This document discusses the use of intrauterine devices (IUDs) for contraception in adolescent women. It notes that unintended pregnancies are high in this group. Frameless IUDs that are narrower than the typical uterine cavity width in adolescents are recommended to increase comfort and continuation of IUD use. Studies show frameless IUDs have high continuation rates over 5 years without common side effects seen with larger, framed IUDs. Appropriately sized IUDs could reduce unintended pregnancies and abortions in adolescent women by promoting continued use of long-acting reversible contraception.
Management of Endometrioma- Current UpdateSujoy Dasgupta
Invited Lecture by Dr Sujoy Dasgupta in the Webinar on "Update on Endometriosis" organized by AICC RCOG (All India Coordinating Committee of Royal College of Obstetricians and Gynaecologists) East Zone, held in December, 2021
PANEL DISCUSSION ON PRACTICAL APPROACH TO ENDOMETRIOSISWith FOCUS ON DINOGESTLifecare Centre
PANEL DISCUSSION ON PRACTICAL APPROACH TO ENDOMETRIOSISWith FOCUS ON DINOGEST
UMA RAI
RAJ BOKARIA
JYOTI AGARWAL
JYOTI BHASKER
RENU CHAWLA
DIPTI NABH
VANDANA GUPTA
Management of Endometrioma- Current UpdateSujoy Dasgupta
Invited Lecture by Dr Sujoy Dasgupta in the Webinar on "Update on Endometriosis" organized by AICC RCOG (All India Coordinating Committee of Royal College of Obstetricians and Gynaecologists) East Zone, held in December, 2021
PANEL DISCUSSION ON PRACTICAL APPROACH TO ENDOMETRIOSISWith FOCUS ON DINOGESTLifecare Centre
PANEL DISCUSSION ON PRACTICAL APPROACH TO ENDOMETRIOSISWith FOCUS ON DINOGEST
UMA RAI
RAJ BOKARIA
JYOTI AGARWAL
JYOTI BHASKER
RENU CHAWLA
DIPTI NABH
VANDANA GUPTA
Africa Women Health Extension Summit 2019Zafar Khan
AWHS Summit which is designed to provide a comprehensive and innovative overview of the latest developments in Nairobi Kenya in the field of women’s health. The strategic conference covers the latest advancements in the field of Oncology, Gynecology, Reproductive Health, Neuroscience, Diabetes & Endocrinology.
Postoperative adhesions by dr alka mukherjee nagpur m.s.alka mukherjee
Postoperative adhesions have become the most common complication of open or laparoscopic abdominal surgery and a source of major concern because of their potentially dramatic consequences. The proposed guideline is the beginning of a major campaign to enhance the awareness of adhesions and to provide surgeons with a reference guide to adhesion prevention adapted to the conditions of their daily practice. The risk of postoperative adhesions should be systematically discussed with any patient scheduled for open or laparoscopic abdominal surgery prior to obtaining her informed consent. Surgeons should adopt a routine adhesion reduction strategy with good surgical technique. Anti-adhesion agents are an additional option, especially in procedures with a high risk of adhesion formation, such as ovarian, endometriosis and tubal surgery and myomectomy. We conclude that good surgical practice is paramount to reduce adhesion formation and that anti-adhesion agents may contribute to adhesion prevention in certain cases.Any surgery in the abdomen can lead to adhesion formation and potential morbidity. There is evidence to support the use of hyaluronic acid derivatives, PEG based derivatives and solid barrier agents derived from oxidized regenerated cellulose, namely Interceed, during laparoscopy or laparotomy in benign gynaecological surgery to reduce the incidence, severity and proportion of adhesion formation. There is also evidence to support the use of hyaluronic acid derivatives during hysteroscopic surgery to reduce the incidence of intra–uterine adhesion formation. However, there is little evidence to support the use of pharmacological and hydrofloatation agents including Icodextrin in gynaecological surgery. There is no apparent benefit of using adhesion prevention agents at caesarean section. As most of the economic modelling is not based in contemporary health economies, further evidence is required before recommending anti–adhesion agents in current gynaecological practice.
IVF is stressful and expensive and there is a continued need to improve outcome using all information technology available to improve outcomes , meet expectations and review management.
