Asherman's Syndrome: Diagnosis, Treatment, and Prevention
In our last post, we described the condition called “Asherman’s syndrome” wherein scarring of the intrauterine cavity can cause aberrations of menstrual bleeding (in the most extreme cases very light or absent periods), infertility, recurrent preg...
Grand Rounds 3.44 at A Chronic Dose
Thanks to Laurie Edwards at A Chronic Dose for including a link to my recent post in which we address common questions related to the evaluation of HSIL in pregnancy, the risk and benefits of diagnostic procedures, and its natural history, in this...
Cervical Incompetence and Cerclage - 11 - Rescue Cerclage (2)
A 17 year old primigravida was sent on referral when she was found to have significant “ballooning” of the membranes into the cervical canal at 20 2/7 weeks gestation. She was obese and a smoker but otherwise had an unremarkable medical and pregn...
Grand Thanks to Dr. R.W. Donnell
Thanks to Notes from Dr. RW and to Dr. Donnell himself for including my post regarding Infertility and Cervical Incompetence in patients with insulin resistance syndromes in his weekly edition of medical bloggers Grand Rounds vol. 10 no. 3
Amniotic Fluid - 8 - Evaluation and Management of Polyhydramnios
In the last couple of posts we have reviewed causes and complications related to excessive amniotic fluid, otherwise known as polyhydramnios or, simply hydramnios. Although 50-60% of cases of hydramnios are idiopathic (no identifiable cause) and ...
Group B Streptococcus (GBS) in Pregnancy: Hold the Vancomycin?
Group B Streptococcus (GBS) is a bacterium that colonizes the vagina and lower gastrointestinal tract in as many as one-third of all healthy reproductive age women. It is the leading cause of serious bacterial infection in newborns. Most babies ...
Thanks MedHelp for an Awesome Grand Rounds Selection!
Many thanks to Enoch Choi, MD at MedHelp for a full-plate of nourishing offerings (gotta get into the Holiday spirit a little bit now that we've finally digested, though not worked off, Thanksgiving dinner) and a lot of hard work at this week's ed...
Recurrent Early Pregnancy Loss - 2 - Hormonal Causes
To begin our discussion of actual causes of recurrent early pregnancy loss, let’s start with the one that is probably the most commonly touted, though still the least well-understood (and to me the MOST confusing) – HORMONAL CAUSES. Now, let me a...
Amniotic Fluid - 1 - The Basics
We have readers with a wide range of backgrounds and medical sophistication. One of the things I have tried to do on this site is to provide information which appeals to readers across this spectrum. In some instances, we have discussed very basi...
A Case of Robertsonian Translocation and Turner Mosaicism
The reader below recently lost a pregnancy early in gestation. During the course of her work-up afterwards, she was found to have not only a balanced Robertsonian translocation of chromosomes 13;15, but a low level of mosaicism for Turner syndrom...