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Four Tips for Preventing Perineal Trauma: The Grip

By Howard Herrell, MDPosted on April 16, 2018

Only in the last decade or so has there been much desire on the part of Obstetricians to develop techniques for preventing lacerations and tears […]

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Four Tips for Removing a Nexplanon

By Howard Herrell, MDPosted on February 24, 2018

Nexplanon removal should be a relatively straightforward and easy procedure. However, there are a few things you can do to make the job even easier. […]

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Four Tips for Using A Quantitative HCG Test

By Howard Herrell, MDPosted on February 19, 2018

Pregnancy tests come in three varieties: a urine qualitative test (it’s either positive or negative), a serum qualitative test (again, either positive or negative), and […]

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Four Tips for Performing a Hysterosalpingogram (HSG)

By Howard Herrell, MDPosted on November 13, 2017December 15, 2017

Hysterosalpingogram (HSG) is performed less commonly in modern gynecology than in the past, but it is still a valuable tool for some patients. A well […]

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Four Tips to Reduce Pain After Laparoscopy

By Howard Herrell, MDPosted on August 16, 2017February 11, 2018

One of the obvious benefits of a laparoscopic surgical approach compared to an open approach is less pain and morbidity related to smaller incisions and […]

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Four Tips for Correctly Diagnosing Uterine Anomalies

By Howard Herrell, MDPosted on August 1, 2017December 15, 2017

Unfortunately, I’ve recently seen a rash of patients who have been told by other  gynecologists that they suffer from a significant congenital uterine malformation that […]

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Four Tips to Reduce Your Cesarean Delivery Rate

By Howard Herrell, MDPosted on July 4, 2017December 15, 2017

The Cesarean Delivery (CD) rate has dropped for a couple of years in a row now after increasing every year since about 1996. Cesarean delivery […]

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Four Tips for Correctly Diagnosing Vaginitis

By Howard Herrell, MDPosted on June 28, 2017

Complaints of vaginal irritation and/or vaginal discharge are very common in ambulatory settings, particularly in gynecology offices. Bacterial vaginosis, candidiasis, and trichomoniasis account for about […]

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Four Tips for Initial Laparoscopic Entry

By Howard Herrell, MDPosted on June 5, 2017June 6, 2017

The initial trocar placement at the time of laparoscopic surgery is the most important step: 50% of complications that occur during laparoscopic surgery occur with […]

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Four Tips for Easy Postpartum Tubal Ligation

By Howard Herrell, MDPosted on May 26, 2017May 26, 2017

Postpartum sterilization is a relatively low-cost and convenient option for many women, but it is too often under-utilized because many obstetricians struggle with the technique. […]

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