Mirena in Ultrasound. Confidence that lasts
|
|
- Nickolas Stephens
- 7 years ago
- Views:
Transcription
1 Mirena in Ultrasound Confidence that lasts
2 Modern gynecological practice cannot be visualized without ultrasound diagnosis. Sonographic images provide many uses, including a reliable and non-invasive means of exploring the individual anatomical conditions of the uterus and a safe way to identify possible pathological changes. Both transabdominal (TAS) and transvaginal (TVS) sonographic images of Mirena can be produced, allowing the positioning of Mirena to be controlled. We thank Dr Armin Soder, MD (gynecologist), Ettlingen, Germany, for the scientific consultation in compiling the texts of this ultrasound brochure as well as for the provisioning of the ultrasound images (device: GE Logic 400 Pro). 2
3 The characteristics of Mirena may be clearly presented arms knobs at the end of the arms hormone cylinder The cranial end loop The caudal end (loop) of the vertical stem of Mirena present hyper-reflexible (rich echoic) points. The hormone cylinder does not show a clear auditory reflex. It is mainly to be localized indirectly via its dorsal acoustical shadow. 3
4 Presentation of the uterus Prior to the insertion of Mirena, cervix uteri, uterus and cavum uteri may be examined sonographically. Thus, malformations or uterine pathology (e.g. submucose myoma) that may potentially complicate insertion can be recognized early. Furthermore, the current state of the uterus may be outlined allowing the insertion direction to be determined. In some cases this can facilitate Mirena insertion. Figure 1 shows the longitudinal section of the uterus (sagittal sectional plane) prior to Mirena insertion. The sonographic image displays the line-shaped endometrium during menstruation. 4
5 Figure 1: Uterus in the absence of Mirena (longitudinal section/tvs). 5
6 line-shaped endometrium Figure 1: Uterus in the absence of Mirena (longitudinal section/tvs). 6
7 Sonographic comparison Figure 2 shows a sonographic image of a copper iud (intrauterine device). Figure 3 shows a sonographic image of Mirena. A high-resolution ultrasound scanner clearly displays the dorsal acoustical shadow of the hormone cylinder. 7
8 Figure 2: Sonographic image of the copper IUD (longitudinal section/tvs). Figure 3: Sonographic image of Mirena (longitudinal section/tvs). 8
9 Figure 2: Sonographic image of the copper IUD (longitudinal section/tvs). cranial end caudal end dorsal acoustical shadow Figure 3: Sonographic image of Mirena (longitudinal section/tvs). caudal end cranial end Mirena removal thread 9
10 Image of Mirena (sagittal) Figure 4 shows the longitudinal section of the uterus (sagittal sectional plane) after insertion of Mirena. The hormone cylinder shows the typical trapeze-shaped dorsal acoustical shadow in the sonographic longitudinal section. Caudal end and cranial end of the vertical stem of Mirena can be clearly seen as rich echoic points in the cavum uteri. Caudal to the loop, the removal threads are discernible in the cervical channel. 10
11 Figure 4: Sonographic image of Mirena in the cavum uteri (longitudinal section/tvs). 11
12 dorsal acoustical shadow cranial end caudal end (loop) Mirena removal thread Figure 4: Sonographic image of Mirena in the cavum uteri (longitudinal section/tvs). 12
13 Image of Mirena (horizontal) Figure 5 shows a cross-section of the uterus (horizontal sectional plane) with Mirena in situ. The hormone cylinder shows the typical strap-shaped dorsal singular shadow in the sonographic cross-section image. These results arise from the ultrasound sectional plane (cross-section) being shifted along the hormone cylinder. The central dorsal acoustic shadow starts right below the arms and can be followed distally to the loop. 13
14 Figure 5: Strap-shaped singular shadow/central dorsal acoustic shadow (cross-section/tvs). 14
15 dorsal acoustical shadow Figure 5: Strap-shaped singular shadow/central dorsal acoustic shadow (cross-section/tvs). 15
