OB GYN News articles from June 2004

OB GYN News archives from June 2004

FDA advisory panel hearing: managing risk of IBS drug Lotronex.(News)
June 1, 2004... ROCKVILLE, MD. -- Several members of a Food and Drug Administration advisory panel agreed that the risk management program in place for the irritable bowel syndrome drug alosetron should not be modified--despite some elements that the...

Plaintiff recovery rate in childbirth negligence lawsuits.(Vital Signs)
June 1, 2004... Plaintiff Recovery Rate in Childbirth Negligence Lawsuits Note: Based on 9,011 medical malpractice cases from 1998 to 2002. Source: Jury Verdict Research

OC label changes also at issue: FDA draws fire on failed OTC bid for Plan B; Government official cites lack of safety data, denies bowing to political pressure.(News)
June 1, 2004... The Food and Drug Administration's recent decision against over-the-counter status for the emergency contraceptive pill known as Plan B enraged many women's health advocates, who say the decision marks a departure from science and represents a...

Women with PCOS: No increase in birth defects with metformin; Babies' length, weight also unaffected.(News)
June 1, 2004... CHICAGO -- Infants born to women with polycystic ovary syndrome who are taking metformin are not significantly different from their peers in terms of length and weight over the first year of life, said Dr. Charles J. Glueck, director of the...

Phase III treatment trials: breast ca survival lags in African Americans.(News)
June 1, 2004... ORLANDO, FLA. -- African Americans with breast cancer had significantly worse survival rates than patients of other races in major phase III-treatment trials done in the United States. "The difference in survival persists after adjustment...

Acog survey: liability woes threaten career choice, satisfaction.(News)
June 1, 2004... PHILADELPHIA -- Liability concerns and the cost of professional liability insurance are the strongest threats to career satisfaction among ob.gyns., according to a national survey of members of the American College of Obstetricians and...

Novasure compared with rollerball: automated ablation shows long-term efficacy.(News)
June 1, 2004... PHILADELPHIA -- An automated device for endometrial ablation was as safe and effective as conventional ablation with a rollerball during 3 years of follow-up in a controlled study with 265 patients. The automated system, marketed as...

Manufacturer seeking FDA approval: ultralow-dose estradiol patch boosts bone mineral density.(News)
June 1, 2004... PHILADELPHIA -- A quarter of the standard, hormone-therapy estradiol dose was safe and effective for boosting bone mineral density in women aged 60-80 years in a controlled study with 417 women. Two years of treatment of postmenopausal...

Pro & Con; Low-carb diets: are they safe and effective?(Opinion)
June 1, 2004... YES With the low-carbohydrate diet craze sweeping the nation, concerned doctors have worried about emergency rooms filled with patients whose arteries are clogged. As many as 40 million people have tried low-carb diets in the past decade,...

Gender imbalance in Ob.Gyn.(Letters)(Letter to the Editor)
June 1, 2004... The fact that only 65% of the ob.gyn. slots were filled by U.S. seniors in the match is due to more than the malpractice crisis: half of the applicant pool--male medical students--is simply not applying to ob.gyn. residencies ("Fewer U.S....

Partial-birth Abortion Ban.(Letters)(Letter to the Editor)
June 1, 2004... I strongly support the ban on partial-birth abortions ("Bush Signs Partial-Birth Abortion Ban," Dec. 1, 2003, p. 1). How ludicrous is it to have an obstetrician placing an emergency cerclage to save the life of a fetus in one room while another...

Meds and breast-feeding.(Letters)(Letter to the Editor)
June 1, 2004... I must remark on the comments by Dr. Dawn A. Marcus in the article "Manipulate Estrogen Levels to Treat Hormonal Headache" (March 15, 2004, p. 10). I appreciate her advocacy for nursing migraineurs but must point out that the American...

Correction.(Correction Notice)
June 1, 2004... The Vital Signs "Limits on Noneconomic Damages for Medical Malpractice, September 2003" (April 1, 2004, p. 1) should have indicated that Oregon has no cap on noneconomic damages or total damages.

Pain relievers.(Opinion)
June 1, 2004... "Sorry,... the doctor's trying to digest HIPAA regulations between appointments."

Council lacks balance.(Guest Editorial)
June 1, 2004... Soon after taking office, President George W. Bush appointed the Council on Bioethics to help guide him and the nation through the rocky moral terrain that new biomedical technologies require Americans to navigate. Sadly, in recent months, the...

