Recognition of depression in obstetric/gynecology practices

Article Abstract:

The diagnostic criteria and some unique aspects of depression in women are reviewed. Types of depression include major depression, atypical depression, minor depression, and dysthymia or mild, chronic low mood. Women are twice as likely to experience depression as men. Women are more likely to report a constellation of other symptoms, including guilt, anxiety, increased appetite, lack of interest in sex, or physical symptoms. Chronic pelvic pain and irritable bowel are the most commonly associated physical symptoms. People with depression in their family are more likely to become depressed. Life circumstances such as lack of a social network, young children, marital difficulties, lack of education, or feelings of helplessness are more likely to cause depression in women. Women are especially vulnerable to depression premenstrually, after childbirth, and around menopause. Antidepressant drugs and psychotherapy are the most effective treatments.

Psychological aspects, Diagnosis, Women, Depression, Mental, Depression (Mood disorder)

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My fifty-year odyssey in obstetrics and gynecology

Article Abstract:

During the last 50 years the most important developments in gynecology are the Papanicolaou test, improvements in detection and treatment of gynecologic cancers, the development of the laparoscope and hysteroscope, and Board Certification. In obstetrics, major developments have been pregnancy tests, marked reductions in maternal and fetal death rates, Rh antibody treatment, lowered incidence of toxemia, ultrasound imaging, more humanistic care during childbirth, the rise in malpractice litigation, advances in contraception, infertility treatment, and changes in abortion laws.

History, Obstetrics

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Postreproductive gynecology: meeting the present and future needs of women

Article Abstract:

Gynecologists should be a central and complete source for women's health care. It would be helpful to centralize gynecologists who specialize in menopausal and post-menopausal health care into group practices. Gynecologists should lobby for federal funds to support research in menopausal and post-menopausal health issues and to demand equal access to gynecological services for all women. Special health needs that are important to menopausal and post-menopausal women include hormone therapy, sexual function, and pelvic and breast disease.

Health aspects, Practice, Postmenopausal women

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