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Women's Health

The Women's Health Conference is moderated by Susan Cobb Stewart, M.D., Clinical Assistant Professor of Medicine, New York Medical College, and past president of the American Medical Women's Association.

This conference may include discussion of commercial products and services.

The opinions expressed herein are those of the authors and do not necessarily represent the views of the sponsor or its publisher. Please review complete prescribing information of specific drugs or combination of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

Sex-Related Differences in Addiction

Substance use disorder (SUD) is a chronic disease characterized by persistent relapse, despite an individual’s willingness or desire to stay abstinent. Historically, men drink larger amounts of alcohol than women, but the data indicate that consumption for men and women is becoming more similar and has been for the last several decades. Sex differences in alcohol use patterns emerge by the end of adolescence (~17 years of age) and persist across adulthood.
Authors: Jill B. Becker, Ph.D. and Jillian E. Hardee, Ph.D.
Estimated Time: 3 Hours
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Susan Cobb Stewart, M.D.

Womens Health

Susan Cobb Stewart, M.D., the Cyberounds® Women's Health moderator, graduated Smith College, received her medical degree from Cornell and is board certified in internal medicine and gastroenterology. A past president of the American Medical Women's Association, Susan is co-editor of the encyclopedic Women's Complete Healthbook published in 1995. Dr. Stewart has participated in five AMWA Master Faculties in Women's Health: Tobacco, Coronary Heart Disease, Breast Cancer, Arthritis and Incontinence. She is, currently, the chair of AMWA's Women's Health Committee and is a Clinical Assistant Professor of Medicine, New York Medical College.

Within the past 12 months, Dr. Stewart reports no commercial conflict of interest.

Last Update: 2/21/2021

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More Women's Health Courses

Caring for Women and Their Families: The Essential Role of Reproductive Rights

Editor's Note: Dr. Stotland is the author/editor of several books on reproductive healthcare: Abortion: Facts and Feelings; Social Change and Women's Reproductive Health; Psychological Aspects of Women’s Health Care: The Interface Between Psychiatry and Obstetrics and Gynecology and Psychiatric Aspects of Reproductive Technology. From 2008-2008, she was the president of the American Psychiatric Association. We invite your comments on this Cyberounds® and will publish a representative sample. Generally, rights in medical care are actions which care
Authors: Nada L. Stotland, M.D., M.P.H.
Estimated Time: 1 Hour
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Current and Emerging Therapies for Vulvo-vaginal Atrophy

This presentation may include discussion of commercial products and services. Vulvo-vaginal atrophy (VVA) in peri- and post-menopausal women is caused by declining, then deficient estrogen levels. It frequently results in distressing symptoms that include burning, irritation, discharge and dyspareunia. A Cochrane review (2006) estimates that in healthy women over age 60, 50% experience one or more of these symptoms. Other studies report a similar estimated prevalence of 39-47%, with up to 52% of those affected reporting these
Authors: Nancy A. Phillips, M.D., and Gloria A. Bachmann, M.D.
Estimated Time: 1 Hour
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Current Management of Endometriosis

This Cyberounds® will discuss unlabeled use of low-dose estrogen, norethindrone and aromatase inhibitors. Endometriosis remains one of the most complex pathologies faced by OBGYNs and primary care physicians. The overall prevalence of endometriosis in reproductive age women has been estimated to be between 3-10%, but can vary depending on the population studied. Endometriosis affects 12-32% of reproductive age women with pelvic pain and 9-50% of women who are infertile. It is
Authors: Kenan Omurtag, M.D., and Amber R. Cooper, M.D., M.S.C.I.
Estimated Time: 1 Hour
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Endometrial Cancer

Type I Tumors Endometrial hyperplasia is thought to be the precursor lesion of these well- to moderately-differentiated endometrioid adenocarcinomas. In a classic study, Kurman et al. followed 170 patients with endometrial hyperplasia who did not undergo a hysterectomy for at least one year. The authors quantified the risk of progression to carcinoma in patients with various pre-cancerous changes. Cancer precursor lesions were classified as either lacking (hyperplasia) or displaying cytologic atypia (atypical hyperplasia). Hyperplasia and atypical hyperplasia were further
Authors: Yevgeniya Ioffe, M.D., and Israel Zighelboim, M.D.
Estimated Time: 1 Hour
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Evaluation and Treatment of Polycystic Ovary Syndrome

A 32-year-old obese woman complains of recurrent yeast infections. She was diagnosed with polycystic ovary syndrome (PCOS) at the age of 16 years, based on irregular menstrual periods, recalcitrant acne and hirsutism. She has been using the combination of spironolactone and a birth control pill (ethinyl estradiol/drospirenone) for the past five years, during which time her menses have become regular and her acne and hirsutism have improved. For the last year, she has had fatigue and malaise, so she has
Authors: Daniel A. Dumesic, M.D., Mark O. Goodarzi, M.D., Ph.D., Gregory D. Chazenbalk, Ph.D., David Geller, M.D., and David H. Abbott, Ph.D.
Estimated Time: 1 Hour
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Central Nervous System-selective Estrogens: A Safe Estrogen Therapy

Following the publication of the book “Feminine Forever” by Robert Wilson in 1966, the use of hormone replacement therapy (HRT or HT) became popular. In the 1980s, numerous observational studies added further support to the concept that HRT would prevent not only hot flashes and osteoporosis but also heart disease, urinary incontinence and dementia, and would thus improve the quality of life. However, in 1998, the Heart and Estrogen/Progestin Replacement Study (HERS) concluded that the combination of estrogen and progestin
Authors: Istvan Merchenthaler, M.D., Ph.D., D.Sc. and Laszlo Prokai, Ph.D., D.Sc.
Estimated Time: 1 Hour
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