16 Image of Mirena (horizontal) Figure 6 shows a cross-section of the uterus (horizontal section plane). The sonographic reflections of the released arms of Mirena can be discerned in the cranial section of the cavum uteri. Figure 7 shows a cross-section image of the uterus (fundus level). The knobs at the end of the horizontal arms as well as the hormone cylinder of Mirena both show a strap-shaped dorsal acoustic shadow. 16
17 Figure 6: Sonographic image of the horizontal arms (cross-section/tvs). Figure 7: Sonographic image of the knobs at the end of the arms and of the hormone cylinder with the typical strap-shaped singular shadows (cross-section/tvs). 17
18 horizontal arms Figure 6: Sonographic image of the horizontal arms (cross-section/tvs). three dorsal acoustical shadows Figure 7: Sonographic image of the knobs at the end of the arms and of the hormone cylinder with the typical strap-shaped singular shadows (cross-section/tvs). 18
19 Further images of Mirena Figure 8: Multi-strap image of the hormone cylinder of Mirena in case of an anteflected uterus. 19
20 Figure 9: Image improved by coloration. Released arms of Mirena in the crosssection image. Figure 10: Image improved by coloration. Strapshaped dorsal singular shadow in the cross-section image (horizontal sectional plane). 20
21 Mirena : Confidence that lasts Locally acting, estrogen-free contraception Lighter, shorter, less painful menstruation Fit and forget contraception Mirena product description: Mirena is a levonorgestrel-releasing intrauterine system (IUS) with an initial release rate of 20 microgram/24 h. Mirena is effective for five years. Indications: Contraception, idiopathic menorrhagia, and protection from endometrial hyperplasia during estrogen replacement therapy. Contraindications: Known or suspected pregnancy, current or recurrent pelvic inflammatory disease, lower genital tract infection, postpartum endometritis, infected abortion during the past three month, cervicitis, cervical dysplasia, uterine or cervical malignancy, progesterone-dependent tumors, undiagnosed abnormal uterine bleeding, congenital or acquired uterine anomaly including fibroids if they distort the uterine cavity, conditions associated with increased susceptibility to infections, acute liver disease or liver tumor, hypersensitivity to the constituents of the preparation. For full product information see package insert. For further information please contact the Manufacturer Bayer Schering Pharma AG, D Berlin, Germany, or on the Internet: or your local country office. This information is based on the CCDS/Version14/March 22, G.WH.FC
Objective. Indications for IUDs. IUDs 3 types. ParaGard IUD. Mirena IUD. Sonographic Evaluation of Intrauterine Devices (IUDs) Inert
Sonographic Evaluation of Intrauterine Devices (IUDs) Anna S. Lev-Toaff, MD FACR Department of Radiology Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Leading Edge in Diagnostic
More informationMedical criteria for IUCD s Based on the WHO MEC (2004- Annexure 3) system a woman s eligibility for IUCD insertion falls in 4 categories. These categ
CLIENT ASSESSMENT Ensure that the woman is not pregnant Determine the length and direction of uterus. Ensure that she does not have gonorrhea and chlamydia, and is not a high risk case of STI s Identify
More informationAbnormal Uterine Bleeding FAQ Sheet
Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between
More informationMHRI IUD Protocol. Migraine with aura Current DVT or PE History of or current breast cancer Active viral hepatitis Severe cirrhosis or liver tumors
Table of Contents A. Indications B. Contraindications C. Prior to Insertion D. Insertion E. Follow-Up Visit F. Removal G. Re-Insertion H. Complications/Side Effects I. Appendices MHRI IUD Protocol A. Indications
More informationStep-by-Step Insertion Instructions
Step-by-Step Insertion Instructions Please read these instructions carefully and please visit LILETTAHCP.com for the full Prescribing Information. You may also visit LILETTAhcp.com/video for a video demonstration.
More informationGynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis
Gynecology Abnormal Pelvic Anatomy and Physiology: (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Cervix Nabothian cysts result from chronic cervicitis most
More informationCHAPTER 10 Uterine Synechiae
CHAPTER 10 Uterine Synechiae Uterine synechiae are intrauterine adhesions. They may involve small focal areas of the endometrium (Figures 10.1a e), or they can be so extensive that they obliterate the
More informationMirena prescribing information
Mirena prescribing information This provides medical and scientific information on Mirena in general. Please refer to the local Summary of Product Characteristics for the information applicable in your
More informationAbnormal Uterine Bleeding
Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has
More informationNORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL
NORTHAMPTONSHIRE INTEGRATED SEXUAL HEALTH SERVICES IUD/IUS PROTOCOL Policy Details NHFT document reference MMPr005 Version Final Date Ratified 19.01.16 Ratified by Medicines Management Committee Implementation
More informationThe position of hysteroscopy in current fertility practice is under debate.
The position of hysteroscopy in current fertility practice is under debate. The procedure is well tolerated. No consensus on effectiveness of HSC in improving prognosis of subfertile women. systematic
More informationSTANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System
STANDARD APRN PROTOCOL FOR IUD INSERTION: Levonorgestrel (LNG) Releasing Intrauterine System DEFINITION The LNG-releasing intrauterine systems (Mirena, Liletta and Skyla ) are on the market. The LNG-releasing
More informationBELIEVE MIDWIFERY SERVICES, LLC
, LLC TITLE: ADENOMYOSIS EFFECTIVE DATE: May, 2012 POLICY STATEMENT Adenomyosis is a common benign gynecologic disorder that any certified nurse-midwife who provides gynecologic care is likely to see on
More informationLippes Loop intrauterine device left in the uterus for 50 years. Case report
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Lippes Loop intrauterine device left in the uterus for 50 years Case report Background.The first Lippes Loop intrauterine device was distributed in 1962. It was a
More informationTreating heavy menstrual bleeding caused by fibroids or polyps
Treating heavy menstrual bleeding caused by fibroids or polyps With today s medical advances the outlook for successful treatment of fibroids and polyps has never been better. You don t have to live with
More informationHeavy menstrual bleeding and what you can do about it!
Heavy menstrual bleeding and what you can do about it! The intrauterine system as an alternative to hysterectomy. What is heavy menstrual bleeding? Do I have it? A woman s menstrual periods are considered
More informationAbnormal Uterine Bleeding: Simple evaluation and management in premenopausal women
Objectives Abnormal Uterine Bleeding: Simple evaluation and management in premenopausal women Provide a framework to evaluate abnormal uterine bleeding (AUB) Review medical and surgical management options
More informationA Guide to Hysteroscopy. Patient Education
A Guide to Hysteroscopy Patient Education QUESTIONS AND ANSWERS ABOUT HYSTEROSCOPY Your doctor has recommended that you have a procedure called a hysteroscopy. Naturally, you may have questions about
More informationCervical cancer in 2 women with a Mirena : a pitfall in the assessment of irregular bleeding
Cervical cancer in 2 women with a Mirena : a pitfall in the assessment of irregular bleeding S. DE WEERD 1, P.J. WESTENEND 2, G.S. KOOI 1 1 Department of Obstetrics & Gynaecology, Albert Schweitzer Hospital,
More informationThree-Dimensional Inversion Rendering
Image Presentation Three-Dimensional Inversion Rendering New Sonographic Technique and Its Use in Gynecology Ilan E. Timor-Tritsch, MD, RDMS, na Monteagudo, MD, RDMS, Tanya Tsymbal,, RDMS, Irina Strok,
More informationUpdate on Abnormal Uterine Bleeding. Susan M. Sheridan, M.D., F.A.C.O.G Casper Obstetrical and Gynecological Associates Casper, WY
