OB GYN News articles from May 2004

OB GYN News archives from May 2004

Fetal effects unclear: watch for West Nile virus in pregnancy.(News)
May 1, 2004... ATLANTA -- The Centers for Disease Control and Prevention is asking clinicians to be on the alert for cases of possible. West Nile virus in pregnant women this summer, as investigators attempt to determine the effects of intrauterine exposure....

Ten highest selling prescription drugs in 2003.(Vital Signs)
May 1, 2004... Ten Highest Selling Prescription Drugs in 2003 2003 Sales % Growth ($Billions) From 2002 Lipitor (atorvastatin) 6.8 11 Zocor (simvastatin) 4.4 7...

Does not protect against CHD: WHI quantifies risks, benefits of estrogen therapy; Reports hazard rations of 1.39 for nonfatal stroke and 0.70 for osteoporotic fractures.(News)
May 1, 2004... Recently released data from the estrogen-only arm of the Women's Health Initiative, which was halted prematurely in February, shows that estrogen therapy is associated with a significantly increased risk of stroke and venous thromboembolic...

Incremental approach: Sen. Frist vows continued push for liability reform; 'I'm going to come at it again and again.'.(News)
May 1, 2004... WASHINGTON -- Senate Majority Leader Bill Frist (R-Tenn.) has vowed to bring some version of medical liability reform legislation up for a vote every other month--until he gets it passed. "What I'm giving [physicians] is a platform every 2...

Off-label study: short-course imiquimod for VAIN treatment.(News)
May 1, 2004... LAKE BUENA VISTA, FLA. -- Initial clinical experience in treating vaginal intraepithelial neoplasia with topical imiquimod has shown short-course therapy to have a high degree of efficacy, simplicity of use, and a relative absence of associated...

Small observational study: fluvoxamine not linked to rise in fetal malformation risk.(News)
May 1, 2004... MIAMI -- The use of fluvoxamine in pregnancy is not associated with an increased risk of major fetal malformations, according to preliminary results of an ongoing observational study. Investigators compared the pregnancy outcomes of 46...

Older adults: stroke risk twofold higher in those with metabolic syndrome.(News)
May 1, 2004... SAN DIEGO -- The presence of the metabolic syndrome roughly doubles the risk of stroke in older adults, even in the absence of diabetes, Robert Najarian reported at the 29th International Stroke Conference. "Prevention and control of the...

Counting ob.gyns.(Letters)(Letter to the Editor)
May 1, 2004... The graph depicting a steady rise in the number of ob.gyns. in the United States may not reflect certain realities (Vital Signs, March 1, 2004, p. 1). Many of the ob.gyns, counted have retired or are semiretired. Many experienced doctors...

The face of medicine.(Letters)(Letter to the Editor)
May 1, 2004... Medicine is, and has always been, a charitable profession--not only in a financial sense, but in a personal and spiritual sense. The failure of policy makers to recognize that charity is both part of the nature and part of the motivation...

Tort reform opposition.(Letters)(Letter to the Editor)
May 1, 2004... I read with interest the article "Specialty Societies Push for Tort Reform" (March 1, 2004, p. 1). The article mentioned that 49 Republicans in the United States Senate favor tort reform and 48 Democrats oppose it, implying that only...

Pain relievers.(Opinion)
May 1, 2004... "From January to May, I work for the government to pay for my income tax and from May to October to pay for my malpractice insurance."

Third world disease.(Guest Editorial)
May 1, 2004... As part of our work on expanding health care in Africa, my wife and I were invited to visit Queen Elizabeth's Central Hospital in Malawi. It is one of the most amazing places in the world for me. I will never forget it. On one side of the...

American Thyroid Association statement: ID subclinical hypothyroidism before conception.(Obstetrics)
May 1, 2004... ALEXANDRIA, VA. -- A new statement published by the American Thyroid Association urges physicians to be aggressive in identifying and treating women with overt or subclinical thyroid dysfunction before they conceive. The statement includes...

Statement on early maternal thyroidal insufficiency.(Obstetrics)
May 1, 2004... Here are some key points of the interim management guidelines and research agenda put forth by the American Thyroid Association. The full statement is scheduled to be posted this month at www.thyroid.org. * Physicians should optimize the...

