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May 16, 2008|Volume 36, Number 29|Four-Week Issue


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Yale Ob/Gyn researchers discuss
their work at New Orleans meeting

Women with fibroids and endometriosis facing the possibility of hysterectomy may now choose less invasive treatment options to preserve fertility, according to Yale professor Dr. Aydin Arici, who directed a scientific session exploring these alternatives at the American College of Obstetricians and Gynecologists (ACOG) Annual Clinical Meeting May 3-7 in New Orleans, Louisiana.

Arici chaired the two-day postgraduate ACOG course “Current Topics in Reproductive Endocrinology for the Clinician.” He joined colleagues in the Yale Department of Obstetrics, Gynecology & Reproductive Sciences (Yale Ob/Gyn) as they led other ACOG courses on menopause, managing post-term pregnancy and managing patients with bleeding disorders during pregnancy.

In his course, Arici presented treatment options for endometriosis and shared novel conservative approaches for treating fibroids, the most common benign tumor seen in reproductive-age women and the leading cause of hysterectomy in the United States.

“Our goal is to educate general obstetricians on ways to tailor new treatment techniques to the needs of individual patients,” said Arici. “For women in their 30s and 40s, preserving reproductive potential while treating fibroids is often desired. In the past, ovarian function was suppressed by inducing sudden menopause to shrink fibroids. Novel medications that were unavailable a few years back are now able to do so without unpleasant side effects.”

Arici said that conservative treatment options include a medical approach using selective estrogen receptor modulators and selective progesterone receptor modulators, uterine artery embolization, MRI-focused high-energy ultrasound, and conservative surgery using abdominal myomectomy, hysterectomy to remove the fibroids, but preserve the reproductive capacity of the uterus.

Yale Ob/Gyn reproductive endocrinologist Lubna Pal’s ACOG course explored the biological, psychosocial and behavioral consequences of women’s transition into menopause and the postmenopausal years. One of her goals is to help doctors understand the predictors of menopause, and the treatment needs of women who have undergone hysterectomies or oophorectomies.

Dr. Errol Norwitz led an interactive session on managing post-term or overdue pregnancies. He and his colleagues addressed issues such as the risks and benefits of routine induction of labor at 41 weeks gestation.

Dr. Charles Lockwood, chair of Yale Ob/Gyn, and Dr. Michael Paidas, associate professor, led an interactive session on bleeding disorders during pregnancy.

Other current and former Yale faculty members teaching courses at ACOG included Susan Richman, Steven Fleischman, Rebecca Pschirrer, John Hobbins, Al Reece, Monique Chireau, Robert Graeve, John Larsen, Thomas Moore, Donald Goustan and Alessandro Ghidini.


T H I SW E E K ' SS T O R I E S

Added sun does not lower breast cancer risk, warn experts

Yale affiliates are honored with election to prestigious societies

Strobel’s students rediscover sense of scientific ‘wonder’ . .

Yale to celebrate 307th graduation

Summertime at Yale

Scientist Joan Steitz wins nation’s largest prize in medicine

University names 18 future leaders as 2008 World Fellows

ENDOWED PROFESSORSHIPS

Architecture students helping to design Mideast Peace Park

China’s President Hu Jintao meets with participants in . . .

In Yale-led study, astronomers discover nine young galaxies . . .

Research on male mating behavior suggests brains may be unisex . . .

Paul Anastas honored as the founder of ‘green chemistry’

Town-gown partners honored with Elm-Ivy Awards

SCHOOL OF MEDICINE NEWS

Exhibits explore artist’s Liverpool years, British watercolors

Two student-curated shows focus on the medium of photography

Library creates digital archive of ‘oldest college daily’

Two seniors will study at the University of Cambridge as Gates Scholars

Campus leaders discuss strategies for increasing staff diversity

Former Bucknell chaplain is named new pastor of University Church

Professor Miroslav Volf will co-teach class with . . . Tony Blair

Council of Masters honors 10 juniors for their scholarship . . .

Conference focuses on ‘Women and Men in the Globalizing University’

The future of ‘Computers, Freedom and Privacy’ to be addressed . . .

Karyn Frick honored for contributions to women’s health

Campus Notes


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