The female hormone megestrol acetate (MA) improves appetite and is associated with slight weight gain in patients with cancer, AIDS, and other underlying pathology, but comes with significant adverse events.

Fish oil supplementation that is rich in omega-3 fatty acids does not prevent depressive symptoms during pregnancy or in the postpartum period, according to the results of a double-blind, randomized controlled trial.

The case presented is that of a 40 year-old woman who has been bleeding for the past 60 days as a result of this 3 cm intracavitary fibroid.

The FDA has approved an application to market the emergency contraceptive Plan B One-Step for use without a prescription by women 15 years of age and older.

This young lady has abdominal pain and chest discomfort. She was undergoing treatment for infertility. What is your diagnosis?

In patients with an American Fertility Society class V or class VI septate uterus, hysteroscopic metroplasty is associated with a significant improvement in reproductive performance.

This patient presented with 18 months of secondary infertility following a second trimester dilation and extraction.

A recent discovery suggests that Trichomonas vaginalis may alter the vaginal microbiota in a manner that cultivates bacteria that is beneficial to its survival and transmissibility.

The use of a postoperative levonorgestrel-releasing intrauterine device reduces the recurrence of painful periods in women with endometriosis.

What is your diagnosis in this fetus of 12 weeks gestational age?

Some may argue that the new ACOG, ACS and other cervical cancer screening guidelines will detect the majority of at-risk women. We should not be content with settling for identifying a majority of at risk women; rather, we should constantly reassess the availability of useful tests to see if we can improve reliability.

In the early years, medical practices only utilized Relative Value Units (RVUs) to understand the Medicare fee schedule. Now the role of RVU analysis has expanded. RVUs have become the standard measurement in analysis of reimbursement and payer contracts, physician compensation and productivity, and practice staffing and operating costs.

A geographic practice cost index (GPCI) accounts for geographic differences in the cost of practice around the country.

Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans.

Here's a situation that illustrates how fantastic medical advances don't always translate to patients benefiting in the clinic. For that to happen, the science needs to be carried along a pipeline of practitioner communication, all the way to the patient.

There are a variety of complications that can occur during laparoscopic surgery. In this tutorial learn some of the complications and tips to avoid them.

Review information on low molecular weight heparin in recurrent miscarriages in this educational tutorial.

B mode and 3D Ultrasound images of a fetal abdomen (35wks) revealing gallbladder calculi

This case study shows a 26 week gestation with a cystic mass close to the sacrum.

CC is a 31 year old primigravida who was referred for ultrasound at a community hospital due to suspected cardiac anomalies noted on a screening sonogram at her doctor's office. Due to concern about a probable cardiac abnormality an amniocentesis was performed at the local hospital.

Single umbilical artery color doppler, transverse scan of urinary bladder shows single umbilical artery (left), transverse section of umbilical cord showing only two vessels: one vein and one artery (right).

Normal 35 week pregnancy