Prevention strategy fails: prepregnancy antibiotics, preterm births linked.(Obstetrics)
May 1, 2004... NEW ORLEANS -- Prepregnancy antibiotic treatment in women with a prior preterm birth was tied to an increased risk of subsequent preterm birth and low birth weight in a randomized controlled trial. Of 124 nonpregnant women with a prior...

Lower cesarean section rate: dose, interval key to efficacy of misoprostol for ripening.(Obstetrics)
May 1, 2004... NEW ORLEANS -- Women who received at least three doses of vaginal misoprostol for cervical ripening in a 24-hour period had a lower rate of cesarean section than did women who received two doses in 8 hours, Dr. Allahyar Jazayeri said at the...

Early neonatal outcomes: study shows elective cesarean riskier than vaginal delivery.(Obstetrics)
May 1, 2004... NEW ORLEANS -- Neonates born by elective cesarean section are at greater risk of poor outcomes than those born vaginally, and are also at greater risk than those born to women who intended to deliver vaginally but were converted to operative...

Catastrophic uterine rupture during labor: VBAC-related perinatal deaths more common in smaller hospitals.(Obstetrics)
May 1, 2004... HOUSTON -- Fetal deaths caused by catastrophic uterine ruptures were a rare event and occurred most often in small hospitals in a study of nearly 36,000 Scottish women who attempted to have a vaginal birth after a previous cesarean delivery....

Major analysis: study finds no breast ca, abortion link.(Obstetrics)
May 1, 2004... Having a spontaneous or induced abortion does not increase a woman's subsequent risk of developing breast cancer, according to results from the most comprehensive analysis of its kind. The finding comes from the Collaborative Group on...

Wait 14 months: pregnancy does not boost breast ca recurrence.(Obstetrics)
May 1, 2004... ORLANDO, FLA. -- Women who have been treated for breast cancer can later become pregnant without triggering a recurrence of the disease, based on follow-up data from 444 women with a history of breast cancer. Many physicians tell breast...

No increase in birth defects: antiretroviral combos tied to rise in preterm births.(Obstetrics)
May 1, 2004... NEW ORLEANS -- Antiretroviral exposure during pregnancy is not associated with an increased risk of birth defects, but certain antiretroviral drug combinations may increase the risk of preterm delivery, studies presented at the annual meeting...

Selected medical risk factors in mothers, 2002.(Data Watch)
May 1, 2004... Selected Medical Risk Factors in Mothers, 2002 Rate per 1,000 Live Births Pregnancy-Associated Hypertension 37.8 Diabetes 32.8 Anemia ...

Ten deaths reported: hepatic failure from antiretroviral use in pregnancy prompts caution.(Obstetrics)
May 1, 2004... SAN FRANCISCO -- Pregnant women on antiretroviral therapy for HIV infection should be monitored frequently for hepatic complications, investigators from the Food and Drug Administration suggested in a poster presentation at the 11th Conference...

Labor trouble starts early: first-stage flags precede second-stage C-sections.(Obstetrics)
May 1, 2004... HOUSTON -- Charts of women undergoing second-stage caesarean deliveries due to dysfunctional labor or presumed cephalopelvic disproportion often contain first-stage harbingers of trouble that go unrecognized by obstetricians, investigators...

Better predictors than vaginal signs: urinary symptoms predict gonorrhea, chlamydia.(Gynecology)
May 1, 2004... ST. LOUIS -- Urinary symptoms are much more highly predictive of gonococcus and chlamydia infections than are vaginal symptoms, Dr. Jill Huppert reported in a poster presentation at the annual meeting of the Society for Adolescent Medicine. ...

Drug update: genital herpes simplex virus.(Gynecology)
May 1, 2004... Three oral antiviral medications are approved to treat genital herpes simplex virus infections: acyclovir, famciclovir, and valacyclovir. The drugs are equally effective and well tolerated, with rare side effects consisting mainly of mild...

Single-visit approach: 'smear-and-treat' strategy boosts follow-up.(Gynecology)
May 1, 2004... ORLANDO, FLA. -- A "smear-and-treat," single-visit approach to offering Pap smears led to better follow-up treatment in a controlled study of more than 3,000 women. The single-visit strategy also boosted the rate of follow-up Pap smears...

New York city data: clearer picture emerging of HIV epidemic.(Gynecology)
May 1, 2004... SAN FRANCISCO -- Recent mandates to report diagnoses not only of AIDS but also of HIV infection are exposing the bulk of this iceberg of an epidemic, and it's not a pretty sight. Nearly 1% of all New York City residents are living with...