Update on Abnormal Uterine Bleeding Susan M. Sheridan, M.D., F.A.C.O.G Casper Obstetrical and Gynecological Associates Casper, WY Defining Abnormal Uterine Bleeding (AUB) Normal menstrual cycle Frequency
More informationUltrasound and Hysteroscopy in Infertility
Ultrasound and Hysteroscopy in Infertility James M. Shwayder, M.D., J.D. Professor and Chair Department of Obstetrics and Gynecology University of Mississippi Medical Center Jackson, Mississippi Ultrasound
More informationFrom this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors
From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors Uterine Fibroid Tumors A woman s fibroisis condition usually associated with estrogen dominance. Uterine
More informationUterine Fibroid Symptoms, Diagnosis and Treatment
Fibroids and IR Uterine Fibroid Symptoms, Diagnosis and Treatment Interventional radiologists use MRIs to determine if fibroids can be embolised, detect alternate causes for the symptoms and rule out misdiagnosis,
More informationThree-Dimensional Sonography of the Endometrium and Adjacent Myometrium
Technical dvance Three-Dimensional Sonography of the Endometrium and djacent Myometrium Preliminary Observations Rochelle F. ndreotti, MD, rthur C. Fleischer, MD, Lawrence E. Mason, Jr, MD Objective. y
More informationHeavy periods (menstrual bleeding)
Heavy periods (menstrual bleeding) This information sheet has been given to you to help answer some of the questions you may have about heavy periods and the treatments that are available. This leaflet
More informationTranscervical Resection of the Endometrium (TCRE)
Oxford University Hospitals NHS Trust Women s Centre Transcervical Resection of the Endometrium (TCRE) Information for women This leaflet is for women who have been advised to have a transcervical resection
More informationUterine fibroids (Leiomyoma)
Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids
More informationLIPPES LOOP TRADEMARK. your intrauterine contraceptive
LIPPES LOOP TRADEMARK your intrauterine contraceptive LIPPES LOOP Patient Information This brochure provides information on the use of In trauterine Contraceptive Devices (lud s). There are other birth
More informationWhy would you need a hysterectomy?
Why would you need a hysterectomy? Removal of the uterus is performed to prevent, alleviate, or treat pain, pressure, bleeding, or cancer. Each reason is described in detail in the following pages. Benign
More informationFor many years, the intrauterine
Insertion and Removal of Intrauterine Devices BRETT ANDREW JOHNSON, M.D., Methodist Charlton Medical Center, Dallas, Texas The intrauterine device (IUD) is an effective contraceptive for many women. The
More informationDevelopment of Education Program for Reproductive Health Management for Unmarried Women over age 35
, pp.231-235 http://dx.doi.org/10.14257/astl.2015.116.47 Development of Education Program for Reproductive Health Management for Unmarried Women over age 35 Ju-Young Ha 1, So-Young Jeon 2, Hyo-Jin Park
More informationDysfunctional Uterine Bleeding
:{ic0fp'16 ACOFP 53 rd Annual Convention & Scientific Seminars Dysfunctional Uterine Bleeding Michele Tartaglia, DO Michele Tartaglia, DO, FACOOG, CS Assistant Professor and Residency Program Director
More informationNovaSure: A Procedure for Heavy Menstrual Bleeding
NovaSure: A Procedure for Heavy Menstrual Bleeding The one-time, five-minute procedure Over a million women 1 have been treated with NovaSure. NovaSure Endometrial Ablation (EA) is the simple, one-time,
More informationLILETTA CODING UPDATE
Considerations before submitting claims Considerations after submitting claims LILETTA CODING UPDATE BEGINNING JANUARY 1, 2016, THE HCPCS* CODE (J-CODE) APPROPRIATE FOR LILETTA IS CHANGING FROM J7302 TO
More informationGYNAECOLOGY. Ahmed Mohamed Abbas*, Mohamed Khalaf*, Abd El-Aziz E. Tammam**, Ahmed H. Abdellah**, Ahmed Mwafy**. Introduction ABSTRACT
Thai Journal of Obstetrics and Gynaecology April 2015, Vol. 23, pp. 113-117 GYNAECOLOGY The Diagnostic Value of Saline Infusion Sonohysterography Versus Hysteroscopy in Evaluation of Uterine Cavity in
More informationPATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION (AIDS) AND OTHER SEXUALLY TRANSMITTED DISEASES
