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81.

Preexposure Prophylaxis for the Prevention of Human Immunodeficiency Virus

Committee Opinion Number 595, May 2014

Abstract Preexposure prophylaxis is defined as the administration of antiretroviral medications to individuals who are not infected with human immunodeficiency virus HIV and are at the highest risk of acquiring HIV infection In combination with other proven HIVprevention methods preexposure prophy...

May 2014

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82.

Preparing for Clinical Emergencies in Obstetrics and Gynecology

Committee Opinion Number 590, March 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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83.

Primary Ovarian Insufficiency in Adolescents and Young Women

Committee Opinion Number 605, July 2014

(Reaffirmed 2016)

ABSTRACT Primary ovarian insufficiency is the depletion or dysfunction of ovarian follicles with cessation of menses before age 40 years There is no consensus on criteria to identify primary ovarian insufficiency in adolescents and delay in diagnosis is common Health care providers who make this c...

July 2014

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84.

Professional Liability and Gynecology-Only Practice

Committee Opinion Number 567, July 2013

(Replaces No. 408, June 2008, Reaffirmed 2015)

ABSTRACT Fellows of the American College of Obstetricians and Gynecologists may choose to limit the scope of their practices to gynecology and accordingly may choose not to carry professional liability coverage for obstetrics The American College of Obstetricians and Gynecologists considers early ...

July 2013

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85.

Reprocessed Single-Use Devices

Committee Opinion Number 537, October 2012

(Reaffirmed 2014)

ABSTRACT The reprocessing and reuse of singleuse instruments has become increasingly common Although there are limited data on reprocessed singleuse devices existing studies have found a significant rate of physical defects performance issues or improper decontamination There are currently no data...

October 2012

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86.

Reproductive and Sexual Coercion

Committee Opinion Number 554, February 2013

ABSTRACT Reproductive and sexual coercion involves behavior intended to maintain power and control in a relationship related to reproductive health by someone who is was or wishes to be involved in an intimate or dating relationship with an adult or adolescent This behavior includes explicit attem...

February 2013

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87.

Reproductive Health Care for Incarcerated Women and Adolescent Females

Committee Opinion Number 535, August 2012

ABSTRACT Increasing numbers of women and adolescent females are incarcerated each year in the United States and they represent an increasing proportion of inmates in the US correctional system Incarcerated women and adolescent females often come from disadvantaged environments and have high rates ...

August 2012

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88.

Reproductive Life Planning to Reduce Unintended Pregnancy

Committee Opinion 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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89.

Risk of Venous Thromboembolism Among Users of Drospirenone-Containing Oral Contraceptive Pills

Committee Opinion Number 540, November 2012

(Reaffirmed 2016)

ABSTRACT Although the risk of venous thromboembolism is increased among oral contraceptive users compared with nonusers who are not pregnant and not taking hormones and some data have suggested that use of drospirenonecontaining pills has a higher risk of venous thromboembolism this risk is still ...

November 2012

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90.

Robotic Surgery in Gynecology

Committee Opinion Number 628, March 2015

ABSTRACT The field of robotic surgery has developed rapidly and its use for gynecologic conditions has grown exponentially Surgeons should be skilled at abdominal and laparoscopic approaches for a specific procedure before undertaking robotic approaches Surgeon training competency guidelines and q...

March 2015

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91.

Salpingectomy for Ovarian Cancer Prevention

Committee Opinion Number 620, January 2015

ABSTRACT Ovarian cancer has the highest mortality rate out of all types of gynecologic cancer and is the fifth leading cause of cancer deaths among women Current attempts at screening for ovarian cancer have been unsuccessful and are associated with falsepositive test results that lead to unnecess...

January 2015

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92.

Sexual Assault

Committee Opinion Number 592, April 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 499, August 2011)

ABSTRACT Reproductiveaged victims of sexual assault are at risk of unintended pregnancy sexually transmitted infections and mental health conditions including posttraumatic stress disorder Health care providers should screen routinely for a history of sexual assault and offer victims both emergenc...

April 2014

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93.

Solutions for Surgical Preparation of the Vagina

Committee Opinion Number 571, September 2013

(Reaffirmed 2015)

ABSTRACT Currently only povidoneiodine preparations are approved for vaginal surgicalsite antisepsis However there are compelling reasons to consider chlorhexidine gluconate solutions for offlabel use in surgical preparation of the vagina especially in women with allergies to iodine Although chlor...

September 2013

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94.

Sterilization of Women Including Those With Mental Disabilities

Committee Opinion Number 371, July 2007

Reaffirmed 2016

ABSTRACT Sterilization like any other surgical procedure must be carried out under the general ethical principles of respect for autonomy beneficence and justice Women requesting sterilization should be encouraged to discuss their decision and associated issues with their husbands or other appropr...

July 2007

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95.

Tamoxifen and Uterine Cancer

Committee Opinion Number 601, June 2014

(Replaces Committee Opinion Number 336, June 2006)

ABSTRACT Tamoxifen a nonsteroidal antiestrogen agent is widely used as adjunctive therapy for women with breast cancer and it has been approved by the US Food and Drug Administration for adjuvant treatment of breast cancer treatment of metastatic breast cancer and reduction in breast cancer incide...

June 2014

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96.

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

Committee Opinion 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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97.

The Initial Reproductive Health Visit

Committee Opinion Number 598, May 2014

(Replaces Committee Opinion Number 460, July 2010, Reaffirmed 2016)

ABSTRACT The initial visit for screening and the provision of reproductive preventive health care services and guidance should take place between the ages of 13 years and 15 years The initial reproductive health visit provides an excellent opportunity for the obstetriciangynecologist to start a pa...

May 2014

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98.

The Limits of Conscientious Refusal in Reproductive Medicine

Committee Opinion Number 385, November 2007

Reaffirmed 2016

ABSTRACT Health care providers occasionally may find that providing indicated even standard care would present for them a personal moral problema conflict of conscienceparticularly in the field of reproductive medicine Although respect for conscience is important conscientious refusals should be l...

November 2007

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99.

The Role of the Obstetrician-Gynecologist in the Early Detection of Epithelial Ovarian Cancer

Committee Opinion Number 477, March 2011

(Replaces No. 280, December 2002)

ABSTRACT Epithelial ovarian cancer is most commonly detected in an advanced stage when the overall 5year survival rate is 2030 Detection of earlystage ovarian cancer results in improved survival Currently there is no effective strategy for ovarian cancer screening Women with persistent and progres...

March 2011

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100.

The Role of Transvaginal Ultrasonography in the Evaluation of Postmenopausal Bleeding

Committee Opinion Number 440, August 2009

(Reaffirmed 2015)

ABSTRACT The clinical approach to postmenopausal bleeding requires prompt and efficient evaluation to exclude or diagnose carcinoma Women with postmenopausal bleeding may be assessed initially with either endometrial biopsy or transvaginal ultrasonography this initial evaluation does not require p...

August 2009

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American Congress of Obstetricians and Gynecologists
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