In this episode, we discuss the latest recommendations for treatments for osteopenia and osteoporosis, including vitamin D and calcium, as well as bisphophonates and other medications.

Then we discuss new literature about best methods for induction of labor and risks factors for uterine rupture during a trial of labor after Cesarean. We also discuss a new trial about late preterm antenatal steroids.

Also we talk about a new article about mammalian menopause the evolutionary rolls of menopause and concealed ovulation (fun people, we know!) 

Finally, we answer a listener question about bleeding during surgery.

00:00:02 Treatment of Osteopenia and Osteoporosis

00:14:40 Vaginal Birth After Cesarean Recommendations

00:24:05 Effectiveness of Late Preterm Steroids

00:35:49 Menopause and Evolution in Mammals

00:41:05 Concealed Estrus and Weight Gain Recommendations

00:47:56 Managing Surgical Hemostasis and Bleeding

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In this episode, Dr. Stuart Winkler returns to discuss new evidence about the risks and benefits of radical hysterectomy for cervical cancers. Also, for fun, we torture a Gyn-Onc with a four tips for managing cord prolapse.  Also, we discuss a new commentary on activity restriction after gynecologic surgery.

00:00:02 Management of Cord Prolapse in Labor

00:11:01 History and Evolution of Radical Surgery

00:25:03 Recent Trials on Cervical Cancer Surgery

00:48:33 Activity Restrictions in Surgical Practice

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In this episode, we discuss which laparoscopic ports need to be closed and how. Plus, we discuss more evidence that the current narrative about maternal mortality in the US is false. Finally, we answer listener questions about oxytocin protocols and the history and utility of the Bishop's Score.

00:00:02 Closing Laparoscopic Ports
00:13:32 The Maternal Mortality Rate Debate
00:21:04 Maternal Mortality Misconceptions and Progress
00:30:30 Maternal Mortality Misconceptions and Data Accuracy
00:39:27 The Bishop's Score
00:45:41 Debating Oxytocin and Labor Policies

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In this episode, we discuss four tips for breech vaginal delivery.  Then, we respond to the Alabama Supreme Court's decisions about embryos and the impact on IVF and reproductive rights. Finally, we discuss the best methods for initial laparoscopic entry and discuss the history of laparoscopy.

00:00:02 Four Tips for Vaginal Breech Deliveries

00:13:17 Alabama Supreme Court and IVF

00:29:15 Initial Laparoscopic Entry

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In this episode, we discuss the use of supplemental oxygen for fetal decelerations. Then we get into part 2 of our discussion of interpreting clinical studies and when to adopt new interventions into practice, including a discussion of intranasal metoclopramide, elagolix, and a new study about an app based doula service. Finally, we answer user questions about surprise billing at the time of annual exams and the pros and cons of egg freezing.

00:00:02 Oxygen Supplementation in Labor

00:11:00 Interpreting studies part 2: intranasal metoclopramide

00:22:07 Evaluating Efficacy of Elagolix for Endometriosis

00:38:23 Doulas and Birth Outcomes

00:44:32 Listener Question: Surprise Billing

00:51:30 Listener Question: Egg Preservation

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In this episode, we discuss four tips for external cephalic version. Then we dive into the basics of interpreting scientific studies. Finally, we discuss the pregnancy history of Jackie Kennedy.

00:00:20 Tips for External Cephalic Version

00:17:10 Evaluating Clinical Studies

00:53:13 Jackie Kennedy's Impact on Cesarean Deliveries

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In this episode, we discuss performing Cesarean for fetal weights at lower thresholds than currently recommended. Then we discuss new literature regarding utility of pelvic exams or screening asymptomatic women and early rupture of membranes after cervical ripening with a Foley bulb. Then we discuss an editorial discussing selecting the best test and hysteroscopy for miscarriage after embryo transfer. Plus, a new RCT that examines stopping oxytocin once a patient is in active labor. Finally, we answer listener questions about harms of yearly pap smears and whether we plan to use Zuranolone for treatment of postpartum depression. Buckle up!

00:01:00 Cesarean for Fetal Weight > 4000 g
00:13:20 Pelvic Exams in Asymptomatic Women
00:30:10 Early Amniotomy After Foley Bulbs
00:33:43 The Best Test: Hysteroscopy for Miscarriage
00:40:59 Stopping Oxytocin in Active Labor
00:45:00 Listener Question: Harms Of Yearly Paps
00:55:26 Listener Question: Zuranolone

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In the first episode of our new season, we introduce a new segment with Four Tips for managing fetal heart tracings. Then we discuss the new mammography guidelines. And finally we discuss a case of a viable pregnancy in a woman who had had a hysterectomy.

00:20:45 Mammography Guidelines
00:30:12 Debating the Effectiveness of Mammography Screening
00:41:01 Breast Cancer Screening and Overdiagnosis
00:55:50 Pregnancy After Hysterectomy

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In this episode, we discuss five more myths about hormone replacement therapy. Also, we discuss the utility of cervical exams at later pregnancy visits and the history of synthetic hormones.

00:00:02 Intro and Routine Cervical Exams
00:07:51 Myth #6: Lowest dose, shortest duration
00:17:27 Myth #7: Women without a uterus need progesterone 
00:22:44Myth #8: Transdermal estrogen is safer than oral
00:36:25 Myth #9: All menopausal women should also be on Testosterone replacement
00:39:50 Myth #10: Ineffective alternative treatments
00:53:04 History of hormone products

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In this episode we debunk the first of five myths about menopausal hormone replacement therapy.

00:00:02 Hormone Replacement Therapy For Smokers, HTN

00:11:42 Misinformation from Women's Health Initiative

00:17:18 Myth 1: Estrogen and Breast Cancer

00:28:06 Myth 2: HRT and BRCA Patients

00:33:17 Myth 3: Estrogen and Cardiovascular Disease

00:39:14 Myth 4: Bioidentical Hormones

00:51:00 Myth 5: Checking Hormone Levels

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