Foreword
Pasquale Patrizio, MD, MBE, is Professor of Obstetrics, Gynecology, and Reproductive Sciences, Reproductive Endocrinology and Infertility Practice Director and Clinical Practice Director at Yale Fertility Center. Pasquale Patrizio is a board certified specialist in obstetrics and gynecology and reproductive endocrinology and infertility. He has lectured throughout the world on the topics of in vitro fertilization (IVF), male infertility and intracytoplasmic sperm injection (ICSI). He is member of the editorial board of the American Journal of Obstetrics and Gynecology and the American Journal of Andrology. He serves as reviewer for many scientific journals including the Lancet, Human Reproduction, Fertility and Sterility, Reproductive Biomedicine, and is an ad hoc reviewer for JAMA and for National Institutes of Health grants. He has authored a prominent Assisted Reproductive Technologies (ART) textbook and has 282 scientific papers, book chapters and abstracts including 92 peer-review publications, 36 as first author, and 19 as senior author. He received his MD from the University of Naples.
W
elcome to this edition of US Obstetrics & Gynecology. The journal continues to examine and highlight important issues for the modern obstetrician and gynecologist, dealing with subjects that are both interesting and clinically applicable. This issue features a selection of articles that discuss and review many of the important topics relevant to obstetricians and gynecologists, not only across the US but throughout the wider medical community.
The Second International Congress on Fertility Preservation takes place on December 7–9, 2011 in Miami, Florida. Thus, the articles by Theresa Woodruff et al. and Allan Covens are very much on target, since fertility preservation is becoming a very important topic for the practicing gynecologist.
This edition of US Obstetrics & Gynecology opens with an article from members of the World Endometriosis Society (WES), providing a timely update on the challenges of endometriosis. This article brings together the expertise, research and experiences of six different groups, to provide a full and rounded examination of the current status of this condition. The section on assisted reproduction and infertility features two articles, one on the outcome of using gonadotrophin-releasing hormone (GnRH) antagonists during ovarian stimulation. Another article by Theresa Woodruff et al., examines the crucial role of the gynecologist in helping cancer patients to preserve future fertility. This informative review provides the gynecologist with a comprehensive overview of how cancer treatments affect the female reproductive axis, delineates the diverse fertility preservation options that are currently available or being developed for young women, and describes current measures of ovarian reserve that can be used to monitor pre- and post-cancer treatment.
The section on Maternal–Fetal Medicine looks at the current prenatal genetic screening options and the Labor and Delivery section examines results from a study on a device to reduce the occurrence of thrombosed external hemorrhoids attributable to vaginal delivery. This is followed by a couple of informative articles looking at the problem of vaginal atrophy in post-menopausal women. Vaginal atrophy is caused by post-menopausal decreased estrogen production and is described as a common, under-reported, and underdiagnosed condition. These articles bring the gynecologist up to date on the epidemiology, pathophysiology and treatment of this condition.
Gynecologic surgery is also addressed in this issue, with two very diverse types of surgery covered; an article by Lua R Eiriksson and Allan Covens is a nice complement to the options of fertility preservation by explaining fertility-sparing surgery in cervical cancer, whilst another by Marco A Pelosi looks at the somewhat controversial topic of cosmetic surgery in gynecology. These articles highlight the spectrum of conditions which gynecologists have an important role in treating. This issue also features an article looking at breast imaging, an issue that, whilst not traditionally dealt with by the gynecologist, is still of increasing concern and important for all practitioners of women’s health. This is followed by an article looking at the increasing burden of pelvic floor prolapse in older women, and the treatment options available for this age group.
US Obstetrics & Gynecology would like to thank everyone involved for successfully providing interesting and informative expert discussion on a variety of topics that warrant our debate, time and attention. We would like to thank our media partners for their continued support, and also extend our gratitude to the individual authors and reviewers who have invested their time and effort to help make this such a fantastic issue. We trust you will find this edition an informative and enjoyable read. n
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© TOUCH BRIEFINGS 2011
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