Pregnancy and Lactation in a 67-Year-Old Elderly Gravida following Donor Oocyte Fertilization.

There is limited data on the anticipated perinatal course among gravidae in their sixth and seventh decades. Our objective was to describe the relatively uncomplicated prenatal, intrapartum, and postpartum course of a 67-year-old essential primigravida. Briefly, our patient conceived a singleton pregnancy via IVF with donor oocytes, then presented at 13 6/7 weeks of gestation to initiate prenatal care.

Paratubal Cyst Recurrence in Children and Adolescents.

Study Objective: To examine the association between patient characteristics and risk for recurrence risk of paratubal cysts (PTC) in children and adolescents.

Design: Retrospective chart review at a single institution.

Setting: Single academic children's hospital.

Evaluation of ambiguous genitalia.

Purpose Of Review: To provide a framework for the evaluation of ambiguous genitalia.

Recent Findings: The most pressing evaluation of ambiguous genitalia is assessment for life-threatening causes such as salt-wasting congenital adrenal hyperplasia (CAH) or syndromes with underlying anomalies such as neurologic or cardiac malformations. A multidisciplinary team, including specialists in Gynecology, Endocrinology, Urology, Genetics, Clinical Psychology/Psychiatry, Radiology, Nursing, Neonatology, and Pediatric Surgery, should be involved.