Sacrospinous colpopexy was effective in reestablishing upper vaginal support after vaginal hysterectomy in patients with uterovaginal prolapse.

In selected cases, the use of transvaginal ultrasound guidance during operative laparoscopy is beneficial.

In a high percentage of cases, electrosurgical loop excision offers the advantage (as compared to conventional punch biopsy) of diagnosing and treating premalignant lesions in a single visit.

Analysis of multiple semen specimens provides a reliable screen in the evaluation of male factor infertility when the goal is to minimize the false negative rate of screening tests.

Current smoking seems to reduce the risk of myomas.

The flare regimen with gonadotropin-releasing hormone agonist is useful for ovarian hyperstimulation in women with elevated basal follicle-stimulating hormone values undergoing in vitro fertilization.

In pregnancies with an unexplained elevated second-trimester MSAFP, the rate of adverse pregnancy outcomes is increased with higher elevations, mandating a strict program.

Endometrial resection, with its low cost and prompt recovery, offers a promising alternative treatment for women with abnormal uterine bleeding.

Third-year clerks tended to have higher National Board of Medical Examiner scores and final block grades in obstetrics-gynecology if they selected this rotation later in the academic year.

Pelvic inflammatory disease must be in the differential diagnosis of pelvic masses in reproductive-age women with history, clinical findings and markedly elevated CA-125 levels.

Hysterosalpingography remains the procedure of choice in the evaluation of diethylstilbestrol-associated uterine anomalies.

Subinvolution of the placental bed after molar pregnancy may be underdiagnosed after molar pregnancy and is a likely cause of continued bleeding following evacuation of the hydatidiform mole.

In 36 women, sacrospinous ligament fixation and repair of associated pelvic support defects did not produce dyspareunia unless vaginal narrowing was present.

This case was the first one of massive ovarian edema in a postmenopausal woman to be reported.

In this case of an ovarian serous tumor of low malignant potential, leuprolide acetate was effective as front-line therapy.

The family described here exemplifies the need for good-quality cytogenetic analyses, given the multiple miscarriages and the infant who died with malformations.

A woman with ovarian function after radiotherapy for a retroperitoneal hemangiopericytoma gave birth to an infant with intrauterine growth retardation.

This case illustrates that pyomyoma should be considered in the setting of a recent history of uterine instrumentation, signs of infection and a uterine myoma.

DMPA is a very effective form of contraception because of its multiple mechanisms of action and slow release into the circulation.

This article provides a conceptual model for patient counseling, highlights the significant points that should be included in counseling patients about DMPA and offers clinical suggestions.

For metabolic parameters and mood changes, case reports indicating adverse clinical outcomes are nearly absent from the literature despite widespread long-term international use of DMPA.

DMPA offers several distinct advantages over other contraceptive methods in adolescents, and satisfaction rates among adolesdent DMPA users is high.

For women with certain medical problems, DMPA may offer distinct advantages.

Except for a substantial reduction in the risk of endometrial adenocarcinoma, use of DMPA does not appear to influence reproductive tract cancer risks.

DMPA use is associated with reduced iron-deficiency anemia, protection against pelvic inflammatory disease, protection from endometrial cancer and improved hematologic parameters among users with sickle cell disease.