Multiple therapeutic approaches: don't give up on Tx for persistent vulvodynia.(Gynecology)
June 1, 2004... LAKE BUENA VISTA, FLA. -- Vulvodynia is not the rarity it has traditionally been considered, and the continuing uncertainty about what causes it is not an obstacle to effective treatment, Dr. Barbara D. Reed said at a meeting of the American...

Multifocal disease: smoking implicated in vulvar neoplasia.(Gynecology)
June 1, 2004... LAKE BUENA VISTA, FLA. -- Guilty or not guilty? Dr. Theresa Freeman-Wang posed this question with regard to whether smoking is associated with the development of multifocal vulvar intraepithelial neoplasia, and rendered a "guilty" verdict...

Improved techniques and products: sling surgery ranks as first-rate option for SUI.(Gynecology)
June 1, 2004... LAKE BUENA VISTA, FLA. -- Improvements in techniques and products have elevated sling surgeries to a first-line option for stress urinary incontinence treatment, said Dr. Joseph L. Maccarone at a conference on gynecologic surgery sponsored by...

Data from 2-year follow-up: TVT as effective as colposuspension for SUI.(Gynecology)
June 1, 2004... Tension-free vaginal tape appears as effective as colposuspension for the surgical treatment of female stress urinary incontinence, according to 2-year outcomes from a multicenter trial in England and Ireland. Unlike colposuspension, a...

Birth defects, reconstructive surgery: childhood surgical history illuminates pelvic problems.(Gynecology)
June 1, 2004... BALTIMORE -- An increasing number of girls with birth defects who had corrective renal or bladder surgeries in infancy and childhood are surviving to adulthood, and they are requiring extra care during pregnancy and gynecologic procedures. Dr....

Endometrial ca, acute myeloid leukemia: activity, obesity linked to cancer risk in women.(Gynecology)
June 1, 2004... ORLANDO, FLA. -- A reduced risk for endometrial cancer was linked to increased physical activity in two separate reports at the annual meeting of the American Association for Cancer Research. A third report linked obesity to an increased...

High risk for BRCA mutations: genetic testing, counseling affect breast cancer treatment.(Gynecology)
June 1, 2004... Genetic testing and counseling were shown in a recent study to be valuable aids to treatment decision making for the 5%-10% of breast cancer patients at high risk of BRCA1 and BRCA2 carriage, but feasibility of this approach is a concern. ...

Regimens often changed: hotline steers HIV-exposed clinicians to proper prophylaxis.(Gynecology)
June 1, 2004... SAN FRANCISCO -- If you get exposed to HIV at work, calling a free 24-hour hotline for expert advice can help you choose the right medications with the least toxicity, even if you've already started prophylaxis, according to a recent study. ...

Considerations for private practices: overcoming obstacles to rapid HIV testing.(Gynecology)
June 1, 2004... MIAMI -- Rapid testing for HIV infection in private practice has some clear advantages, but it also poses some challenges in terms of staff training, office logistics, privacy requirements, and potential increased liability. That's what...

Two questions can gauge HIV risk.(Gynecology)
June 1, 2004... MIAMI -- Only 10% of HIV-infected men and 17% of HIV-infected women reported that they took an HIV test primarily because it was offered or recommended by a health care provider, according to unpublished CDC data from 2002. "This is one of...

AIDS rates for women and teen girls, 2001.(Data Watch)
June 1, 2004... AIDS Rates for Women and Teen Girls, 2001 * Rates were not calculated for states that reported fewer than five AIDS cases in females in 2001. Source: Centers for Disease Control and Prevention

Hyperthyroidism in pregnancy: achieve euthyroid status as early as possible.(Obstetrics)
June 1, 2004... ALEXANDRIA, VA. -- Achieving euthyroid status as early in pregnancy as possible--and ideally, before conception--is crucial in preventing maternal and fetal complications from maternal hyperthyroidism. Uncontrolled hyperthyroidism in...

Hypothyroidism: up levothyroxine dose after pregnancy confirmed.(Obstetrics)
June 1, 2004... ALEXANDRIA, VA. -- Women of reproductive age who have clinical hypothyroidism should be counseled to increase their levothyroxine by two doses per week as soon as pregnancy is confirmed and to have their thyroid-stimulating hormone levels...

