Contraception

Chronic pelvic pain, a common complaint in female adolescents, is defined as cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It often frustrates the patient, her parents, and her physician, and it can lead to major functional problems such as changes in family dynamics or school absenteeism.

Chronic 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.

An interview with Paul D. Indman, M.D., Los Gatos, CA.

The prevalence of non-alcoholic fatty liver disease (NAFLD) in polycystic ovary syndrome (PCOS) has not been previously described. As insulin resistance has been implicated in the pathogenesis of both NAFLD and PCOS, we hypothesized that NAFLD would be common in PCOS.

Despite the positive effects of hormone replacement therapy for treating menopause-related issues, HRT’s association with negative adverse outcomes has cast a dark shadow on it. Now, new research out of Europe shows that HRT also increases severe asthma attacks in patients.

Infertility is a disease that affects the reproductive organs of both men and women. It impairs one of the body’s most basic functions: the ability to have children. Infertility affects about 6.1 million people in the United States alone; ten percent of the reproductive-age population-both men and women.

Osteoporosis is a disease that is caused by significant bone loss, which leaves the bones weak and at an increased risk for fracture. It is diagnosed clinically when a patient has a history of certain types of fractures, or by the use of special X-ray studies such as a DEXA scan.

In humans, serotonin has typically been investigated as a neurotransmitter. However, serotonin also functions as a hormone across animal phyla, including those lacking an organized central nervous system. This hormonal action allows serotonin to have physiological consequences in systems outside the central nervous system. Fluctuations in estrogen levels over the lifespan and during ovarian cycles cause predictable changes in serotonin systems in female mammals.

According to some estimates, menstrual migraine effect about 60% to 70% of women. Since hormone levels might impact these migraines, Dr Vincent De Leo from the department of obstetrics and gynecology at the University of Siena in Italy, and colleagues sought to examine the impact of two different oral contraception regimens on the migraines.

The International Consensus adopted by the IFFS is an up-to-date focus on modern techniques of Assisted Medical Procreation (AMP), with respect to the reasons for which they have been proposed, the conditions for their realization and their possible risks.

While it is true that IVF maximizes a patient’s chance of conceiving quickly, the sad fact is that IVF has become very complex today. Normally, as a technology matures, it usually becomes simpler and easier to implement, but this has not been true with IVF, especially the way it is done in most IVF clinics in the USA today.

Human beings are remarkably fertile. Most females are capable of conceiving and bearing children beginning in their mid-teen years. While women in industrialized societies usually bear children in their 20s and 30s, women can give birth well into their 40s and beyond.

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How should you start searching for websites in the field of gynaecology? Of course, you could start at the FIGO website (http://www.figo.org), where there is much useful information. FIGO has 101 member societies, of which about 25 have their own websites at this moment.

Much has changed in the World Wide Web in the 3 years since the first Internet issue of Gynaecology Forum (www.obgyn.net/medforum.asp) was published in September 2000. At that time it was still necessary to cover the history of the Internet and explain the requirements needed to access it.

Suppose you want to find a good website about gynaecology and/or obstetrics and you try the search engine Google, you will get 1,060,000 hits for gynaecology and 1,260,000 for obstetrics. Both give as the first link www.obgyn.net, ‘the Universe of Women’s Health’.

Throughout history, menstruation has been associated with myth and superstition. Menstrual blood was felt to cure leprosy, warts, birthmarks, gout, worms and epilepsy. It has been used to ward off demons and evil spirits. Menstruating women have been separated from their tribes in order to prevent a bad influence on the crops or the hunt. As recently as 1930, the cause of abnormal menstrual bleeding was felt to be an undue exposure to cold or wet just prior to the beginning of the period.

A thorough history should include information about past surgical history, medical history, exposures to tobacco, alcohol, environmental toxins, a history of sexually transmitted diseases, a careful menstrual history, a history of any past pregnancies, a through review of all organ systems, and any other relevant information.

Pelvic pain Menopause PMS Infertility Recurrent Pregnancy Loss Prolactin Polycystic Ovaries Pelvic SurgeryEndometriosis Fibroids Reversal of Tubal Ligation Ectopic Pregnancy Multiple Gestation Endometrial Polyps Preimplantation Genetic Diagnosis (PGD)

The purpose of this proposal is to outline suggested clinical pathways for the management of infertility and common reproductive endocrinology problems. The goal is to create an approach that provides the greatest success while using limited resources in the most cost-effective fashion.

This question is in reference to a 36 year old woman that needs to know if there is any other way to concieve once the tubes have been clipped and burned?

Ectopic pregnancy, or preembryo implantation outside the endometrial cavity (i.e., fallopian tube, cervix, abdominal or pelvic cavity), is a potentially fatal condition with an incidence of 1:150 diagnosed pregnancies.

Lowering insulin levels with metformin in women with polycystic ovary syndrome but without overt diabetes increases the likelihood of conception and reduces risk of miscarriage, researchers report here.

Polycystic ovary syndrome is characterized by anovulation (irregular or absent menstrual periods) and hyperandrogenism (elevated serum testosterone and androstenedione). Patients with this syndrome may complain of abnormal bleeding, infertility, obesity, excess hair growth, hair loss and acne.

Ovarian cysts are the cause of a great deal of anxiety and concern for many women, and much of the time they are not truly a problem. The first thing a patient needs to understand is "what is a cyst"??

A very common question of perimenopausal women is whether or not they are still able to get pregnant, and this inquiry may originate from one of two concerns. Some women in the perimenopausal range may still want to conceive, either to start a family or to add to an existing one, and are seeking information to help with that decision.

The majority of women in the perimenopausal period have completed their childbearing and resolutely do not want to conceive at this age. This gives rise to the question as to what contraceptive method they should use to prevent an unwanted pregnancy. At this stage in their lives, an unintended pregnancy would be devastating, and it is something they are usually very eager to avoid.

Progesterone is a natural hormone which is produced by the ovary during the second half of the menstrual cycle. It's biological function is to change the lining of the uterus so that the cells which line the uterus can provide nutrition to the developing embryo during the earliest phases of development after conception.

The FDA has not reached a definitive conclusion nor recalled contraception containing the hormone drospirenone. But on September 26, 2011, it told consumers and physicians that it is officially reviewing its safety.

In a recent study, researchers found that, while the IUD did not protect HPV infection, it may impede the progression of HPV to cervical cancer.  With this in mind would you recommend the use of an IUD to your patients who have tested positive for HPV in order to possibly prevent cervical cancer?