Browse all articles

I reviewed the risks/benefits/alternatives to circumcision including but not limited to bleeding, infection and injury to penis as well as the inability to guarantee cosmetic result. She is aware that...

The link listed below will help you locate a compounding pharmacy in your local area. Once you have selected a pharmacy, please notify the fertility care office so we can send the prescription. Please...

GENERIC CONTRAVE:\n\nNaltrexone titration: naltrexone 8 mg daily x 1 week, 8 mg BID x 1 week, 16 mg q am and 8 mg q pm x 1 week, 16 mg q am and 16 mg q pm maintenance\n\nWellbutrin: 150 mg q am x 1 we...

Patient (and spouse, if applicable) were counseled on natural family planning. The UPMC Divine Mercy Women's Health OBGYN office has an affiliated NFP Program specializing in the Creighton Model Ferti...

Hi ,\n\nThank you for your interest in the Creighton Model FertilityCare System (CrMS).\n\nThe FertilityCare System has many applications. It can be used by couples that would like to avoid pregnancy ...

INSTRUCTIONS FOR CYCLE MEDICATIONS\nPlease follow the specific instructions\n\nPre-peak Ovulation Support:\n{FC Ovulation support:32135}\n\nCycle Support:\n{FC Cycle support:32154}\n\nPCOS/Insulin Res...

DHEA PROTOCOL IN PREGNANCY\n\nCANDIDATES: Recurrent pregnancy loss x2 or greater, consideration for AMA, history of low DHEA, pregnancy loss on progesterone\n\nTESTING: With positive home pregnancy te...

DYSMENORRHEA (Pain with menses):\n- Often related to endometriosis or adenomyosis (endometriosis in uterine muscle). Primarily surgical diagnosis, though history/exam may suggest it.\n- Endometriosis ...

DYSMENORRHEA (Pain with menses):\n- Often related to endometriosis or adenomyosis (endometriosis in uterine muscle). Primarily surgical diagnosis, though history/exam may suggest it.\n- Endometriosis ...

DYSPAREUNIA (pain with sex):\n- May be related to endometriosis. Consider evaluation and treatment with surgery.\n- May be related to pelvic floor dysfunction, such as vaginismus. Occasionally pelvic ...

I discussed at length the causes and risk factors for ectopic pregnancy. Her risk factors include: *. I explained the risks of death from internal bleeding from a ruptured ectopic pregnancy and the im...

Patient counseled on R/B/A of endometrial biopsy to include, but not limited to: bleeding, infection, injury to surrounding anatomy (i.e. Uterine perforation, vascular injury), inadequate specimen col...

ENDOMETRIOSIS:\n- Current meds:\n- Surgery: \n- Pathology: *\n- Excision is best approach if possible, with 5-10% recurrence. New lesions can form - rate not quotable.\n- Treatments include medical th...

Recommend evaluation of chronic endometritis with cervical and uterine cultures (gonorrhea/chlamydia, ureaplasma, mycoplasma, fungus, virus, aerobic bacteria, and anaerobic bacteria) as well as biopsi...

Patient seen evaluated by me after in depth review of chart. \n\nPresentation: \nPlacental location: \nAFI: \n\nI discussed various options, risks, benefits and alternatives with patient including exp...

FERTILITY EVALUATION OVERVIEW:\n\nOLD RECORDS: Arrange to have prior fertility records sent in advance (Pap results, pathology, operative reports, labs, radiology, office visits, husband's seminal flu...

FOLLICLE STUDY\nFAX WET READ STAT TO 717-221-5647\n\n1. Baseline ultrasound exam (transabdominal and transvaginal) on Day 3 of cycle. Note uterine measurements, myometrial echotexture, presence of fib...

All supplements that are recommended at your office visit can be obtain through any source that you choose. We have also found that all supplements that we recommend can be found online at http://Full...

Normal FEGBUS (female external genitalia, bartholins, urethra, skenes).\nNo urethral tenderness, caruncle, or prolapse.\nNo bladder tenderness.\nVagina pink with adequate estrogen effect/rugae, no les...

GYNHx:\nMenarche: \nSexarche: \nFrequency of menses: \nDuration of menses: \nIntensity of flow: \nSanitary products used & frequency of change: \nAssociated Symptoms: \nHistory of STI/Pelvic Infection...

CC: @CHIEFCOMPLAINT@\n\nHPI:\nPatient is a @AGE@ year old GP who presents for \n\nROS:\n13 systems reviewed and positive as per HPI.\nAll other ROS is negative unless listed here: \n\n@OB@\n@PMH@\n@PS...

FC Heavy menses/Painful menses/Endometriosis supplements:\n\nVitamin Support:\n{fc vitamin:32159}\n\nThin Endometrial Lining:\n{FC thin endometrial lining:32161}\n\nHigh CRP:\n{fc high crp:32162}\n\nM...