Ultrasonographic Cervical Length Measurement at 10-14- and 20-24-weeks’ Gesta...AI Publications
Preterm labor is a regular occurrence in pregnancy; an estimated 15 million babies are born prematurely each year, with the number increasing. This was a prospective study of pregnant women who came to the Maternity Teaching Hospital in Erbil, Kurdistan Province, Iraq, for an outpatient clinic. On a manageable sample of 150 singleton pregnancies. In this study, one hundred fifty singleton asymptomatic pregnancies encountered the inclusion criteria during the study period, 69 primi gravid, 81 multi gravid. The correlation between the cervical length at 20–24 weeks and preterm delivery was moderately poor (r =0.715), and this correlation was highly significant (P < 0.001). In another word, a better correlation was found between preterm delivery and cervical length at 20–24 weeks than at 10–14 weeks in the prediction of preterm delivery. This study also points towards the importance of serial ultrasound scans to detect those who are at higher risk. There was no statistically significant effect of age, parity. Finally, the findings revealed that trans vaginal ultrasound is more accurate at 20-24weeks than 10-14weeks gestation for prediction of preterm labor, it can be used routinely to prevent preterm birth.
AN ANALYSIS OF OUTCOMES IN TWIN PREGNANCIES WITH ACTIVE FETAL SURVEILLANCE AN...Apollo Hospitals
The incidence of multiple gestations is increasing with
increasing maternal age and use of assisted reproduction
techniques. Selective fetal reduction of multifetal pregnancies is now widely practiced to reduce the higher order multiples to twins based on evidence from nonrandomised studies which suggests that this will improve the perinatal outcome. The proportion of twin pregnancies with unique fetal and maternal problems is therefore increasing. Optimising maternal, fetal and perinatal outcomes in twin pregnancies continues to be a formidable challenge in the present day clinical practice.
How to Build Muscle with Red Light Therapy | BodybuildingMarkSloan21
If you want to pack on 10 to 20 pounds of muscle but don’t want to have to go through the trouble or pain of injecting yourself with testosterone and other anabolic steroids, then this presentation is for you. This presentation is also for you if you’re a professional bodybuilder who is looking for a secret weapon that will give you the edge over your competition.
In this presentation we’re going to find out if red light therapy can help you build bigger muscles and the body you want - whether it’s to help you win that upcoming bodybuilding competition or to boost your confidence and overall health.
For the show notes visit:
https://endalldisease.com/episode15
All of my videos, podcasts and articles are and will always be free. If you enjoyed this video and want to support my work, you can do so by donating, buying one of my bestselling books or red light therapy devices below.
Check out our red light therapy store:
https://endalldisease.com/store
Read my books:
https://endalldisease.com/books
Donate :
►Paypal:
https://www.paypal.me/endalldisease
Abstract—3D ultrasound (3-dimensional sonography) when combined with sonosalpingography, it provides detailed information regarding internal and external contours of the uterus, without the need for radiation contrast material or surgical intervention. This study was done because of the need of such diagnostic modality that is highly accurate as well as least invasive. A descriptive study was conducted on 50 infertile females to assess the diagnostic value of 3-dimensional SHG in reference of diagnostic hystero-laproscopy (DHL) assuming as gold standard. It was found that sensitivity of 3-dimensional SHG reasons of tubal patency, ovarian pathology and uterine cavity was found 97.6%, 90.91% and 71.43% respectively. And diagnostic accuracy of 3-dimensional SHG in reference of DHL for tubal patency, ovarian pathology and for uterine cavity was found 96%, 92% and 96% respectively. So it can be concluded from present study that 3-Dimensional sonohysterography is an efficient tool to assess women with infertility. Its sensitivity, specificity, and diagnostic accuracy is comparable to hysterolaproscopy.
How Do Reproductive Surgeries Treat Infertilityivfmeerut
The reasons behind infertility vary from person to person. Some might have it from their genes through inheritance while some may acquire it in their lifetime due to several lifestyle habits. All in all, it is quite clear that not all infertile individuals suffer from the same issues and thus the treatments options also differ in each case.
