Manage episode 516540044 series 3496984
We challenge long-held beliefs about fibroids, highlight new ectopic pregnancy nuances, and dig into real-world dermoid cyst outcomes. We also unpack the evidence and ethics of 39-week induction after IVF and ICSI, balancing small absolute risks with maternal tradeoffs.
• Evidence overturning links between fibroids and miscarriage, PROM and abruption
• Distinguishing spontaneous versus iatrogenic preterm birth in fibroid pregnancies
• Why myomectomy can raise early delivery and cesarean rates in some patients
• Ectopic care updates: tube-sparing choices, HCG thresholds, two-dose methotrexate
• Experimental adjuncts to methotrexate remain unproven
• Dermoid data supporting laparoscopy, irrigation, and specimen bags over open surgery
• Surgical decision making during pregnancy and avoiding uterine manipulators
• IVF and ICSI timing: late stillbirth risk signals, limits of testing, 39-week logic
• Shared decision making when absolute risks are low but values differ
Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram
1:33 Fibroids And Miscarriage Myths
5:53 Preterm Birth, PROM, And Hemorrhage
9:31 Myomectomy: Risks, Scars, And Outcomes
13:25 Ectopic Pregnancy: What’s New
18:37 Surgery Versus Methotrexate Nuances
22:05 Experimental Add-Ons To Medical Therapy
27:47 Dermoid Cysts: Real-World Data
32:48 Laparoscopy, Spillage, And Pregnancy
36:06 When Open Surgery Makes Things Worse
40:34 IVF, ICSI, And 39-Week Induction
48:05 Stillbirth Risk: What The Data Shows
55:20 Testing, Timing, And Shared Decisions
1:04:10 Practical Counseling And Tradeoffs
Follow us on Instagram @thinkingaboutobgyn.
Chapters
1. Episode 10:9 Fibroids, Facts, False Beliefs, and More! (00:00:00)
2. Fibroids And Miscarriage Myths (00:01:33)
3. Preterm Birth, PROM, And Hemorrhage (00:05:53)
4. Myomectomy: Risks, Scars, And Outcomes (00:09:31)
5. Ectopic Pregnancy: What’s New (00:13:25)
6. Surgery Versus Methotrexate Nuances (00:18:37)
7. Experimental Add-Ons To Medical Therapy (00:22:05)
8. Dermoid Cysts: Real-World Data (00:27:47)
9. Laparoscopy, Spillage, And Pregnancy (00:32:48)
10. When Open Surgery Makes Things Worse (00:36:06)
11. IVF, ICSI, And 39-Week Induction (00:40:34)
12. Stillbirth Risk: What The Data Shows (00:48:05)
13. Testing, Timing, And Shared Decisions (00:55:20)
14. Practical Counseling And Tradeoffs (01:04:10)
128 episodes