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Women's Health and Obs/Gyn Overview

Women's Health and Obs/Gyn

The specialty of gynaecology encompasses the study, diagnosis, and treatment of diseases of the female reproductive organs. Obstetrics specifically includes pregnancy, labour and birth.

Menstruation is a natural process in post-pubescent and pre-menopausal women, with the average menstrual cycle lasting 28 days.1 Menstrual disorders include: premenstrual syndrome (PMS),2 dysmenorrhea,1...

... amenorrhea,1 and polycystic ovary syndrome (PCOS).3 PCOS is a common and perplexing endocrine disorder of women in their reproductive years, with a prevalence of up to 10%.4

Other non-cancerous gynaecological disorders include endometriosis, 5 fibroids,6 pelvic floor hernias1 (rectocele, enterocele, cystocele, prolapse of the uterus, and prolapse of the vagina), and infertility.7

Cancers of the female reproductive system, including uterine, ovarian, cervical and vaginal cancers, have high morbidity and mortality rates. Ovarian cancer accounts for 4% of all cancers in women, and it is the leading cause of death of all gynaecological malignancies.8 The asymptomatic nature of early-stage ovarian cancer means that the majority of diagnosed cases are late-stage, and subsequently have a much lower survival rate.8 Cervical cancer is thought, in some cases, to be caused by the presence of human papillomavirus (HPV).9 In 2006, a HPV vaccine was licensed and has since been administered to young women across the world in order to reduce the incidence of cervical cancer in the future.9

1. Beers M.H. et al. The Merck manual of medical information. Merck research laboratories. Second home edition. 2003 : 1341-1480.
2. Derman O. et al. Premenstrual Syndrome and Associated Symptoms in Adult Girls. European Journal of Obstetrics & Gynecology and Reproductive Biology. October 2004 ; 116 (2) : 201-206.
3. Franks S. Diagnosing Polycystic Ovary Syndrome. Women's Health Medicine. May 2006 ; 3 (3) : 103-105.
4. Hart R. Definitions, Prevalence, and Symptoms of Polycystic Ovaries and Polycystic Ovary Syndrome. Best Practice and Research Clinical Obstetrics and Gynaecology. October 2004 : ; 18 (5) : 671-183.
5. Vigano P. et al. Endometriosis: Epidemiology and Aetiological Factors. Best Practice & Research Clinical Obstetrics & Gynaecology. April 2004 ; 18 (2) : 177-200.
6. Gupta S. et al. Clinical Presentation of Fibroids. Best Practice & Research Clinical Obstetrics & Gynaecology. August 2008 ; 22 (4) : 615-626.
7. Zegers-Hochschild F. et al. Infertility. International Encyclopaedia of Public Health. Elsevier Inc. 2008 : 576-587.
8. Colombo N. et al. Ovarian Cancer. Critical Reviews in Oncology/Haematology. November 2006 ; 60 (2) : 159-179.
9. Markowitz L. et al. Post-licensure monitoring of HPV vaccine in the United States. Vaccine. July 2010 ; 28 (30) : 4731–4737.

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Drug News

EU approves Octava Pink test (Eventus Diagnostics) for detecting Breast Cancer

10-05-2013

The EU have awarded CE mark approval to the Octava Pink breast cancer test, from Eventus Diagnostics. The test is one of a new class of rapid, accurate and cost-effective blood tests that measure cancer-specific autoantibodies to detect the presence or absence of Breast Cancer. The Octava confirmatory tests are designed to be used in conjunction with annual screening mammograms.

They...

FDA approves Diclegis (Duchesnay USA) for treatment of Nausea in pregnancy

10-04-2013

The FDA has approved Diclegis (doxylamine succinate/pyridoxine hydrochloride) delayed-release tablets, from Duchesnay USA, for the treatment of Nausea and vomiting of pregnancy (NVP) in women who do not respond to conservative management. The NDA submission was based on a 15-day double-blind, randomized, multi-center placebo-controlled trial studying pregnant women 18 years of age or older, 7...

