Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women

Number 557

ABSTRACT: Initial evaluation of the patient with acute abnormal uterine bleeding should include a prompt assessment for signs of hypovolemia and potential hemodynamic instability. After initial asses...

Reprocessed Single-Use Devices

Number 537

ABSTRACT: The reprocessing and reuse of single-use instruments has become increasingly common. Although there are limited data on reprocessed single-use devices, existing studies have found a signifi...

Access to Postpartum Sterilization

Number 530

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 inform...

Vaginal Placement of Synthetic Mesh for Pelvic Organ Prolapse

Number 513

ABSTRACT: Since 2004, use of synthetic mesh has increased in vaginal surgery for the treatment of pelvic organ prolapse. However, concerns exist about the safety and efficacy of transvaginally placed...

Health Care for Transgender Individuals

Number 512

ABSTRACT: Transgender individuals face harassment, discrimination, and rejection within our society. Lack of awareness, knowledge, and sensitivity in health care communities eventually leads to inade...

Ethical Considerations for Performing Gynecologic Surgery in Low-Resource Settings Abroad

Number 466

ABSTRACT: International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services. The Committees on Ethics and Global W...

Use of Hysterosalpingography After Tubal Sterilization

Number 458

ABSTRACT: The U.S. Food and Drug Administration has approved two devices for hysteroscopic tubal sterilization. To minimize the failure rates of these effective methods, it is important for health c...

Choosing the Route of Hysterectomy for Benign Disease

Number 444

(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 considera...

Surgery and Patient Choice

Number 395

ABSTRACT: Acknowledgment of the importance of patient autonomy and increased patient access to information has prompted more patient–generated requests for surgical interventions not necessarily reco...

Supracervical Hysterectomy

Number 388

(Reaffirmed 2010)

ABSTRACT: Women with known or suspected gynecologic cancer, current or recent cervical dysplasia, or endometrial hyperplasia are not candidates for a supracervical procedure. Patients electing suprac...

Vaginal "Rejuvenation" and Cosmetic Vaginal Procedures

Number 378

ABSTRACT: So-called "vaginal rejuvenation," "designer vaginoplasty," "revirgination," and "G-spot amplification" are vaginal surgical procedures being offered by some practitioners. These procedures ...

The Role of Cystourethroscopy in the Generalist Obstetrician-Gynecologist Practice

Number 372

(Reaffirmed 2010)

ABSTRACT: Cystourethroscopy can be performed for diagnostic and a few operative indications by obstetrician–gynecologists to help improve patient care. Perhaps the most important indications for cyst...

Vaginal Agenesis Diagnosis Management and Routine Care

Number 355

(Reaffirmed 2009, Replaces No. 274, July 2002)

ABSTRACT: Vaginal agenesis occurs in 1 of every 4,000.10,000 females. The most common cause of vaginal agenesis is congenital absence of the uterus and vagina, which also is referred to as mullerian ...

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

Number 278

(Reaffirmed 2009)

ABSTRACT: Clinically significant false-positive human chorionic gonadotropin (hCG) test results are rare. However, some individuals have circulating factors in their serum (eg, heterophilic antibodie...

Nongynecologic Procedures

Number 253

(Reaffirmed 2008, Replaces Statement of Policy on Liposuction, January 1988)

Cosmetic procedures (such as laser hair removal, body piercing, tattoo removal, and liposuction) are not considered gynecologic procedures and, therefore, generally are not taught in approved obstetr...

Statement on Surgical Assistants

Number 240

(Reaffirmed 2008, Replaces No. 145, November 1994)

Competent surgical assistants should be available for all major obstetric and gynecologic operations. In many cases, the complexity of the surgery or the patient's condition will require the assistan...