Preliminary findings: older women can have high-risk HPV strains.(Gynecology)
May 1, 2004... LAKE BUENA VISTA, FLA. -- Preliminary findings suggest that older women, even those who are not sexually active, can be infected with the high-risk strains of human papillomavirus associated with cervical cancer, Dr. Concepcion Diaz-Arrastia...

20-minute wait: FDA approves saliva-based rapid HIV test.(Gynecology)
May 1, 2004... The first oral-fluid-based rapid HIV test, capable of delivering results within 20 minutes, has received approval from the U.S. Food and Drug Administration. The OraQuick Rapid HIV-1/2 Antibody Test (OraSure Technologies Inc., Bethlehem,...

Dozens in development: anti-HIV microbicides probably a decade away.(Gynecology)
May 1, 2004... SAN FRANCISCO -- More than 20 years into the HIV epidemic, advances in understanding the disease have enlivened the quest for an effective microbicide, but it will be another decade or so before one becomes available, Dr. Robin J. Shattock said...

Clobetasol ointment: topical steroids urged for lichen sclerosus.(Gynecology)
May 1, 2004... WHISTLER, B.C. -- Approximately 10%-15% of all cases of lichen sclerosus occur in children, with girls outnumbering boys 10:1, Dr. Sheryll Vanderhooft said at a clinical dermatology seminar sponsored by Medicis. The clinical features of...

Excessive uterine blleding, hysterectomy: chance of surgery 50% after conservative tx.(Gynecology)
May 1, 2004... Women with an unsatisfactory response to first-line medical therapy for excessive uterine bleeding who undergo further conservative therapy stand about a 50% chance of ultimately needing a hysterectomy, results of two randomized trials suggest....

Coinfection a risk: counseling to prevent STDs may decrease HIV rate.(Gynecology)
May 1, 2004... ORLANDO, FLA. -- Counseling aimed at preventing sexually transmitted diseases can be expected to reduce HIV infection rates, reported Dr. John Beltrami and his colleagues in a poster at the annual meeting of the American College of Preventive...

Doubled in 20 years: metastatic breast ca survival has increased.(Gynecology)
May 1, 2004... SAN ANTONIO -- Overall survival in metastatic breast cancer patients markedly improved during a recent 20-year period, Dr. Tobias Lekberg said at a breast cancer symposium sponsored by the Cancer Therapy and Research Center. He credited...

Fear factor: compliance poor in Hispanic breast ca patients.(Gynecology)
May 1, 2004... CHICAGO -- Fear, confusion, and mistrust may explain why many Hispanic patients are noncompliant with breast cancer care, Dr. Alexander R. Miller said at the annual clinical congress of the American College of Surgeons. He explained that...

Commonly used tools: computer models underestimate breast cancer risk.(Gynecology)
May 1, 2004... LOS ANGELES -- Mathematical models commonly used to predict a woman's risk of developing breast cancer profoundly underestimated that risk in a British study of 3,170 subjects tracked for 5 years for evidence of cancer after a baseline...

Pros and cons of different types: get a grip on pelvic reconstructive grafts.(Gynecology)
May 1, 2004... BALTIMORE -- Support is literally the operative word in pelvic reconstructive surgery, and choosing the right graft, if any, is an important consideration. Sacropexies and slings are procedures that traditionally require a graft to...

Tumor size >2 cm: surgical pearls in endometrial cancer: large lesion, get nodes.(Gynecology)
May 1, 2004... BIG SKY, MONT. -- A key point for the general gynecologist operating on patients with stage I endometrial carcinoma is that a tumor size greater than 2 cm warrants lymph node sampling. Dr. Ira R. Horowitz said at a meeting on ob.gyn.,...

Five lots affected: Duragesic patch recalled due to leaks.(Gynecology)
May 1, 2004... Janssen Pharmaceutica is recalling five lots of Duragesic (fentanyl transdermal system) 75-[mu]/hr patches. The affected lot numbers are 0327192, 0327193, 0327294, 0327295, and 0330362. The patches have the potential for a leak in the...

Association health plans possible: health care reform not likely in election year.(Practice Trends)
May 1, 2004... Hoping for substantive health care reform this year? Think again. Health care reform doesn't usually happen in years where presidential elections loom large, according to several experts. "Reforming health care, holding down health care...