Africa Women Health Extension Summit 2019Zafar Khan
AWHS Summit which is designed to provide a comprehensive and innovative overview of the latest developments in Nairobi Kenya in the field of women’s health. The strategic conference covers the latest advancements in the field of Oncology, Gynecology, Reproductive Health, Neuroscience, Diabetes & Endocrinology.
Postoperative adhesions by dr alka mukherjee nagpur m.s.alka mukherjee
Postoperative adhesions have become the most common complication of open or laparoscopic abdominal surgery and a source of major concern because of their potentially dramatic consequences. The proposed guideline is the beginning of a major campaign to enhance the awareness of adhesions and to provide surgeons with a reference guide to adhesion prevention adapted to the conditions of their daily practice. The risk of postoperative adhesions should be systematically discussed with any patient scheduled for open or laparoscopic abdominal surgery prior to obtaining her informed consent. Surgeons should adopt a routine adhesion reduction strategy with good surgical technique. Anti-adhesion agents are an additional option, especially in procedures with a high risk of adhesion formation, such as ovarian, endometriosis and tubal surgery and myomectomy. We conclude that good surgical practice is paramount to reduce adhesion formation and that anti-adhesion agents may contribute to adhesion prevention in certain cases.Any surgery in the abdomen can lead to adhesion formation and potential morbidity. There is evidence to support the use of hyaluronic acid derivatives, PEG based derivatives and solid barrier agents derived from oxidized regenerated cellulose, namely Interceed, during laparoscopy or laparotomy in benign gynaecological surgery to reduce the incidence, severity and proportion of adhesion formation. There is also evidence to support the use of hyaluronic acid derivatives during hysteroscopic surgery to reduce the incidence of intra–uterine adhesion formation. However, there is little evidence to support the use of pharmacological and hydrofloatation agents including Icodextrin in gynaecological surgery. There is no apparent benefit of using adhesion prevention agents at caesarean section. As most of the economic modelling is not based in contemporary health economies, further evidence is required before recommending anti–adhesion agents in current gynaecological practice.
IVF is stressful and expensive and there is a continued need to improve outcome using all information technology available to improve outcomes , meet expectations and review management.
Ultrasonographic Cervical Length Measurement at 10-14- and 20-24-weeks’ Gesta...AI Publications
Preterm labor is a regular occurrence in pregnancy; an estimated 15 million babies are born prematurely each year, with the number increasing. This was a prospective study of pregnant women who came to the Maternity Teaching Hospital in Erbil, Kurdistan Province, Iraq, for an outpatient clinic. On a manageable sample of 150 singleton pregnancies. In this study, one hundred fifty singleton asymptomatic pregnancies encountered the inclusion criteria during the study period, 69 primi gravid, 81 multi gravid. The correlation between the cervical length at 20–24 weeks and preterm delivery was moderately poor (r =0.715), and this correlation was highly significant (P < 0.001). In another word, a better correlation was found between preterm delivery and cervical length at 20–24 weeks than at 10–14 weeks in the prediction of preterm delivery. This study also points towards the importance of serial ultrasound scans to detect those who are at higher risk. There was no statistically significant effect of age, parity. Finally, the findings revealed that trans vaginal ultrasound is more accurate at 20-24weeks than 10-14weeks gestation for prediction of preterm labor, it can be used routinely to prevent preterm birth.
AN ANALYSIS OF OUTCOMES IN TWIN PREGNANCIES WITH ACTIVE FETAL SURVEILLANCE AN...Apollo Hospitals
The incidence of multiple gestations is increasing with
increasing maternal age and use of assisted reproduction
techniques. Selective fetal reduction of multifetal pregnancies is now widely practiced to reduce the higher order multiples to twins based on evidence from nonrandomised studies which suggests that this will improve the perinatal outcome. The proportion of twin pregnancies with unique fetal and maternal problems is therefore increasing. Optimising maternal, fetal and perinatal outcomes in twin pregnancies continues to be a formidable challenge in the present day clinical practice.
How to Build Muscle with Red Light Therapy | BodybuildingMarkSloan21
If you want to pack on 10 to 20 pounds of muscle but don’t want to have to go through the trouble or pain of injecting yourself with testosterone and other anabolic steroids, then this presentation is for you. This presentation is also for you if you’re a professional bodybuilder who is looking for a secret weapon that will give you the edge over your competition.
