Reproductive Health

Quality of Life and the Typical Patient Journey With UF

Quality of Life and the Typical Patient Journey With UF

Ayman Al-Hendy, MD, PhD, FRCSC, FACOG, CCRP: The heaviness of menstruation has major consequences in patient quality of life. In addition to [everything else], when the fibroid gets big, some patients complain of bulk symptoms—things like urinary symptoms and urinary frequency—because the fibroid puts pressure on the bladder. If it puts pressure behind the uterus …

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Evolving Treatment Strategies for UF and Endometriosis

Evolving Treatment Strategies for UF and Endometriosis

Neil Minkoff, MD: One of the things that can be confusing to a primary care physician like myself is that it seems as if many of the treatments for the different conditions we’re discussing revert back to some level of contraception, whether it’s oral contraception, an IUD [intrauterine device], or something like that. Could you …

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Evolving Treatment Strategies for UF and Endometriosis

Diagnosis and Treatment Goals: Endometriosis and Uterine Fibroids

Neil Minkoff, MD: Let me keep pushing a little. I want to open this up to everybody. I’m not trying to pick on you, Steve. I’m the primary care doctor. I’m the emergency department [ED] doctor. I’m seeing patients in my clinic or in my emergency department for heavy menstrual bleeding and pelvic pain. Maybe …

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Evolving Treatment Strategies for UF and Endometriosis

Surgical Considerations in Uterine Fibroids and Endometriosis

Neil Minkoff, MD: You were saying surgery has become more the last option for you. At what point do you say, “This is where we’re going to proceed to a surgical outcome?” Steven McCarus, MD, FACOG: For endometriosis, my paradigm shift has been to be aggressive with medical therapy early on. That’s stage I and …

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Suppressed ovarian follicle development in obese women may underlie reduced fertility

Suppressed ovarian follicle development in obese women may underlie reduced fertility

Women with obesity, even those with regular menstrual cycles, have suppressed ovarian follicle development and reduced production of reproductive hormones, which may underlie reduced fertility, according to a new study being presented Saturday at ENDO 2022, the Endocrine Society’s annual meeting in Atlanta, Ga . For reasons that have been unclear, obesity adversely impacts reproductive …

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