Episode 2.8 Vaginal lasers, metformin for PCOS, home birth safety, and blood transfusions

In this episode, we discuss the use of vaginal lasers for vaginal rejuvenation. We discuss the role of metformin in the treatment of PCOS. We discuss new literature about the need for blood transfusion preparedness on L&D. Finally, we discuss the safety of birth at home compared to birth at free standing birth centers. 

Links Discussed:

Management of postmenopausal vulvovaginal atrophy: recommendations of the International Society for the Study of Vulvovaginal Disease

Time for a “Pause” on the Use of Vaginal Laser

Effect of Fractional Carbon Dioxide Laser vs Sham Treatment on Symptom Severity in Women With Postmenopausal Vaginal Symptoms

Mona Lisa Touch

Role of Metformin in Women’s Health: Review of Its Current Place in Clinical Practice and Emerging Indications for Future

Do women with ovaries of polycystic morphology without any other features of PCOS benefit from short-term metformin co-treatment during IVF? A double-blind, placebo-controlled, randomized trial

Metformin does not improve insulin sensitivity over hypocaloric diets in women with polycystic ovary syndrome: a systematic review of 12 studies

Metformin for ovulation induction (excluding gonadotrophins) in women with polycystic ovary syndrome

Metformin therapy for the reproductive and metabolic consequences of polycystic ovary syndrome

Similar Risk of Congenital Defects With Detemir Versus Other Basal Insulins

Transfusion Preparedness in the Labor and Delivery Unit

Birth Outcomes for Planned Home and Licensed Freestanding Birth Center Births in Washington State