Quick: Which U.S. state has the highest rate of unintended pregnancy? I’ll reveal below, but I learned the answer and several other surprising facts in an interview with Mark Edwards, the co-founder of Upstream USA, a non-profit advocacy organization that provides technical assistance to health enterprises (medical practices, clinics, public health departments) in the use of long-acting, reversible contraceptives (known in the trade as LARC). LARC consists of two options: ...

Read more...

I know we all bemoan the chief complaint of vaginal bleeding when it pops up on the board. Your heart sinks even more when it is followed by the dreaded home pregnancy test. No ED provider is going to love seeing patients with first trimester bleeding. More than anything, I loathe the drag it takes on my time and productivity. Labs, urine, moving them to the appropriate room for the ...

Read more...

Ohio is attempting to introduce legislation that would require abortion clinics to incinerate or bury products of conception from abortion. This legislation is already in place in Arkansas and Indiana. These laws are supposed to afford human tissue a “respectful and proper” end as lawmakers were apparently horrified that products of conception were disposed of as medical waste. Medical waste is not an offensive term. When ...

Read more...

I woke up to someone forwarding this tweet. Yes, some company is selling tiny bags of herbs (they call them pearls) to stuff in the vagina for three days to cleanse your uterus or shrink your fibroids or treat bacterial vaginosis or tighten your vagina. This is not only pointless it could be very dangerous. Here’s why. Your uterus and vagina want you to leave them alone. Your uterus isn’t tired or ...

Read more...

My son Acton is truly a miracle baby because he was not even supposed to be here. I had gone through four years of infertility with three miscarriages and an ectopic pregnancy (pregnancy in my fallopian tube), causing my left tube to be removed. After my last miscarriage, I was told I was in perimenopause and had less than 1 percent chance of ever getting pregnant again, let alone carrying ...

Read more...

“As a mom and a doctor, what advice would you give a third-year medical student trying to choose a specialty?” the bright-eyed med student asked me. Her smile was ear to ear, and I didn’t want to burst her bubble. This is a complicated question to ask and the answers change as life changes. I chose OB/GYN because it was the only specialty I truly fell in love with. For me, ...

Read more...

As I sat on the edge of her bed discussing delivering options, a sweet mom of twins (who we had decided to welcome to the world at just a few pounds each) looked at me and asked a question that many of us are asked: “What’s safest? What would you do if it were you?" Most of the time we present options as best we can. If one is clearly the ...

Read more...

While lying on a hard metal table with my legs spread open and a clamp on my cervix, I was instructed to “relax.” My audience included a nurse, two radiologists, and my OB/GYN's partner, who I met minutes earlier when she rushed in apologizing that my OB/GYN was called away to a delivery. A delivery: the culmination of those nine months of a pregnancy that I so eagerly desired. I got ...

Read more...

Addyi (flibanserin), the drug to increase female libido had a timid entry into the market with very few prescriptions considering the “hype.” Bloomberg Business reported 227 prescriptions in the first month. That’s a pittance considering Valeant paid $1 billion for the drug. I am unlikely to help Valeant recoup their investment, because the more I read about this drug, the worse it looks. Here’s why: It barely works One of the study ...

Read more...

Recently, another study was published showing that SSRI antidepressant use during pregnancy is associated with increased rates of autism in the children.  By my count, this is now the tenth study on this topic -- all of which found links between SSRI antidepressant use in pregnancy and autism in the offspring.  Most of these studies were recently reviewed, and also concluded that SSRI antidepressant use during pregnancy is associated ...

Read more...

Most Popular