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April 2023 - Volume 30 - Issue 4

  • Isaac Schiff, MD
  • 1530-0374
  • 12 issues per year
  • Obstetrics & Gynecology 28/85
  • 3.310

In this issue, Alvisi et al describe a potential mechanism of action of ospemiphene on the vaginal tissue which is to alter the vaginal microbiome. In an accompanying editorial, Mitchell goes into further detail on this subject to explain the relationship between the microbiome and vaginal atrophy. In keeping with the topic of vaginal atrophy, Hickey et al describe a home-based successful ultrasound treatment for the symptoms.

Faubion et al, in a cross-sectional analysis, found that a migraine history was associated with poor sleep in premenopausal women. In perimenopausal women with migraine history, sleep was also influenced by confounding factors such as vasomotor symptoms and anxiety. To follow up on insomnia: in a cross-sectional study of women veterans, a lifetime history of intimate partner violence (IPV) may be associated with clinical insomnia during midlife. Shaver and Woods in the accompanying editorial describe the health implications of IPV and provide recommendations for clinical practice and research.

In previous issues we have published on the long-term effects of pregnancy on the health of the mother and Appiah et al are reassuring in that age of last birth is not necessarily associated with cardiovascular disease mortality.

We hope you will find all the information in this issue of interest.

Isaac Schiff, MD, CM
Editor-in-Chief ​

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Current Issue Highlights

Effect of ospemifene on vaginal microbiome in postmenopausal women with vulvovaginal atrophy

Alvisi, Stefania; Ceccarani, Camilla; Foschi, Claudio; More

Menopause. 30(4):361-369, April 2023.

The Women's Health Initiative randomized trials of menopausal hormone therapy and breast cancer: findings in context

Chlebowski, Rowan T.; Aragaki, Aaron K.

Menopause. 30(4):454-461, April 2023.


        -hosted by Dr Marla Shapiro 

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