Ovarian hyperstimulation syndrome associated with fetal trisomy 21.

We report a case of ovarian hyperstimulation syndrome associated with fetal trisomy 21. A primigravida presented at 17 1/7 weeks of gestation with abdominal pain because of enlarged ovaries. Multiple fetal abnormalities were seen on pregnancy ultrasound.

Hysterectomies. Where are the indications?

This article reviews the major reasons for hysterectomies and critiques some of the alternative practices, such as medical therapy to shrink fibroids, and new surgical techniques, such as laparoscopic-assisted hysterectomies. Perhaps in response to the increased attention and the new procedures and drugs that allow more conservative management, the rate of hysterectomies has actually decreased.

Diet, exercise, and lifestyle in preparation for menopause.

This article reviewed conservative measures in dealing with issues of osteoporosis and cardiovascular disease prevention. The scientific evidence for each singular intervention is difficult to extract because there are so many confounding parameters. Moreover, improvement in nutrition and diet has its greatest impact on premenopausal women.