Mirena (levonorgestrel-releasing intrauterine system) PATIENTS SHOULD BE COUNSELED THAT THIS PRODUCT DOES NOT PROTECT AGAINST HIV INFECTION (AIDS) AND OTHER SEXUALLY TRANSMITTED DISEASES Rx only DESCRIPTION
More informationFadwa Almanakly, Pharm.D. Associate Director, Advertising and Promotions Bayer HealthCare Pharmaceuticals Inc. 6 West Belt Wayne, NJ 07470-6806
DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration Silver Spring, MD 20993 TRANSMITTED BY FACSIMILE Fadwa Almanakly, Pharm.D. Associate Director, Advertising and Promotions
More informationMULTILOAD Radio-Opaque Intrauterine Contraceptive Devices
NEW ZEALAND DATA SHEET MULTILOAD Radio-Opaque Intrauterine Contraceptive Devices Presentation MULTILOAD consists of a small plastic rod wound with copper wire and provided with two flexible arms and a
More informationCoding for the Contraceptive Implant and IUDs
LARC Quick Coding Guide 2012 UPDATE Coding for the Contraceptive Implant and IUDs CRECT CODING can result in more appropriate compensation for services. To help practices receive appropriate payment for
More informationUterus myomatosus. 10-May-15. Clinical presentation. Incidence. Causes? 3 out of 4 women. Growth rate vary. Most common solid pelvic tumor in women
Uterus myomatosus A.J. Henriquez March 14, 2015 Uterus myomatosus Definition, incidence, clinical presentation and diagnosis. New FIGO classification for uterine leiomyomas Brief description on treatment
More informationA potential treatment for your abnormal uterine bleeding
TRUCLEAR System A potential treatment for your abnormal uterine bleeding Do You Suffer from Abnormal Uterine Bleeding? What is a Hysteroscopy? What is the TRUCLEAR Procedure? What Happens Before Your
More informationMenopause and Hormone Replacement Therapy
Menopause and Hormone Replacement Therapy Daniel Breitkopf, MD Department of Obstetrics and Gynecology University of Texas Medical Branch Galveston, Texas USA Objectives Define the indications and contraindications
More informationLARC Quick Coding Guide Supplement
LARC ICD-9 to ICD-10 Crosswalk Basic Implant Codes ICD-9 ICD-10 Codes Implant CPT Procedure Codes HCPCSII/JCode V25.5 Z30.018 Encounter for initial prescription of other contraceptives 11981 - insertion
More informationTHE WELL. Intrauterine Contraceptive Devices WOMAN CENTRE
THE WELL WOMAN CENTRE Intrauterine Contraceptive Devices INTRAUTERINE CONTRACEPTIVE DEVICES How does the Mirena work? How effective is the Mirena? What are the advantages of the Mirena? What are the disadvantages
More informationGynaecology FAQ s. Correspondence address: 204 Fulham Road London SW10 9PJ Email: enquiries@missayida.com Tel: 02077514489
Gynaecology FAQ s Why is the cervical screening test important? Cervical cancer is not uncommon. In recent years the number of cases has fallen due to cervical screening tests. However, there are still
More informationHow To Bill For A Pregnancy
Maternity Billing The Maternity Period - For billing purposes, the obstetrical period begins on the date of the initial visit in which pregnancy was confirmed and extends through the end of the postpartum
More informationLaparoscopy and Hysteroscopy
AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Laparoscopy and Hysteroscopy A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of
More informationThis is Jaydess. Patient Information. What is Jaydess? How does Jaydess work?
, Patient Information This is Jaydess We hope that this brochure will answer your questions and concerns about Jaydess. What is Jaydess? Jaydess is an intrauterine device consisting of a hormone capsule
More informationComparison of ovarian cyst formation in women using the
Ultrasound Obstet Gynecol 2002; 20: 381 385 Comparison of ovarian cyst formation in women using the Blackwell Science, Ltd levonorgestrel-releasing intrauterine system vs. hysterectomy P. INKI*, R. HURSKAINEN
More informationUnderstanding Your Risk of Ovarian Cancer
Understanding Your Risk of Ovarian Cancer A WOMAN S GUIDE This brochure is made possible through partnership support from Project Hope for Ovarian Cancer Research and Education. Project HOPE FOR OVARIAN
More informationSpecialists In Reproductive Medicine & Surgery, P.A.
