Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers!
BV Screen Pre-HYST/D&C?
It has been a debate for many years: should we be doing routine screening for BV before hysterectomy/gynecology procedures? What about at C-section? It’s a good question especially acknowledging that there is a high rate of asymptomatic BV. In this episode, we will review an “expert review“ from the AJOG from March 2020 and a recently released rebuttal to that review. What does the ACOG say? Let’s take a look now.
BV’s Link to Infertility
Bacterial vaginosis (BV) is one of the most common vaginal diagnoses in women’s health practices. Over the years there has been increasing evidence that BV is not just an annoying vaginal condition but has true risks of heightened STI acquisition, PID, post-op vaginal complications, and even infertility. In this session, we will review a new soon to be released publication from the AJ0G. This article makes a strong case for the link between BV and infertility. We will summarize this new data here ( Ravel J et al; AJOG EPub Oct 19,2020).
Congenital Uterine Anomalies (Pt 2)
In this continuation, we will cover the reported potential, adverse reproductive outcomes with CUAs. Which surgical corrective procedures should be attempted, and when? Let’s cover that now.
Congenital Uterine Anomalies (Pt 1)
The evaluation of congenital uterine anomalies can be traced back to the mid 19th-century. In this session, we will review the ASRM and the ESHRE classification schemes for these anomalies. What is the gold standard for diagnosis? When is an MRI necessary? We will answer these questions and more in the session. We will address reproductive outcomes in part 2.
🚨UPDATE: New Guidelines Released for Min. Abnormal Cervical CA Screening TESTS❗️
On September 25, 2020, a new cervical cancer screening working group revised the algorithm (as a proposal) for management of minimally abnormal cervical cancer screening tests. This was released in JAMA. The new focus is on the presence/persistence of high risk HPV in the pathogenesis of cytology abnormalities. Let’s cover that in this session.
Labor Epidurals Up Autism Risk?😳😳☹️☹️
In October 2020, JAMA Pediatrics released a publication that is drawing MAJOR criticism from 5 major professional societies. This study highlighted a potential association between labor epidurals and child autism risk. However, there is a lot more to the story that needs to be told. In this session, we will break down the study and offer reassurance that “association“ does not prove “causation“. Also summarize the key rebuttals from these professional societies, which are pretty much ON FIRE.
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My FAVORITE podcast!
I love keeping up with this podcast! It is fun and easy to listen to while learning very well summarized & up to date evidence based medicine! Very relevant and interesting material which is well presented by Dr. Chapa’s down to earth and likeable personality. Thank you Dr. Chapa for putting so much work into this.
Cadence of voice is impossible to listen to
The content of this podcast seems excellent but I can’t get through even 30 seconds without feeling intense anxiety/frustration. Why speak in this cartoonish way by emphasizing so many words in each sentence? You do not help make your message more clear when you do this - it’s only distracting.