Patients asked to sign contracts: company offers plans to curb frivolous lawsuits.(Practice Trends)
May 1, 2004... Physicians across the country are taking a new aggressive stance to protect themselves against malpractice lawsuits: They're asking their patients to sign on the dotted line, specifying that they won't sue for any "frivolous" reason. If it...

Policy & practice.(Practice Trends)
May 1, 2004... UNBORN VICTIMS ACT SIGNED President Bush last month signed into law a measure that would make it a separate crime to cause the death or injury of a fetus. The Unborn Victims of Violence Act was passed by a vote of 254-163 by the House and 61-38...

Malpractice or other litigation: take steps to protect personal, practice assets.(Practice Trends)
May 1, 2004... MIAMI BEACH -- Effective strategies to protect physician wealth from malpractice or other litigation include diluting the value of your practice, forming corporations and limited partnerships, directing assets to offshore irrevocable trusts,...

Questions coming your way: educate seniors about Medicare discount card.(Practice Trends)
May 1, 2004... Patients with a million questions on the new Medicare drug card programs will be presenting at your office any day now--will you be ready? Starting this month, Medicare beneficiaries, except those with Medicaid drug coverage, will be able...

PhRMA Web site helps low-income patients find free medications.(Practice Trends)
May 1, 2004... Drug companies are offering a new tool to make it easier for low-income patients to get free medications. The Pharmaceutical Research and Manufacturers of America (PhRMA) recently added a new feature to its www.helpingpatients.org Web site,...

Talk to caregiver: tips on explaining the Medicare drug benefit to your patients.(Practice Trends)
May 1, 2004... WASHINGTON -- Once the discount drug card portion of the Medicare drug benefit goes into effect, expect your Medicare patients to come in with lots of questions, but don't expect to have a lot of answers, Hal Prink said at a meeting on the...

Large prospective study: treadmill test urged for asymptomatic women.(Clinical Rounds)
May 1, 2004... NEW ORLEANS -- Exercise stress testing as a screening tool in asymptomatic women provides valuable prognostic information, according to a major new study. "We believe that our findings will impact the American College of...

Case-control study: depression a risk factor for sudden cardiac death.(Clinical Rounds)
May 1, 2004... SAN FRANCISCO -- People with clinical depression have a more than 50% greater risk of experiencing sudden cardiac death than those who are not depressed, according to a study reported by Dr. Jean-Philippe Empana at a conference on...

Evidence-based review: scheduled insulin best for inpatient hyperglycemia.(Clinical Rounds)
May 1, 2004... SAN FRANCISCO -- Programmed and scheduled administration of insulin improves glucose control in hospitalized patients with hyperglycemia, compared with sliding-scale orders alone, Dr. Stephen C. Clement said at a meeting sponsored by the...

More than 3,000 patients studied: sinus headache complaints may really mean migraine.(Clinical Rounds)
May 1, 2004... RANCHO MIRAGE, CALIF. -- Patients who think they have a sinus headache may actually be suffering from a migraine, Dr. Roger K. Cady said at a meeting sponsored by the Diamond Headache Clinic. Migraine presentations can vary in real-life...

Ensuring prompt treatment: nonpain symptoms can warn patients that a migraine is imminent.(Clinical Rounds)
May 1, 2004... CHICAGO -- Nearly one in six patients recognizes an imminent migraine attack even in the absence of pain. Dr. Richard B. Lipton reported at the annual meeting of the American Headache Society. That finding from a multicenter study suggests...

Acne vulgaris.(Women's Health Adviser)
May 1, 2004... Acne vulgaris is the most common dermatologic disease in the world, affecting 85% of people aged of 12-24 years. Normally associated with the teenage years, acne can persist into middle age, occurring in 8% of adults aged 25-34 and up to 3% of...

Revolutionary paradigm.(The Master Class)
May 1, 2004... It is well known that as maternal age increases, so does the incidence of aneuploidy. Thus, it made mathematical sense years ago to establish a rather arbitrary threshold of 35 years as the age at which the risk of pregnancy loss caused by...

It's time to rethink prenatal screening strategies.(The Master Class)
May 1, 2004... Every practicing obstetrician faces a dilemma when deciding how best to advise patients about undergoing screening for Down syndrome. Technology is advancing rapidly. Patients look to us for up-to-date guidance about which screening method is...

