several thousand sets of quotation marks, parentheses, and italics. Hardly a page in the book does not have at least a dozen words in quotations unnecessarily. Despite these objections there is much useful information in the book, which would be well for physicians to know. The book is at its best when it discusses sex education of the child and parental attitudes toward children. It is at its ...

BACKGROUND A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB). CASE A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hysteroscopically assisted retrieval of the IUD resulted in complete resolution of symptoms. CONCLUSI...

Dr. Margaret McKenzie: A 67-year-old menopausal woman presents for the evaluation of hot flashes, vaginal dryness causing dyspareunia, and decreased libido. She was previously on estrogenprogestogen therapy (EPT), consisting of daily conjugated equine estrogens and medroxyprogesterone acetate, for 15 years starting at the time of natural menopause. Her gynecologist discontinued this HT abruptly...

Mechanical bowel preparation (MBP) has been used extensively over the years by both general surgeons and gynecologist alike and has remained a controversial practice. It has many purported benefits including decreasing postoperative complications, surgical site infections, and bowel spillage/leakage if an injury were to occur, allowing for repair by primary anastomosis, as well as reported impr...

The professional liability crisis remains a common problem for obstetricians. Approximately 90% of American College of Obstetricians and Gynecologists fellows have been sued at least once and 25% have been sued four or more times. Approximately 15% of obstetricians have ceased obstetric practice because of exorbitant premiums and the prevalence of nonmeritorious claims in this field of practice...

Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to lifethreatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Employing a multidisc...

Bernard Nathanson was an obstetrician and gynecologist in New York City, New York, who argued for, and later against, womens' rights to abortion [5]. Between 1970 and 1979, Nathanson oversaw at least 75,000 abortions, 5,000 of which he performed himself, earning him the nickname of abortion [5] king. However, his views regarding abortion [5] shifted in 1973, after he watched an abortion [5] usi...