Womens' Health

FDA Warns Patients That Thermogram is No Alternative to Mammogram

The U.S. Food and Drug Administration (FDA) has released a warning reminding patients that thermography should not replace mammography for breast cancer screening.

New Combo Therapy Doubles Progression-Free Survival in Metastatic Breast Cancer Patients

A new study found that a combination of everolimus and fulvestrant doubled progression-free survival in these patients compared to fulvestrant alone.

Fertility Therapy Failure Tied to Increased Risk of Heart Problems

Fertility treatment failure is associated with a significant increased risk of cardiovascular disease over the long term.

Prolonged Use of Aromatase Inhibitors Reduces Breast Ca Recurrence

  • Would extending aromatase inhibitor (AI) treatment to 10 years would further reduce the risk of breast cancer recurrence?
  • Prolonged AI therapy avoid adverse effects of treatment with tamoxifen.
  • Trial enrolled 1,918 women with early stage breast cancer.
  • Extending AI treatment to 10 years significantly improved disease-free survival.
  • Results were presented at 2016 annual meeting of the American Society of Clinical Oncology; not yet published in peer-reviewed journal.

Systematic Review: 3D Mammography Shows Promise Over Conventional Mammography

 

  • Systematic review included 5 studies comparing digital breast tomosynthesis (DBT) plus full-field digital mammography (FFDM) versus FFDM alone for the detection of breast cancer lesion in asymptomatic women.
  • DBT plus full field digital mammography detected cancer at a higher rate than conventional mammography alone.
  • DBT plus conventional digital mammography “increases the effectiveness of breast cancer screening.”
  • DBT was also found to increase patient convenience by reducing false positives.

Use of Long-Acting Reversible Contraceptives is 2x 2010; 6x 2002

  • According to the CDC, the rate of usage of long-acting reversible contraceptives (LARC), such as IUDs, by American women has doubled since 2010.
  • The rate of LARC usage has grown 6-fold since 2002.
  • Currently 11.6% of American women use LARC.
  • LARC usage is the fastest growing sector of the contraceptive market.
  • This social movement represents an opportunity for clinicians to educate patients about optimal contraception.

Breast Cancer Death Rates 42% Higher for Black Women

  • Breast cancer death rates are 42% higher in black women than white women.
  • According to a recent study from the American Cancer Society, black and white women now have equal breast cancer incidences for the first time in record keeping.
  • Black women die younger and sooner after diagnosis with breast cancer.
  • Black women are often diagnosed with more aggressive cancers.
  • Data show disparity in healthcare access is not a significant cause of mortality disparity.
  • Ethnicity must influence clinical decision making.

Women at Greater Cancer Risk from Moderate Drinking

  • Numerous studies have found that one drink per day raised risk of breast cancer by as much as 15%.
  • Breast cancer risk appears to be directly related to alcohol consumption.
  • Alcohol seems to be disproportionately injurious to women.
  • Alcohol consumption has been linked to increased risk of 10 or more cancers.
  • Counsel even those patients who are moderate drinkers that abstinence  is safest.

Program Significantly Reduces Incidence of Rape at Universities

  • As many as 25% of women report being raped or sexually assaulted while attending college in North America.
  • College acquaintances are the most common perpetrators.
  • A program designed to teach college women how to assess risk, acknowledge danger, and engage in verbal and physical self-defense significantly reduced the incidence of rape and sexual assault.
  • The randomized, controlled, multicenter study included nearly 900 women on 3 university campuses.
  • Researchers found 46% fewer rapes and 63% fewer attempted rapes in the group that followed the training program.