{"title":"Obstructive Anomalies of the Reproductive Tract","authors":"A. Dubinskaya, V. Gomez-Lobo","doi":"10.1097/01.PGO.0000475429.56494.26","DOIUrl":"https://doi.org/10.1097/01.PGO.0000475429.56494.26","url":null,"abstract":"Abnormalities of the reproductive tract are not rare; they occur in approximately 7% of women.1 When they are associated with obstruction of the outflow tract, a young, postpubertal woman may present with absent menses, cyclic abdominal pain, pelvic masses (due to endometrioma or hematocolpos), and/or infection (in cases of microperforation). It is important for gynecologists to be aware of these conditions to prevent long-term complications such as endometriosis and infertility.2 In addition, understanding of the embryology that may explain the resulting anatomy is essential so that optimal surgical repair is performed. Repair of some of these conditions is difficult and often is associated with significant complications; whereas others, such as imperforate hymen, can be managed with low complication rates. Because proper diagnosis and thorough understanding of these anomalies can be complex, there is a gap between ideal and common practice. This article reviews obstructive anomalies, their evaluation, and management. Although the anomalies discussed herein occur occasionally in conjunction with disorders of sex development or cloacal malformations, these latter conditions are more complex and are not discussed here.","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132043115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Urogenital Fistula in High-Income Settings: A Review Of the Presentation, Evaluation, and Management of Vesico- and Rectovaginal Fistulae","authors":"Margo S. Harrison, R. Goldenberg","doi":"10.1097/01.PGO.0000473672.80980.52","DOIUrl":"https://doi.org/10.1097/01.PGO.0000473672.80980.52","url":null,"abstract":"","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125753813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Approach to the Transgender Patient","authors":"J. Jarin, V. Gomez-Lobo","doi":"10.1097/01.PGO.0000473474.76379.EE","DOIUrl":"https://doi.org/10.1097/01.PGO.0000473474.76379.EE","url":null,"abstract":"","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123966150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Colon Cancer Screening: A Clinical Update for the Obstetrician/Gynecologist","authors":"R. Vrees","doi":"10.1097/01.PGO.0000472685.67188.16","DOIUrl":"https://doi.org/10.1097/01.PGO.0000472685.67188.16","url":null,"abstract":"","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123777319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Update on Uterine Sarcomas","authors":"Kristina M. Conigliaro, Christine H. Kim","doi":"10.1097/01.PGO.0000472179.70217.f6","DOIUrl":"https://doi.org/10.1097/01.PGO.0000472179.70217.f6","url":null,"abstract":"","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"446 1-3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132436087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preimplantation Genetic Screening: What 25 Years Has Taught Us","authors":"S. Lalwani, J. Witmyer, N. Gaba, D. Frankfurter","doi":"10.1097/01.PGO.0000471712.79930.33","DOIUrl":"https://doi.org/10.1097/01.PGO.0000471712.79930.33","url":null,"abstract":"The use of preimplantation genetic diagnosis (PGD) has expanded from being a method to prevent the transmission of know genetic defects, to becoming a screening tool, preimplantation genetic screening (PGS) to evaluate embryos for aneuploidy in the absence of a known genetic defect. The goal of PGS is to improve pregnancy rates by assessing the aneuploidy status of all embryos and transferring only those found to be euploid. Because this technology is progressing so quickly, there is a gap between typical practice and what may be possible through these new techniques. This article traces the 25-year history of PGD and PGS. It reviews the initial challenges, provides a summary of the advances in the technology, and describes how PGS and PGD can both increase pregnancy rates and decrease genetic conditions. After reading this article, the obstetrician/gynecologist should be better able to understand which patients would benefit from this technology, and appropriately refer patients for these techniques. Origins of PGD","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115556400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oocyte Donation and Cryopreservation: From Retrieval to the Bank","authors":"A. Eskew, B. Hurst","doi":"10.1097/01.PGO.0000470946.99212.b0","DOIUrl":"https://doi.org/10.1097/01.PGO.0000470946.99212.b0","url":null,"abstract":"","PeriodicalId":208056,"journal":{"name":"Postgraduate Obstetrics & Gynecology","volume":"28 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125963062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}