In Utero Enzyme Replacement TherapyPregnant patients with a diagnosed fetal lysosomal storage disease may have the opportunity to receive a promising treatment that could improve their babies’ health after birth.
Advances in Breast Cancer Care: Individualized Screening, Treatments and Follow-UpKaren Goodwin, DO, covers everything from how to answer patients’ questions on mammogram frequency to how to counsel them on breast cancer prevention.
Placenta Accreta Spectrum Disorder: Proven Strategies from a Multidisciplinary TeamPlacenta accreta spectrum disorder is a varied and increasingly common complication of pregnancy, so ob/gyns need a firm grasp of risk factors and ultrasound signs.
UCSF and I-SPY 2 Breast Cancer Researchers Develop Newly Redefined Breast Cancer Response SubtypesResearch scientists and statisticians from UC San Francisco have developed improved biomarker classifications as part of their research results in the I-SPY 2 trial for high-risk breast cancer patients.
Navigating the Maze of Breast Cancer Guidelines: Efficient Paths to Personalized ScreeningTo help PCPs address patients’ breast cancer screening concerns, surgeon Shoko Emily Abe, MD, FACS, breaks down the multitude of screening directives and modalities, with a focus on the needs of those at average risk and those with dense breast tissue.
New Guidance for Reducing Medication-Related Dementia Risk in Patients With Overactive BladderThis consensus paper is designed to update urologists and other healthcare providers who prescribe anticholinergics about the risks of these medications and help guide them on when to use anticholinergics and when it is appropriate to use alternatives.
Urinary Misery: How to Help Female Patients With Persistent DysuriaIn this resource-packed talk, urogynecologist Caitlyn E. Painter, DO, explains how to categorize causes, what to understand about urine cultures and other tests, and the latest evidence on which treatments help patients.
Pelvic Organ Prolapse: Better Terms and Effective Strategies for Primary Care ManagementUrogynecologist Caitlyn E. Painter, DO, explains why the anxiety-provoking condition requires sensitivity from providers and how they can help patients understand the problem and find a solution – from Kegels to surgery – that suits them.
Abortion Ban May Increase Risk of Death for Pregnant Women with CancerThe repercussions of overturning Roe v. Wade – and the failure of the Supreme Court to provide any guidance on exceptions related to the life and health of the mother – are potentially catastrophic for a subset of women who face a life-threating diagnosis of pregnancy associated cancers (PAC).
Brachytherapy Improves Outcomes for Cervical Cancer PatientsPatients with locally advanced cervical cancer who receive chemoradiation therapy and brachytherapy and complete treatment within eight weeks have a superior overall survival rate compared to those who don’t receive this treatment, according to a UCSF study.
Abnormal Uterine Bleeding: A Guide to Causes and SolutionsIn this straightforward talk, Tami Serene Rowen, MD, MS, FACOG clarifies how to distinguish abnormal from normal menses; breaks down the many reasons, both structural and hormonal, for the problem; and provides specifics on medical management – from doses to side effects – as well as surgical options and her favored techniques.
Dry Days Ahead: Effective Strategies for Common Urinary ComplaintsWhile stress incontinence and overactive bladder may not be life-threatening, they can be life-diminishing. Yet, with the stepped care approach presented by urologic surgeon Anne M. Suskind, MD, MS, FACS, clinicians can find a remedy to help almost any patient.
Approaching Endometriosis: Deliver the Right Care for Individual PatientsGynecologist Jeannette Lager, MD, MPH, associate director of the UCSF Endometriosis Center, offers a thorough update on this painful condition impacting around 10% of U.S. women.
Motherhood After Chemo: Current Approaches to Fertility PreservationIn the past, young women newly diagnosed with cancer typically received no fertility counseling or were assured they’d be fine if their periods resumed after treatment.Mitchell Rosen, MD, explains, it’s a more hopeful world for these patients, with better ways to predict the likelihood of ovarian failure or early menopause.
How to Assign Malignancy Risk to Adnexal Masses Based on Imaging FeaturesAdoption of the Ovarian-Adnexal Reporting and Data System (O-RADS) by UCSF radiologists, gynecologists and gynecologic oncologists has reduced ambiguity in ultrasound (US) and MRI reporting of ovarian and adnexal lesions, with enormous potential to improve patient outcomes.
Current Menopause Care: Understanding and Explaining a Patient’s OptionsGynecologist Mindy Goldman, MD, offers keys to individualizing care in menopause and beyond by looking at factors ranging from family history to having undergone hysterectomy.
Gynecologic Cancer and Lynch Syndrome: Identifying Genetic Variants Leads to Precision TreatmentGiven the increased risks associated with Lynch syndrome for gynecologic, colon and other cancers, physicians at the UCSF Gynecologic Oncology Center now approach testing, surveillance and treatment based on each patient’s individual genetic risk.
The Road to Motherhood: Simple Rules for Navigating Pregnancy in Primary CareThe PCP is the first line of care for women planning or beginning a pregnancy, and their questions range from “Which vitamins do I need?” to “Should I get genetic testing?”
Screening for Cervical Cancer: New Evidence on Options and OutcomesGynecologic oncologist Megan Swanson, MD, MPH, deciphers recent changes to cervical cancer screening guidelines and uses the data to illuminate the relative value of test options – Pap smears, detection of high-risk HPV strains, or both tests together.
Guide to Early Pregnancy Problems: How to Explain Options and Navigate DiscussionsIn early pregnancy, common issues range from bleeding to ectopic attachment to miscarriage, and patients need accurate information and gentle guidance. Here’s help with delivering news and sharing decisions, including how to answer questions on specific management choices and whether a problem now signifies future pregnancy difficulties.
Contraceptive Counseling: Simple Techniques for Complicated PatientsWith rates of both chronic illness and maternal mortality rising in the U.S., reproductive planning is an essential part of primary care. Offering a variety of approaches to these discussions, OB-GYN Tania Basu Serna, MD, MPH, breaks down contraceptive options and explains how to help individuals make the best choices for their lives.
COVID-19 During Pregnancy Associated with Preterm Birth, UCSF-Led Study FindsPregnant people infected with COVID-19 face an increased risk of very preterm birth (VPTB), preterm birth (PTB) or early term birth, according to a large population-based study led by researchers at UC San Francisco.
Menopause Management: New Strategies That Improve Women’s LivesOB-GYN and reproductive health specialist Michael Policar, MD, MPH, offers an evidence-based guide to easing the symptoms of perimenopause and menopause.
Keeping Babies in the Picture: How to Address Fertility Concerns in Primary CareReproductive endocrinologist and fertility specialist Eleni Greenwood Jaswa, MD, MSc, presents a practical guide to helping patients concerned about failure to conceive.