Focus On Women's And Mens Health

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG Guest: Kenan R. Omurtag, MD It is estimated that 3 to 5% of all couples desiring pregnancy will suffer recurrent pregnancy loss (RPL). What are our current understandings of this unfortunate condition, and how can patients be treated to support successful future pregnancies? Host Dr. Patrice Basanta-Henry discusses the many facets of this clinical issue with Dr Kenan Omurtag, Assistant Professor of the Division of Reproductive Endocrinology and Infertility at Washington University School of Medicine in St Louis, Missouri.

[Read the Article] Rates of genetic testing for BRCA1 and BRCA2 mutations have increased among younger women diagnosed with breast cancer, according to a new study. The study focused on nearly 900 women diagnosed with breast cancer at age 40 or younger. Researchers looked at rates of genetic testing, barriers to testing, and how the test results affected treatment decisions.In 2006, the rates of BRCA testing were in the seventy percent range and by 2012 that proportion rose to ninety-five percent. While the majority of women reported being tested for BRCA 1 and 2, many were not, and a small minority reported that no one had discussed genetic risk or testing options. The study authors note that the overall goal of genetic testing is to help women make informed treatment decisions. Assessment of a young woman's genetic risk after a breast cancer diagnosis can affect treatment decisions and the results can also have health implications for her relatives. [Watch more videos of The JAMA Report]

Host: Michael Krychman, MD Host Dr. Michael Krychman welcomes Dr. Risa Kagan to discuss the intimacy and sexuality issues that patients face when they are dealing with fragility fractures. Dr. Kagan is Clinical Professor of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco. Since October 2005, she has been practicing gynecology with the East Bay Physicians Medical Group. Dr. Kagan is also a medical consultant at the Foundation for Osteoporosis Research and Education (FORE), and principal investigator on several clinical research trials involving women’s health. She is a North American Menopause Society (NAMS) certified Menopause Practitioner and is certified by the International Society of Clinical Densitometry.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG What is the role and importance of the Ob-Gyn Oncologist, especially for women diagnosed with pelvic cancers? What are some barriers patients face in seeing an Ob-Gyn Oncoloogist? And how can clinicians better partner with this group of specialists? In this episode, host Dr. Renee Allen explores answers to these questions with guest expert Dr. Evelyn Reynolds, board certified physician in both General Obstetrics & Gynecology and Gynecologic Oncology. She is also an Associate Professor and Division Director of Gynecologic Oncology at the Morehouse School of Medicine.

Host: Brian P. McDonough, MD, FAAFP Reporting from the Caribbean island of Bonaire, Dr. Brian McDonough provides an update on local public sentiments and concerns around the continuing spread of Zika virus infections across the world.

Host: Stephen Cohen, MD Standards in cervical cancer detection methods have come a long way in the past 30 years, from cervical cytology to HPV co-testing and HPV primary screening. How did the OB/GYN community get here, and is the direction of current practice standards in sync with clinical preferences nationwide? Joining Dr. Stephen Cohen to discuss these and other questions at the Women's Health Annual Visit in Houston, TX is Dr. Thomas Cox, former Director of Gynecology and Colposcopy at the University of California-Santa Barbara Health Services Center and Past-President of the American Society of Colposcopy and Cervical Pathology.

[Read the Article] Women facing infertility often turn to in vitro fertilization (IVF). Although IVF technology has improved, there is still a widely held belief that if a woman doesn't experience a successful live birth after three or four IVF cycles, her chances of a successful live birth are very low. A new study looked at IVF success rates after repeated treatment cycles well beyond the third or fourth attempts.Researchers from the University of Bristol, in England reviewed the medical records of almost 160,000 women in the United Kingdom who underwent nearly 260,000 full IVF cycles between 2003 and 2010. They examined live birth rates among these women thru 2012.They found that women under the age of forty who used their own eggs had a 33 percent success rate within the first cycle. This rate remained at above 20 percent up to and including the fourth cycle. By the sixth cycle, women had a cumulative live birth rate of 68 percent. Women between ages forty and forty-two, also saw an increased success rate

