Birth Control and Weight Gain

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I spend a considerable amount of my day trying to convince women that whatever their current complaint might be is not related to their birth control. For many reproductive-age women, the only medication they use is birth control. So, it’s unfortunately natural that whenever they have a problem they tend to blame it on birth […]

Things Science Has Proven

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It seems like there is no end to the constant attacks on science recently. So, I have decided to make an exhaustive list of the principles, laws, and theories that Science has proven. These issues have been settled by Science and are not open for debate or challenge. Read through the list below and make […]

The Medical Hype Cycle (The Herrell Curve?)

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When a breakthrough innovation, new test, or new treatment is discovered in medicine, its adoption often follows a typical pattern. This pattern is demonstrated graphically on the illustration below. I have adapted this concept from the Hype Cycle used to describe new technologies in business but with some important modifications. A new discovery is made […]

Williams Obstetrics and Male Chauvinism

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As a collector of old Ob/Gyn textbooks, I am absolutely amazed at some of the male chauvinistic gems they contain. Here’s a good one from 1934 (Thorek’s Surgical Errors and Safeguards): He was discussing vaginal repairs, of course. The same author was wise enough to point out a couple of paragraphs later that “Many useless surgeries […]

Child Mortality

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Ever heard of the Child Mortality Rate? It’s the number of children, per 1000, who die before the age of 5.  This includes Neonatal Mortality and Infant Mortality, but it doesn’t include Fetal Mortality and therefore doesn’t include Perinatal Mortality. Confused? Here’s a refresher (each rate is reported per 1,000): Fetal Mortality: Fetal deaths which […]

Four Tips for Performing a Hysterosalpingogram (HSG)

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Hysterosalpingogram (HSG) is performed less commonly in modern gynecology than in the past, but it is still a valuable tool for some patients. A well performed HSG should be relatively painless and its results need to be correctly interpreted in context of what is already known about the patient. Here are four tips for performing […]