Gynecology Quotes

About three things I was absolutely certain. First, Edwart was most likely my soul mate, maybe. Second, there was a vampire part of him -- which I assumed was wildly out of his control -- that wanted me dead. And third, I unconditionally, irrevocably, impenetrably, heterogeneously, gynecologically, and disreputably wished he has kissed me.

What kind of emergency?” “Uh …” “Gynecology or acupuncture?” What the heck would an acupuncture-related emergency be like?

Every woman who has come to consciousness can recall an almost endless series of oppressive, violating, insulting, assaulting acts against her Self. Every woman is battered by such assaults - is on a psychic level, a battered woman.

But how the hell was I to know Ben would bring along a gynecological psychic?

We could call him Gynecological Gage or Assman - AssHOLE - take your pick.

It was, in fact, one of those places that exist merely so that people can have come from them. The universe is littered with them: hidden villages, windswept little towns under wide skies, isolated cabins on chilly mountains, whose only mark on history is to be the incredibly ordinary place where something extraordinary started to happen. Often there is no more than a little plaque to reveal that, against all gynecological probability, someone very famous was born halfway up a wall.

If his Holiness asks for me, tell him I am -" I was what? What excuse would be sufficient to hold off Borgia the Bull when he wanted, nay demanded attention? 'Tell him I am attending to a gynecological matter but will return shortly.

There are many controversial issues in contemporary American politics where, in spite of my strong feelings, I have the ability to understand and respect the other side. But the notion that we could ever pretend women have real equality in this country when a man as uninformed about basic reproductive gynecology as Mr. Todd Akin could take away my right to decide whether I want to spend a minimum of eighteen years and an average of $235,000 raising a child—not to mention the significant cost to my own dreams and goals or the myriad ways my child might ultimately suffer for my having been denied the ability to make that choice, the ways so many children suffer every day at the hands of their frustrated, stultified mothers—is an absurdity.

Originally, it was believed that witches possessed the power of glamour and according to the authors of the Malleus Maleficarum, witches by their glamour could cause the male 'member' to disappear. In modern usage, this meaning has almost disappeared into the background and the power of the term is masked and suffocated by such foreground images as those associated with glamour magazine.

amateur gynecology.

My gynecologist said my pussy looks weird.

Often there is no more than a little plaque to reveal that, against all gynecological probability, someone very famous was born halfway up a wall.

In 2001, the American Journal of Obstetrics and Gynecology declared the G spot a “modern gynecologic myth,

To Nedda, psychology and gynecology were similar in that a doctor saw more of your most intimate parts than you did.

According to the American Congress of Obstetricians and Gynecologists (ACOG) and the US Preventative Services Task Force, there is no medical reason for a gynecological exam to get a prescription for the Pill, with an annual repeat in order to renew it.13

I spend almost two weeks with Dewhurst's Text book of Obstetrics and Gynecology (eight edition) and looking at videos available on the Internet before deciding that these materials needed to be supplemented with practical experience. It was like reading a book on karate - useful to a point, but not sufficient for combat preparation.

Clinton had a universe of faults but under her administration we likely wouldn't have seen married people being picked up and separated by border patrol. Health care, including Planned Parenthood, which is the only access to prenatal and gynecological health care many poor women have at all, wouldn't be at risk. The Paris Climate Accord wouldn't have been tossed out. We wouldn't be going the other way on mass incarceration, prison privatization and the drug war. We wouldn't be facing the rebirth of the old Jim Crow. Which is not to say that a Clinton presidency would have meant peace and justice for all. It wouldn't have. She would have pushed an agenda that elevated the American Empire in terrible ways. But the loss of even the most compromising of agreements, accords and legislation means that we are starting from negative numbers. It means that we can't focus on pushing for something far better than the ACA -- like single-payer health care -- but that we have to fight for even the most basic of rights.

This is a subject I've given a lot of thought to, and I think I have the answer. I've tried to encompass in my theory all the sociological, mythological, religious, philosophical, muscular, economic, cultural, musical, physical, ethical, intellectual, metaphysical, anthropological, gynecological, historical, hormonal, environmental, judicial, legal, moral, ethnic, governmental, linguistic, psychological, schizophrenic, glottal, racial, poetic, dental [this was the logical link] artistic, military, and urinary considerations from prehistoric times to the present.I have been able to synthesize these considerations into one inescapable formulation: men can knock the shit out of women.

The earliest and most dramatic changes in maternal physiology are cardiovascular. These changes improve fetal oxygenation and nutrition.

Dyspnea during pregnancy may be “physiologic” but still requires evaluation insofar as it may represent respiratory or cardiac illness.