Imitrex for migraine.(Products)
May 1, 2004... Imitrex (sumatriptan succinate) tablets, for treatment of migraine with or without aura, have been reformulated to dissolve quickly after swallowing. It is available in 25-, 50-, and 100-mg tablets. For more information, contact...

Cutting blade introduced.(Products)
May 1, 2004... The Powerblade grasps, dissects, coagulates, and cuts during surgical procedures. For more information, contact Richard Wolf Medical Instruments Corp., 800-323-9653, www.richardwolfusa.com.

Intermittent Paxil approved.(Products)
May 1, 2004... Paxil CR (paroxetine HCl, controlled release) oral tablets have been approved for intermittent (luteal phase) dosing to treat premenstrual dysphoric disorder. For more information, contact GlaxoSmithKline, 888-825-5249, www.paxilcr.com.

First aid line stops bleeding.(Products)
May 1, 2004... The Seal-On line of first aid products uses microdispersed oxidized cellulose to stop the bleeding of minor wounds and nosebleeds quickly. The products include a spray, and nasal sponges, and adhesive bandages. For more information, contact...

Laparoscopic surgery light.(Products)
May 1, 2004... The InnerVision transillumination system provides adjustable lighting of the esophagus, rectum, and other organs during laparoscopic surgery and has a flexible tip to minimize perforation risk. For more information, contact Medovations Inc.,...

Cart for lighter equipment.(Products)
May 1, 2004... The Trolley Lite can hold up to 100 pounds of equipment. It comes with one shelf and 5-inch casters. For more information, contact Anthro Corp., or visit www.anthro.com, 800-325-3841.

Low-dose Prempro available.(Products)
May 1, 2004... The lowest effective dose of Prempro (conjugated estrogens/medroxyprogesterone acetate tablets), 0.3 mg/1.5 mg, is now widely available in pharmacies. For more information, contact Wyeth Pharmaceuticals, 800-934-5556, Fax 610-964-5944.

Furniture catalog.(Products)
May 1, 2004... The new edition of the "Heathcare Furniture & Accessories" catalog is available from Medical Arts Press. To request the free catalog, call 800-328-2179 or visit www.medicalartspress.com.

Low-dose estrogen tablets.(Products)
May 1, 2004... Cenestin (synthetic conjugated estrogens, A) tablets are approved in a 0.45-mg dose, the lowest dose approved for the treatment of moderate to severe vasomotor symptoms associated with menopause. For more information, contact Duramed...

Virtual computer keyboard.(Products)
May 1, 2004... The iBIZ virtual computer keyboard uses a laser to project a keyboard on any flat area, which can be sprayed with chemical disinfectant, reducing the potential spread of bacteria. The virtual computer keyboard device analyzes what is being...

Preeclampsia, C-sections, dystocia: soaring obesity = more complications.(News)
May 15, 2004... HOUSTON -- Excess maternal weight and obesity rose an "alarming" 41% between 1991 and 2001 in the first statewide population study of pregnancy and body mass index, with profound implications in terms of complications and cesarean section...

Plaintiff recovery rate in medical malpractice lawsuits.(Vital Signs)
May 15, 2004... Plaintiff Recovery Rate in Medical Malpractice Lawsuits Note: Based on 9,011 medical malpractice cases from 1996 to 2002. Source: Jury Verdict Research

Community-based ongoing study: small fibroids linked to early pregnancy loss; Interim results suggest fibroids < 3 cm in diameter may raise miscarriage risk fourfold.(News)
May 15, 2004... HOUSTON -- Fibroids so small they are ignored by the widely used Muram ultrasound criteria appear to have a profound association with spontaneous abortion, perhaps explaining many early pregnancy losses, especially among African American women....

Prospective study: no rise in fetal anomalies with azithromycin use; May be good first-line choice in pregnancy.(News)
May 15, 2004... MIAMI BEACH -- Gestational exposure to azithromycin was not associated with an increased risk above baseline for major fetal anomalies in a prospective, controlled trial of 369 pregnant women. The antibiotic had a safety profile comparable...

Case-control study: OC use before age 20 years tied to early breast cancer.(News)
May 15, 2004... ORLANDO, FLA. -- Oral contraceptive use by women before age 20 years was a significant risk factor for the development of breast cancer by age 40 in a case-control study in 245 Swedish women with early-onset breast cancer. Although the...