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Guest: Patrice L Basanta-Henry, MD, MHSc, FACOG Cesarean sections are among the most common surgical procedures performed in the U.S. Yet despite its commonality, patients undergoing cesarean deliveries are far more likely to have difficult and unsatisfatcory birth experiences, leading to higher incidence rates of postpartum depression, bonding difficulties, and unsuccessful breast feeding. A novel approach to address this issue is being called the Family-Centered cesarean delivery. How does it work, and what are the distinct differences from traditional protocols? Host Dr. Renee Allen welcomes Dr. Patrice Basanta Henry, practicing Ob-Gyn & MFM at Atlanta Maternal Fetal Medicine, an affiliate of Mednax National Medical Group. Dr. Basanta-Henry’s clinical interests include intrauterine growth restriction and endocrine disorders in pregnancy.

Host: Thomas C. Wright, Jr., MD Guest: David Gandell, MD For women entering menopause, increased pain during intercourse is a common but little discussed problem which dramatically affects quality of life. While there are several treatment options available, many clinicians aren't up to date. Joining host Dr. Tom Wright to discuss current therapies for painful intercourse in this patient population is Dr. David Gandell, Clinical Professor of OB/GYN at the University of Rochester in Rochester, NY.

[Read the Article] The most common operation done worldwide is the cesarean or C-section. Cesarean delivery is lifesaving for obstructed labor and other obstetrical emergencies; however, as with any surgical procedure, there are risks of complications and overuse can be harmful to both mothers and newborns. There were about 22.9 million cesarean deliveries worldwide in 2012. Based on older analyses from the mid-1980s, the World Health Organization (WHO) recommends that cesarean delivery rates should not exceed 10 to 15 per 100 live births. In a study in the December 1 issue of JAMA, Harvard Researchers examine the relationship between cesarean delivery rates and maternal and infant death, and other adverse outcomes in children following planned cesarean delivery. The results indicate that the optimal cesarean delivery rate in relation to maternal and neonatal mortality is approximately 19 per 100 live births. Higher cesarean delivery rates were not associated with better outcomes in mothers and children. [Wat

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Pregnancy loss can occur in any trimester of pregnancy and for several possible reasons. For clinicians who treat pregnant patients, delivering the bad news of pregnancy loss is an avoidable part of practice. How do health care professionals best counsel these patients and their loved ones through these difficult times? Host Dr. Renee Allen joins Dr. Jocelyn Slaughter-Moore, practicing OB/GYN at Heras Healthcare for Women and attending physician at Clearview Regional Medical Center in Monroe, GA, to discuss counseling and coping strategies for patients who have experienced pregnancy loss.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG In the US, more than one half of pregnant women are overweight or obese, and 8% of reproductive-aged women are extremely obese, putting them at a greater risk of pregnancy complications. In this episode, we review the magnitude of the problem, the anatomic and physiologic factors specific to the obese patient, and the maternal and fetal complications that can occur. Host Dr. Renee Allen welcomes Dr. Patrice Basanta Henry, an Ob-Gyn & MFM at Atlanta Maternal Fetal Medicine, an affiliate of Mednax National Medical Group. Dr. Basanta-Henry’s clinical interests include intrauterine growth restriction and endocrine disorders in pregnancy.

Host: Ana Maria Rosario Guest: Anita L. Nelson, MD Current clinical definitions and terminology for vaginal bleeding often fail to clarify frequency, duration, and volume. Moreover, standards of treatment sometimes differ between obstetric and gynecological points of view. Taken together, the risks for misclassifying and mistreating women with acute excessive vaginal bleeding are preventably high. Joining host Ana Maria Rosario at Omnia Education's Women's Health Annual Visit in Pasadena, CA to discuss key considerations for acute excessive vaginal bleeding is Dr. Anita Nelson, Professor Emeritus at the David Geffen School of Medicine at UCLA.