From Dr. J Marion Sims’s 19th Century gynecological surgery experiments on unanesthetized enslaved Black women to Tuskegee experiment on Black men and their families to careless uranium mining on Indigenous reservations and nuclear weapons testing that left Pacific Islanders to live and die with the nuclear fallout, the devaluing of Black American lives and Indigenous lives around the world has played a key role in scientific experiment and development.

American gynecology was built by torturing Black women and experimenting on their bodies to test procedures. J. Marion Sims, known as the father of American gynecology, developed his techniques by slicing open the vaginal tissues of enslaved women as they were held down by force. He refused to provide them with anesthesia. François Marie Prevost, who is credited with introducing C-sections in the United States, perfected his procedure by cutting into the abdomens of laboring women who were slaves. These women were treated like animals and their pain was ignored.

The seduction of women - including feminists - into confusion by Dionysian boundary violation happens under a variety of circumstances. A comment element seems to be an invitation to "freedom". The feminine Dionysian male guru or therapist invites women to spiritual or sexual liberation, at the cost of loss of Self in male-dicated behavior. Male propagation of the idea that men, too are feminine - particularly through feminine behavior by males - distracts attention from the fact that femininity is a man-made construct, having essentially nothing to do with femaleness.

I realize that I’m far less familiar with my own privates than with Guy’s, and I’ve seen his only twice! I guess that’s to be expected, since girls can’t really look at ourselves without a reflection, whereas nothing’s hidden with boys. It seems unfair, but there’s also something neat about it being shrouded in secrecy.

During the period in question, the changes in the empty space in the womb can only be identified by an anatomical or gynecological examination. Yet these changes, only recently identified by scientists, are miraculously indicated in Surat ar-Ra‘d: Allah knows what every female bears and every shrinking of the womb and every swelling. Everything has its measure with Him. (Qur'an, 13:8) At the beginning of the menstrual period, the mucous on the walls of the womb (the endometrium layer) is 0.5 mm (0.02 inch) thick. Under the effect of hormones secreted by the egg, this layer grows and reaches a thickness of 5-6 mm (0.2 inch). This layer is then discarded in the absence of fertilisation. As we see from the above verse, this monthly increase and reduction in the walls of the womb is indicated in the Qur'an.

Dwustu lat (1616-1835) potrzebowali katoliccy teolodzy, aby uznać udowodnioną tezę Kopernika o tym, że Ziemia krąży wokół Słońca. Za to nieudowodnionemu twierdzeniu o bezpłodnych dniach kobiety przyklasnęli pośpiesznie, pięćdziesiąt lat wcześniej, zanim okazało się, że dni bezpłodne wprawdzie istnieją, ale znacząco różnią się od tych wskazanych przez Poucheta i Lecomte'a, i że fatalną pomyłką było biologiczne porównanie kobiety z suczką.

Women who gain more weight than the recommended range during the pregnancy tend to be heavier at 3 years postpartum than women who gained weight within recommended range during pregnancy, and this applies to both obese and nonobese patients.

Also,” droned Helen, “Dr. Clinton Clark, Chief of Gynecology called, not his secretary, the doctor himself. And he sounded very angry. He wants you to call. And Mr. Drake wants a call too.” The printout

women were considered instinctual nurses in this generation—the field had received exciting publicity during the Spanish-American War when an Army Nursing Corps had served overseas in the Philippines. Clara Weeks-Shaw, the author of a popular textbook on nursing, promoted the field as “a new activity for women—congenial, honorable and remunerative and with permanent value to them in the common experience of domestic life.”3 In readable language, Weeks-Shaw presented nursing as an artful balance between self-reliance and submission. Overall its practices were an extension of maternity, requiring the classic female behaviors of cheerfulness (to the patients) and obedience (to the doctors). “Never leave a doctor alone with a gynecology patient except at his request,” went one injunction.

The four most common causes of secondary amenorrhea are pregnancy, hyperprolactinemia, thyroid disorders, and iatrogenic.

Women with PCOS typically have signs of hyperandrogenism, the most frequent of which are hirsutism and acne. Hirsutism is

uterus is palpable just at the pubic symphysis at 8 weeks. At 12 weeks, the uterus becomes an abdominal organ, and at 16 weeks, it is usually at the midpoint between the pubic symphysis and the umbilicus. Between 18 and 34 weeks’ gestation, the uterus size or fundal height is measured in centimeters from the pubic symphysis to the upper edge of the uterine corpus, and the measurement correlates well with the gestational age in weeks (Fig. 6–1). The uterus is palpable at 20 weeks at the umbilicus. After 36 weeks, the fundal height may

White women’s presence, coupled with repressive Victorian sexuality, ensured that there would be no shacking up with once-tantalizing Indian lovers. But for the Irish and working-class British sailors and soldiers who kept the Empire running, the administration allowed them sex to release their animal urges. Registers were created. Women and femmes were forced to reside in the Lal Bazaars, red-light districts organized around fucking British men. Damned by an extensive patramyth: literature, surveys, calls for social reform, colonial registers, and codified laws that policed Dalit and Muslim bodies. The 1868 Contagious Diseases Act gave authorities permission to go after women suspected as prostitutes—they could be gynecologically examined without consent, arrested, detained, sent away to be worked to death in a penal colony. An 1881 Census in Bengal declared all unmarried women fifteen and older prostitutes.

