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ASRM Statement on Egg Donation for Post-Menopausal WomenThanks to innovative treatments like in vitro fertilization and egg donation, we are able to help thousands of infertile patients build their families.
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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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Using RVUs to Improve Your Practice’s PerformanceIn the early years, medical practices only utilized Relative Value Units (RVUs) to understand the Medicare fee schedule. Now the role of RVU analysis has expanded. RVUs have become the standard measurement in analysis of reimbursement and payer contracts, physician compensation and productivity, and practice staffing and operating costs.
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Which Oral Drug Is Best for Post-Cesarean Pain?A meta-analysis sought to determine which oral painkillers were most effective after a c-section, but the findings were disappointing.
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Should Infertility Patients be Screened for Celiac Disease?Celiac disease occurs in roughly 1% of all humans. It is an autoimmune condition initially caused by hypersensitivity and hyperimmunity to a class of proteins, called gliadins, which are found in the outer husk of common grains such as wheat, barley, rye, and oats.
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Story Telling and the Emotional Component of HealingAddressing the emotional component of a patient's diagnosis isn't often feasible, but these tools can help patients with this important aspect of healing.
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What New Technology Did 2014 Bring OB/GYNs?From surgical staplers to birthing simulator updates, 2014 brought many new innovations for obstetrics and gynecology.
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The Proper Timing of Prophylactic Antibiotics for Caesarian SectionSMFM 27th Annual Meeting 2007
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HYSTEROSCOPY CASE PRESENTATIONThis patient is a 50 year old GoPo female whose last period was four years ago. She was being followed by a gynecologist for pelvic pain and recently had an ultrasound showing a thickened endometrium. It was recommended that she have a D & C. She sought a second opinion prior to having the procedure.
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In Vitro Maturation of Immature Oocyte in Patients with PCOSOBGYN.net Conference CoverageAdvances in Infertility, January 2002
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Is A Simple Sperm Analysis All We Need?Although diagnostic problems make it difficult to establish the extent of the male partner's contribution with certainty, a number of studies suggest that male problems represent the most common single defined cause of infertility.
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Physical Bases of ElectrosurgeryElectro-surgery is very important in operative endoscopic surgery and probably represents the cheapest way to carry out a section and a coagulation.
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Warning: Rohypnol, "The Date Rape Drug"Anyone working with survivors of sexual assault, especially those who are college-aged or teenagers, should be aware of a new drug called Rohypnol. Rohypnol has been dubbed the "date rape drug" because of its use in sexual assaults.
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The role of surrogacy in infertility treatmentOBGYN.net Conference CoverageFrom the American Society of Reproductive Medicine, Montreal, Quebec 2005
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Cancer Survivors at Greater Risk of Birth Complications; Special Monitoring NeededSurvivors of childhood cancer run particular risks when pregnant and should be closely monitored, the 25th annual conference of the European Society of Human Reproduction and Embryology heard today (Wednesday 1 July). Dr. Sharon Lie Fong, of the Department of Obstetrics and Gynaecology, Erasmus MC University Medical Centre, Rotterdam, The Netherlands, said that, although such women may have conceived spontaneously and considered themselves to be perfectly healthy, their deliveries should always take place in a hospital.
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Understanding GriefGrief is an emotional, intellectual, physical and spiritual response to loss. The depth and the complexity of grief often feel overwhelming and baffling. Unfortunately, arming ourselves with knowledge about grief does not reduce the depth of grief, nor simplify grief.
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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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Immune Responses to Human MUC1 Mucin: Relevance for Cancer ImmunotherapyHuman MUC1 mucin, a membrane-bound glycoprotein, is a major component of the ductal cell surface of normal glandular cells. MUC1 is overexpressed and aberrantly glycosylated in carcinoma cells. The role MUC1 plays in cancer progression represents two sides of one coin.
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Prevalence of the Bacterial Vaginosis and Group B Streptococcus in Term and Pre-term PregnanciesSeveral studies have been conducted about Bacterial Vaginosis and its relation with preterm labor that was accompanied with controversial results. The aim of this study was to compare the frequency of Bacterial Vaginosis and common genitourinary infections between term and pre-term pregnancies.
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Osteoporosis Case Of The MonthThis month I will discuss a clinical question that is often asked when I lecture about osteoporosis and bone densitometry. The question is when should a clinician obtain a bone densitometry study? To answer the question I will present 2 cases.
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Educational Tutorial: Low Molecular Weight Heparin in Recurrent AbortionsReview information on low molecular weight heparin in recurrent miscarriages in this educational tutorial.
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Can You Give Your Patients Too Much Information?Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans. In this era of digital info, we can all feel more empowered, more often, more quickly. It seems like there's always room for more information, doesn't it?
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New HRT Findings Tell Old Story: Therapy is Not One-Size-Fits-AllReports of recent studies revealing hormone replacement therapy (HRT) is associated with health risks have left women scared and confused about how to stay comfortable and healthy during menopause.
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The Treatment of Dyspareunia Resulting from Vulvar VestibulitisA Randomized Comparison of Group Cognitive-behavioral Therapy, Surface Electromyographic Biofeedback, andVestibulectomy in the Treatment of Dyspareunia Resulting from Vulvar Vestibulitis
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AMH Testing Can Help Patients Plan for Future FertilityAnti-mullerian hormone testing is the most recent and reliable ovarian reserve test, and it can be used to help women make decisions about family planning early.
