RX options for BV
Flagyl 500mg BID x7d Flagyl vaginal Secnidazole 2g orally once Clindamycin 300mg orally x7d
Risk factors for leiomyosarcoma
Prolonged Tamoxifen Hereditary syndomes (Lynch) Age >40 (median age 60) post-meonpausal History of pelvic radiation
Sensitivity of EMBx for leiomyosarcoma
33-68% (.: neg result does not rule it out!)
Treatment for cyclical mastalgia
1) Reassurance and NSAIDs prn #2) Danazol (AE = virilization/anrogens) - CI in pregnancy - only FDA approved treatment #3) Tamoxifen for 6m max *NO OCPs - can CAUSE mastalgia
POP-Q

Prolapse Stages

Diagnosis of early fetal loss

Testing algorithm for HepC exposure
