I’m just back from holiday which as all OBGYN’s know is never a complete break. The usual scenario at the beach/bar/restaurant; Interested person "Oh so you’re an OBGYN, I know you’re on holiday but what do you think about my/our periods/fertility problems/pelvic pain?"
Chronic pelvic pain, a common complaint in female adolescents, is defined as cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It often frustrates the patient, her parents, and her physician, and it can lead to major functional problems such as changes in family dynamics or school absenteeism.
To evaluate and compare the safety and efficacy of leuprolide versus placebo in managing chronic pelvic pain in women with clinically suspected endometriosis.
Chronic 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.
An interview with Paul D. Indman, M.D., Los Gatos, CA.
SB is an 18-year-old G0 female who presented with a long-standing history of perimenstrual pelvic pain and diarrhea thought to be due to endometriosis. Her menses are irregular (1-3 month intervals).
DB is a 26-year-old nulligravid female with dysmenorrhoea and a long-standing history of endometriosis. Dysmenorrhoea began at age 16 years and has become progressively worse. She describes two unique pain profiles.
Endometriosis is a disease in which endometrial glands and stroma implant and grow in areas outside the uterus . The most common place to find implants is in the peritoneal cavity, but they can be found in any other place.
A pain score is being used to monitor women with a history of chronic pelvic pain. The total score for each day of the month is plotted into a graph and is later correlated to patient's daily activities in order to help with the diagnosis of baseline gynecological conditions.
The basic research of visceral pain mechanisms does not explain the chronic pelvic pain phenomena a gynecologist confronts in the clinic. There is, however, a link between the basic research and the acute gynecologic pain processes observed in the emergency room.
An exclusive OBGYN.net interview with C. Paul Perry, MD, Chairman, OBGYN.net Chronic Pelvic Pain, Chairman of the Board and President 1997 of the International Pelvic Pain Society, on the organization's progress, goals and vision.
The prevalence of non-alcoholic fatty liver disease (NAFLD) in polycystic ovary syndrome (PCOS) has not been previously described. As insulin resistance has been implicated in the pathogenesis of both NAFLD and PCOS, we hypothesized that NAFLD would be common in PCOS.
Once again the International Pelvic Pain Society realized a very successful meeting in Hartford this spring. We were able to pull together interesting and dynamic speakers from many different disciplines with refreshingly new perspectives on the diagnosis, treatment, management and understanding of this complex disease.
Pelvic pain must be diagnosed accurately if the pelvic pain is to appropriately treated. In order to determine the cause of pelvic pain obtain the history of the pelvic pain. An examination is done.
Adhesions occur after almost every abdominal surgery and are the leading cause of intestinal obstruction. Here, tips for adhesion prevention and how to correct them when they do occur are provided.
Women who eat an overall good-quality diet before and during pregnancy have a lower risk of delivering babies with neural tube defects such as anencephaly and spina bifida, and orofacial malformations such as cleft lip and palate, researchers from Stanford University School of Medicine report. MORE
Physicians should no longer rule out ordering an MRI scan for patients with pacemakers or implantable cardioverter defibrillators (ICDs) as long as certain criteria can be met, according to researchers from Johns Hopkins University.
It has long been known that anemia increases the risk of death and complications in patients who have cardiovascular surgery, but results of a new study show that these risks are increased in patients with anemia who undergo various types of surgery, including gynecological procedures.
A patient with group B strep presents requesting induction at 38 weeks. Three of her previous pregnancies resulted in precipitous delivery at or before 38 weeks. The patient expresses fears of possible intrapartum GBS fetal infection and other anxieties...
A patient with group B strep presents requesting induction at 38 weeks. Three of her previous pregnancies resulted in precipitous delivery at or before 38 weeks. The patient expresses fears of possible intrapartum GBS fetal infection and other anxieties.
Women with breast cancer have a new ally in their fight, as researchers now believe zoledronic acid will help prevent bone loss associated with adjuvant aromatase inhibitor therapy. The latest results from the Z-FAST trial were published in Cancer by Dr Adam M. Brufsky, professor of medicine at the University of Pittsburgh School of Medicine and associate director of clinical investigation for the University of Pittsburgh Cancer Institute, and colleagues.
Millions of US women are affected by the systemic skeletal disorder osteoporosis. As the population of aging female patients continues to rise, so do the medical and economic burdens of osteoporotic fracture. Thus, the time has arrived for both aggressive management and enhanced prevention of this disease in women of all ages.
It is becoming more and more apparent that a number of risk factors for osteoporosis are present and detectable--if not outwardly visible--long before the actual onset of this disease. However, osteoporosis has traditionally been misperceived as a condition only of the elderly, and as a result many of its risk factors have been ignored, misdiagnosed, and unreported among women age 20 to 45.
Osteoporosis at any age can have devastating consequences. Fortunately, a number of bone-preserving measures can go a long way toward preventing this disease--not only in postmenopausal women, but also in young women at high risk.
This article aims to orient clinicians with the most effective antiosteopenic agents currently in use. A discussion of patients' prior experiences with these drugs can aid physicians in choosing the most appropriate candidates for therapy--as well as in selecting the best methods of treatment.
During 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.
A List of Calcium Rich recipes
“Got milk?” Most women in the United States understood the message of the widespread and successful advertising campaign imploring them to increase calcium in their diets. But the message should have posed an additional question, “Got Vitamin D, too?”
Millions of women stopped taking hormone products after a large government study in 2002 seemingly pronounced that the risks associated with hormone use were greater than the benefits.
Osteoporosis, or porous bone, is a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to fracture of the hip, spine and wrist.