Evidence
Alert

First-line chemotherapy for ovarian cancer given once every three weeks may preserve quality of life

Women with a new diagnosis of ovarian cancer receiving weekly chemotherapy may have reduced quality of life compared to those receiving treatment every three weeks because the more frequent treatment may cause long-lasting nerve damage. Ovarian cancer is usually treated every three weeks with chemotherapy containing the medicines carboplatin and paclitaxel. A study in Japan ...

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Missed miscarriage should be treated with mifepristone plus misoprostol rather than misoprostol alone

A combination of two drugs – mifepristone and misoprostol – was more effective than mifepristone alone for treating missed miscarriage. A large, multi-centre trial found that women given the combination were more likely to have completed their miscarriage within a week, and less likely to need follow-up surgery. During a miscarriage of pregnancy, the baby ...

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Womb cancer could be detected early with an inexpensive new blood test

A simple, low-cost blood test offers great potential as a tool for diagnosing womb cancer, and for screening high-risk women. The test gives almost instant results and in a new study, it picked up changes in the womb that could lead to cancer (pre-cancerous growths). In the UK, womb cancer is the fourth most common ...

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Women with womb cancer are to be offered a genetic test for Lynch syndrome

All women undergoing treatment for womb cancer are to be offered tests for an inherited genetic condition. New guidance from NICE was published on 28 October. It follows research that showed that almost all women invited to have the test took up the offer. Around three to four in 100 women with womb (endometrial) cancer ...

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Prozac may be the best treatment for young people with depression – but more research is needed

Children and adolescents with moderate-to-severe depression are being prescribed treatments that are not backed by reliable evidence. There is insufficient data on whether treatments work and if they are safe. Unlike for adults, the best way to treat symptoms of depression in these age groups is unknown. A review of 71 separate trials found that ...

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New research provides insights into the distress experienced by transgender adults

Transgender people have a mismatch between their sex assigned at birth and the gender they identify as. This can lead to sense of unease, dissatisfaction or distress (gender dysphoria) which can be intense. Social factors also cause negative feelings. Treatment at gender clinics is only available to those who have gender dysphoria. How gender dysphoria ...

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Parents-to-be need to be prepared for receiving uncertain results from genetic tests

Parents-to-be are offered a range of tests to predict whether their baby is likely to have certain health conditions. Many are keen to have these pre-natal tests for reassurance. But sometimes the results are unclear, leaving parents to deal with uncertainty. New types of genetic tests look in detail at the baby’s genetic material (the ...

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Decision aids including leaflets and computer programs help patients make treatment choices

Decision aids help patients choose between treatment options in obstetrics and gynaecology, and reduce uncertainty. A systematic review of trials of decision aids used for choices of contraception, caesarean section and menopause treatment found that patients who used them felt more confident in their ability to make the decision that was right for them, and ...

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Surgery to fix the womb in position after prolapse is an alternative to hysterectomy

Women who have surgery that uses stitches to lift and keep their prolapsed womb in place (called hysteropexy) are less likely to have recurrent symptoms after five years than those who have their womb removed (vaginal hysterectomy). These results from a Dutch trial involving 204 women showed comparable outcomes for the two surgical options for other ...

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Universal ultrasound in late pregnancy did not reduce serious harms to babies

Offering all women third trimester ultrasounds did not reduce the rate of serious illness or death in babies in the first week of life. Monitoring fetal growth is part of routine antenatal care, using regular tape measurements from the pubic bone to the top of the uterus. To date, it has been unclear whether also ...

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