Pregnancy and Birth

High blood pressure complicates almost 10 percent of all pregnancies, and the incidence is higher if the women are nulliparous or carrying multiple fetuses.

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.

MR guided Focused Ultrasound Surgery is a non-invasive, outpatient procedure which uses high doses of focused ultrasound waves (HIFU) to destroy uterine fibroids, without affecting any of the other tissues around the fibroid.

HIFU (high intensity focused ultrasound) is a highly precise procedure using high intensity, focused ultrasound to heat and destroy diseased tissue.

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

Urinary continence depends on two main factors, one inherent, and one acquired.

Urinary Incontinence (UI) means involuntary escape of urine. There are 11 types of UI

Urinary Incontinence (UI) means involuntary escape of urine. There are eleven types of UI

Incontinence is the uncontrollable loss of enough urine to cause social or sanitary difficulties. When we study the body and look at how we are able to control urination, we know that an infant does not have the proper connections between their brain and their bladder to be able to control the bladder.

Everyone who has had a child knows that once a baby is born, life is never the same again.

Today we are going to talk about urinary incontinence and how OBGYN physicians can fit this into their practice. As a practicing OBGYN yourself, this is something you have a great degree of specialization in.

In 1996 we suggested an explanation of the mechanism of micturition and urinary continence. Urinary continence depends on an intact and strong internal sphincter and an acquired behavior of keeping a high alpha sympathetic tone at the internal sphincter.

William Kutteh, MD, seems confounded by physicians who don’t believe in screening for and treating autoimmunity following recurrent pregnancy loss. “This is not a religious conversion event,” he said, concluding his remarks on the topic at the 2010 American Society for Reproductive Medicine meeting. “There’s a lot of data.”

From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome

From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome

From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome

Follicle stimulating hormone (FSH) and anti-Müllerian hormone (AMH) represent the two most frequently utilized laboratory tests in determining ovarian reserve (OR). This study determined the clinical significance of their concordance and discordance in female infertility patients.

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.

Effective health policy requires a thorough understanding of intrinsic social, ethical, political and philosophical aspects of infertility and its treatment. The procedure with the highest success rate to address the clinical challenge of infertility for many patients is a relatively high-technology procedure, in vitro fertilisation (IVF).

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.

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?