When I was an Intern in Ob Gyn at Stanford, my friend and Senior Resident Jan Rydfors shared with me a helpful saying: “Like treats like.” He was referring to patients with polycystic ovarian syndrome (PCOS) and how to induce them to ovulate. He explained to me that since PCOS was a hormonal problem, its treatment should be with hormones (not surgery).Surgery for patients with PCOS was popular for many years and prior to the introduction of clomiphene, one could indeed help women with PCOS by performing bilateral ovarian wedge resection. My father,...
mercredi 28 mai 2008
mardi 20 mai 2008
Ectopic Pregnancy After IVF
Posted on 11:40 by Unknown
My brother Mike is a real doctor. I mean it. He is a general surgeon in a small town in North Carolina and has not had a full night’s sleep in about 27 years. He is always being called out to the ER to help save someone’s life (or at least remove their appendix) in the middle of the night. The life of a fertility doctor is very different.Some weeks are more reproductive psychiatry than reproductive endocrinology and emergencies are rare. We have an occasional patient with OHSS in the hospital and once in a while we have an ectopic pregnancy that...
vendredi 9 mai 2008
More About Stimulation Protocols...and Staying Sane
Posted on 06:03 by Unknown
If you spend any time surfing the websites and bulletin boards concerning infertility, then you will certainly notice that stimulation protocols are discussed by patients all over the web. Some patients complain that their heads are spinning as some of the women posting in cyberspace seem to have physiology PhDs and know all of their estradiol levels and follicle sizes…yadda, yadda, yadda.I think that informed patients are always the best patients but at some point I also think that you need to trust your RE to make sound decisions. There are many...
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