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Sexually Transmitted Infection Considerations for Transgender and Gender Expansive Persons. 变性人和性别膨胀者的性传播感染问题。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-03-06 DOI: 10.1097/GRF.0000000000000934
Lydia A Fein, Staci Marbin, Rebecca Barnett, Makella Coudray
{"title":"Sexually Transmitted Infection Considerations for Transgender and Gender Expansive Persons.","authors":"Lydia A Fein, Staci Marbin, Rebecca Barnett, Makella Coudray","doi":"10.1097/GRF.0000000000000934","DOIUrl":"10.1097/GRF.0000000000000934","url":null,"abstract":"<p><p>Transgender and gender expansive persons (TGE) are at increased risk for sexually transmitted infections (STIs) compared with other demographic groups and face barriers to health care access that may limit their ability to obtain testing and treatment. Herein, we highlight unique, yet vital, aspects of STI screening and treatment in TGE persons utilizing a gender-affirming care approach, including best practices for gender-inclusive care and special considerations for TGE persons who have undergone gender-affirming hormone therapy and/or surgery. Opportunities exist to improve sexual health in TGE persons, which can be achieved through culturally competent, gender inclusive STI testing and treatment.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"213-222"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trichomoniasis and Other Sexually Transmitted Parasitic Diseases in Women. 妇女的滴虫病和其他性传播寄生虫病。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-14 DOI: 10.1097/GRF.0000000000000945
Christina A Muzny, Sheridan George, Patricia J Kissinger, Olivia T Van Gerwen
{"title":"Trichomoniasis and Other Sexually Transmitted Parasitic Diseases in Women.","authors":"Christina A Muzny, Sheridan George, Patricia J Kissinger, Olivia T Van Gerwen","doi":"10.1097/GRF.0000000000000945","DOIUrl":"10.1097/GRF.0000000000000945","url":null,"abstract":"<p><p>Parasitic sexually transmitted infections are spread through sexual contact (vaginal, oral, and/or anal sex). The majority of parasitic STIs involve protozoan pathogens (ie, Trichomonas vaginalis, Entamoeba histolytica, and Giardia duodenalis ); however, ectoparasitic infections ( Pthirus pubis and Sarcoptes scabiei ) are also included in this group. The purpose of this review is to provide a comprehensive summary of the epidemiology, pathogenesis, clinical manifestations, diagnosis, and treatment of parasitic sexually transmitted infections, with a particular focus on their impact on women.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"194-205"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates and Knowledge Gaps in Placenta Accreta Spectrum Biology. 胎盘增生谱生物学的最新进展和知识空白。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-21 DOI: 10.1097/GRF.0000000000000929
Lior Kashani-Ligumsky, Olivia Scott, Guadalupe Martinez, Anhyo Jeong, Ophelia Yin, Sohum Shah, Amanda Wang, Yazhen Zhu, Yalda Afshar
{"title":"Updates and Knowledge Gaps in Placenta Accreta Spectrum Biology.","authors":"Lior Kashani-Ligumsky, Olivia Scott, Guadalupe Martinez, Anhyo Jeong, Ophelia Yin, Sohum Shah, Amanda Wang, Yazhen Zhu, Yalda Afshar","doi":"10.1097/GRF.0000000000000929","DOIUrl":"10.1097/GRF.0000000000000929","url":null,"abstract":"<p><p>Placenta accreta spectrum (PAS) disorders have traditionally been characterized based on histopathologic grading, emphasizing the invasion of trophoblasts into the myometrium, and uterine serosa. Recent research has shifted the etiological understanding of PAS, moving away from the concept of aggressive trophoblast invasion to focusing on the critical role of scarred decidual-myometrial interface. This shift highlights the importance of defective scar tissue as a primary factor, reshaping prevention strategies, diagnostic accuracy, and treatment approaches for this increasingly prevalent iatrogenic and morbid pregnancy complication.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"310-316"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathologic Diagnosis of Placenta Accreta Spectrum. 胎盘增生谱的病理诊断。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1097/GRF.0000000000000924
Katelyn Dannheim
