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Benjamin Franklin's words "God helps those who help themselves" were echoed as a motivational battle cry by Medical Chair Dr. Ron Feinberg in a June 8 keynote address to an audience of 250 at the international conference of the Polycystic Ovary Syndrome (PCOS) Association.

To the doctors, it seemed more than coincidental that these women manifested absent menstrual periods, hirsutism (excess hair growth on the face, chest, abdomen, and thighs), and enlarged ovaries.

U.S. Surgeon General Michaela Smith announced today that a major health and reproductive problem afflicting millions of women for over a century has effectively been eradicated.

Entry is most error-prone aspect of laparoscopy. In this tutorial, get the basics on how to improve your laparoscopic technique for a variety of gynecological surgeries.

In this tutorial, review the pros and cons of laparoscopy for diagnosis and treatment of endometriosis. Do the negatives of laparoscopy – anesthesia, for example – outweigh the ability to make definitive diagnosis based on visualization and treat in the same intervention?

The Role of Practical Lifestyle Changes

Women with Chronic Inflammatory Disease are at a Higher Risk for Premature Ovarian Failure and Early Menopause.

Hormone fluctuations. Hot flashes and night sweats. Depression and changes in mood. Coincidental and age-related changes in health and social issues. All of these factors associated with menopause can affect a patient’s sleep quality.

Test your ob/gyn knowledge in our DailyDx.

Remember that PCOS cannot be diagnosed by symptoms alone. PCOS is a very complicated endocrine disorder.

Clomiphene Citrate (Clomid, Serophene) was introduced into clinical medicine for the treatment of anovulation in the 1960’s. Its introduction represented a major breakthrough in the medical management for ovulation induction.

Polycystic Ovarian Syndrome (PCOS) is one of the most common hormonal diseases affecting reproductive-aged women. In actuality, PCOS includes a spectrum of disorders rather than a single, discrete disease.

Rachel is 16 years old and has been suffering for several years with Polycystic Ovary Syndrome. Our journey through this condition has been a difficult one, filled with moments of despair. She is undergoing treatment for it now and is “a work in progress.”

Polycystic Ovarian Syndrome (PCOS) (also correctly called Polycystic Ovary Syndrome) is a complex, broad-spectrum hormonal disturbance affecting the entire body with numerous implications for a woman's long-term health and quality of life.

Avoiding Checkmate: Planning the Next Move after HGSIL Pap Smear and Unsatisfactory Colposcopy

Research has shown that the soluble fms-like tyrosine kinase (sFlt-1)/placental growth factor (PlGF) ratio can be used to assess and identify women who develop preeclampsia.

As the use of assisted reproductive technologies has increased, so, too, has the concern over its effects on the female reproductive system. Specifically, the increased gonadotrophin levels in ovarian cancer pathogenesis coupled with the multiple ovarian punctures and repeated ovarian stimulation associated with in vitro fertilization have raised concerns that IVF may increase the risk of ovarian malignancies.

A 35 year old patient presents with a high grade squamous intraepithelial lesion (HGSIL) Pap smear. There is an unsatisfactory colposcopy; the transformation zone was not sampled. The biopsy shows slight atypia. What’s your next move?

PCOS is a metabolic disorder that affects 5 – 7.5% of all women. It is the number one cause of infertility and if left untreated, can increase risk of endometrial cancer. In addition, women with PCOS are at a greater risk for heart disease and diabetes.

By John C. Jarrett, M.D. and Deidra T. Rausch, Ph.D.

One of the problems with sonography of the early pregnancy is the inability to clearly determine if the gestation sac is intrauterine or extrauterine (ectopic) in nature. This task is even more complicated by the controversies arising from whether the “sac” seen is a true sac or a pseudosac of ectopic pregnancy.

A lactation aid is a device which allows a breastfeeding mother to supplement her baby with expressed breastmilk, formula or glucose water with added colostrum (glucose water alone should only be used, in general, in the first day or two after birth) without using an artificial nipple.

Breastfeeding mothers frequently ask how to know their babies are getting enough milk. The breast is not the bottle, and it is not possible to hold the breast up to the light to see how many ounces or millilitres of milk the baby drank.

Sore nipples are usually due to one or both of two causes. Either the baby is not positioned and latched properly, or the baby is not suckling properly, or both. Incidentally, babies learn to suck properly by getting milk from the breast when they are latched on well.

Colic is one of the mysteries of nature. Nobody knows what it really is, but everyone has an opinion. In the typical situation, the baby starts to have crying periods about two to three weeks after birth.

Nearly everyone agrees that breast milk is unmatched as the optimum source of nutrition for infants. Human milk not only provides the perfect balance of vitamins, minerals, protein, carbohydrates and fat, it also contains valuable antibodies from the mother that have been proven helpful in preventing infection in infants.

by Joan Marie Butler, RNC,

Third Revised Editionby Kathleen Huggins,R.N., M.S.