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In this educational tutorial, a patient had a diagnostic laparoscopy done by an inexperienced laparoscopist. When the patient presented, she had multiple sinuses around the umbilicus and was taking antibiotics without any benefit.

Presentation by Galal Lotfi, MD, MRCOG, professor of obstetrics and gynecology for Suez Canal University in Egypt.

Learning Objectives At the end of this presentation you should: 1-Enumerate the problems a woman affected with celiac disease may encounter during her life 2-Be aware of the methods of diagnosis of celiac disease 3-Describe effective control for the disease to minimize symptoms and long term sequelae of the disease

DEFINE Any deviation in normal frequency, duration or amount of menstration in women of reproductive age. NORMAL MENSES Frequency: 21-35 d Duration: 3-7 d Volume: 30-80 ml

PCOS: An Epidemic • An epidemic in developing countries (ED & PCOS!!!). • About 20% of reproductive age women demostrate the ultrasound picture of polycystic ovaries. • About 5-10% have clinical or biochemical signs of Anovulation and androgen excess. (These date were collected prior to Rotterdam diagnostic consensus).

• The name of this group of diseases was changed from "venereal diseases" to "sexually transmitted diseases" or "STDs" • Now many persons call them "sexually transmitted infections" or "STIs."

Serial BSU's • -hCG Levels Double Every 48 Hrs • < 66% Rise / 48 Hrs Consistent With Ectopic • Single Determination Not Helpful • Best If Done Within Same Laboratory • Never Rules Out Ectopic

D17 ET - After ET, 14th day β hCG If pregnancy is present, E2 ve P dose administered until placental autonomy. Muasher;1991

1. Introduction • Pelvic inflammatory disease (PID) is a common cause of morbidity and accounts for 1 in 60 GP consultations by women under the age of 45

With increasing rates of women at high risk for stroke due to obesity, congenital heart disease, and autoimmune disorders, there is a growing concern about stroke during pregnancy. In fact, the World Health Organization (WHO) has chosen stroke during pregnancy and the postpartum period as an area of special interest; WHO is considering labeling stroke as a life-threatening obstetric complication and as a condition that may make unintended pregnancy an unacceptable health risk.

Presentation by members of the IVF unit at Kaplan Medical Center, Rehovot, Isreal.