{"title":"Pathologic Diagnosis of Placenta Accreta Spectrum.","authors":"Katelyn Dannheim","doi":"10.1097/GRF.0000000000000924","DOIUrl":"10.1097/GRF.0000000000000924","url":null,"abstract":"<p><p>In an effort to parallel the terminology and guidelines adopted by the International Federation of Gynecology and Obstetrics (FIGO) and published in July 2019, a panel of expert obstetric and perinatal pathologists (the Placenta Accreta Task Force) was convened within the Perinatal Subcommittee of the Society for Pediatric Pathology (SPP) in October 2019 to create consensus recommendations for the pathologic diagnosis and reporting of Placenta Accreta Spectrum (PAS). This chapter will discuss the approach to gross and histopathologic examination of PAS, standardized pathologic classification system, and reporting guidelines.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"301-309"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexually Transmitted Infection Considerations Following Sexual Assault. 性侵犯后性传播感染的考虑。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-02-18 DOI: 10.1097/GRF.0000000000000928
Karley Dutra, Ariana L Lewis, Rachel Counts
{"title":"Sexually Transmitted Infection Considerations Following Sexual Assault.","authors":"Karley Dutra, Ariana L Lewis, Rachel Counts","doi":"10.1097/GRF.0000000000000928","DOIUrl":"10.1097/GRF.0000000000000928","url":null,"abstract":"<p><p>Sexual assault is common, disproportionately impacting women, persons of color, and young adults. Evaluation should include a history and exam, collection of forensic evidence, and evaluation for mental health disorders. Management of sexually transmitted infections (STI) is important, as 15% will acquire an STI. Prophylaxis is recommended for gonorrhea, chlamydia, and, for individuals with vaginas, trichomonas. HIV and hepatitis B post-exposure prophylaxis are indicated in high-risk scenarios. HPV vaccination is recommended. Follow-up and lab monitoring is indicated for up to 6 months. We aim to summarize up-to-date evidence on the screening, evaluation, and management of STIs following sexual assault.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"223-231"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Management of Placenta Accreta Spectrum Disorder. 胎盘增生谱系障碍的处理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-17 DOI: 10.1097/GRF.0000000000000942
Bridget M Donovan, Lisa C Zuckerwise
{"title":"The Management of Placenta Accreta Spectrum Disorder.","authors":"Bridget M Donovan, Lisa C Zuckerwise","doi":"10.1097/GRF.0000000000000942","DOIUrl":"10.1097/GRF.0000000000000942","url":null,"abstract":"<p><p>This chapter provides insight into current management strategies for the placenta accreta spectrum (PAS). PAS is one of the most morbid conditions of pregnancy, with significant maternal hemorrhage and surgical morbidity risks, and its increasing incidence. Here, we review the available data to help guide the clinical management of PAS, from time of diagnosis through delivery and postpartum care, while acknowledging the many areas of continued uncertainty. The evidence is strong for the importance of team-based, patient-centered, and multidisciplinary care for patients with PAS. However, much else remains uncertain and is predominantly guided by expert opinion. Ultimately, we aim to provide a current understanding of available literature and to emphasize that continued research is paramount to explore management and surgical approaches to move toward optimization of patient outcomes, including the patient experience.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"251-265"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gonorrhea and Chlamydia Infections in Women. 妇女淋病和衣原体感染。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-02-26 DOI: 10.1097/GRF.0000000000000931
Adrienne Pyle, Lindsay Garner, Cristina Wallace Huff
