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Anxious for Two: Assessing and Treating Antenatal Anxiety DisordersShe just paged you again. It is “urgent”, just like the last 5 times. You sigh deeply: no matter how many times you tell her that her labs are normal, explain that some shortness of breath is expected in the last trimester, or reassure her that her heartburn is not a first sign of a heart attack (yes, you checked) – it simply won’t stick.
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Laparoscopic rectosigmoid resection in case of deep endometriosisIntroduction: Intestinal endometriosis is a disabling disease present in 6% to 30% of deep endometriosis cases. It can be the cause of abdominal bloating, constipation, intestinal cramping and painful bowel movements, defecation pain and intestinal stenosis up to intestinal occlusion. Colorectal endometriosis requires surgical treatment that can be performed by abdominal route or by laparoscopy. The present study describes the total laparoscopic rectosigmoid resection in case of deep endometriosis with bowel involvement.
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Panic Disorder and Perimenopause PresentationPerimenopause is a time of hormonal fluctuations where some perimenopausal women will experience psychological symptoms during this transition (Carter, 2001; Conboy, O’Connell, & Domar, 2000). Perimenopause may be connected with a new onset of psychiatric symptoms or exacerbation of pre-existing psychiatric problems in women (Simon, et. al., 1998).
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Staying Smart with Estrogen: Estrogen Replacement and Mental FunctioningLosing your keys? Losing your patience? Losing your mind? If you are a midlife woman having difficulties, the solution may be increasing your estrogen level. More and more research studies are showing beneficial effects of hormone replacement on mental functioning. Women taking estrogen showed increased brain activation and reinstated patterns observed in younger subjects performing memory tasks, according to a recent study.
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Building A Doctor/Patient RelationshipFrom the 34th Annual Meeting - Chicago, Illinois - November 2005
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Ethical Obligations and Genetic ScreeningThis blog discusses how OB/GYNs need not only to understand the science behind genetic screening but also to counsel patients properly about the results.
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Osteoporosis Ask The ExpertThis month's questions answered by:Harvey S. Marchbein, MD,Chairman, OBGYN.net Osteoporosis Editorial Advisory Board, Paul D. Burstein, M.D., FACOGOBGYN.net Editorial Advisor Ronald Barentsen, MD, PhDOBGYN.net Editorial Advisor Michael Kleerekoper, M.B., B.S.,OBGYN.net Editorial Advisor
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Complications of Fluid Overload from Resectoscopic SurgeryExcess absorption of liquid distending media is one of the most frequent complications of operative hysteroscopy. Although most women recover uneventfully, we are seeing cases of permanent morbidity or death resulting from this complications.
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Pelvic Pain: the True EmergenciesPelvic pain in this category indicates a problem that if not treated urgently will cause serious harm or death. One serious cause of acute pelvic pain is a ruptured tubal (ectopic) pregnancy. Many women with a tubal pregnancy will continue to have menstrual-like bleeding, so they do not consider this possibility.
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Interstitial CystitisOBGYN.net Conference CoverageFrom International Pelvic Pain SocietySimsbury Connecticut - April/May, 1999
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A New Contraceptive Option: A Focus on the Transdermal Contraceptive SystemAnd my task for this afternoon is to review for you a new contraceptive option and what I’d like to do first is show you my disclosure statement and then I will go into the first part of discussion, talk about why I think there’s a need for this new contraception option and then go in much greater depth in discussing it.
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Another Hairy Issue: Dealing with Hair LossThe scalp hair lives between two and five years. However some women aren't so lucky. It is scary and frightening to be able to look into the mirror and see your scalp when you started out with a nice thick head of hair.
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Ectopic Pregnancy Within a Cesarean Delivery ScarThis is a confirmed case of scar ectopic pregnancy. Yesterday, I carried out this exam in an emergency room, without much time to perform an adequate sonogram, the patient did not feel good with “cramps” but no signs of bleeding.
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Hysteroscopy and Fluid ManagementOBGYN.net Conference CoverageFrom the 31st Annual Meeting of the American Association of Gynecological Laparoscopists (AAGL)
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S.I.G.N. for Hysteroscopic SurgeryIf we consider how the management of our patient's medical problems has changed throughout the years, it is easy to despair at the well-meaning intentions of our predecessors. Though we still cannot be complacent about many of the current treatment options for patients, a new era of evidence based practice as opposed to the intuitive based practice of former times has evolved. Evidence based practice is not a panacea, but it can provide us with an insight into the advantages and disadvantages of existing therapies, and expose their weaknesses thus encouraging further research.
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"The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory"An interview with Peter Petros, MD, author of "The Female Pelvic Floor Function, Dysfunction and Management According to the Integral Theory"
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Procedure videosTotal Laparoscopic Hysterectomy using a new hand activated advanced bipolar device, the HALO™ PKS™ Cutting Forceps
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Transvaginal Ultrasonography, Sonohysterography, Hysterosalpingography And Operative HysteroscopyTransvaginal Ultrasonography, Sonohysterography, Hysterosalpingography And Operative Hysteroscopy In Predicting Endometrial Hyperplasia
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Contemporary Procedures: Endometrial Ablation for Dysfunctional Uterine BleedingOBGYN.net Conference CoverageFrom American Association of Gynecological LaparoscopistsSan Francisco, California - November 2001
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Complications of Fluid Overload from Resectoscopic SurgeryExcess absorption of liquid distending media is one of the most frequent complications of operative hysteroscopy. Although most women recover uneventfully, we are seeing cases of permanent morbidity or death resulting from this complications.
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Hypogonadotophic Hypogonadisms: Lessons to understand development, to improve fertility treatmentFor the past 40 years the rogress made in the field of reproductive physiology has been dramatic. Among key discoveries the understanding of the hormonal control of the Hypothalamic Pituitary Gonadal axis has been flabbergasting.
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Overcoming the dangers of ovarian hyperstimulationOBGYN.net Conference Coveragefrom the 19th Annual Meeting of ESHRE - Madrid, Spain
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The Use of VaperTrode® Vaporization Electrode in Operative HysteroscopyFor the gynecologist, the introduction of the resectoscope revolutionized the management of submucous myomata that cause uncontrollable uterine bleeding, infertility and pregnancy wastage, and the con-servative control of persistent and excessive uterine bleeding unrelated to uterine filling defects.
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Laser Surgery for EndometriosisTo interpret the literature describing the results of surgery for endometriosis, a clear understanding of the evolution and limitations of the various techniques is necessary. Up to the end of the 1970’s, minimal and mild endometriosis was destroyed endoscopically by heat application (endothermia) and by unipolar or bipolar coagulation. Treatment of more severe endometriotic disease was mostly radical by hysterectomy, often leaving some rectovaginal endometriosis which has not been fully recognised before 1989.
