This 20-year experience of the New England Trophoblastic Disease Center demonstrates that women with postmolar gestational trophoblastic neoplasia (PMGTN) who are referred to a specialty center at the time of molar pregnancy diagnosis have clinical outcomes equivalent to women who are followed in the community and referred after a diagnosis of PMGTN.

This retrospective review of hCG decline after hydatidiform mole evacuation suggests that monitoring with urinary semiquantitative pregnancy tests could avoid blood draws for 90% of patients.

Surgery substantially contributes to the management of patients with gestational trophoblastic neoplasia.

Serum anti-M�llerian hormone is an indicator of ovarian reserve which is commonly depressed postchemotherapy but does not reliably predict short-term fertility in patients treated for gestational trophoblastic neoplasia.

Potential life-threatening conditions concerning maternal life were infrequent at the New England Trophoblastic Disease Center in recent years, likely due to early diagnosis of molar pregnancy.

Pegylated liposomal doxorubicin is an active agent in the treatment of high-risk gestational trophoblastic disease resistant to standard chemotherapies and radiation.

Although neither macroscopic nor histopathological diagnoses were perfect, they both were quite accurate in the hospital setting of a single trophoblastic center.

Despite many difficulties, the follow-up of Brazilian women with gestational trophoblastic disease has improved with the creation of reference centers in each state of Brazil, which will centralize the regional care of these women.

Despite different efficacy and toxicity profiles, the treatment costs for low-risk gestational trophoblastic neoplasia in Thailand are almost equal between initial 5-day actinomycin D and 8-day methotrexate�folinic acid.

A Teenage and Young Adult service can enable age-appropriate care to teenagers and young adults facing unique challenges following a diagnosis of gestational trophoblastic neoplasia.

Change in national health care policy led to increased incidence of gestational trophoblastic neoplasia in the referral center due to only complicated cases being referred. However, improvement of patient outcomes was observed in direct association with improved targeted chemotherapy regimens.

The authors evaluate a new endometrial biopsy device that combines tissue disruption and aspiration into a single process, resulting in a more accurate diagnosis for endometrial cancer.

If a mass is detected on the abdominal wall in a woman who has had a cesarean section, the initial diagnosis should be scar endometrioma.

The authors describe a strategy based on the combination of embryo cleavage patterns and timing parameters which is effective for selecting the optimal embryo, therefore avoiding the need for transferring >1 embryo.

Using sperm parameters to predict clinical pregnancy with intrauterine insemination, the authors test the hypothesis that morphology is the best predictor of clinical pregnancy.

The cesaraean rate of breech birth is high in China. Uterine malformation, myoma, and gestational diabetes mellitus appear to increase the risk of breech birth.

Gonadotropin-releasing hormone/gonadotropin-releasing hormone receptor and progesterone/progesterone receptor signaling both appear to contribute to the maintenance of pregnancy without directly affecting each other.

The authors present a retrospective analysis on 15 cases of acute fatty liver of pregnancy.

A patient with history of vestibulodynia presented with vulvar symptoms, lichen sclerosis, elevated serum testosterone levels, and fibrothecoma; after surgical removal of the ovarian lesion she had resolution of the elevated testosterone levels, vulvar pain, and lichen sclerosis.

The authors report a case of severe hemoperitoneum during pregnancy with obstructed hemivagina and ipsilateral renal agenesis syndrome.

Central nervous system methicillin-resistant Staphyloccocus aureus (MRSA) infection should be considered in pregnant women with new neurologic signs or symptoms and a history of MRSA infection.

The authors report a case of mitotically active leiomyoma in a patient with Mayer-Rokitansky-K�ster-Hauser syndrome.

The authors present the cases of 2 obese, infertile women with polycystic ovarian syndrome and discuss the potential for long-term adverse metabolic and endometrial problems that can co-occur with polycystic ovarian syndrome.

The authors present a rare case of bilateral ectopic pregnancy. Bilateral tubal pregnancy is usually diagnosed intraoperatively; thus, examining both tubes at the time of surgery is essential even in the presence of significant adhesions.