Study of six women: only negligible amount of glyburide found in breast milk.(Obstetrics)
June 1, 2004... MIAMI BEACH -- Only a negligible amount of glyburide was found in the breast milk of six women who were taking the drug to treat type 2 diabetes, Dr. Denice Feig reported. Investigators analyzed the breast milk of the women, who had taken...

High-risk pregnancies: study supports earlier referrals to specialists.(Obstetrics)
June 1, 2004... HOUSTON -- High-risk obstetric patients who were exclusively managed by a maternal-fetal medicine specialist from 20 weeks' gestation had lower rates of preterm delivery, cesarean delivery, fetal distress, and perinatal mortality than patients...

Prevention of maternal death: amniotic fluid embolism must be spotted early.(Obstetrics)
June 1, 2004... NEW YORK -- Early and aggressive management of amniotic fluid embolism is vital in preventing maternal death, Dr. George R. Saade said at an obstetrics symposium sponsored by Columbia University and New York Presbyterian Hospital. Although...

Treat before hypotension occurs: avoiding hysterectomy for postpartum hemorrhage.(Obstetrics)
June 1, 2004... NEW YORK -- A sequence of mechanical, medical, and conservative approaches to postpartum hemorrhage can usually stop the bleeding without resorting to hysterectomy, Dr. George Saade said at an obstetrics symposium sponsored by Columbia...

Lip or palate: secondhand smoke linked to increase in fetal cleft risk.(Obstetrics)
June 1, 2004... KISSIMMEE, FLA. -- Women exposed to secondhand smoke have a 1.3 times risk of delivering a child with cleft palate and a 1.2 times risk for cleft lip, according to preliminary data from the National Birth Defects Prevention Study, Dr. Sonja...

Infection, abnormal cervical competence: trimester of recurrent fetal loss sets evaluation.(Obstetrics)
June 1, 2004... NEW YORK -- A diagnostic work-up is indicated when a woman has had at least three first-trimester spontaneous abortions or just one pregnancy loss in the second or third trimester. Dr. Anthony Vintzileos said at an obstetrics symposium...

Prenatal Down syndrome detection: expert recommends integrated over sequential screening.(Obstetrics)
June 1, 2004... KISSIMMEE. FLA. -- With first-trimester testing becoming more widely accepted to assess risk for Down syndrome, physicians should not screen in both first and second trimesters unless the findings are integrated and presented during the second...

Ongoing study: metabolic syndrome stroke risk greatest in Hispanics.(Clinical Rounds)
June 1, 2004... SAN DIEGO -- Metabolic syndrome may be a stronger stroke risk factor for Hispanics than for blacks or whites, Bernadette Boden-Albala, Dr.P.H., reported at the 29th International Stroke Conference. In the ongoing Northern Manhattan Study,...

Crosses race and socioeconomic status: seniors have significant levels of comorbid pain and depression.(Clinical Rounds)
June 1, 2004... ORLANDO, FLA. -- Depression and comorbid, activity-limiting pain are present in the elderly, regardless of race or socioeconomic status, said Jana Mossey, Ph.D., at the annual meeting of the American Academy of Pain Medicine. Seeking to...

Screening for alcohol abuse.(Women's Health Adviser)
June 1, 2004... Alcohol misuse is the root of numerous problems--societal, psychological, and physical. In the United States alone, it generates about $185 billion in costs each year. But many who drink don't meet the criteria for alcoholism. These people...

OTC, prescription pain medications: pain plus depression may lead to medicine overuse.(Clinical Rounds)
June 1, 2004... ORLANDO, FLA. -- Patients with comorbid pain and depression are significantly more likely to use over-the-counter and prescription pain medication than those with pain only. Bruce A. Arnow, Ph.D., said in a poster presentation at the annual...

Warn patients: St. John's Wort may affect metabolism of cancer drug.(Clinical Rounds)
June 1, 2004... MIAMI BEACH -- St. John's Wort can alter the clinical effectiveness of the cancer drug imatinib and could lead to a relapse of disease among patients taking both products concomitantly, Reginald Frye, Ph.D., reported at the annual meeting of...

