How many healthy, young women discuss fertility with their OBGYNs at their routine check-ups? Many OBGYNs and primary care doctors spend considerable time counseling patients about contraceptives and preventing pregnancy, but how often do we think about the flip side? Maja Zecevic, PhD, MPH, was in her late 20’s when she was first faced with considerations relating to fertility. Her journey led her to found Opionato, the world’s first digital fertility clinic.
Endometriosis is the number 1 cause of infertility in the US. Endometriosis occurs when the endometrial tissue that makes up the inner lining of the uterus migrates to other places, like the ovary or pelvic wall. Endometriosis affects up to 10% of US reproductive-aged women, and, of women with endometriosis, about 35% experience infertility. So, what can we do to help women with endometriosis achieve pregnancy? Unfortunately, the number of medical treatments to increase fertility in the face of endometriosis are limited. Read on to learn about a promising new study of a new treatment, plasma energy ablation.
Everyone who has ever overdosed on entire pint of Ben & Jerry's knows: you can have too much of a good thing. Modern medicine has brought about miracles, increasing our health and lifespans. However, sometimes, medicine can be too much of a good thing. Too many procedures lead to more complications. Too many medications lead to more side effects. Too many hospitalizations lead to more infections. The list goes on and on. So how can we find a balance between too much and too little in OBGYN?
Have you ever had surgery? If so, you know recovery can feel like getting hit by a bus. Even after minimally invasive surgeries, it can take weeks or months to regain full functioning. A set of surgical recovery principles called "Enhanced Recovery Pathways" provide surgeons and patients alike with a set of evidence-based "life hacks" for speeding recovery. You might be surprised to see that many are the opposite of traditional teachings and hospital practice!
How much time have you spent thinking about urinary incontinence? Chances are, if you are experiencing it, you’ve spent quite a lot of time considering your treatment options. After menopause, as many as 50% of women may experience urinary incontinence. Many women have turned to mesh implants that are inserted during a simple procedure. These synthetic mesh devices have been used to treat both urinary incontinence and pelvic organ prolapse, often with great results. Unfortunately, the implants were not without side effects. In 2008, the FDA issued a Public Health Notification warning of severe complications from these implantable meshes. Many women experienced “mesh erosion” in which the mesh wore through the vaginal lining, causing significant pain and often necessitating repeat surgeries. Scientists from the University of Pittsburg have now published new data on exactly how the body interacts with these implants.
Why? Why? Why? Why? Why? Like any curious seven-year-old, asking why five times will often get you to the root cause of any problem, or so says the famous Toyota interrogative technique. Why do so many women suffer from chronic pelvic pain? Running down the chain of “whys,” we may find ourselves in an evolutionary conundrum. Why would we evolve to have chronic pain? Gynecologists Dr. Jarrell and Dr. Arendt-Nielsen dive into this evolutionary question in their new article in the August 2016 Gray Journal.
I am very excited to introduce our new feature: a podcast! Dedicated to reviewing and editorializing the latest information in women's health, I hope this podcast will serve as a trusted source of information for on-the-go OBGYNs and other providers of women's health.