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We ask every patient if their period pain was worse than their peers in the teen years. The vast majority say they don't know because it was not discussed. Because so many times, endometriosis is hereditary, the mothers of younger patients with severe periods had the same themselves therefore they feel it is normal. The
Wow, is all I can say regarding this study. Although it is an early study not definitely proving anything specific, this is a monumental study with far-reaching implications. This is the first study I have seen to suggest that BMI affects fetal neurological development. Additionally, MRI evaluation was used giving credible information regarding brain function
Patients often ask about uterine artery embolization as an alternative to surgical removal of fibroids. Like many procedures that arise in different specialties, in this case, radiology, uterine artery embolization was proposed years ago to "treat" symptoms of fibroids without knowledge or experience in gynecology. It was quickly shown not to be indicated in fertility
Hormones and endometriosis are integrally related. This is not discussed anywhere in the literature, textbooks, and certainly not taught to upcoming OB/GYN residents currently in training. This is also true of Minimally Invasive Surgery Fellowships. As Reproductive Endocrinologists, we are innately attuned to hormonal complaints from our patients. Observing through years of taking care of
The presence of metabolic syndrome seems to be the "factor" that leads to severe infection with COVID-19. It has been very odd that some with COVID do very well with minimal symptoms and others seem to have very severe disease. It is becoming more evident that metabolic syndrome (Obesity is a symptom of metabolic syndrome)
Some patients ask why I have a very negative position on caffeine when keto groups and even ACOG has a positive spin on caffeine in pregnancy. What everyone needs to understand as it relates to food nutrition metabolism and exercise as well as various drug compounds in our world is that we are all influenced
I often am asked about "not going through menopause" with surgical removal of the ovaries. Unfortunately, the answer is a long story. We do a few hysterectomies in our practice but when needed might be the best option. Most of our patients are on estrogen anyway for supplementation in the 38-44 age group when hysterectomy
I get questions every day regarding endometriosis recurring in the future. A common question is "Will the disease pop up in other organs and locations in the body?". I think we need to go back to: where does endometriosis come from? While the prevailing opinion is Sampson's Theory, or retrograde menstruation, meaning the menstrual flow
As part of our response to COVID-19, we’re taking additional proactive steps to ensure the health and safety of anyone visiting our office so you can feel confident you and your loved ones are protected while at our office. Here are several common questions and answers addressing our increased safety measures. We’ve taken
This is definitely what we find with our patients. The only added caveat would be for women requiring IVF for pregnancy and over age 30, we would recommend returning asap to treatment if a new cycle is to be started from scratch. Often I think families are so excited about the first child and rightfully