Data on 5,750 patients: more than a third of patients with chronic pain turn to CAM for relief.(Clinical Rounds)
June 1, 2004... ORLANDO, FLA. -- The use of complementary and alternative medicine is common among patients with chronic pain, Dr. Carmen R. Green of the University of Michigan. Ann Arbor, reported in a poster at the annual meeting of the American Academy of...

Prescribing confidence: lack of training cuts opioid prescriptions.(Clinical Rounds)
June 1, 2004... ORLANDO, FLA. -- Many physicians are not comfortable prescribing opioid medications, and that's because they feel they don't have proper training in how to prescribe them, said Dr. Sanjay Gupta at the annual meeting of the American Academy of...

Like the 'black and white' approach: teen compliance higher with low-carb diets.(Clinical Rounds)
June 1, 2004... ST. LOUIS -- Carbohydrate-controlled diets appear to be a safe and effective method of weight loss for overweight adolescents, who respond well to this "black and white" approach to eating and to the diets' lack of emphasis on portion control....

Prevent, relieve lower back pain: data support benefits of core strengthening exercises.(Clinical Rounds)
June 1, 2004... VANCOUVER, B.C. -- Core strengthening, a hot trend in physical fitness, is finding acceptance by physicians in light of evidence that core exercises provide an effective way to treat, and maybe even prevent back pain and lower-extremity injury,...

Limitations of studies highlighted: don't throw away dust mite mattress covers yet.(Clinical Rounds)
June 1, 2004... SAN FRANCISCO -- Recent well-publicized studies have suggested that dust mite mattress covers are not effective for improving allergy and asthma. But before physicians tell their patients to throw away their mattress covers, they may want...

Policy & practice.(Practice Trends)
June 1, 2004... ACADEMIC SALARIES High-demand specialists such as ob.gyns. may be starting to make more money in academic settings to better compete with the private sector, according to a new report from the Medical Group Management Association (MGMA). Median...

More restrictions on specialty hospitals: some win, others lose under Stark version II.(Practice Trends)
June 1, 2004... It's a good news/bad news situation with the final federal physician self-referral regulations. The good news: The regulations, known as "Stark II," make it easier for rural physicians to refer patients to practices, hospitals, and other...

Moving target: infusion payments could shift care to hospitals.(Practice Trends)
June 1, 2004... WASHINGTON -- Now that Medicare's complex overhaul of payment for in-office infusions is underway, the Centers for Medicare and Medicaid Services ought to study the impact of those changes, physicians said at a meeting of the Practicing...

Pay cuts starting in 2006: panel eyes 'black cloud on Medicare's horizon'.(Practice Trends)
June 1, 2004... WASHINGTON -- Last year's Medicare reform legislation forestalled cuts to the physician fee schedule for the next couple of years, but starting in 2006, doctors are in line for 5% annual cuts in payment for the following 6 years. At a...

Coming in 2006? Boom predicted for health savings accounts.(Practice Trends)
June 1, 2004... Introduced last November as part of the Medicare reform legislation, health savings accounts "seem poised to take root quickly." according to a survey of 991 employers by Mercer Human Resource Consulting. Nearly three-quarters of the...

President's Council on Bioethics: advance directives may impede patient care.(Practice Trends)
June 1, 2004... ARLINGTON, VA. -- Designed to preserve individual autonomy, advance directives may prevent some patients from getting the best possible care, members of the President's Council on Bioethics concluded at a meeting. An advance directive...

Climara Pro in pharmacies.(Products)
June 1, 2004... Climara Pro (estradiol/levonorgestrel transdermal system) 0.045/0.015 mg per day is now available in pharmacies. The patch is indicated for the treatment of menopausal hot flashes and night sweats. For more information, contact Berlex Inc.,...

Medical records Service.(Products)
June 1, 2004... Mobile Medical Information Services allows patients to compile all of their medical records in one place for easy access. With patient authorization, physicians can have access to a patient's complete medical history. For more information,...

Decapper removes vial seals.(Products)
June 1, 2004... The plier decapper removes crimped aluminum seals from vials and bottles. The tool comes in 8 mm, 11 mm, 13 mm, 20 mm, and 30 mm sizes and can be sterilized or autoclaved. For more information, contact Kebby Industries Inc., 815-963-1466,...

Prenatal vitamin with folate.(Products)
June 1, 2004... Prenate Elite prenatal vitamin is now available. This new formula contains Metafolin (L-methylfolate), the biologically active form of folate. For more information, contact First Horizon Pharmaceutical Corp., 866-846-4731, www.prenate.com.