Sounds like he has a hard time opening up, and him sharing this--- even if it wasn't a full truth--- was probably a massive deal for him. And for you to assume he owes an explanation is, well... it's a little selfish." Nina curled her bottom lip into her mouth and nibbled. Maybe Sophie had a point, but still, wasn't his omission a sign of him not trusting her? "I can see that your wheels are spinning, so let me put it this way--- his mental health is personal and important. The same way that you don't owe him a full gynecological report just because you've let him in your vagina.

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In obstetrics and gynecology, the term abortionist is still a dirty word.

Temple University historian David Jacobs has further refined the basic reported pattern of an abduction experience (Jacobs 1992). Jacobs identifies primary phenomena such as manual or instrument examination, staring, and urological-gynecological procedures; secondary events, including machine examination, visualization, and child presentation; and ancillary events, among them miscellaneous additional physical, mental, and sexual activities and procedures.

whose only mark on history is to be the incredibly ordinary place where something extraordinary started to happen. Often there is no more than a little plaque to reveal that, against all gynecological probability, someone very famous was born halfway up a wall.

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Did you know that if you’re a middle-aged woman, you have only a small window of opportunity between the beginning of perimenopause and the start of menopause to start estrogen replacement therapy to protect not only your brain but also your bones and cardiovascular system? I did not, until I dug into the science, because as a woman who was diagnosed with a stage 0 breast lump, I was scared off like so many of us from the results of the Women’s Health Initiative, which got blasted out all over the news and initially showed a link between estrogen replacement therapy and breast cancer, but guess what? That study had so many flaws, its findings are little more than useless and possibly harmful. Worse, women like me without uteri show a decrease in breast cancer with estrogen replacement therapy. But this information never made it either into the headlines or into our gynecologists’ offices. I had to find it in scientific publications such as The Lancet online. In fact, get this: Our medical system barely trains gynecologists in menopausal medicine. A recent study found that only 20 percent of ob-gyn residency programs in the U.S. provide any menopause training. Yes, any. Which means that 80 percent of all gynecological residents in school today are getting no training whatsoever in post-reproductive women’s health. These are people whose job it is to know everything going on in our ladyparts, but they have not been taught the basic tenets of how to care for either us or our plumbing after we stop menstruating. And by “us” I mean 30 percent of all women alive on earth at any given moment. Half of my middle-aged female friends deal with chronic urinary tract infections. Oh, well, we think, throwing up our hands in defeat and consuming far too many antibiotics than are rational or safe or even good for the future safety of humanity. It took Dr. Rachel Rubin, a urologist in Washington, D.C., reaching out to me over Twitter to explain that UTIs in menopausal women do not have to be recurrent. They can be mitigated with, yes, vaginal estrogen. Not once was I ever

This is a work of fiction incorporating episodes from the lives of the historic J. Marion Sims, M.D. (1813–1883), “the Father of Modern Gynecology”; Silas Weir Mitchell, M.D. (1829–1914), “the Father of Medical Neurology”; and Henry Cotton, M.D. (1876–1933), the director of the New Jersey Lunatic Asylum from 1907 to 1930. Several passages, scattered through the text, have been adapted from passages in Sims’s The Story of My Life (1888). Particular thanks are due to Andrew Scull’s Madhouse: A Tragic Tale of Megalomania and Modern Medicine (Yale University Press, 2005), a chronicle of the life and career of Henry Cotton; and Elaine Showalter’s The Female Malady: Women, Madness, and English Culture (1830–1980) (Pantheon Books, 1985).

After completing medical school and serving my residency in obstetrics and gynecology, I felt knowledgeable enough to be a parent. Between

I’d start a spa where women could get massages along with gynecological exams, mammograms, and dental cleanings. With a bar.

all human gynecological practices have some very basic things in common: They try to preserve the life of the mother and, if possible, the child. They try to prevent and treat excessive uterine bleeding. They try to prevent and treat bacterial infection.[*6] They tend to guide the intensity of the mother’s labor efforts to coincide with the dilation of her cervix.

