April 26th, 2018

Volume 48
Number 6
Andrew J. Croak, D.O., John B. Gebhart, M.D., Christopher J. Klingele, M.D., and Raymond A. Lee, M.D.
A multisystem approach serves patients best and leads to improved self-image and sexual satisfaction.

Sarah J. Breese McCoy, Ph.D., J. Martin Beal, D.O., and Gary H. Watson, Ph.D.
Better understanding of the physiologic bases for depressive symptoms may lead to correction of the underlying pathology of PPD rather than treatment of symptoms.

Barbara D. Reed, M.D., M.S.P.H., Hope K. Haefner, M.D., and Lauren Cantor

Patrick F. Vetere, M.D., Sherri Putterman, M.D., and Erica Kesselman, M.D.
In elderly women with pelvic organ prolapse, extensive pelvic reconstructive surgery is safe and effective.

Burton Rochelson, M.D., Nidhi Vohra, M.D., J. Darvishzadeh, B.A., and Michelle Pagano, R.N.C.
A low prepregnancy percent ideal weight:height ratio may predispose women to the development of hyperemesis.

Mark G. Martens, M.D.
Antiresorptive therapy can reduce the risk of osteoporotic vertebral fracture, and bisphosphonates are also effective in reducing the risk of hip fracture in women with osteoporosis.

Bruno Deval, M.D., Arash Rafii, M.D., David Soriano, M.D., Emmanuel Samain, M.D., Ph.D., Michel Levardon, M.D., and Emile Dara´, M.D., Ph.D.
Vaginal hysterectomy can be performed successfully even in the case of greatly enlarged uteri; nulliparity and a history of pelvic surgery are not absolute contraindications.

Aubert Agostini, M.D., Florence Bretelle, M.D., Ludovic Cravello, M.D., Anne S. Maisonneuve, M.D., ValÚrie Roger, M.D., and Bernard Blanc, Ph.D.
Outpatient flexible hysteroscopy was feasible and well tolerated; local anesthesia should be reserved for postmenopausal women.

Antonio Cattaneo, M.D., Angelina De Magnis, M.D., Elena Botti, M.D., Lorella Sonni, M.D., Paolo Carli, M.D., and Gian Luigi Taddei, M.D.
MMF may be an effective alternative to the standard clobetasol regimen for vulvar LS, offering not only efficacy and improved compliance but also fewer side effects.

Isaac Blickstein, M.D., and Ran D. Goldman, M.D.
Birth weight-discordant twins are delivered at a more advanced gestational age than concordant twins in the total birth weight range of 3,000-5,000 g.

Takumi Kurabayashi, M.D., Ph.D., Hiroaki Kase, M.D., Ph.D., Mina Suzuki, M.D., Ph.D., Susumu Sugaya, M.D., Ph.D., Kazuyuki Fujita, M.D., Ph.D., and Kenichi Tanaka, M.D., Ph.D.
Of infertile women, 0.93% have endometrial abnormalities, and assisted reproductive technology combined with high-dose medroxyprogesterone acetate may restore fertility.

J. Christopher Carey, M.D., and William F. Rayburn, M.D.
Single and multiple nuchal cord encirclements alone do no impair fetal weight gain.

Michelle Francis, M.D., Oluyemi O. Badero, M.D., Mark Borowsky, M.D., Yi-Chun Lee, M.D., and Ovadia Abulafia, M.D.
Pericardial and pleural effusions in the presence of ascites may be associated with endometriosis.

Norma F. Chavez, M.D., Susan L. Zweizig, M.D., and Elizabeth A. Stewart, M.D.
Persistent pain after gynecologic surgery that does not respond to conventional therapy may have a neuropathic origin.

LT David M. Haas, MC, USN, LT Robert S. Meadows, MC, USN, LCDR Ricky Cottrell, MC, USN, and LCDR Wanda J. Stone, NC, USN
Postpartum lower extremity motor weakness is a rare complication of vaginal delivery that warrants an immediate evaluation and multiservice approach.

Cau Van Vo, M.D., Tung Van Dinh, M.D., and Gary D. V. Hankins, M.D.
Ultrasound is essentially the only tool for detecting asymptomatic rudimentary horn pregnancy prior to catastrophic rupture.

Hung-Shuo Liang, M.D., Cherng-Jye Jeng, M.D., Tzong-Chyi Sheen, M.D., Fa-Kung Lee, M.D., M.P.H., Yuh-Cheng Yang, M.D., and Chii-Ruey Tzeng, M.D., M.P.H.
Implantation within a cesarean scar may cause placenta percreta, leading to uterine rupture in the first trimester and mimicking other gynecologic emergencies.

Gennaro Cormio, Ph.D., Sabino Santamato, M.D., Antonella Vimercati, Ph.D., and Luigi Selvaggi, M.D.
A careful ultrasound examiniation should be performed on women who have undergone IVF-ET, and the possibility of abdominal pregnancy should be kept in mind.

Wing Yee Fok, MBChB, MRCOG, MHKCOG, Shing-Kai Yip, MBChB, MRCOG, MHKCOG, FHKAM (O&G), FHKCOG, Tse Ngong Leung, MBChB, M.Med.(O&G), MRCOG, MHKCOG, DCH, FHKAM(O&G), FHKCOG, Kam Fung Leung, MBChB, FRCS, and Albert Ka Keung Chui, MBBS (NSW), FRCS (Ed), FRACS, FCSHK, FHKAM (Surg)
A choledochal cyst in pregnancy is difficult to diagnose and poses a threat to mother and fetus.

Frank Z. Stanczyk, Ph.D., Sukanya Chaikittisilpa, M.D., and Subir Roy, M.D.


The opinions and statements in this journal are those of the authors and are not attributable to the sponsor, publisher, editors or editorial board of JRM. Product dosages, indications and methods of use referred to in the papers and discussions reflect the authors' clinical experience or are derived from other professional sources.