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Transitional Management: The Use of Oral Contraceptives in PerimenopauseA number of perimenopausal women and their health care providers choose to either decline or prematurely discontinue use of oral contraceptives (OCs), despite the availability of formulations that can prevent pregnancy and address perimenopausal symptoms. This lack of use is due to several factors.
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Iatrogenic Multiple Pregnancy Epidemiology, Risks, and Ethical DilemmasThis article discusses the nature of infertility treatment and its relation to infertile couples' desires for multiple pregnancy, the special risks of iatrogenic multiple pregnancy (IMP), the informed consent process in assisted reproductive technology, and the ethical dilemma of IMP and methods for its resolution.
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Hormone Replacement Therapy and Risk of Breast Cancer With a Favorable HistologyTo review, the recent article in the Lancet that he discussed showed that there was a very small increased risk of breast cancer by taking hormones over a prolonged length of time. However, certainly this risk should be viewed in the overall context of risks and benefits.
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Stress Reduction for Relief of Fibroids & EndometriosisMany of the fibroid and endometriosis patients I see in my medical practice complain of major stress along with their physical symptoms. My personal impression as a physician who has worked with women patients for close to 20 years is that stress is a significant component of many recurrent and chronic health problems, including fibroids and endometriosis.
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Primary Hyperparathyroidism in Pregnancy - a reviewHyperparathyroidism is a syndrome caused by excessive secretion of parathyroid hormone. Primary hyperparathyroidism results in raised ionized serum calcium with adverse effects on many organs. The effects particularly in pregnancy may be severe.
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Endometrial Stromal SarcomaEndometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, occurring in the age group of 40-50 years.
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Advances in the Prevention and Management of Osteoporosis New Clinical InsightsDuring the past decade, research into postmenopausal osteoporosis has led to a heightened understanding of the disease process. Awareness of current diagnostic guidelines, prevention strategies, and treatment options is key to the successful management of this condition.
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Myomectomy, Fibroids and FertilityFrom the 35th Annual Meeting - Las Vegas, Nevada- November 2006
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Chronic Pelvic PainChronic pelvic pain can be defined as cyclic or non-cyclic pain of six or more months in duration that localises to the anatomical pelvis and is severe enough to cause functional disability and require medical or surgical treatment.
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New Concepts in Diagnosis and Treatment Summarized from ISGE 8th Annual Congress"What is the hardest of all to do? To see with our eyes what our eyes lay before us. (Paraphrased, with apologies from Goethe) That essentially is the message of the innovative efforts of Ms. Deborah Bush, Chairperson of the New Zealand Endometriosis Foundation. She has developed an interactive Menstrual Health and Endometriosis Education Program that has been presented to over 40,000 young women (ages 15-24), educators and clinicians.
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Sacrococcygeal TeratomaSacrococcygeal teratoma ( SCT ) is the most common congenital neoplasm of the fetus. This tumor contains derivatives of more than one of the three embryonic germ cell layers and usually arises as a mass in the sacrococcygeal region.
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First-Trimester Aneuploidy Screening A Combined ApproachPrenatal testing for Down syndrome has gained importance--and urgency--as more women delay pregnancy into their later reproductive years. A first-trimester screening technique that combines use of maternal serum markers with ultrasonographic assessment may offer reliable answers sooner than do other available tests.
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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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Hormone Replacement Therapy and Risk of Breast Cancer With a Favorable HistologyTo review, the recent article in the Lancet that he discussed showed that there was a very small increased risk of breast cancer by taking hormones over a prolonged length of time. However, certainly this risk should be viewed in the overall context of risks and benefits.
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Update on Ectopic Pregnancy: Diagnosis and TreatmentWhereas the surgical approach has long been the standard of care for ectopic pregnancy, a wider range of treatment options is now available--leading to a number of questions for the OB/GYN. Our expert panelists debate the relative merits and drawbacks of methotrexate and various invasive procedures, and also discuss their preferred diagnostic approaches, in managing the patient who presents with signs and symptoms of ectopic pregnancy.
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Update on Ectopic Pregnancy: Diagnosis and TreatmentWhereas the surgical approach has long been the standard of care for ectopic pregnancy, a wider range of treatment options is now available--leading to a number of questions for the OB/GYN. Our expert panelists debate the relative merits and drawbacks of methotrexate and various invasive procedures, and also discuss their preferred diagnostic approaches, in managing the patient who presents with signs and symptoms of ectopic pregnancy.
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Avesta Vault SuspensionGood morning. Thank you very much for showing up at this time of morning. I’m astounded at the number of people here, the buzz. It’s terrific. I think Karen emphasized the importance of pelvic floor support.
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Stratasis® TF Minimally Invasive Tension-Free Sling VideoAUGS/SGS Joint Scientific Meeting held July 29-31, 2004 in San Diego, CA
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Determining and Evaluating Incontinence in the Office SettingUrinary incontinence is defined as the involuntary loss of urine that is objectively demonstrated and is a social and hygienic problem. The condition may effect up to 40% of women during the course of their lives and could be present in as many as 20 million patients annually.
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Urodynamics and the IVS Tunneller™OBGYN.net Conference CoverageFrom the XII Annual Meeting of the International Association of Gynecological Endoscopists (ISGE)
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The role of progesterone in miscarriageLow progesterone levels have been associated with an increased rate of miscarriage.
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The Use of THL In Evaluation of Patients with Pelvic Pain IntroductionThe file you requested will begin playing automatically. If it does not, press the 'play' button. If you experience playback problems, make certain you have the latest version of RealPlayer, available here.
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Gasless Gynecologic LaparoscopyAfter more than 50 years, pneumoperitoneum with carbon dioxide remains the standard for creating a working space for laparoscopic surgery. Although the physiologic problems resulting from CO2 pneumoperitoneum have been well documented, they are becoming more of a concern as older, more debilitated women are undergoing longer, more extensive laparoscopic procedures
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Breast Milk = Brainy Babies?Nearly everyone agrees that breast milk is unmatched as the optimum source of nutrition for infants. Human milk not only provides the perfect balance of vitamins, minerals, protein, carbohydrates and fat, it also contains valuable antibodies from the mother that have been proven helpful in preventing infection in infants.
