This review examines the complex medical issues that physicians must consider when treating transgender patients who are considering their reproductive options.

Melioidosis, a significant cause of mortality in endemic areas, has the potential to occupy new niches in the modern era, thus necessitating clearer treatment protocols for those patients most at risk, including pregnant women.

While body weight has no impact on reduction of hyperandrogenism, obesity plays a significant role on the metabolic impact of contraceptive therapy in women with polycystic ovary syndrome.

Placental mesenchymal dysplasia is an uncommon disease that is associated with obstetric and neonatal complications and can be detected early in pregnancy by ultrasound.

Circadian gene and protein expression is present in human granulosa cells.

With LNG-IUS 12 use, the frequency of ovarian cysts was minimally increased as compared to baseline. The vast majority of cysts were not clinically significant.

Patients with higher thyroid-stimulating hormone and thyroid autoantibodies had a higher miscarriage rate; thyroid autoantibodies did not influence the clinical pregnancy rate of the first in vitro fertilization cycles.

PECAM1-G allele, especially in combination with P-selectin-C allele, may be associated with implantation failure after in vitro fertilization in women with unexplained infertility.

The outcome of a 20-second delay of the embryo transfer catheter in the uterine cavity following blastocyst transfer is similar to that of immediate withdrawal of the catheter.

Irregular menses secondary to anovulation among morbidly obese women desiring pregnancy could potentially be viewed as an additional indication for bariatric surgery.

International medical graduates comprise 15% of the practicing obstetrician-gynecologists in the U.S.––lower than for all physicians––with variations in residency training, practice patterns, and board certification

Laparoscopic myomectomy with 2 operative trocars represents a safe and valid surgical approach in selected patients, while the 3-trocar technique remains the best choice for large and awkwardly located myomas.

Metoclopramide exposure, especially in high doses, may cause abortion and should be recommended for use during pregnancy only when the benefit outweighs the risk.

The authors present 2 cases of concomitant intrauterine morcellation of submucosal fibroids followed by second generation radiofrequency bipolar endometrial ablation in the management of menorrhagia.

We discuss the obstetric and neurosurgical management of a gravid patient with acute onset of hydrocephalus from growth of a subependymal giant-cell astrocytoma.

Massive fetal ascites without polyhydramnios can be an isolated finding associated with jejunal atresia and apple peel deformity.

This case demonstrates the difficulties in diagnosis and risk of hemorrhage after methotrexate administration for a cervical ectopic pregnancy with a younger gestational age and smaller gestational sac than has been reported previously.

The V-Go insulin infusion device appears to be a well-tolerated alternative to an insulin pump for the infusion of subcutaneous insulin during pregnancy.

An abdominal pregnancy or a chronic ectopic pregnancy can go undiagnosed and present as recurrent tubo-ovarian abscesses, caused by infection of the conceptus and necessitating definitive surgical treatment with hysterectomy.

The removal of Essure microinserts long after insertion time is feasible using a combined laparoscopic and hysteroscopic approach.

A pregnancy termination at 19 weeks’ gestation was complicated by the fetal spine having penetrated into the cervical stroma, necessitating follow-up surgery to recover it.

The authors present a case of postpartum hemorrhage due to a missed diagnosis of acute promyelocytic leukemia in pregnancy despite medical monitoring.