US Court removes age limits on Plan B One Step contraceptive

08-04-2013

A U.S. District Judge Edward Korman in Brooklyn, NY, ruled the refusal by the FDA to remove age limits for the Plan B One Step morning after contraceptive pill had been "arbitrary, capricious and unreasonable,". He ordered that the "morning after" birth control pill be made freely available to girls of all ages without a prescription.

...

Women's Health and Obs/Gyn Drug Data - A-Z

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Recent Drug Updates

GYNO-DAKTARIN

10-05-2013

For the local treatment of vulvovaginal candidosis and superinfections due to gram-positive bacteria. ...

Yentreve 20mg and 40mg hard gastro-resistant capsules

08-05-2013

YENTREVE is indicated for women for the treatment of moderate to severe stress urinary incontinence (SUI)....

TOVIAZ Tablets

30-04-2013

Treatment of the symptoms (increased urinary frequency and/or urgency and/or urgency incontinence) that may occur in patients with overactive bladder syndrome. ...

Clinical Guidelines

Bevacizumab in combination with capecitabine for the first-line treatment of metastatic breast cancer

Aug 2012

Bevacizumab (Avastin, Roche) is a humanised anti-vascular endothelial growth factor (VEGF)..

... monoclonal antibody that inhibits VEGF-induced signalling and inhibits VEGF-driven angiogenesis. This reduces vascularisation of tumours, thereby inhibiting tumour growth. Bevacizumab is administered by intravenous infusion.

The Initial Management of Chronic Pelvic Pain

May 2012

The purpose of this guideline is to provide an evidence-based summary for the generalist to..

... facilitate appropriate investigation and management of women presenting for the first time with chronic pelvic pain.

Clinical Trials

Short-term Investigation of Resveratrol on Fat Metabolism in Morbidly Obese Women Undergoing Gastric Bypass Surgery

03-04-2013

The purpose of this study is to investigate potential metabolic effects of resveratrol in morbidly obese women undergoing gastric bypass surgery.

Bone Healing in Healthy and Post-menopausal Osteoporotic Women

26-03-2013

Both the pathogenesis and the treatment of osteoporosis may potentially interfere at different levels on the multi-stage complex cascade of events involved in bone healing/regeneration. To our knowledge no human studies have been performed to clarify the potential effect of osteoporosis on post-extraction alveolar..

... healing. The primary outcome of the study is to compare alveolar bone changes in width and height 3 months after tooth extraction in 15 post-menopausal osteoporotic women and 15 healthy pre or post menopausal women by the use of cone-beam computer tomography (CBCT) images. As secondary outcome the investigators put: changes in the external contour of the ridge together with periodontal parameters in the neighbouring teeth, tissue blood perfusion changes during the initial healing (assessed by laser doppler flowmetry) and levels of serum bone resorption/formation markers.

Medical Videos

An Overview of Techniques Involved in Gynaecological Surgeries
An Overview of Techniques Involved in Gynaecological Surgeries
New Developments in the Treatment of Breast Cancer
New Developments in the Treatment of Breast Cancer
Metastatic Breast Cancer - A Patient's View of Various Treatments Including Eribulin
Metastatic Breast Cancer - A Patient's View of Various Treatments Including Eribulin
An Explanation of the Treatments Available for Advanced and Secondary Cancers
An Explanation of the Treatments Available for Advanced and Secondary Cancers
An Overview of Clinical Trials for Breast Cancer
An Overview of Clinical Trials for Breast Cancer

Medical Journal Abstracts

Efficacy and safety of intraoperative intravenous methadone during general anaesthesia for caesarean delivery: a retrospective case-control study

International Journal of Obstetric Anesthesia
Dec 2012

Background: Most patients undergoing caesarean delivery with general anaesthesia require systemic opioid administration. Due to its rapid onset and long duration of action, intravenous methadone may make it suitable for analgesia after caesarean delivery. Intraoperative methadone combined with postoperative intravenous..

Insertion of an intrathecal catheter following accidental dural puncture: a meta-analysis

International Journal of Obstetric Anesthesia
Dec 2012

Background: Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. Methods: A systematic literature..

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