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Number Number 701, June 2017

(Replaces Committee Opinion Number 444, November 2009)

ABSTRACT: Hysterectomy is one of the most frequently performed surgical procedures in the United States. Selection of the route of hysterectomy for benign causes can be influenced by the size and shape of the vagina and uterus; accessibility to the uterus; extent of extrauterine disease; the need for concurrent procedures; surgeon training and experience; average case volume; available hospital technology, devices, and support; whether the case is emergent or scheduled; and preference of the informed patient. Vaginal and laparoscopic procedures are considered “minimally invasive” surgical app...

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Washington, DC — Contraception is an essential part of preventive care and all women should have unhindered and affordable access to all contraceptives approved by the U.S. Food and Drug Administration (FDA), a new Committee Opinion from the American College of Obstetricians and Gynecologists concludes.

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Washington, DC — Today, the American College of Obstetricians and Gynecologists (ACOG) released a Special Report, “Power Morcellation and Occult Malignancy in Gynecologic Surgery.” The Special Report presents the findings and recommendations of a task force of obstetrician-gynecologists representing key areas of expertise including laparoscopic surgery, gynecologic oncology, and urogynecology. The task force reviewed and analyzed available scientific evidence on power morcellation and occult malignancy in gynecologic surgery.

Washington, DC -- Many women today are hearing about the claimed advantages of robotic surgery for hysterectomy, thanks to widespread marketing and advertising. Robotic surgery is not the only or the best minimally invasive approach for hysterectomy. Nor is it the most cost-efficient. It is important to separate the marketing hype from the reality when considering the best surgical approach for hysterectomies.

Washington, DC -- Abnormal uterine bleeding (AUB) is the cause of roughly one-third of all visits to the gynecologist among premenopausal women and more than 70% of office visits among peri- and postmenopausal women. The American College of Obstetricians and Gynecologists (The College) today released its first comprehensive guidance to ob-gyns for the screening, treatment, and management of AUB among reproductive-age women.

May 2011

Number FAQ074, May 2011

What are uterine fibroids? Uterine fibroids are benign (not cancer) growths that develop from the muscle tissue of the uterus. They also are called leiomyomas or myomas. The size, shape, and location of fibroids can vary greatly. They may be present inside the uterus, on its outer surface or within its wall, or attached to it by a stem-like structure. A woman may have only one fibroid or many of varying sizes. A fibroid may remain very small for a long time and suddenly grow rapidly, or grow slowly over a number of years.

April 2010

SP074 Tipos de fibromas Los fibromas uterinos son tumores que se desarrollan del tejido muscular del útero. También se denominan leiomiomas o miomas. El tamaño, la forma y ubicación de los fibromas pueden variar en gran medida. Éstos pueden estar dentro del útero o en su superficie externa, o bien, pueden estar adheridos al útero mediante una estructura semejante a un tallo. Los fibromas pueden variar en tamaño, desde tumores pequeños del tamaño de un guisante, a tumores grandes y redondos que pueden medir más de 5–6 pulgadas de ancho. A medida que crecen, pueden distorsionar...

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