In this presentation we’re going to find out if red light therapy can help you build bigger muscles and the body you want - whether it’s to help you win that upcoming bodybuilding competition or to boost your confidence and overall health.
For the show notes visit:
https://endalldisease.com/episode15
All of my videos, podcasts and articles are and will always be free. If you enjoyed this video and want to support my work, you can do so by donating, buying one of my bestselling books or red light therapy devices below.
Check out our red light therapy store:
https://endalldisease.com/store
Read my books:
https://endalldisease.com/books
Donate :
►Paypal:
https://www.paypal.me/endalldisease
Abstract—3D ultrasound (3-dimensional sonography) when combined with sonosalpingography, it provides detailed information regarding internal and external contours of the uterus, without the need for radiation contrast material or surgical intervention. This study was done because of the need of such diagnostic modality that is highly accurate as well as least invasive. A descriptive study was conducted on 50 infertile females to assess the diagnostic value of 3-dimensional SHG in reference of diagnostic hystero-laproscopy (DHL) assuming as gold standard. It was found that sensitivity of 3-dimensional SHG reasons of tubal patency, ovarian pathology and uterine cavity was found 97.6%, 90.91% and 71.43% respectively. And diagnostic accuracy of 3-dimensional SHG in reference of DHL for tubal patency, ovarian pathology and for uterine cavity was found 96%, 92% and 96% respectively. So it can be concluded from present study that 3-Dimensional sonohysterography is an efficient tool to assess women with infertility. Its sensitivity, specificity, and diagnostic accuracy is comparable to hysterolaproscopy.
How Do Reproductive Surgeries Treat Infertilityivfmeerut
The reasons behind infertility vary from person to person. Some might have it from their genes through inheritance while some may acquire it in their lifetime due to several lifestyle habits. All in all, it is quite clear that not all infertile individuals suffer from the same issues and thus the treatments options also differ in each case.
L'iconographie du féminin surnaturel positif à travers les ägesJulie Grenon-Morin
Images issues de toutes sortes de sources montrant le féminin surnaturel positif à travers le temps. Le féminon positif s'oppose au féminin négatif (démones, sorcières, esprits mauvais) de la littérature et de la mythologie. Cette collection est loin d'être complète et regroupe toutes les images des présentations que j'ai mises sur ce site. Les fées, elfes,enchanteresses et autres proviennent de manuscrits, films, livres, etc. À ma connaissance, il n'y a aucun travaux sur ce sujet autre que les miens.
Refresher of basic Materials Management terms. Sometimes the simple things are all that matters. These slides are easy to understand and would remind you what SAP MM is all about.
Stable supply with moderate demand growth-
(Apart from cases of stolen or missing containers in Africa)
Primary mine production down by half and increasing restrictions on conflict-produced tantalum is complicating the supply chain
Effect of SEC act, which requires US-listed companies to report sources of materials, causing conflict-free tantalum (contract) prices to increase
Demand, driven by high technology and super alloy industries, expected to increase moderately
A systematic review is designed to summarise the results of available studies and provides a high level of evidence-based findings on the effectiveness of interventions. Our experts can handle any type of research, whether you need systematic review based on controlled clinical trials or review based on observational study designs or community (e.g. psychology) intervention?
Asymptomatic Uterine Perforation in a Term Pregnancy: A Case Report.iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
In this manuscript we show the successful laparoscopical treatment of a ruptured cornual ectopic pregnancy. In many settings this condition is treated by open approach due to the advanced skills required to control bleeding. This is a case report with the aim of showing images of the procedure, how to easily prevent bleeding and the management of it.