Specialists In Reproductive Medicine & Surgery, P.A. Craig R. Sweet, M.D. www.dreamababy.com Fertility@DreamABaby.com Excellence, Experience & Ethics Endometriosis Awareness Week/Month Common Questions
More informationAbout the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:
Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other
More informationClinical Scenarios CODING AND BILLING 101. Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting
Clinical Scenarios CODING AND BILLING 101 Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting 1 Always remember Follow coding guidelines If you didn t write it down, it didn t happen The
More informationIntrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes Elysia Moschos, MD; Diane M. Twickler, MD
Research OBSTETRICS Intrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes Elysia Moschos, MD; Diane M. Twickler, MD OBJECTIVE: The objective of this study was to describe
More informationIntrauterine Device (IUD) THE FACTS
Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,
More informationEffective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion.
Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. After the abortion I started re-thinking my birth control method. I am looking
More informationHow to Deal with Rumors and Misconceptions about IUDs
How to Deal with Rumors and Misconceptions about IUDs Rumors are unconfirmed stories that are transferred from one person to another by word of mouth. In general, rumors arise when: an issue or information
More informationAcute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
More informationSafe & Unsafe. abortion
Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person
More informationWhat could endometriosis mean for me?
Endometriosis: what you need to know Published November 2007 What is endometriosis? Endometriosis is a very common condition where cells of the lining of the womb (the endometrium) are found elsewhere,
More informationBirth Control Options
1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth
More informationAbigail R. Proffer, M.D. October 4, 2013
Abigail R. Proffer, M.D. October 4, 2013 Topics Human Papillomavirus (HPV) Vaccines Pap smears Colposcopy Contraception Polycystic Ovary Syndrome (PCOS) Can I get pregnant? Miscarriage Abnormal Uterine
More informationAnatomy and Physiology of Human Reproduction. Module 10a
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationThe intrauterine contraceptive
The Practitioner Le praticien The occasional intrauterine contraceptive device insertion Peter Hutten-Czapski, MD Haileybury, Ont. James Goertzen, MD Thunder Bay, Ont. Correspondence to: Dr. Peter Hutten-Czapski,
More informationUse of Ultrasound in the Provision of Abortion. Juan E. Vargas, MD Assistant Professor of Clinical Obstetrics and Gynecology and Radiology, UCSF
Use of Ultrasound in the Provision of Abortion Juan E. Vargas, MD Assistant Professor of Clinical Obstetrics and Gynecology and Radiology, UCSF Overview Uses and indications of ultrasound in the provision
More informationMedicaid Family Planning Waiver Services CPT Codes and ICD-9 Diagnosis Codes
Family Planning Waiver Services CPT Codes and ICD-9 Diagnosis Codes CPT Code Description of Covered Codes Evaluation and Management 99384FP 99385FP 99386FP 99394FP 99395FP 99396FP 99401FP 99402FP 99403FP
More informationLILETTA (levonorgestrel-releasing intrauterine system) Initial U.S. Approval: 2015
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use LILETTA safely and effectively. See full prescribing information for LILETTA. LILETTA (levonorgestrel-releasing
More informationHIGHLIGHTS OF PRESCRIBING INFORMATION
HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use MIRENA safely and effectively. See full prescribing information for MIRENA. MIRENA (levonorgestrel-releasing
More informationArtificial insemination
Artificial insemination What is involved? Artificial insemination is an assisted reproduction technique that consists of inserting laboratory-treated spermatozoa into the woman s uterus or cervical canal.
