How Green are My Speculums?

At the end of the year the gynos take inventory like everyone else: speculums, condoms for the ultrasound machine, contact gel tubes for the fetal doptones, insemination catheters for fertility testing. And we start looking at the green-ness of our office. Going paperless with an electronic record in 2001 was a big step in the right direction, but then there’s always the: do you recycle a device or a gown and use cleaning chemicals and water or do you use one-time use devices that were made fairly green to begin with. Environmental journals probably tabulate that stuff all the time, but us gynos are left to ponder those new year questions on our own as we take stock. Although this Gyno Gab gal has metal speculums in sizes and shapes from all eras and for all purposes. I prefer the plastic speculums with the cordless lights, for most uses, so hopefully they’re just a bit greener this year than last! Happy Carbon Footprint Everyone!

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Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

Passing Your Uterine Lining, Menstrual Period Norms

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You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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