Multicenter phase II study: investigational drug treats fibroid-related bleeding.(News)
May 15, 2004... HOUSTON -- The investigational selective progesterone receptor modulator asoprisnil induced amenorrhea or normal menstrual periods in a clear majority of women with myoma-associated menorrhagia in a multicenter phase II study. "In subjects...

Systemic inflammation: subclinical UTI may trigger acute coronary syndrome, study suggests.(News)
May 15, 2004... NEW ORLEANS -- Subclinical urinary tract infection may be an important proximate cause of acute coronary syndromes. Dr. John B. Sims said at the annual meeting of the American College of Cardiology. His single-center, case-control,...

All bleeding resolved by 4 weeks: hematomas tied to instrument delivery.(News)
May 15, 2004... Instrument delivery was associated with a significantly increased risk for asymptomatic subdural hematoma in one group of term newborns, Dr. Elspeth H. Whitby of the University of Sheffield (England) and her associates reported. MRI scans...

Malpractice crisis here, too.(Letters)(Letter to the Editor)
May 15, 2004... I brought the March 15, 2004, issue of OB.GYN. NEWS to the physician lounge, where I read with interest the letter by Dr. Thomas Bonekemper that compared liability insurance premiums in Philadelphia to those in Richmond, Va. ("From Crisis to...

Medical errors book off base.(Letters)(Letter to the Editor)
May 15, 2004... After reading about Dr. Robert M. Wachter and Dr. Kaveh G. Shojania in the excitingly titled article "Physician Authors Take On Medical Mistakes" (April 1, 2004, p. 25), I do not feel encouraged to read their book. The doctors described...

Pain relievers.
May 15, 2004... "The pharmacist called about your first electronic prescription. He still can't read it."

Right response to complications.(Guest Editorial)
May 15, 2004... Complications are ubiquitous in procedural medicine. They happen to all physicians. But I've come to understand that most doctors are poorly equipped, at an individual level, to handle the psychological effects of severe complications. The...

Nonstress test 'not good enough anymore': Doppler US key to evaluation of IUGR fetus.(Obstetrics)
May 15, 2004... BIG SKY, MONT. -- A negative nonstress test in a growth-restricted fetus can no longer be considered reassuring in an era when high-quality Doppler ultrasound is readily available, Dr. Arthur S. Maslow said at a meeting on ob.gyn., gynecologic...

Two studies: depression may impact infant's cortisol levels.(Obstetrics)
May 15, 2004... ORLANDO, FLA. -- Pre- and postnatal depression in women influences neuroendocrine function in their infants, reported Laura R. Stround, Ph.D., at the annual meeting of the American Psychosomatic Society. Prenatal depression, reported in...

Loratadine and hypospadias.(Drugs, Pregnancy, and Lactation)
May 15, 2004... Loratadine, available as Claritin since 1993 and now available in several generic and over-the-counter formulations, is a popular nonsedating antihistamine used by many women of child-bearing age. For some time, we have been counseling...

How women weigh screening options; Trisomy 21 screening: 'no one size fits all'.(Obstetrics)
May 15, 2004... NEW YORK -- It's important to offer patients a range of options for trisomy 21 screening, Dr. Fergal D. Malone said at an obstetrics symposium sponsored by Columbia University and New York Presbyterian Hospital. The screening options that...

Top five causes for infant mortality.(Data Watch)
May 15, 2004... Top Five Causes of Infant Mortality Congenital malformations, deformations, and chromosomal abnormalities 137.6 Disorders related to short gestation and low birth weight 109.5...

Ongoing sonographer training: regular quality checks needed for first-trimester NT screenings.(Obstetrics)
May 15, 2004... NEW YORK -- Ongoing sonographer training and quality control programs are essential for achieving accurate and consistent nuchal translucency measurements in the first trimester, Dr. Fergal D. Malone said at an obstetrics symposium sponsored by...

Small study: sex practices of young lesbians risk spread of BV.(Gynecology)
May 15, 2004... PHILADELPHIA -- Lesbians under age 30 commonly practice vaginal penetrative sex manually or with sex toys, yet have a poor understanding of the possible accompanying risk of bacterial vaginosis, according to Dr. Jeanne Marrazzo. The women...