The Green Room: A Podcast from Obstetrics & Gynecology

April 2025: Gynecology

Mar 20, 2025
Dive into the latest research on postpartum contraception and cervical cancer care. Hear experts discuss striking findings on how long-term hormone therapy impacts cardiovascular health in menopausal women. Discover the effects of different hormone formulations and their genetic implications for patient care. The conversation also highlights the need for deeper studies on hormonal therapy across diverse backgrounds, paving the way for personalized approaches in women’s health. Listen for insights that could reshape clinical practices!
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INSIGHT

Comorbidities Didn’t Block Postpartum Tubal Completion

  • A study found no adjusted association between medical comorbidities and completion of inpatient postpartum permanent contraception.
  • Authors emphasize identifying and removing modifiable barriers so patients achieve desired postpartum contraception.
INSIGHT

Algorithms Performed Well With Novice Operators

  • Novice operators using ADNEX, two-step, ORADS 2019, and ORADS 2022 all achieved high AUCs (0.88–0.91) for adnexal mass classification.
  • 'Almost certainly benign' lesions had ~2% malignancy, higher than expected, often borderline tumors or metastases.
INSIGHT

Fragmented Care Reduces Guideline Treatment

  • Fragmented care occurred in 75% of patients with locally advanced cervical cancer and reduced receipt of guideline-concordant treatment.
  • Centralizing care or improving coordination may increase adherence to recommended treatment components.
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