Ectopic pregnancy refers to the pregnancy occurring outside the uterine cavity, predominantly i.e. 90% of them in the fallopian tube. Ectopic pregnancy affects 11 in 1000 pregnancies and is a significant cause of morbidity and at times mortality in the first trimester of pregnancy. In a 20-year longitudinal study on ectopic pregnancy in a defined
population of women aged 15e39 years the rate of ectopic pregnancy per 1000 diagnosed conceptions increased
from 5.8 during 1960e4 to 11.1 during 1975e9. The mean annual incidence of ectopic pregnancy per 1000 women
increased from 0.6 to 1.2 during the same period. The numbers of ectopic pregnancies per 1000 diagnosed
conceptions increased with increasing age of the women and were 4.1 in the teenage group, 6.9 in women aged
20e29 years, and 12.9 in women aged 30e39.
Fetal anterior neck teratomas are tumors which arise from the
three blastomericl ayers - ectoderm, endoderm and mesoderm. It occurs when the totipotent germ cells are out of control of primary organizers [1,2]. Th e histologic features may include cystic and solid areas with organoid patterns and it may include mature or immature cells [1]. Even though the most common area of occurrence is at sacrococcgeal area it can also occur in other body parts [1,3]. In this case report we presented one of the rare place of teratoma - anterior fetal neck teratoma.
Uterine prolapse (also called descensus or procidentia) means the uterus has descended from its normal position in the pelvis farther down into the vagina.Cervicopexy is fertility conserving surgical management of prolapse.
2. Citation: Wildemeersch D, Goldstuck ND, Janssens D (2015) Adolescent Intrauterine Contraception: IUD Size and Comfort during Insertion are
Essential (IUD use in adolescents). J Women’s Health Care 4: 251. doi:10.4172/2167-0420.1000251
Page 2 of 2
Volume 4 • Issue 5 • 1000251J Women’s Health Care
ISSN: 2167-0420 JWHC, an open access journal
Summary Statement
The use of appropriate intrauterine devices that take into account
the geometric relationship with the host uterine cavity will likely result
in high rates of continuation and consequently fewer unintended
pregnancies and induced abortions.
Conflict of Interest
Dirk Wildemeersch has conducted research in the field of non-
hormonal and hormonal, framed and frameless intrauterine devices,
including in nulliparous and adolescent women, for 30 years. Norman
Goldstuck conducted research in intrauterine device use, including
adolescents, for over 30 years. Dirk Janssens participated in clinical
trials particularly with frameless levonorgestrel-releasing IUDs.
References
1. Blumenthal P, Voedisch A, Gemzell Danielsson K (2011) Strategies to prevent
unintended pregnancy: increasing use of long-acting reversible contraception.
Hum Reprod Update 17: 121–137.
2. Tejuja S, Malkani PK (1969) Clinical significance of correlation between size of
uterine cavity and IUCD: a study by planimeter-hysterogram technique. Am J
Obstet Gynecol 105: 620–627.
3. Wildemeersch D, Jandi S, Pett A, Nolte K, Hasskamp T, et al. (2014) Use of
frameless intrauterine devices and systems in young nulliparous and adolescent
women: results of a multicenter study. Int J Womens Health 6: 727–734.
4. Kaislasuo J, Heikinheimo O, Lähteenmäki P (2014) Predicting painful or difficult
intrauterine device insertion in nulliparous women. Obstet Gynecol 124: 345–
353.
5. Wildemeersch D, Pett A, Jandi S, Hasskamp T, Rowe P, et al. (2013) Precision
intrauterine contraception may significantly increase continuation of use:
a review of long-term clinical experience with frameless copper-releasing
intrauterine contraception devices. Int J Women’s Health 5: 215–225.
6. Wildemeersch D, Jandi S, Pett A, Hasskamp T (2014) Management of primary
dysmenorrhea in young women with frameless LNG-IUS. J Contracept 5: 23–
28.
11.44 mm 26.19 mm
A B C
Figure 1: A) 3-D ultrasound picture of the frameless copper IUD in a uterine cavity with width of 11.44 mm.
B) Same in a uterine cavity width measuring 26.19 in width.
C) Hysteroscopic view after insertion in nulliparous women demonstrating the optimal relationship of the IUD with the narrow uterine cavity.
Citation: Wildemeersch D, Goldstuck ND, Janssens D (2015) Adolescent
Intrauterine Contraception: IUD Size and Comfort during Insertion are Essential
(IUD use in adolescents). J Women’s Health Care 4: 251. doi:10.4172/2167-
0420.1000251
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