Pregnancy of unknown location—meeting the challenge

Determining the location of very early pregnancies can be challenging.  A recent ACOG treatment bulletin reminded that “pregnancy of unknown location should not be considered a diagnosis, rather it should be treated as a transient state and efforts should be made to establish a definitive diagnosis when possible.” That these pregnancies could be ectopic calls for a time-driven evaluation. In the new edition of Contraceptive Technology (in press), Maureen Baldwin and Alison Edelman write that serial measurements of hCG concentration

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Big “yes” (with caveats) to CHCs ...

Combined hormonal contraceptives (CHCs) raise the greatest number of clin¬ical issues for patients in the perimenopausal age group, but they may also provide the greatest numbers of noncontraceptive benefits, according Amanda Black and Anita Nelson, writing in the soon to be published 21st edition of Contraceptive Technology. During the perimenopause, CHCs offer healthy candidates effective contraception as well as good cycle control (with the possibility of amenorrhea), decreased blood loss, treatment of vaso¬motor symptoms, at least partial protection against bone loss, and reduction in the risks of several cancers. These benefits must be weighed against additional health issues that can develop with age and that increase the risk of using an estrogen-containing contraceptive method.

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The role of IUDs (LNG IUDs, ...

For patients who need emergency contraception (EC) and wish to use an LNG IUD as their ongoing method of contraception, there is no need to delay IUD placement, according to James Trussell, Kelly Cleland, and E. Bimla Schwarz, writing in the new edition of Contraceptive Technology (CT). When an LNG IUD is placed at the time LNG EC pills are taken, pregnancy rates within 2 weeks have been less than 1%. Studies are now underway to assess the efficacy of the LNG IUD alone as EC, as the copper IUD is now used as EC.

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The Book
Pre-order sale.

Now available in a new 21st edition, this well-known text with more than 2 million copies in print has been the leading family planning resource... Read more
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Conferences
Covering the most important advances in women’s health and contraception, Contraceptive Technology is designed for health professionals just like you. Chaired by Dr. Robert Hatcher, the conference faculty includes the authors of the well-known reference text Contraceptive Technology, and other nationally known reproductive health experts. Conference topics include: new and future methods of contraception, sexuality issues, recurrent vaginitis, case studies, adolescent health, STD treatment, flexible OC management and much more.

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Conference Washington, DC
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Conference Atlanta
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Conference San Francisco

The “Contraceptive Technology” conferences will help you synthesize the data and translate the evidence into clinical “pearls” you can put directly into practice. With an array of Preconferences delving into selected specialty areas of interest, plenary sessions focusing on the “hottest” topics, a thought-provoking luncheon presentation, and 30 dynamic, interactive Concurrent Sessions, including hands-on workshops…this conference is certain to improve your clinical practice and expand your network of colleagues. Read more