Reproductive Rounds
Reproductive Rounds
Precocious puberty – how early is too soon?
A thorough history (growth, headaches, behavior or visual change, seizures, abdominal pain), physical exam, including Tanner staging, and bone age...
Reproductive Rounds
Müllerian anomalies – old problem, new approach and classification
A diagnosis of müllerian anomalies justifies a comprehensive consultation with the patient given the risk of pregnancy complications.
Reproductive Rounds
Unraveling primary ovarian insufficiency
Unless there is an absolute contraindication, estrogen therapy should be prescribed to women with POI to reduce the risk of osteoporosis,...
Reproductive Rounds
Fertility after tubal ligation – It’s a matter of ‘AGE’
To compare tubal reanastomosis with IVF, a retrospective cohort study of 163 patients demonstrated the cumulative delivery rate over 72 months was...
Reproductive Rounds
Stress and infertility – is it a proven cause and effect?
A definitive link between stress and infertility is evasive because of the lack of controlled, prospective longitudinal studies and the challenge...
Reproductive Rounds
Hyperprolactinemia – When, why, and how to evaluate prolactin
Like the management of thyroid dysfunction, our field must be aware of prolactin disorders for early detection, prompt referral, and appropriate...
Reproductive Rounds
Treating unexplained infertility – avoiding trial and error
The first-line treatment of unexplained infertility is clomiphene citrate with intrauterine insemination.
Reproductive Rounds
The male biological clock – How to tell the time
For all ages, studies have suggested that elevated male body mass index as well as alcohol consumption and cigarette smoking, including e-...
Reproductive Rounds
Optimizing thyroid management in reproduction
For now, it is reasonable to obtain a serum TSH on all women desiring fertility, to treat SCH with levothyroxine to maintain TSH <2.5 mIU/L in...
Reproductive Rounds
Fibroids: Is surgery the only management approach?
The current literature cannot conclude that fibroids reduce the likelihood of achieving pregnancy with or without fertility treatment based on a...
Reproductive Rounds
Polycystic ovary syndrome: It’s not just about fertility
PCOS is not “just about fertility” but has extensive gynecologic and metabolic consequences that require a personalized approach to care.