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The Pelvic Pain and Urgency/Frequency (PUF) patient symptom scale is a diagnostic tool used to screen patients with chronic pelvic pain. Developed by C. Lowell Parsons, MD, the PUF self-report questionnaire uses a symptom score (which measures how often a patient experiences problems) as well as a bother score (which notes the degree to which the symptoms bother the patient); the bother and symptom score combine for a total PUF score. The scale takes about 5 minutes to complete. Scores range between 0 and 35, and studies have indicated that a score greater than 12 is indicative of significant symptoms.

The FDA and the Federal Trade Commission (FTC) jointly launched the “Fraudulent STD Products Initiative.” This campaign targets over-the-counter (OTC) products sold online or in retail stores that claim to prevent, cure, or treat sexually transmitted diseases (STDs).

Single umbilical artery color doppler, transverse scan of urinary bladder shows single umbilical artery (left), transverse section of umbilical cord showing only two vessels: one vein and one artery (right).

Is this lesion a fibroid or adenomyosis? Patient is a young (38n yr. old) married female with a history of dysmenorrhea and polymenorrhoea.

Normal aspect of the ossification centers of the fetal sternum at 33 weeks. Size of the ossification centers decreases in a cranio-caudal sense.

Sagittal image from a transvaginal sonogram in a patient with bleeding after a spontaneous abortion. The endometrium (between cursors) was thick and heterogeneous, measuring 8.5 mm in thickness (Fig1). Color doppler image in same patient shows focal flow (Fig. 2 - arrow) within the heterogeneous endometrium.