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 at the time of vaginal delivery. In past years, episiotomy was commonplace for women at […]
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. Number four is my favorite. Here are four tips for removing a Nexplanon. 1. Pick […]
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 a serum quantitative test (with a specific numeric result). I see far too many serum […]
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 performed HSG should be relatively painless and its results need to be correctly interpreted in […]
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 less wound morbidity. Postoperative pain in general is reduced with laparoscopic surgeries, but a unique […]
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 will require extensive workup, probable surgery, and will significantly hinder their ability to reproduce. Yet, […]
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 is associated with an increased risk of maternal death. Maternal death in the United States […]
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 70% of these complaints. Patients who present with these symptoms are frequently over-treated and misdiagnosed. Those […]
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 the initial laparoscopic puncture. Here are four tips to reduce the risk of injury when […]
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. A postpartum tubal ligation should take about ten minutes, but for many surgeons it turns […]