[Read the Article] In the United States, it is estimated that approximately 230,000 women will be diagnosed with breast cancer, and more than 40,000 will die from the disease this year alone. Early detection using mammography remains the best way to prevent premature death from breast cancer. A panel of experts examined decades of research to update the American Cancer Society's (ACS) recommendations for breast cancer screening. Based on this review, the 2015 recommendations for breast cancer screening for women at average risk of cancer include the following:- Women should undergo regular screening mammography starting at age 45.- Women 45 to 54 years of age should be screened annually.- Women 55 years and older should transition to every other year screening or have the opportunity to continue annual screening.- Women should have the opportunity to begin annual screening between the ages of 40 and 44 years.- Women should continue screening mammography as long as their overall health is good and they have a

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Host Dr. Renee Allen welcomes Dr. Victoria Green, renowned breast cancer researcher and OB/GYN clinician. Dr. Green is an Associate Professor in the Department of Gynecology & Obstetrics at Emory University School of Medicine. She will review USPSTF recommendations of biennial mammograms compared to ACOG's recommendations, as well as differences in how we define 'breast awareness' versus breast self-examination. Join the discussion!

Host: Kathy King, RDN Guest: Angela Grassi Polycystic Ovary Syndrome, or PCOS, is the top cause of female infertility in the United States. Patients with PCOS often ask whether nutritional choices can affect both their quality of life and even their fertility. How should the clinician respond? Joining host Kathy King to investigate nutrition therapy for PCOS is dietitian Angela Grassi, author of PCOS: The Dietitian's Guide. Ms. Grassi is the founder of the PCOS Nutrition Center in Bryn Mawr, PA, dedicated to advocacy, education, and evidence-based research of this syndrome.

Host: Kathy King, RDN Guest: Lily Nichols Controlling blood sugar and weight gain in expectant patients with gestational diabetes can be challenging. But the move toward lower carbohydrate diets for these patients has shown promise in controlling diabetic progression through pregnancy. Joining host Kathy King to discuss the mechanisms and rationales behind this nutritional guidance is dietitian and certified diabetes educator Lily Nichols, author of Real Food for Gestational Diabetes.

Host: Kathy King, RDN Guest: Patsy Catsos FODMAPs are short chain carbohydrates (oligosaccharides), disaccharides, monosaccharides and related alcohols that are poorly absorbed in the small intestine. For patients with irritable bowel syndrome, Celiac disease, or inflammatory bowel disorders, ingestion of these carbohydrates can significantly worsen disease symptoms. How are low FADMAP diets constructed to control this nutritional issue, and where do patients need help and guidance maintaining these diets? Host Kathy King welcomes dietitian Patsy Catsos, author of IBS Free at Last. Ms. Catsos has a private practice in Portland, ME and has been an early adopter of the FODMAP approach for patients with functional bowel disorders.

Host: Michael Krychman, MD Guest: Sheryl A. Kingsberg, PhD Flibanserin's approval by the FDA for women with hypoactive sexual desire disorder (HSDD), touted by the press as the "Pink Viagra," created an enormous amount of media hype across the nation. But the facts on this drug's mechanism of action, intended benefits, adverse effects, and efficacy borne in clinical trials have gone largely under the radar. Joining Dr. Michael Krychman to discuss the rise of flibanserin and its key takeaways for clinicians is Dr. Sheryl Kingsberg, Chief of the Division of Behavioral Medicine in the Department of OB/GYN and Professor in the Departments of Reproductive Biology and Psychiatry at Case Medical Center University Hospitals in Cleveland, Ohio.

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Liz Joy, President-Elect of the American College of Sports Medicine, President of the Female Athlete Triad Coalition, and Adjunct Professor of Family & Community Health at the University of Utah School of Medicine. Their discussion centers on health maintenance for female athletes and the special factors that must be considered to care for this unique patient population.