Dr. Chapa’s OBGYN Clinical Pearls

Ovarian torsion is considered a gynecological emergency. Ovarian torsion can also occur in pregnancy. Recent data has confirmed the feasibility of ovarian conservation at time of laparoscopic surgery. In this session, we will review the pathophysiology, clinical presentation, work-up, and management of this condition.

In 2011, the FIGO adopted a new nomenclature to characterize abnormal uterine bleeding in the reproductive age patient. ACOG subsequently adopted the system. Terms like menorrhagia, metrorrhagia, and dysfunctional uterine bleeding, were abandoned. In this session, we will review the PALM-COEIN nomenclature.

Fibroadenomas are the most common cause of breast masses in adolescent girls and young women. Nonetheless, it is important to remember that the palpable breast mass is still the most common finding of symptomatic breast cancer. In this podcast, we will review the diagnosis and management of the palpable breast mass, according to the ACOG practice bulletin 164. We will also review the BI-RADS classification system.

Explore the prevalent issue of dysmenorrhea among adolescent girls, distinguishing between primary pain and endometriosis-related secondary dysmenorrhea. Delve into effective management strategies, including NSAIDs and hormonal treatments, tailored to individual needs. Learn about the importance of comprehensive assessments and the long-term health implications of untreated endometriosis. Gain insights into the cultural influences on pain perception and the necessity of personalized treatment plans.

Septic pelvic thrombophlebitis can occur in the deep pelvic vessels alone or may involve the ovarian vein. Ovarian vein thrombosis is most frequent on the right side. This podcast will over the current data on presentation, workup, and use of anticoagulation in SPT cases.

Our mission is to educate, train, and develop healthcare professionals in women’s healthcare. Our podcast has hit a milestone!! This podcast, which is an independent, non-industry sponsored educational platform, has hit 50,000 1st time plays! Thank you for listening, and being a part of Clinical Pearls!!

Immediate postpartum LARCs are endorsed by the ACOG. This podcast will summarize the ACOG committee opinion 670, and review the new data (October 2018) regarding IUD expulsion rates based on timing of insertion, route of delivery, and IUD types.

This podcast will quickly summarize the ACOG practice bulletin number 201 on pre-gestational diabetes mellitus. This ACOG practice bulletin is set to be released December 2018.

Traditionally, a well-woman visit has included a pelvic examination defined as external genitalia inspection, speculum examination, and bimanual exam. However, the collective body of evidence is actually limited in support or rejection of the routine performance of the pelvic exam in an asymptomatic woman. This podcast will cover the ACOG committee opinion number 754 from the Fall of 2018 discussing the matter.

Endometriosis related pelvic pain affects approximately 8% of reproductive age women. Recently, the FDA approved a new oral GnRH antagonist for treatment of endometriosis related pelvic pain. This podcast will review the indication, data, and dosage options for this new novel medication. This podcast does not represent a specific endorsement of elagolix, and was produced without industry affiliation.