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Gynecologic Cancer and Lynch Syndrome: Identifying Genetic Variants Leads to Precision Treatment
Given 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.
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Nationally Recognized Health Equity Leader Appointed as Chair of UCSF Obstetrics and Gynecology Program
Andrea V. Jackson, MD, MAS, a highly regarded obstetrician, gynecologist and diversity champion, will draw on her experience in women’s reproductive health, training the next generation of caregivers and addressing systemic racism in her role as chair of UCSF Department of Obstetrics, Gynecology & Reproductive Sciences.
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How to Assign Malignancy Risk to Adnexal Masses Based on Imaging Features
Adoption 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.
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Screening for Cervical Cancer: New Evidence on Options and Outcomes
Gynecologic 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.
News
Brachytherapy Improves Outcomes for Cervical Cancer Patients
Patients 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.
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COVID-19 During Pregnancy Associated with Preterm Birth, UCSF-Led Study Finds
Pregnant 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.
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Prenatal Enzyme Replacement Therapy for Lysosomal Storage Diseases
Pregnant 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.
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Current Menopause Care: Understanding and Explaining a Patient’s Options
Gynecologist Mindy Goldman, MD, offers keys to individualizing care in menopause and beyond by looking at factors ranging from family history to having undergone hysterectomy.
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Chronic Pelvic Pain and Endometriosis: Part 2
Jeannette Lager, MD, describes a directed pelvic examination for chronic pelvic pain, including a general pelvic exam, Q-Tip test for vulvodynia, abdominal exam (including testing for Carnett’s Sign), an exam of the pelvic floor muscles and an assessment of myofascial trigger points.
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Menopause Management: New Strategies That Improve Women’s Lives
OB-GYN and reproductive health specialist Michael Policar, MD, MPH, offers an evidence-based guide to easing the symptoms of perimenopause and menopause.
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Chronic Pelvic Pain and Endometriosis: Part 3
Jeannette Lager, MD, details endometriosis treatment options including expectant management, hormonal medical treatments, hormonal modulating medications, pain management, integrative regimens and surgery. She also explains the importance of a multidisciplinary program to address this multifactorial condition.
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Chronic Pelvic Pain and Endometriosis: Part 1
Jeannette Lager, MD, describes the complex etiology of chronic pelvic pain, including its visceral, musculoskeletal and neuropathic causes, and presents a systemic approach to the assessment of a chronic pelvic pain patient.
News
UCSF’s First Medical Director of Robotic Surgery on Improving Patient Outcomes and Enabling Innovation
Thoracic surgeon Johannes Kratz, MD, has been selected as UCSF’s first medical director of robotic surgery.
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Updates from the American Society of Clinical Oncology (ASCO) 2017
A June 2017 Bay Area Breast Cancer Forum discussion of updates from the ASCO annual meeting, covering PARP inhibitors, germline BRCA mutations, HER2-positive cancer, patient-reported outcomes, immunotherapy and more. Moderator: Dr. Hope Rugo
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Contraceptive Game Changer: How Patients Can Benefit From the OTC Birth Control Pill
Family physician Montida Fleming, MD, who played a role in norgestrel (Opill)'s road to FDA approval, presents what providers need to know about this soon-to-be-available option, from mechanisms of action to the data on efficacy and safety.
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Halt the UTI Cycle: Tips and Techniques for Treating a Common Urinary Woe
Urogynecologist Abigail Shatkin-Margolis, MD, offers an update to help PCPs efficiently assess and treat patients prone to urinary tract infections, with a focus on both young and elderly adults.
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The Road to Motherhood: Simple Rules for Navigating Pregnancy in Primary Care
The 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?”
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Abnormal Uterine Bleeding: A Guide to Causes and Solutions
In 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.
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Navigating the Maze of Breast Cancer Guidelines: Efficient Paths to Personalized Screening
To 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.
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Gender-Specific Differences in Stroke Clinical Presentation and Risk Factors
Vineeta Singh, MD discusses sex-specific risk factors in women – including oral contraceptive use, carotid disease and obesity -- and examines whether these risk factors are adequately assessed.
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Fibroids: Overview and Current Treatments
Learn the facts about fibroids and various treatment options. Five case histories illustrate and explain myomectomy, MRI-guided focused ultrasound (MRGFUS), uterine artery embolization (UAE), laparoscopic radiofrequency ablation, and hysterectomy.
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Case Studies: Fibroids
Dr. Jeannette Lager presents case studies to illustrate hysteroscopic myomectomy, MRI-guided focused ultrasound (MRGFUS), uterine artery embolization (UAE), laparoscopic radiofrequency ablation and hysterectomy in the treatment of fibroids.
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Cancer Immunotherapy: Promise and Pitfalls
Oncologist David Oh speaks at the October 2017 Bay Area Breast Cancer Forum about key developments in immunotherapy like immune checkpoint inhibitors and T-cell therapies, plus its use in experimental approaches to breast cancer treatment.
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Guide to Early Pregnancy Problems: How to Explain Options and Navigate Discussions
In 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.