{"title":"Gonorrhea and Chlamydia Infections in Women.","authors":"Adrienne Pyle, Lindsay Garner, Cristina Wallace Huff","doi":"10.1097/GRF.0000000000000931","DOIUrl":"10.1097/GRF.0000000000000931","url":null,"abstract":"<p><p>This chapter provides an in-depth overview of gonorrhea and chlamydia, 2 common sexually transmitted infections (STIs) caused by the bacteria Neisseria gonorrhoeae and Chlamydia trachomatis , respectively. It covers their epidemiology, transmission, and risk factors, highlighting the global burden of these infections. It also describes the clinical manifestations of each disease, which range from asymptomatic to pelvic inflammatory disease and infertility. Diagnostic techniques are discussed alongside recommended treatment regimens and antibiotic resistance concerns. In addition, it explores prevention strategies and the importance of sexual health education and screening programs.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"164-169"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Placenta Accreta Spectrum Care in Middle-Resource Settings. 中等资源环境下胎盘增生谱护理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-03-11 DOI: 10.1097/GRF.0000000000000935
Albaro J Nieto-Calvache, José M Palacios-Jaraquemada, Rozi A Aryananda, Ahmed M Hussein
{"title":"Placenta Accreta Spectrum Care in Middle-Resource Settings.","authors":"Albaro J Nieto-Calvache, José M Palacios-Jaraquemada, Rozi A Aryananda, Ahmed M Hussein","doi":"10.1097/GRF.0000000000000935","DOIUrl":"10.1097/GRF.0000000000000935","url":null,"abstract":"<p><p>Management of the placenta accreta spectrum (PAS) in resource-limited settings poses significant challenges. Traditional approaches, which often involve hysterectomy and extensive technology in all the patients are being replaced by individualized treatment plans considering each patient's specific clinical situation, available resources, and team expertise. Using ultrasonographic and surgical staging based on PAS topographic classification can help design tailored surgical plans and optimize resource use. This article explores the need for personalized PAS management, safe surgical option selection, and how medical teams can adapt to provide more versatile treatment options in resource-constrained environments.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"290-300"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Viral Hepatitis. 病毒性肝炎。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1097/GRF.0000000000000938
Barbara Kate Snowden Neuhoff
{"title":"Viral Hepatitis.","authors":"Barbara Kate Snowden Neuhoff","doi":"10.1097/GRF.0000000000000938","DOIUrl":"10.1097/GRF.0000000000000938","url":null,"abstract":"<p><p>Viral hepatitis poses a significant public health challenge. Five types (A, B, C, D, E) have distinct transmission, prognosis, and management. Hepatitis A (HAV), spread through fecal-oral contamination, is typically self-limiting with supportive therapy. Hepatitis B (HBV) is sexually transmitted but may also be spread perinatally. HBV can progress into cirrhosis or hepatocellular carcinoma. Hepatitis C (HCV), a bloodborne virus, can also cause chronic infection and severe liver disease. Vaccination can prevent HAV and HBV; HCV is curable with antiviral therapy but lacks a vaccine. Pregnant patients and those with HIV require special management considerations. Here, we review the pathogenesis, diagnosis, treatment, and prevention of viral hepatitis.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"180-187"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genital Herpes Simplex Virus Infections in Women-A Clinical Update. 女性生殖器单纯疱疹病毒感染——临床最新进展
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2025-06-01 Epub Date: 2025-02-26 DOI: 10.1097/GRF.0000000000000933
Nir Meller
{"title":"Genital Herpes Simplex Virus Infections in Women-A Clinical Update.","authors":"Nir Meller","doi":"10.1097/GRF.0000000000000933","DOIUrl":"10.1097/GRF.0000000000000933","url":null,"abstract":"<p><p>Genital herpes is a relatively common chronic lower genital tract sexually transmitted infection caused by herpes simplex virus types 1 and 2 (HSV-1 and HSV-2). It is characterized by recurrent, self-limited genital ulcers, and it is the leading cause of genital ulcer disease worldwide (1). The impact of genital herpes on sexual and reproductive health, including the risk of perinatal infection, necessitates a profound understanding of its clinical presentation, diagnosis, treatment, and prevention. This chapter aims to review the critical clinical aspects of HSV in women, emphasizing relevant evidence-based data.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"170-179"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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