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Ductal Carcinoma in SituA 57-year-old patient presents for evaluation of right nipple discomfort. The patient has family history of a mother and sister with premenopausal breast cancer.
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Hysteroscopic Fluid ManagementHysteroscopy performed with liquid media at a sufficient pressure, usually between 70 mm and 90 mm Hg of true intrauterine pressure, will bring about satisfactory uterine distention, but not necessarily adequate visualization. Depending on the amount of intraoperative bleeding, an adequate flow rate of the media with separate channels of entry and egress is necessary to have a clear operative field.
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AACE Clinical Practice Guidelines for the Prevention and Treatment of Postmenopausal OsteoporosisIn this era of constrained health-care resources, a critical need exists for efficient, measurable systems of disease management that strike a balance between social responsibility and patient welfare.
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Yes…It’s Possible to Have PCOS and Still be TrimFor those of us involved in the field of weight control, there is no greater reward than helping someone overcome their struggles with weight. Too often, people with weight issues feel they are weak, lack willpower, or have a psychological “block” that makes taking off just a few pounds seem like a task of Herculean proportions.
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Scholarly DebateLaparoscopic hysterectomy is indeed promising, but it is not yet within the capability of most gynecologists. Further refinement in the technique is needed before it is ready for general endorsement.
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New Developments in Obstetrical UltrasoundOBGYN.net Conference CoverageINTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY:Zagreb, Croatia
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Difference in Obstetric Care between U.S. and Eastern European CountriesOBGYN.net Conference CoverageFrom American/Austrian Conference, Salzburg Austria March 4-10, 2000
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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.
