Endometriosis - laparoscopy or IVF
Patients with endometriosis who are
infertile are often very confused. They don't know which doctor they
should go to ? Gynecologist ? Infertility specialist ? and what
treatment they should take. The first point of consultation is usually
their gynecologist - and most gynecologists usually advise doing a
laparoscopy. This is usually a knee-jerk reflex - for many reasons. The
importance of making the right diagnosis has been drilled into doctors
right since Day 1 of medical school - and the only way of making a
definitive diagnosis of endometriosis is a laparoscopy. They also sell
the patient on this procedure, by...
Source: The Patient's Doctor - June 27, 2013 Category: Obstetricians and Gynecologists Source Type: blogs
How to get an effective second opinion
Patients are often confused when exploring their treatment options. This is not surprising , because there are now so many choices ! When they are confused , they turn to their doctor for medical advice. Patients understand that doctors don’t have all the answers , which is why they will often get a second opinion to confirm that the advise which the first doctor gave was reliable or not. For example, if a patient has endometriosis, she goes to a gynecologist who advises her to do a laparoscopy to make the diagnosis and to treat the disease. She is understandably uncomfortable about subjecting herself to surgery, which i...
Source: The Patient's Doctor - May 21, 2013 Category: Obstetricians and Gynecologists Source Type: blogs
The Surgery - I Could Never Have Expected This
Mark is freakishly OCD about being on time or early everywhere we go, so when we left to go to the hospital for my surgery, the traffic was bad, it was lightly snowing (yes, I know, on April 19!!), and it appeared we were going to be a bit late. I kept trying to calm him down, telling him they give people huge windows of two to three hours before their surgery even begins to get there. Everyone has their buttons, though. His is traffic, another one of his is finding a parking spot in a parking lot. NOT a good pet peeve living in Chicago. Now *that* I totally dread. I can go from being so...
Source: bipolar.and.me - April 21, 2013 Category: Mental Illness Source Type: blogs
IVF - FAQs - Part 2. Poor ovarian reserve and IVF
This is part 2 of our IVF-FAQs and talks about a major hurdle for women doing IVF - poor ovarian reserve.
When a clinic advertises that they have a 40-50% success rate per IVF cycle, it doesn’t mean this applies for every woman who undergoes IVF in that particular clinic. Even though it is hard to predict whether a woman will conceive in a particular IVF cycle or not, it is possible to calculate her chances of success , using certain parameters.
To a large extent, the chances of achieving success depend on your ovarian reserve. If you have a decent number of usable eggs left in your ovary, you are more like...
Source: The Patient's Doctor - March 23, 2013 Category: Obstetricians and Gynecologists Tags: In vitro fertilisation Poor ovarian reserve Follicle-stimulating hormone Antral follicle Pregnancy Menstrual cycle Anti-Müllerian hormone Source Type: blogs
Big Decision....
I went to a new GYN this morning and got news that I guess I was expecting. It's not something that my old OB/GYN hadn't recommended to me in the past. I have a lot of pain and heavy bleeding during that time of the month because of fibroids and endometriosis (after two surgeries of removing them and them coming back), so he recommended a hysterectomy. Of course, just like in the past, I said "no way, what are my other options?' While I don't intend on getting pregnant and having a child, just the idea freaks me out. Mark has had a vasectomy anyway. But then...
Source: bipolar.and.me - March 20, 2013 Category: Mental Illness Source Type: blogs
Wheat and endometriosis
Female followers of the Wheat Belly arguments who have endometriosis often report marked relief with wheat elimination. I, too, have witnessed this, though it is outside of my day-to-day experience (in heart issues).
There is a recent study that, while retrospective, suggests that the success we have been observing is not an accident. Here’s what they found (full abstract here):
Gluten-free diet: a new strategy for management of painful endometriosis related symptoms?
Marziali M, Venza M, Lazzaro S, Lazzaro A, Micossi C, Stolfi VM.
Pelvic pain affects 4% to 39% of women and accounts for 10-40% of all outpatient gyne...
Source: Wheat Belly Blog - February 27, 2013 Category: Cardiology Authors: Dr. Davis Tags: Uncategorized Source Type: blogs
Infertility is ...
1) the love we carry for our unborn child2) the happiness we feel when we see small children3) the respect we develop towards all forms of life4) the love we feel towards our understanding, supportive and selfless partner5) the surprise - when we hear how our friends get pregnant by accident!6) the wonder - when we see the growing belly of a pregnant woman!7) the affection we...
Source: The Patient's Doctor - February 14, 2013 Category: Obstetricians and Gynecologists Tags: Health In vitro fertilisation Shopping Miscarriage endometriosis Pregnancy Infertility ovulation Source Type: blogs
Endometriosis
Pathophysiology of Endometriosis
1) presence of benign endometrial tissue outside of uterine cavity
2) most commonly found in posterior cul-de-sac (pouch of Douglas)
3) also found on ovaries, rectosigmoid, bladder, uterosacral ligaments and very occasionally at distant sites such as
lungs, bones, umbilicus
4) pathogenesis is uncertain
Signs and Symptoms
1) pelvic pain
2) dysmenorrhea (esp. before onset of menstrual flow)
3) dyspareunia
The post Endometriosis appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - February 11, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia chocolate cysts endometrial tissue pelvic pain powder burns Source Type: blogs
Does IVF cause premature menopause ?
Many women worry that going through IVF will deplete their ovarian reserve , as a result of which they will run out of eggs , reduce their long-term fertility, and reach the menopause earlier. Logically, this makes sense ! We all know that women are born with a certain number of eggs ; and that their ovaries do not produce any new eggs after birth. If the doctor stimulates the ovaries to grow lots of eggs during the IVF treatment by giving hormonal injections, won’t this mean that there’ll be fewer eggs left in the ovaries after the IVF treatment – especially if they are doing many IVF cycles ? When going throu...
Source: The Patient's Doctor - January 31, 2013 Category: Obstetricians and Gynecologists Tags: Health In vitro fertilisation ivf Follicle-stimulating hormone FSH Menstrual cycle Infertility Menopause Source Type: blogs
USMLE Questions – Characteristic Disease Findings
The United States Medical Licensing Examination (USMLE) is designed to emphasize knowledge of clinical scenarios and clinical pearls, even on Step I. Listed below are some commonly encountered disease findings and characteristics.
Feature
Disease
45, X chromosome
Turner’s syndrome
5-HIAA increased in urine
Carcinoid syndrome
Aganglionic rectum
Hirschsrpung’s disease
Apple-core sign on barium enema
Colon cancer
Arched back (opisthotonos)
Tetanus
Argyll-Robertson pupil
Syphilis
Ash leaf on forehead
Tuberous sclerosis
Auer rods
Acute myelogenous leukemia
Austin Flint murmur
Aortic regurgitation...
Source: Inside Surgery - January 18, 2013 Category: Surgeons Authors: Editor Tags: Surgpedia USMLE diseases findings VMA water hammer pulse Source Type: blogs
Pharma Deals North of $10 Billion Seen Returning in 2013 - Bloomberg
Get ready for the return of the $10 billion-plus drug deal. Pharmaceutical companies including Pfizer Inc. (PFE) and Bristol- Myers Squibb Co. (BMY) have spent the last several years digesting earlier acquisitions, refocusing their product development and setting aside cash in anticipation of expiring patents. Now, the expectation is they’re ready to start buying again. Led by Pfizer, in New York, and Whitehouse Station, New Jersey-based Merck & Co. (MRK), five of the largest U.S. drugmakers had more than $70 billion in cash, near cash and short-term investments at the end of the third quarter. ...
Source: PharmaGossip - January 7, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