More informationIUD training principles 2013
IUD training principles 2013 Introduction These principles were developed in 2011 2012 by representatives and members of the following organisations: Sexual Health and Family Planning Australia (SHFPA)
More informationCONTRACEPTION TYPES CONTRACEPTION LARA SANDERS, RN CHAPTER 7 PAGES 159-174
CONTRACEPTION LARA SANDERS, RN CHAPTER 7 PAGES 159-174 CONTRACEPTION Voluntary prevention of pregnancy More than half of pregnancies every year are unintended in women younger than 20 years of age May
More informationAsk us about LARC. LARC stands for Long Acting Reversible Contraception. Types of LARC are: Contraceptive implant IUS IUD Contraceptive injection
Ask us about LARC LARC stands for Long Acting Reversible Contraception. Types of LARC are: Contraceptive implant IUS IUD Contraceptive injection visit our website Long Acting Reversible Contraception (LARC)
More informationThis Protocol is adapted from the University of Colorado Protocol dated August 26, 2009.
Protocol for Post-Placental IUD insertion July 14, 2010 This Protocol is adapted from the University of Colorado Protocol dated August 26, 2009. Background Post-placental intrauterine device (IUD) insertion
More informationCODING GUIDELINES FOR CONTRACEPTIVES. Updated for ICD-10 CM (post October 1, 2015)
CODING GUIDELINES FOR CONTRACEPTIVES Updated for ICD-10 CM (post October 1, 2015) TABLE OF CONTENTS ICD-10 CM Diagnosis Codes: Encounter for contraception page 2 LARC: Coding for IUD Insertion and Removal
More informationGynecologic Cancer in Women with Lynch Syndrome
Gynecologic Cancer in Women with Lynch Syndrome Sarah E. Ferguson, MD FRCSC Division of Gynecologic Oncology, Princess Margaret Hospital, University of Toronto June 11, 2013 Objective 1. To review the
More informationMigration of an intrauterine contraceptive device to the sigmoid colon: a case report
The European Journal of Contraception and Reproductive Health Care 2003;8:229 232 Case Report Migration of an intrauterine contraceptive device to the sigmoid colon: a case report Ü. S. nceboz, H. T. Özçakir,
More informationMetastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy
Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female
More informationDiagnosis Codes for Pregnancy and Complications of Pregnancy
This list is for informational purposes only and is not a binding or definitive list of covered conditions. It is not a guarantee of coverage; coverage depends on the available benefits and eligibility
More informationYoung Women and Long-Acting Reversible Contraception. Safe, Reliable, and Cost-Effective Birth Control
ISSUES AT A GLANCE Young Women and Long-Acting Reversible Contraception Safe, Reliable, and Cost-Effective Birth Control In 2012, the American College of Obstetricians and Gynecologists (ACOG) revised
More informationArtificial insemination with donor sperm
Artificial insemination with donor sperm Ref. 123 / 2009 Reproductive Medicine Unit Servicio de Medicina de la Reproducción Gran Vía Carlos III 71-75 08028 Barcelona Tel. (+34) 93 227 47 00 Fax. (+34)
More informationUterine Fibroids. More than half of all women have fibroids. They are a common, benign, uterine growth.
Uterine Fibroids More than half of all women have fibroids. They are a common, benign, uterine growth. Fibroids are not a disease. Much like the genetic blueprint that determines the color of your eyes
More informationWOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills
Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to
More informationConsidering Surgery for Fibroids? Learn about minimally invasive da Vinci Surgery
Considering Surgery for Fibroids? Learn about minimally invasive da Vinci Surgery The Condition: Uterine Fibroid (Fibroid Tumor) A uterine fibroid is a benign (non-cancerous) tumor that grows in the uterine
More informationA Non- surgical lifeline for Abnormal uterine bleeding (AUB) - the LNG IUS
Original Research Article A Non- surgical lifeline for Abnormal uterine bleeding (AUB) - the LNG IUS Garg Seeru 1,*, Soni Anita 2 1 Junior Consultant Obstetrician and Gynecologist, 2 Consultant Obstetrician
More informationHysterosalpingography
Scan for mobile link. Hysterosalpingography Hysterosalpingography uses a real-time form of x-ray called fluoroscopy to examine the uterus and fallopian tubes of a woman who is having difficulty becoming
More informationPOST MENOPAUSAL BLEEDING CHECKLIST. Ultrasound. Information folder given to patient. Booking form faxed/emailed
POST MENOPAUSAL BLEEDING CHECKLIST Ultrasound Information folder given to patient Booking form faxed/emailed 1 BOOKING FORM - HYSTEROSCOPY FOR POST MENOPAUSAL BLEEDING Patient s Name: Surname: DOB: / /
More informationEmergency Contraceptive Pills
There are many different forms of birth control available in Canada, many of which we will discuss in this booklet. There is no way to determine which is the best form of birth control, because each person
More informationGlossary. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty.
