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1.

Management of Vulvar Intraepithelial Neoplasia

Number 675, October 2016

(Replaces Committee Opinion Number 509, November 2011)

ABSTRACT Vulvar intraepithelial neoplasia VIN is an increasingly common problem particularly among women in their 40s Although spontaneous regression has been reported VIN should be considered a premalignant condition Immunization with the quadrivalent or 9valent human papillomavirus vaccine which...

October 2016

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2.

Guiding Principles for Privileging of Innovative Procedures in Gynecologic Surgery

Number 674, September 2016

ABSTRACT New or emerging surgical procedures and technologies continue to be developed at a rapid rate and must be implemented safely into clinical practice Additional privileging may be required if substantively new technical or cognitive skills are required to implement an innovative procedure o...

September 2016

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3.

Persistent Vulvar Pain

Number 673, September 2016

(Replaces Committee Opinion No. 345, October 2006)

ABSTRACT Persistent vulvar pain is a complex disorder that frequently is frustrating to the patient and the clinician It can be difficult to treat and rapid resolution is unusual even with appropriate therapy Vulvar pain can be caused by a specific disorder or it can be idiopathic Idiopathic vulva...

September 2016

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4.

Perinatal Risks Associated With Assisted Reproductive Technology

Number 671, September 2016

(Replaces Committee Opinion No. 324, November 2005)

ABSTRACT Over the past decades the use of assisted reproductive technology ART has increased dramatically worldwide and has made pregnancy possible for many infertile couples Although the perinatal risks that may be associated with ART and ovulation induction are much higher in multifetal gestatio...

September 2016

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5.

Planned Home Birth

Number 669, August 2016

(Replaces Committee Opinion Number 476, February 2011)

ABSTRACT In the United States approximately 35000 births 09 per year occur in the home Approximately one fourth of these births are unplanned or unattended Although the American College of Obstetricians and Gynecologists believes that hospitals and accredited birth centers are the safest settings ...

August 2016

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6.

Menstrual Manipulation for Adolescents With Physical and Developmental Disabilities

Number 668, August 2016

(Replaces Committee Opinion Number 448, December 2009)

ABSTRACT For an adolescent with physical disabilities intellectual disabilities or both and for her caregivers menstruation can present significant challenges If after an evaluation the adolescent her family and the obstetriciangynecologist have decided that menstrual intervention is warranted adv...

August 2016

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7.

Aromatase Inhibitors in Gynecologic Practice

Number 663, June 2016

(Replaces Committee Opinion Number 412, August 2008)

ABSTRACT Aromatase inhibitors have been used for the treatment of breast cancer ovulation induction endometriosis and other estrogenmodulated conditions For women with breast cancer bone mineral density screening is recommended with longterm aromatase inhibitor use because of risk of osteoporosis ...

June 2016

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8.

Breast and Labial Surgery in Adolescents

Number 662, May 2016

ABSTRACT The obstetriciangynecologist may receive requests from adolescents and their families for advice surgery or referral for conditions of the breast or vulva to improve appearance and function Appropriate counseling and guidance of adolescents with these concerns require a comprehensive and ...

May 2016

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9.

Integrating Immunizations Into Practice

Number 661, April 2016

ABSTRACT Immunization against vaccinepreventable diseases is an essential component of womens primary and preventive health care Despite the importance of vaccination and clear guidance from public health agencies rates of vaccination lag behind national goals Obstetriciangynecologists can play a ...

April 2016

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10.

Family Building Through Gestational Surrogacy

Number 660, March 2016

(Replaces Committee Opinion No. 397, February 2008)

ABSTRACT Gestational surrogacy is an increasingly common form of family building that can allow individuals or a couple to become parents despite circumstances in which carrying a pregnancy is biologically impossible or medically contraindicated The practice of gestational surrogacy involves a wom...

March 2016

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11.

The Use of Vaginal Estrogen in Women With a History of Estrogen-Dependent Breast Cancer

Number 659, March 2016

ABSTRACT Cancer treatment should address femalespecific survivorship issues including the hypoestrogenicrelated adverse effects of cancer therapies or of natural menopause in survivors Systemic and vaginal estrogen are widely used for symptomatic relief of vasomotor symptoms sexual dysfunction and...

March 2016

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12.

Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus Infections in Obstetrician–Gynecologists

Number 655, February 2016

ABSTRACT To prevent transmission of bloodborne pathogens it is important that health care providers adhere to standard precautions follow fundamental infectioncontrol principles and use appropriate procedural techniques All obstetriciangynecologists who provide clinical care should receive the hep...

February 2016

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13.

Reproductive Life Planning to Reduce Unintended Pregnancy

Number 654, February 2016

ABSTRACT Approximately one half 51 of the 6 million pregnancies each year in the United States are unintended A reproductive life plan is a set of personal goals regarding whether when and how to have children based on individual priorities resources and values A lack of reproductive life planning...

February 2016

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14.

Concerns Regarding Social Media and Health Issues in Adolescents and Young Adults

Number 653, February 2016

ABSTRACT Although there are many positive aspects of social media for adolescents and young adults there are also risks Adolescence is a time of significant developmental changes during which adolescents exhibit a limited capacity for selfregulation and an increased risk of susceptibility to peer ...

February 2016

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15.

Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign

Number 651, December 2015

(Replaces Committee Opinion 349, November 2006)

ABSTRACT Despite variations worldwide and within the US population median age at menarche has remained relatively stablebetween 12 years and 13 yearsacross wellnourished populations in developed countries Environmental factors including socioeconomic conditions nutrition and access to preventive h...

December 2015

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16.

Dual Therapy for Gonococcal Infections

Number 645, November 2015

ABSTRACT Gonorrhea is the second most commonly reported bacterial sexually transmitted disease in the United States with an estimated 820000 new Neisseria gonorrhoeae infections occurring each year Antimicrobial resistance limits treatment success heightens the risk of complications and may facili...

November 2015

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17.

Identification and Referral of Maternal Genetic Conditions in Pregnancy

Number 643, October 2015

ABSTRACT Advances in the understanding of genetic conditions reproductive technologies and improved medical and surgical care have enabled an increasing number of women with genetic conditions to achieve a normal pregnancy outcome However management of certain genetic conditions during pregnancy i...

October 2015

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18.

Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy

Number 642, October 2015

(Replaces Committee Opinion Number 450, December 2009)

ABSTRACT Unintended pregnancy persists as a major public health problem in the United States Although lowering unintended pregnancy rates requires multiple approaches individual obstetriciangynecologists may contribute by increasing access to contraceptive implants and intrauterine devices Obstetr...

October 2015

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19.

Human Papillomavirus Vaccination

Number 641, September 2015

(This Committee Opinion Replaces Committee Opinion Number 588)

ABSTRACT Human papillomavirus HPV is associated with the development of anogenital cancer including cervical vaginal vulvar penile and anal oropharyngeal cancer and genital warts Human papillomavirus vaccination can significantly reduce the incidence of anogenital cancer and genital warts Despite ...

September 2015

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20.

The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist

Number 639, September 2015

ABSTRACT Information from vital records is critical to identify and quantify healthrelated issues and to measure progress toward quality improvement and public health goals In particular maternal and infant mortality serve as important indicators of the nations health thereby influencing policy de...

September 2015

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American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998