For recurrent resistance bacteria consider the following:\n\nMicroGenDx and they use PCR w genetic sequencing to detect antimicrobial resistance genes. They report a bacterial load which is a proxy fo...

1. open orders only encounter\n2. go under therapies tab\n3. select venofer 200mg/10mL solution\n4. select IV hydrate\n5. select Mg\n6. select Antibx\n- Doc must sign orders!

CBC: @resufast[NEUTOPHILPCT,RBC,HGB1,HCT,MCV,MCH,MCHC,PLT,WBCPOP:2@

TSH (2.5), FT3 (2.5-4.3), FT4 (0.9-1.7), FT3/FT4 (>0.33), Total T3 (>140), Reverse T3 (<14), T3/RT3 (>6-10)\nCurrent med regimen:

You can find additional information at http://www.ldnresearchtrust.org. If you review this information and you think that this is something that you would like to try please let us know. Low dose nalt...

Take 1 1.5 mg tab by mouth at night x 7 days, Take 2 1.5 mg tab by mouth at night x 7 days, Take 3 1.5 mg tab by mouth at night as maintenance. Dispense #63 with 0 refills

MAGNESIUM CITRATE BOWEL PREPARATION\n\nITEMS TO PURCHASE:\nDulcolax (bisacodyl) 5 mg tablets\nMagnesium citrate - 3 bottles (10 ounces)\n\nDIRECTIONS:\nAt noon, take 2 dulcolax tablets.\nAt 1 pm, drin...

MALE SUPPLEMENTS:\n- Vitamin C (500mg tablet): 1 tablet by mouth twice daily\n- Pycnogenol (30mg capsule): 2 capsules by mouth daily\n- Pycnogenol 200 mg by mouth daily\n- Alpha Lipoic Acid (300mg cap...

MEDICATIONS:\n\nTHYROID SUPPLEMENTS:\n Cytomel (liothyronine) mcg by mouth twice daily (on empty stomach)\n Synthroid (levothyroxine) _ mcg by mouth daily (on empty stomach)\n* Armour thyroid _ mg da...

Methotrexate Reversal\n\nHowever, for women who have taken methotrexate, prescribed progesterone may also be beneficial to support the pregnancy even though it is not an antidote to methotrexate. In a...

CONTROVERSIAL NAPRO MEDICATIONS USED IN PREGNANCY:\n\n1. PROGESTERONE (injections, oral, vaginal): FDA Category B. Same chemical structure as body's progesterone, not a progestin. Used for miscarriage...

Constitutional: NAD, AAOx3\nHENT: normocephalic, atraumatic\nEyes: no scleral icterus\nNeck: no visible goiter\nCV: no cyanosis, regular pulse\nPulm: No work of breathing, normal respiratory effort, n...

SFA completed and scanned.\n\nCount:: million/mL\nMotility: %\nMorphology: %\nViscosity: \nWBC: \n\nLast SFA completed - \n\nPrevious results and recommendations: \n\nSpouse MRN -

Subchorionic hemorrhages are very common and most of them resolve, however it does increase the risk of miscarriage.\n\nVery small data demonstrates possibility of improving resolution of subchorionic...

THYROID SYSTEM DYSFUNCTION:\n- If TSH is above 2.0-2.5, it is too high for a preconception state and increases the risk of miscarriage. Recommend low dose thyroid supplement to treat.\n- If FT4, FT3/F...

BACKGROUND: Thyroid System Dysfunction (TSD), sometimes called Wilson's Syndrome, is controversial. Patients have thyroid-related symptoms but normal TSH/Free T4. Diagnosis based on body temperature b...

Counseled on the R/B/A to vaginal delivery, assisted vaginal delivery (forceps, vacuum), episiotomy. Increased risk of 3rd or 4th degree if episiotomy or assisted vaginal delivery. Increased risk of i...

VAGINISMUS PATIENT HANDOUT\n\nConsider purchasing vaginal dilators such as: http://www.vaginismus.com\nFull treatment kit available with books and treatment regimen: http://www.vaginismus.com/products...

LOW VITAMIN D LEVELS:\n- Vitamin D is suboptimal if result is between 30-50: Recommend 5,000IU Vitamin D3 PO Daily plus 90-150mcg Vitamin K2 daily.\n- Vitamin D is deficient if below 30: Recommend 10,...

Last Pap (Date/Result): \nHistory of Abnormal Pap: \nLast mammogram (date/Result): \nHistory of Abnormal Mammogram : \nLast Colon Cancer Screen: \nLast Bone Density Screen: \nDiabetes Screen: w/PCP\n...