We unpack new studies that reshape how we counsel on VBAC after short intervals, update what we tell BRCA carriers about estrogen therapy, and explore how self-collected HPV tests can reduce screening gaps. We also question surgical marketing, workforce trends, and the shaky evidence behind aspirin dosing for preeclampsia.

• Short interpregnancy interval as a VBAC risk factor, not a contraindication
• Absolute uterine rupture rates in spontaneous vs induced labor
• Estrogen therapy in BRCA carriers and treated gyn cancers
• Cervical screening overuse and underscreening in insured populations
• Self-collected HPV testing intervals and access benefits
• OB-GYN workforce shortages and rural distribution gaps
• Endometriosis surgery indications versus fertility claims
• Robotics versus laparoscopy outcomes and training priorities
• Aspirin dose trials, lack of placebo arms, and abruption signals
• Reading statistics correctly and demanding better editorial standards

0:00 Setting The Agenda: New Studies

0:40 Short Interval Pregnancy And VBAC Risk

3:10 Quantifying Uterine Rupture By Spacing

8:10 Induction, Augmentation, And Rupture Math

9:40 HRT In BRCA Carriers: New Evidence

13:05 Estrogen After Gyn Cancers: Practice Gaps

17:40 Cervical Screening: Overuse And Underscreening

22:30 Self-Collected HPV Testing Guidance

27:00 OB-GYN Shortages And Distribution

33:20 Endometriosis Surgery And Fertility Claims

41:20 Robotics Vs Laparoscopy: Outcomes And Training

47:20 Aspirin Dosing For Preeclampsia: No Signal

55:30 Interpreting Stats And Editorial Standards

59:20 Closing Notes And Next Steps

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Jamie Perry joins this episode as we share ten standout women’s health breakthroughs from 2025 and then get practical about value in endoscopic hysterectomy. The focus is simple: cut waste, save time, protect quality, and expand access through better selection, technique, and team flow.

• Key 2025 breakthroughs shaping care and counseling
• Why OR time outweighs device price
• Preference cards as a lever to reduce waste
• Three-arm robotics and smarter instrument choices
• Laparoscopic tips: barbed suture, simulation, quadrant workflow, vessel skeletonization
• Robotic tips: patient selection, docking discipline, turnover efficiency, data tracking
• Same-day discharge and ERAS as non-negotiables
• When vaginal route is truly better and why referrals matter

Be sure to check out thinkingaboutobgyn.com for more information, and be sure to follow us on Instagram

0:00 Setting The Stage: Why Endoscopy

1:12 Ground Rules And Focus On Value

2:12 Top 10 Women’s Health Breakthroughs Of 2025

15:56 Defining Value In Hysterectomy

18:20 Preference Cards And Instrument Waste

21:28 Three-Arm Robotics And Instrument Costs

24:04 Time As The Biggest Cost Driver

29:56 Same‑Day Discharge And ERAS

33:44 Four Laparoscopic Efficiency Tips

41:28 Four Robotics Efficiency Tips

47:02 When To Choose Vaginal Hysterectomy

54:10 Data Tracking, Referrals, And Culture Change

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We unpack what WHI actually showed about estrogen-only therapy and breast cancer in light of new supporting data, then confront the free birth trend’s preventable harms and the business model behind it. We share clear tools to spot false claims, review new aspirin data on preeclampsia, and outline twelve practical ways to cut waste in gyn surgery.

• estrogen-only therapy associated with lower breast cancer diagnosis and mortality
• combined estrogen plus progestogen neutralizing estrogen’s protective signal
• rare abdominal pregnancy case illustrating basic testing safeguards
• free birth movement risks, censorship of bad outcomes, and money incentives
• red flags in birth-related posts and the SIFT fact-checking method
• four quick filters to vet social content before sharing
• nuanced view on aspirin for preeclampsia with mixed trial evidence
• twelve surgical sustainability steps that save cost and reduce waste

Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram

1:11 Estrogen Therapy And Breast Cancer Risk

6:41 What WHI Actually Showed

11:22 Progesterone, HRT Fads, And Risks

15:35 Wild Case: Abdominal Pregnancy Behind Tumor

20:42 Free Birth Trend And Tragic Outcomes

25:37 How The Misinformation Business Works

30:10 Red Flags In Birth Content Online

35:10 The SIFT Method For Fact-Checking

40:20 Four Tips To Vet Social Posts

46:25 Live Walkthrough: Debunking A Viral Post

52:40 Digital Hygiene And Curating Feeds

56:48 Aspirin For Preeclampsia: Mixed Evidence

Follow us on Instagram @thinkingaboutobgyn.