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Epidemiology and Etiology
Try out PMC Labs and tell us what you think. Learn More. This review focuses on the treatment options for adult female patients with acne. Acne in adult female patients may start during adolescence and persist or have an onset in adulthood. Treatment of acne in adult women specifically has its challenges due to the considerations of patient preferences, pregnancy, and lactation.
The chickens that saved Western civilization were discovered, according to legend, by the side of a road in Greece in the first decade of the fifth century B. The descendants of those roosters might well think—if they were capable of such profound thought—that their ancient forebears have a lot to answer for. Chicken is the ubiquitous food of our era, crossing multiple cultural boundaries with ease. With its mild taste and uniform texture, chicken presents an intriguingly blank canvas for the flavor palette of almost any cuisine. A generation of Britons is coming of age in the belief that chicken tikka masala is the national dish, and the same thing is happening in China with Kentucky Fried Chicken. Long after the time when most families had a few hens running around the yard that could be grabbed and turned into dinner, chicken remains a nostalgic, evocative dish for most Americans. How did the chicken achieve such cultural and culinary dominance? It is all the more surprising in light of the belief by many archaeologists that chickens were first domesticated not for eating but for cockfighting. Until the advent of large-scale industrial production in the 20th century, the economic and nutritional contribution of chickens was modest. Nonetheless, the chicken has inspired contributions to culture, art, cuisine, science and religion over the millennia.
Uterine fibroids are common benign neoplasms, with a higher prevalence in older women and in those of African descent. Many are discovered incidentally on clinical examination or imaging in asymptomatic women. Fibroids can cause abnormal uterine bleeding, pelvic pressure, bowel dysfunction, urinary frequency and urgency, urinary retention, low back pain, constipation, and dyspareunia. Ultrasonography is the preferred initial imaging modality. Expectant management is recommended for asymptomatic patients because most fibroids decrease in size during menopause. Management should be tailored to the size and location of fibroids; the patient's age, symptoms, desire to maintain fertility, and access to treatment; and the experience of the physician. Medical therapy to reduce heavy menstrual bleeding includes hormonal contraceptives, tranexamic acid, and nonsteroidal anti-inflammatory drugs. Gonadotropin-releasing hormone agonists or selective progesterone receptor modulators are an option for patients who need symptom relief preoperatively or who are approaching menopause.