Central scheduling software.(Products)
June 1, 2004... AppointmentsCS software links all of a practice's sites to a centralized scheduling system, allowing office staff to book a patient appointment at any location. For more information, contact SpectraSoft Inc., www.spectrasoft.com. 800-889-0450.

Saline nasal wash for rhinitis.(Products)
June 1, 2004... The SinuCleanse nasal wash system is a drug-free treatment option for patients suffering from sinusitis, congestion, and rhinitis. The system, sold for $14.95, includes a neti pot, saline solution packets, and instructions. For more...

Rapid Influenza test.(Products)
June 1, 2004... The QuickVue Influenza A + B test is available for rapid diagnosis of acute influenza type A or B. The test uses a nasal swab or nasal aspirate sample and delivers results in 10 minutes. For more information, contact Quidel Corp. at...

Intravenous immune globulin.(Products)
June 1, 2004... Rhophylac (Rho[D] immune globulin intravenous--human) is approved for intramuscular or intravenous injection for the prevention of hemolytic desease of the fetus and newborn. For more information about this product, contact ZLB Bioplasma Inc.,...

Urinalysis test system.(Products)
June 1, 2004... The Urisys 1100 urinalysis system has a 100-result memory and can interface with a PC or network. The system uses Chemstrip urine test strips. For more information, contact Roche Diagnostics Corp., 317-521-2000, www.diavant.com.

Premixed fertility treatment.(Products)
June 1, 2004... The Follistim AQ Cartridge (follitropin beta injection) is approved for women who are undergoing assisted reproductive treatments and for the induction of ovulation to achieve pregnancy. The premixed, prefilled cartridge is designed to be used...

Gynecologic exam cart.(Products)
June 1, 2004... The GynoCart is a mobile gynecologic exam cart that can be used for hospitalized patients. For more information about this product, please contact Retro-Fit LLC, www.retrofitmedical.com, 800-288-1950.

Laparoscopy gas.(Products)
June 1, 2004... The LaparoShield conditioned insufflation gas system heats carbon dioxide gas to 100[degrees] F and humidifies the gas to at least 95% relative humidity for use during laparoscopic surgery. For more information, contact Pall Corp.,...

Vioxx for migraines.(Products)
June 1, 2004... Vioxx (rofecoxib) oral tablets are approved for the acute treatment of migraine in adults. For more information, contact Merck & Co. Inc., 908-423-1000, www.vioxx.com.

Offering an alternative.(The Master Class)
June 1, 2004... From 1990 to 1996, the percentage of supracervical hysterectomies in New York rose fivefold. In part, this rise was secondary to improving techniques in diagnosing and treating cervical changes. Additionally, the rise mirrors both the desire of...

Laparoscopic supracervical hysterectomy: a procedure whose time has come.(The Master Class)
June 1, 2004... Captivated by the promise of cutting-edge technology and ever-more-complex techniques, we sometimes become so enamored with what is new that we fail to appreciate the old and abandon techniques or principles that could still serve our patients...

Focused ultrasound: FDA panel gives nod to fibroid Tx.(News)
June 15, 2004... GAITHERSBURG, MD. -- A Food and Drug Administration advisory panel last month recommended, with conditions, the approval of a system that ablates uterine fibroids using focused ultrasound under the guidance of magnetic resonance. If...

Premiums doubled since last year: nurse-midwives feel sting of rising premiums, lawsuits; Professional collaboration increases ob.gyns.' litigation exposure, vulnerability.(News)
June 15, 2004... Certified nurse-midwives are starting to feel the impact of the medical liability crisis, joining ob.gyns. who suffer from rising malpractice premiums and high-priced lawsuits. When it comes to medical liability, there are few differences...

New rule effective July 1: CMS targets claims that aren't HIPAA compliant; Penalty is longer waits for payment.(News)
June 15, 2004... WASHINGTON -- Not quite compliant with Medicare's new standards for electronic claims? Prepare to wait longer to get your claims paid. To encourage more providers to become compliant with electronic transaction rules required under HIPAA...

