Sexual dysfunction among women of low-income status in an urban setting.

Objective: To determine demographic and clinical conditions associated with sexual dysfunction among women of low-income status living in an urban setting.

Methods: Cross-sectional study of 102 consecutive women attending an urban gynecology clinic. Women were given validated questionnaires to measure sexual function, depression, urinary incontinence, and erectile dysfunction in the partner.

Cryptococcosis of the upper genital tract.

Upper genital tract infection by Cryptococcus neoformans has not previously been reported. We describe such a case, in order to alert clinicians to the existence of this rare infection. A 34-year-old woman with AIDS presented with chronic menorrhagia, fever, anemia, and thrombocytopenia.

Discontinuation rates of anticholinergic medications used for the treatment of lower urinary tract symptoms.

Objective: To estimate the discontinuation rates of anticholinergic medications used for the treatment of lower urinary tract symptoms in women.

Methods: A large administrative database was used for this study. Women aged 18 years and older who were prescribed anticholinergic medications were included.

Association of change in estradiol to lower urinary tract symptoms during the menopausal transition.

Objective: To estimate the relationship between changes in estradiol (E2) levels over time and lower urinary tract symptoms in premenopausal women as they transition to menopause.

Methods: A self-administered validated questionnaire to measure lower urinary tract symptoms was administered to 300 women at the 11th assessment period on an ongoing longitudinal Penn Ovarian Aging cohort study. The association between the change in E2 over time through the menopausal transition and lower urinary tract symptoms (urinary incontinence, filling symptoms, voiding dysfunction) was determined.

Investigating the associations between nocturia and sleep disorders in perimenopausal women.

Purpose: We determined the associations between nocturia and sleep disorders in perimenopausal women.

Materials And Methods: A total of 100 women with nocturia were compared to 200 without nocturia. Obstructive sleep apnea, insomnia, anxiety and menopausal stage were assessed using validated questionnaires.

Development and testing of a new instrument to measure fluid intake, output, and urinary symptoms: the questionnaire-based voiding diary.

Objective: The purpose of this study was to develop a validated self-administered questionnaire to measure fluid intake, output, behavior, and urinary symptoms.

Study Design: Factor analysis identified 4 subscales in the new questionnaire. Ninety-two women completed the questionnaire, comprised of a 48-hour voiding diary and the Bristol Female Lower Urinary Tract Symptom-Scored form.

Clinical symptoms predictive of recurrent urinary tract infections.

Objective: The purpose of this study was to evaluate clinical predictors that will help diagnose women with recurrent urinary tract infections among women with irritative voiding symptoms.

Study Design: A case control study was performed. Cases were women with the diagnosis of recurrent urinary tract infection and controls were women with irritative voiding symptoms.

Nighttime call in house vs. out of house: a comparison of obstetric procedure rates.

Objective: To evaluate the effect of in-house vs. out-of-house nighttime call coverage on obstetric practice.

Study Design: A retrospective analysis was performed on nighttime deliveries.

Embolization of a uterine arteriovenous malformation followed by a twin pregnancy.

Background: Uterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation.

Case: A 42-year-old gravida 6 para 0 with a history of four first-trimester spontaneous abortions was found to have a uterine arteriovenous malformation by hysterosalpingogram, which was confirmed by magnetic resonance angiography.