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Triple Screen

This patient is a 23 year old Gravida 1 who presents for prenatal care at 8 weeks gestation. She has a completely normal history and physical exam is compatible with an 8 week gestation. The pelvis is of normal configuration and size.

an innovated operation for the treatment of: Stress Urinary Incontinence (SUI), Detrusor Overactivity (DO), Mixed Urinary Incontinence and Anterior Vaginal Wall Descent

Over the past 12 years, it has become increasingly recognized that insulin resistance is central to the pathogenesis of the polycystic ovarian syndrome (PCOS). The use of insulin-sensitizing agents, such as Metformin, a biguanide insulin-lowering agent in ovulation induction for IVF, has been widely studied.

1. What is your most interesting case of celiac disease? 2. How common is celiac disease in women with amenorrhea? 3. If a woman is diagnosed with celiac disease, should she be screened for any other conditions?

My name is Joachim Dudenhausen and I am Professor of Obstetrics and Head of the Department of Obstetrics of the Charity University Medical School in Berlin. The institution is the biggest obstetrical department in Germany with 6,000 deliveries per year with a high rate in high risk pregnancies like, diabetes, malformation, pre-term labor, multiples and so on.