Guidelines for office gynecology in Japan: Japan Society of Obstetrics and Gynecology and Japan Association of Obstetricians and Gynecologists 2011 edition

Abstract

Gynecology in the office setting is developing worldwide. Clinical guidelines for office gynecology were first published by the Japan Society of Obstetrics and Gynecology and the Japan Association of Obstetricians and Gynecologists in 2011. These guidelines include a total of 72 clinical questions covering four areas (Infectious disease, Malignancies and benign tumors, Endocrinology and infertility, and Healthcare for women). These clinical questions were followed by several answers, backgrounds, explanations and references covering common problems and questions encountered in office gynecology. Each answer with a recommendation level of A, B or C has been prepared based principally on evidence or consensus among Japanese gynecologists.Reprint request to: Dr Takashi Takeda, Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. Email: take@med.tohoku.ac.jp doi:10.1111/j.1447-0756.2012.01858.x J. Obstet. Gynaecol. Res. Vol. 38, No. 4: 615-631, April 2012 © 2012 The Authors 615 Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology These guidelines would promote a better understanding of the current standard care practices for gynecologic outpatients in Japan.

Evaluation of the treatment patterns and economic burden of dysmenorrhea in Japanese women, using a claims database

“…This might be due to differences in severity of dysmenorrhea among women who seek medical care from obstetricians and gynecologists vs internal medicine physicians and because women suffering from more severe dysmenorrhea may be more likely to consult an obstetrician or gynecologist and to receive LEPs. Our findings were generally compatible with the guidelines for gynecological practice by the JSOG and JAOG 2011 edition 10. Although such guidance suggests NSAID treatment for initial pain relief, our findings show relatively low levels of NSAID use.…”

“…According to the guidelines for gynecological practice in Japan, by the Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG) (2011 edition), low-dose estrogen progestins (LEPs) and nonsteroidal anti-inflammatory drugs (NSAIDs) are primarily recommended for primary dysmenorrhea, and traditional Chinese medicines (TCMs) could be used for primary dysmenorrhea 10. Other current clinical practice guidelines for the treatment of dysmenorrhea include the use of over-the-counter analgesics, NSAIDs, and oral contraceptives such as LEPs, progestin-only therapies, and the levonorgestrel-releasing intrauterine system 11,12.…”

Attitudes toward cervical cancer screening among women receiving human papillomavirus vaccination in a university‐hospital‐based community: Interim 2‐year follow‐up results

“…At present, catch‐up HPV vaccination among young adult women is thought to be important in Japan, as it is in Western countries and Australia, for the purpose of not only decreasing individual cervical cancer risk, but also of increasing nationwide herd immunity. According to the HPV vaccine recommendations published in the Guidelines for Gynecological Practice in Japan in 2011, which referred to the report by Konno on the cost‐effectiveness of adding HPV vaccination to the current cervical cancer screening that is in place in Japan, the vaccination of girls and women in three age groups is considered cost‐effective; the first group includes 10–14‐year‐old girls, the second group includes women 15–26 years of age who should receive catch‐up vaccinations, and the third group comprises women 27–45 years of age.…”

Optimizing biopsy procedures during colposcopy for women with abnormal cervical cancer screening results: a multicenter prospective study

“…According to current guidelines [1,2], women with abnormal cervical screening results are referred to colposcopic examinations for histological evaluation of cervical abnormalities. However, colposcopy is a subjective test; thus, the diagnostic accuracy of colposcopy-guided biopsies has been questioned for decades [3,4].…”