Median compensatory Jury awards level off in medical malpractice cases.(Vital Signs)
June 15, 2004... Median Compensatory Jury Awards Level Off in Medical Malpractice Cases Note: Based on 9,011 medical malpractice cases from 1996 to 2002. Source: Jury Verdict Research

Randomized controlled study: low-dose OC relieves pain, dysmenorrhea in adolescents.(News)
June 15, 2004... PHILADELPHIA -- A low-dose oral contraceptive was effective for relieving dysmenorrhea in adolescent girls in a controlled study with 76 patients. "This is the first randomized controlled trial to examine the efficacy of a modern, low-dose...

National study: obstetric ultrasound more common than previously reported.(News)
June 15, 2004... PHILADELPHIA -- The utilization of obstetric ultrasound is increasing and now averages 3.5 scans per singleton delivery, according to a national study of claims and encounter data for commercially insured U.S. women. At least one...

Focus on the bureaucracy.(Letters)(Letter to the Editor)
June 15, 2004... The first time Hillary Clinton tried to reform our nation's health care, the mishmash of regulation, market force, and coercion that came from her committee collapsed under its own weight and was rejected by the Congress. It was too complicated...

Prevent frivolous lawsuits.(Letters)(Letter to the Editor)
June 15, 2004... Protecting physicians against "frivolous" lawsuits, a new service offered by the Medical Justice Corp., is a good idea ("Company Offers Plans to Curb Frivolous Lawsuits," May 1, 2004, p. 27). I wonder, however, why the major malpractice...

Beyond crisis management.(Letters)(Letter to the Editor)
June 15, 2004... I was glad to see the guest editorial by Dr. Jeffrey D. Sachs ("Third World Diseases," May 1, 2004, p. 6). I agree that it is up to developed countries to initiate action in these health care disaster zones of Africa and elsewhere, but...

Correction.(Correction Notice)
June 15, 2004... Medical Justice Corp., mentioned in "Company Offers Plans to Curb Frivolous Lawsuits" (May 1, 2004; p. 27) is located in Greensboro, N.C.

Pro & Con: should PGD be used to produce children who are suitable donors for stem cell transplants?(Opinion)
June 15, 2004... YES More than 10 years ago, an ethical debate erupted within the medical community when a California couple decided to have a second child in the hope of creating a bone marrow donor for their daughter, who had leukemia. Most of the...

Don't delay infertility referrals.(Guest Editorial)
June 15, 2004... Many ob.gyns, do an excellent job caring for subfertile patients, and they're to be commended for that. They keep current, reading the latest reproductive medicine journals and attending meetings of specialty societies. They make fertility...

Monozygotic twin study: moderate alcohol use may help women's bones.(Gynecology)
June 15, 2004... EDINBURGH, SCOTLAND -- Contrary to conventional wisdom, moderate alcohol consumption does not predispose women to osteoporosis and in fact may be protective, Dr. Frances M.K. Williams reported at the annual meeting of the British Society for...

19 postmenopausal women studied: cortisol may mediate effect of depression on osteoporosis.(Gynecology)
June 15, 2004... BALTIMORE -- Women with a depression history appear to have increased stress-related cortisol levels, a finding that may help explain the link between depression and osteoporosis, according to data presented at the annual meeting of the...

Effect independent of steroid use: disease activity may deplete BMD in lupus.(Gynecology)
June 15, 2004... NEW YORK -- Systemic lupus erythematosus itself is a risk factor for low bone mineral density, independent of the use of bone mineral-depleting corticosteroids. Dr. Chin Lee said at the Seventh International Congress on SLE and Related...

Three reports: local heat, drugs may aid urinary incontinence.(Gynecology)
June 15, 2004... PHILADELPHIA -- Radiofrequency energy and two drugs were each shown to be effective as monotherapy for treating stress urinary incontinence or mixed stress and urge incontinence in three separate reports at the annual meeting of the American...

Two cervical injections: vasopressin curbs blood loss in vaginal hysterectomy.(Gynecology)
June 15, 2004... PHILADELPHIA -- Treatment with vasopressin before vaginal hysterectomy significantly cut blood loss during surgery in a controlled study with 79 patients. Vasopressin treatment was effective when administered at two injection sites...

Study of more than 5,000 women: endometriosis linked to rise in ovarian ca risk.(Gynecology)
June 15, 2004... BETHESDA, MD. -- Women with endometriosis had an increased risk of developing ovarian cancer, compared with women without endometriosis, even after adjustment for oral contraceptive use, number of children, tubal ligation, and family history of...