Glossary amenorrhea - absence or cessation of menstrual periods. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty. A amenorrhea, secondary - due to some physical
More informationUNC FIBROID CARE CLINIC. Department of Obstetrics and Gynecology Division of Advanced Laparoscopy & Pelvic Pain
The purpose of the Fibroid Care Clinic at the University of North Carolina is to provide up-to-date, comprehensive medical information and care for the treatment of women with uterine fibroids. We offer
More informationMenstruation and the Menstrual Cycle
Menstruation and the Menstrual Cycle Q: What is menstruation? A: Menstruation is a woman s monthly bleeding, also called a period. When you menstruate, your body is shedding the lining of the uterus (womb).
More informationda Vinci Myomectomy Changing the Experience of Surgery Are you a candidate for the latest treatment option for uterine fibroids?
da Vinci Myomectomy Changing the Experience of Surgery Are you a candidate for the latest treatment option for uterine fibroids? Your doctor may be able to offer you a new, minimally invasive surgical
More informationCONFIDENT CODING FOR OB/GYN CONFIDENT CODING FOR OB/GYN
Arlene J. Smith, CPC AAPC National Advisory Board 2007-2009 1 So when exactly does the global period start? Unraveling the confusion in antepartum care coding Correct coding for multiple gestations! Vaginal
More informationMULTILOAD cu 250 / cu 375
MULTILOAD cu 250 / cu 375 CE 0336 Read all of this leaflet carefully before you decide to have Multiload Radiopaque inserted. This leaflet provides information that may help you in your decision to start
More informationMINIMALLY INVASIVE SURGERY FOR WOMEN Back to Life. Faster.
MINIMALLY INVASIVE SURGERY FOR WOMEN Back to Life. Faster. Pictured above: UF gynecologists Sharon Byun, MD, Shireen Madani Sims, MD, and Michael Lukowski, MD, with the robotic surgery equipment. Make
More informationKate O Hanlan, M. D. F. A. C. O. G., F. A. C. S.
Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Gynecologic Oncology, Surgery and Endoscopy 4370 Alpine Road Portola Valley, CA 94028-7523 Phone: (650)-851-6669 FAX: (650) 851-9747 Regarding Ovarian Cancer,
More informationHistopathological Pattern of Endometrial Sampling Performed for Abnormal Uterine Bleeding. Layla S Abdullah, MD, FRCPC* Nabeel S Bondagji, MD, FRCSC**
1 Bahrain Medical Bulletin, Vol. 33, No. 4, December 2011 Histopathological Pattern of Endometrial Sampling Performed for Abnormal Uterine Bleeding Layla S Abdullah, MD, FRCPC* Nabeel S Bondagji, MD, FRCSC**
More informationInformation for you Abortion care
Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect
More informationRole of Hysteroscopy and Laparoscopy in Evaluation of Abnormal Uterine Bleeding
ORIGINAL ARTICLE Role of Hysteroscopy and Laparoscopy in Evaluation of Abnormal Uterine Bleeding Jyotsana, Kamlesh Manhas, Sudha Sharma Abstract Abnormal uterine poses a real challenge for the gynecologists
More informationUltrasound Examinations Performed by Nurses in Obstetric, Gynecologic, and Reproductive Medicine Settings: Clinical Competencies and Education Guide
Ultrasound Examinations Performed by Nurses in Obstetric, Gynecologic, and Reproductive Medicine Settings: Clinical Competencies and Education Guide 3rd Edition The Association of Women s Health, Obstetric
More information