Outpatient infertility management
Figure 27-1 NIH vs. RCC vs. AES criteria for PCOS. This chapter will cover the office management of infertility secondary to ovulatory problems. Complication of ovarian hyperstimulation will also be…
Abnormal uterine bleeding
Figure 16-1 Transvaginal ultrasound showing endometrial polyp. Grayscale image shows a thickened endometrial stripe, which can be a nonspecific finding. Hysterosonogram or MRI is recommended to classify lesion. Figure 16-2…
Outpatient evaluation of the infertile couple
Figure 26-1 Report of a normal semen analysis according to the WHO criteria. Plasma levels of FSH, LH, testosterone, and prolactin should be measured in cases of total absence of…
Office management of pelvic masses
Figure 19-1 An ectopic pregnancy is seen as a hyperechoic mass immediately adjacent to, but separate from, the ovary. The ectopic is labeled with the arrow and is to the…
Abnormal first trimester pregnancy
Figure 11-1 Complex fluid collection in the cul de sac. Figure 11-2 Large amount of fluid in the pelvis. Diagnosis and treatment Early IUP/threatened abortion A patient presenting to the…
Office care of disabled patients
Figure 47-1 Handicapped signs. Figure 47-2 Handicapped parking signs. Figure 47-3 Handicapped access ramp. Figure 47-4 Handicapped toilet. All buildings are subject to accessibility requirements. Under Title III facilities are…
Pregnancy termination
PCBInfection risks0.02%1% but decreased with use of prophylactic antibioticsSurgical risksNoneAnesthesia risks, cervical injury, uterine perforationRisks to current pregnancy, if ongoingExposure to teratogenic medicationsIncreased risk of miscarriageEffects on future pregnancyNoneNoneContraception initiationImmediate…
Office care of geriatric patients
Figure 46-1 Life expectancy trends (from US Census Bureau [1]). Addressing the problems of an aging population has become a central part of health care. More than 75 million people…
Office care of sexually transmitted infections
Epidemiology Pelvic inflammatory disease (PID) encompasses infections of the upper female genital tract that including salpingitis, endometritis, tubo-ovarian abscess and/or pelvic peritonitis. The downstream sequelae of PID include ectopic pregnancy…
Office ultrasound
Figure 5-1 Normal uterus. Uterus Several uterine conditions can be diagnosed. These include congenital anomalies and submuscosal fibroids. Congenital anomalies With proper configuration, the internal contours of the uterus can…
