Obstetrics & Gynecology - Green Journal

Obstetrics & Gynecology - Green Journal Obstetrics & Gynecology is the official publication of the American College of Obstetricians and Gynecologists.
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Popularly known as "The Green Journal," Obstetrics & Gynecology has been published since 1953.

Images in Obstetrics & Gynecology"A patient in their 30s on combined oral contraceptives presented with acute right lowe...
08/28/2026

Images in Obstetrics & Gynecology

"A patient in their 30s on combined oral contraceptives presented with acute right lower quadrant pain and a near-normal D-dimer of 1.2 micrograms/ mL DDU. Contrast-enhanced computed tomography (CT) revealed a 14-cm thrombus in the right ovarian vein (Fig. 1A), which drained anomalously into the right renal vein (Fig. 1B). Coronal reconstruction confirmed the thrombus extent (Fig. 1C). Complete resolution was demonstrated at 37-day follow-up CT after anticoagulation (Fig. 1D). This case highlights that a near-normal D-dimer does not exclude extensive ovarian vein thrombosis, particularly when anatomical variants and hormonal risk factors coexist."

Have an image to share? View instructions for submissions at the Green Journal's website: https://buff.ly/cCxRNEX

"Endometriosis is a chronic condition in which tissue similar to the lining of the uterus grows in other parts of the bo...
08/26/2026

"Endometriosis is a chronic condition in which tissue similar to the lining of the uterus grows in other parts of the body. It affects roughly 1 in 10 women of reproductive age, often causing severe pelvic pain and infertility. Despite how common it is, patients frequently wait nearly a decade for an accurate diagnosis, and current treatments often rely on trial and error rather than targeted science. This review simplifies the complex biologic “blueprint” of the disease to explain why it behaves the way it does. Recent research shows that endometriosis is more than a one-dimensional hormonal imbalance; it involves several key biologic factors, including genetic drivers, hormonal status, and physical changes such as neuroangiogenesis or fibrosis. Currently, no simple laboratory test or biomarker can predict how the disease will progress, largely because of the heterogeneity and small, retrospective nature of studies. To move toward personalized medicine, larger, more diverse studies that connect each patient’s specific genetic profile to their symptoms and disease phenotype are needed. By mapping these molecular details, we can progress toward faster diagnoses, tailored care to each individual’s disease burden, and recurrence risk stratification and surgical planning based on molecular characteristics."

📑 Read the article at: https://journals.lww.com/greenjournal/fulltext/10.1097/aog.0000000000006352~the-role-of-molecular-characterization-in-precision-medicine

🎙️ Listen to the Green Room at: https://journals.lww.com/greenjournal/podcasts/9?podcastid=9

The September Issue is now live at GreenJournal.org!Featured Articles:🎙️ The Role of Molecular Characterization in Preci...
08/21/2026

The September Issue is now live at GreenJournal.org!

Featured Articles:
🎙️ The Role of Molecular Characterization in Precision Medicine in Endometriosis
🎙️ 📖 A Quality-Improvement Study Evaluating Three Postpartum Prophylactic Oxytocin Rates and Blood Loss After Vaginal Birth
📖 Evaluating Routine Opioid Compared With Nonopioid Prescribing After Laparoscopic Hysterectomy: A Randomized Controlled Trial
⭐️ Long-Term Outcomes After Native Tissue Hysteropexy Compared With Hysterectomy for Treatment of Pelvic Organ Prolapse
⭐️ Thyroid Function Throughout Pregnancy in Women With Subclinical Hypothyroidism or Hypothyroxinemia
🧠 Breast Cancer in Young Women: Implications for Pregnancy, Lactation, and Fertility Preservation
[ 🎙️ Podcast | 📖 Journal Club | ⭐️ Editor Pick | 🧠 Clinical Expert Series ]

ACOG Publications:
🆕 Clinical Practice Guideline No. 12: Obstetric Cerclage
🆕 Committee Statement No. 33: Updated Federal Regulation: The Pregnant Workers Fairness Act (PWFA)



Read these and more at: https://buff.ly/JdnXQXV

Join the Green Journal in celebrating its 75th anniversary by reading the Milestones in Motion series, which highlights ...
08/19/2026

Join the Green Journal in celebrating its 75th anniversary by reading the Milestones in Motion series, which highlights practice-changing publications throughout its history.

This month's Milestones in Motion article is focused on endometrial cancer.

