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1.

Abortion Training and Education

Committee Opinion Number 612, November 2014

(Replaces No. 424, January 2009)

ABSTRACT Access to safe abortion hinges upon the availability of trained abortion providers The American College of Obstetricians and Gynecologists supports education for students in health care fields as well as clinical training for residents and advanced practice clinicians in abortion care in ...

November 2014

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2.

Access to Contraception

Committee Opinion Number 615, January 2015

ABSTRACT Nearly all US women who have ever had sexual intercourse have used some form of contraception at some point during their reproductive lives However multiple barriers prevent women from obtaining contraceptives or using them effectively and consistently All women should have unhindered and...

January 2015

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3.

Access to Emergency Contraception

Committee Opinion Number 542, November 2012

ABSTRACT Emergency contraception includes contraceptive methods used to prevent pregnancy in the first few days after unprotected intercourse sexual assault or contraceptive failure Although the US Food and Drug Administration approved the first dedicated product for emergency contraception in 199...

November 2012

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4.

Access to Postpartum Sterilization

Committee Opinion Number 530, July 2012

(Reaffirmed 2014)

ABSTRACT Postpartum tubal sterilization is one of the safest and most effective methods of contraception Women who desire this type of sterilization typically undergo thorough counseling and informed consent during prenatal care and reiterate their desire for postpartum sterilization at the time o...

July 2012

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5.

Addressing Health Risks of Noncoital Sexual Activity

Committee Opinion Number 582, December 2013

(Replaces No. 417, September 2008, Reaffirmed 2015)

ABSTRACT Noncoital sexual behavior is a common expression of human sexuality which commonly cooccurs with coital behavior Sexually transmitted infections including human immunodeficiency virus HIV herpes simplex virus human papillomavirus hepatitis virus types A B and C syphilis gonorrhea and chla...

December 2013

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6.

Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices

Committee Opinion Number 539, October 2012

(Replaces Committee Opinion No. 392, December 2007, Reaffirmed 2014)

ABSTRACT Longacting reversible contraception LARCintrauterine devices and the contraceptive implantare safe and appropriate contraceptive methods for most women and adolescents The LARC methods are toptier contraceptives based on effectiveness with pregnancy rates of less than 1 per year for perfe...

October 2012

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7.

Adult Manifestations of Childhood Sexual Abuse

Committee Opinion Number 498, August 2011

(Reaffirmed 2015)

ABSTRACT Longterm effects of childhood sexual abuse are varied complex and often devastating Many obstetriciangynecologists knowingly or unknowingly provide care to abuse survivors and should screen all women for a history of such abuse Depression anxiety and anger are the most commonly reported e...

August 2011

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8.

Aromatase Inhibitors in Gynecologic Practice

Committee Opinion 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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9.

At-Risk Drinking and Alcohol Dependence: Obstetric and Gynecologic Implications

Committee Opinion Number 496, August 2011

(Reaffirmed 2013)

ABSTRACT Compared with men atrisk alcohol use by women has a disproportionate effect on their health and lives including reproductive function and pregnancy outcomes Obstetriciangynecologists have a key role in screening and providing brief intervention patient education and treatment referral for...

August 2011

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10.

Avoiding Inappropriate Clinical Decisions Based on False-Positive Human Chorionic Gonadotropin Test Results

Committee Opinion Number 278, November 2002

(Reaffirmed 2015)

ABSTRACT Clinically significant falsepositive human chorionic gonadotropin hCG test results are rare However some individuals have circulating factors in their serum eg heterophilic antibodies or nonactive forms of hCG that interact with the hCG antibody and cause unusual or unexpected test result...

November 2002

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11.

Benefits to Women of Medicaid Expansion Through the Affordable Care Act

Committee Opinion Number 552, January 2013

(Reaffirmed 2015)

ABSTRACT Many US women are uninsured and face avoidable adverse obstetric and gynecologic health outcomes The Affordable Care Act requires an expansion of Medicaid that would increase the percentage of US women with health insurance with the anticipated benefit of improved health The 2012 Supreme ...

January 2013

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12.

Brand Versus Generic Oral Contraceptives

Committee Opinion Number 375, August 2007

(Reaffirmed 2015)

ABSTRACT The US Food and Drug Administration considers generic and brand name oral contraceptive OC products clinically equivalent and interchangeable The American College of Obstetricians and Gynecologists supports patient or clinician requests for branded OCs or continuation of the same generic ...

August 2007

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13.

Breast and Labial Surgery in Adolescents

Committee Opinion 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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14.

Cervical Cancer Screening in Low-Resource Settings

Committee Opinion Number 624, February 2015

ABSTRACT Cytologybased cervical cancer screening programs require a number of elements to be successful Certain lowresource settings like the US Affiliated Pacific Islands lack these elements Implementing alternative cervical cancer screening strategies in lowresource settings can provide consiste...

February 2015

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15.

Choosing the Route of Hysterectomy for Benign Disease

Committee Opinion Number 444, November 2009

(Reaffirmed 2011)

Abstract Hysterectomies are performed vaginally abdominally or with laparoscopic or robotic assistance When choosing the route and method of hysterectomy the physician should take into consideration how the procedure may be performed most safely and costeffectively to fulfill the medical needs of ...

November 2009

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16.

Chronic Antithrombotic Therapy and Gynecologic Surgery

Committee Opinion Number 610, October 2014

ABSTRACT Surgery can present a management dilemma for gynecologists whose patients receive chronic antithrombotic therapy because the risk of hemorrhagic complications must be balanced against the risk of thromboembolic complications Interruption of antithrombotic therapy to reduce perioperative b...

October 2014

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17.

Compounded Bioidentical Menopausal Hormone Therapy

Committee Opinion Number 532, August 2012

(Reaffirmed 2016, Replaces No. 387, November 2007 and No. 322, November 2005)

ABSTRACT Although improvement in longterm health is no longer an indication for menopausal hormone therapy evidence supporting fewer adverse events in younger women combined with its high overall effectiveness has reinforced its usefulness for shortterm treatment of menopausal symptoms Menopausal ...

August 2012

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18.

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

Committee Opinion 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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19.

Depot Medroxyprogesterone Acetate and Bone Effects

Committee Opinion Number 602, June 2014

(Replaces Committee Opinion Number 415, September 2008)

ABSTRACT Depot medroxyprogesterone acetate DMPA is a highly effective injectable contraceptive that affords privacy and has a convenient dose schedule of four times per year making it appealing to many users especially adolescents Although the use of DMPA is associated with loss of bone mineral de...

June 2014

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20.

Direct-to-Consumer Marketing of Genetic Testing

Committee Opinion Number 409, June 2008

Reaffirmed 2016

ABSTRACT Marketing of genetic testing although similar to directtoconsumer advertising of prescription drugs raises additional concerns and considerations These include issues of limited knowledge among patients and health care providers of available genetic tests difficulty in interpretation of g...

June 2008

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American Congress of Obstetricians and Gynecologists
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