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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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SP193 Definición El flujo menstrual consiste en sangre y tejido que son los componentes del endometrio. El endometrio es el revestimiento del útero que se acumula cada mes en preparación para un posible embarazo. La cantidad normal de flujo menstrual total varía de 4 cucharaditas a 12 cucharaditas, pero varía considerablemente en cada mujer. Puede ser difícil saber si su sangrado menstrual es intenso o no. Lo que es “normal” para usted puede en efecto ser intenso. Los expertos consideran cualquiera de los siguientes como un signo de sangrado menstrual intenso: • Sangrado que d...

Number AP193, June 2016

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Number 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 estrogen-modulated conditions. For women with breast cancer, bone mineral density screening is recommended with long-term aromatase inhibitor use because of risk of osteoporosis due to estrogen deficiency. Based on long-term adverse effects and complication safety data, when compared with tamoxifen, aromatase inhibitors are associated with a reduced incidence of thrombosis, endometrial cancer, and vaginal bleeding. For women with polycystic ovary syndrome and a body ...

Number FAQ193, June 2016

How common is heavy menstrual bleeding? Heavy menstrual bleeding is very common. About one third of women seek treatment for it. Heavy menstrual bleeding is not normal. It can disrupt your life and may be a sign of a more serious health problem. If you are worried that your menstrual bleeding is too heavy, tell your obstetrician–gynecologist (ob-gyn).

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Endometriosis affects an estimated 1 in 10 women during their reproductive years (i.e., usually between the ages of 15 to 49), which are approximately 176 million women in the world.

October 2012

Number FAQ013, October 2012

What is endometriosis? Endometriosis is a condition in which the type of tissue that forms the lining of the uterus (the endometrium) is found outside the uterus.

American College of Obstetricians and Gynecologists
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