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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.
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