Read Dr. Mutch's perspective on "Surgical Staging in Endometrial Cancer: Clinical-Pathologic Findings of a Prospective Study," published by Boronow et al. in 1984, in the August 2026 issue or online at: https://buff.ly/QBLSXGd

📖 Journal Club Article of the Month"Female or****ic disorder represents a significant, yet underrecognized aspect of wo...
08/17/2026

📖 Journal Club Article of the Month

"Female or****ic disorder represents a significant, yet underrecognized aspect of women’s sexual health that affects 10–28% of women and is characterized by persistent difficulty or absence of or**sm after adequate sexual stimulation. It remains poorly understood and infrequently addressed in clinical practice. The female or**sm involves complex neurobiological, vascular, hormonal, and psychosocial mechanisms, with the cl****is serving as the primary anatomical structure for or****ic response. The or**sm gap, which refers to disparities in or**sm frequency between men and women, signifies biological and sociocultural factors that contribute to this condition.

Recent research has identified interoceptive awareness, cognitive-affective factors, and the partner’s gender expectations as important contributors to or****ic function. Evaluation requires a comprehensive biopsychosocial assessment that includes a detailed sexual history, physical examination with attention to cl****al anatomy and pelvic floor function, and selective laboratory testing. Although no pharmacologic treatments approved by the U.S. Food and Drug Administration exist specifically for female or****ic disorder, there are effective treatment options, and management of these treatment options should be individualized.

Future research directions include the standardization of diagnostic tools such as cl****al blood flow assessment and quantitative sensory testing, the development of targeted pharmacologic interventions, and the improvement of clinical education on female sexual anatomy and function. This review synthesizes current evidence on female or****ic disorder to provide clinicians with practical strategies for diagnosis and management."

Read and find free resources for a journal club at: https://journals.lww.com/greenjournal/fulltext/10.1097/aog.0000000000006338~female-or****ic-disorder-current-understanding-and-clinical

"Using EMR and pharmacy dispensing data from a nationally representative dataset, we found that participants with semagl...
08/13/2026

"Using EMR and pharmacy dispensing data from a nationally representative dataset, we found that participants with semaglutide exposure in pregnancy experienced higher risks of excessive gestational weight gain, gestational diabetes, excessive fetal growth, and cesarean delivery, compared with non-users with overweight or obesity. Future large-scale observational studies are warranted to collect more in-depth data on weight trajectories and physiological changes, including metabolic and immune markers, to elucidate the mechanisms by which semaglutide may influence pregnancy outcomes. Also, more data are needed to investigate potential risks to fetal development."

Read the study at: https://buff.ly/ZPrDETO

📖 Journal Club resources at: https://buff.ly/8KTmZo6

"Hormonal suppression for endometriosis leads to a small decrease in BMD with up to 12 months of use, with each medical ...
08/11/2026

"Hormonal suppression for endometriosis leads to a small decrease in BMD with up to 12 months of use, with each medical therapy having a unique effect. The clinical significance of these findings remains uncertain, highlighting the need for expert consensus for bone health management in patients on long-term hormonal therapy. The data of this study will be helpful to clinicians when providing an overview of the potential effects of hormonal suppression for endometriosis on bone health."

Read the full study at: https://journals.lww.com/greenjournal/abstract/10.1097/aog.0000000000006241~effect-of-medical-therapies-for-endometriosis-on-bone-health

Read the synopsis of Dr. Clare’s Inaugural Presidential Address from the 2026 Annual Clinical and Scientific Meeting of ...
08/07/2026

Read the synopsis of Dr. Clare’s Inaugural Presidential Address from the 2026 Annual Clinical and Scientific Meeting of the American College of Obstetricians & Gynecologists, May 1–3, 2026, Washington, DC, in the August 2026 issue or at https://buff.ly/ukJiK4i

"This analysis found that there were simultaneous decreases in adverse outcomes among delivery hospitalizations with a P...
08/05/2026

"This analysis found that there were simultaneous decreases in adverse outcomes among delivery hospitalizations with a PPH diagnosis coincident with implementation of a hospital-based obstetric hemorrhage safety bundle in the large majority of hospitals providing obstetric care in New York State. In this analysis, joinpoint analyses demonstrated trend change points in 2013 and 2014 that marked periods of statistically significant decreases in nontransfusion SMM, transfusion, DIC, and peripartum hysterectomy among delivery hospitalizations complicated by PPH. Later in the study, joinpoint trends analysis demonstrated that nontransfusion SMM and transfusion (2017 and 2016, respectively) began to increase again among delivering patients with PPH. However, peripartum hysterectomy among those with PPH continued to decrease throughout the study period, with the decrease of greatest magnitude occurring from 2013 onward."

Read the full study for FREE at: https://journals.lww.com/greenjournal/fulltext/10.1097/aog.0000000000006320~maternal-outcomes-associated-with-a-statewide-obstetric

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