10 Things You Should Always Discuss with Your Gynecologist – Motherhood Chaitanya Hospital Your gynecologist is your partner in women’s health, and open communication is key to receiving the best care. From reproductive health to general well-being, here are 10 crucial topics you should always discuss with your gynecologist. If you’re in Chandigarh, consider reaching out to the Best Female Gynecologist in Chandigarh through Motherhood Chaitanya for expert care. 1. Menstrual Irregularities Don’t dismiss irregular periods as a minor issue. They could be indicative of underlying conditions like polycystic ovary syndrome (PCOS), thyroid disorders, or hormonal imbalances. 2. Contraception Discuss your contraception options to find the one that best suits your needs and lifestyle. Your gynecologist can provide guidance on various birth control methods, from pills to intrauterine devices (IUDs). 3. Pregnancy Planning If you’re planning to start a family, consult your gynecologist for preconception advice. This can help you prepare your body and address any potential risks or concerns. 4. Sexual Health Openly discuss any concerns related to sexual health, including pain during intercourse, sexually transmitted infections (STIs), or changes in sexual desire. Your gynecologist can provide guidance and offer solutions. 5. Menopause and Perimenopause If you’re in your 40s or approaching menopause, discuss perimenopausal symptoms like hot flashes, mood swings, and changes in menstrual patterns. Your gynecologist can recommend treatments to manage these changes. 6. Family History Share your family’s medical history, especially if there are instances of gynecological conditions, such as ovarian or breast cancer. This information is vital for early detection and prevention. 7. Breast Health Talk to your gynecologist about breast health, including breast self-exams and recommended mammograms. Regular breast checks are essential for early detection of breast cancer. 8. Pelvic Pain Don’t ignore persistent pelvic pain. It can signal a range of issues, including endometriosis, fibroids, or ovarian cysts. Early diagnosis and treatment are crucial. 9. Urinary Issues Frequent urination, urinary incontinence, or pain during urination should be discussed. These symptoms can be linked to urinary tract infections or pelvic floor disorders. 10. Mental Health Your gynecologist is there to address your overall well-being. If you’re experiencing mood swings, anxiety, or depression, it’s important to discuss these mental health concerns. Your gynecologist can offer guidance or refer you to specialists if needed. In conclusion, your gynecologist is your go-to resource for women’s health, addressing a wide spectrum of issues. Open and honest communication is essential to ensure you receive the best care and support. If you’re in Chandigarh, consider consulting the Best Gynecologist Obstetricians in Chandigarh through Motherhood Chaitanya for expert guidance. Your health is a priority, and discussing these important topics with your gynecologist is a proactive step toward a healthier, happier you

For some time, an arbitrary line in the sand was drawn at the end of the first trimester as the demarcation marking the beginning of "life". Of course, advances in medical technology continued to force those who stood on that line to retreat further and further toward the beginning of gestation. For instance, it has been established that a fetus has brain waves which can be measured by EEG only 40 days after conception, and merely 18 days after conception, the fetus has a measurable heart beat. In fact, they were getting so close to the beginning of gestation, i.e., conception, that the PC pro-abortion genderists then had to adopt the more ephemeral "viability" position. Of course, according to their definition of "viability", comatose patients would not be considered human being because, in some ways, a fetus is actually more "viable" than someone who is comatose. As obstetrical and gynecological medicine continued its inevitable advance, revealing more and more about the nature of a human fetus, the pro-abortion forces continued their retreat until now they do not even discuss the fetus at all. As with all politically correct positions, if a fact gets in the way, it is simply changed or ignored. Unfortunately for the pro-abortion genderists, the fetus is a fact, a fact which is itself usually the result of "choices". Furthermore, the simple scientific fact is that at the moment of conception, the embryo is not a part of the mother's body. At that point and forever more it is a genetically distinct being with its own genetic code that is completely and totally different from every other human being who has ever lived or ever will live, including the mother. So here is the first instance of PC genderism crashing into scientific fact. It also seems ironic that while more and more law enforcement agencies in this country are now turning to DNA identification in criminal investigations and our courts are now admitting such identification as evidence in criminal prosecution, the rights of a fetus, which has its own, distinct DNA code at the moment of conception, are still not legally recognized in all cases. Now they are recognized in some cases, for there have been instances of people being prosecuted for two murders when they have killed pregnant women. There are also cases where mothers who have given birth to babies who are addicted to illegal drugs have been prosecuted, but there are no consistent standards or guidelines. It is also a macabre irony that in this country it is illegal to destroy the egg of an American bald eagle, but the government uses our tax dollars to destroy human embryos and fetuses.

Pregnancy is associated with an increase in total body oxygen consumption of approximately 50 mL O2/minute, which is 20% greater than nonpregnant levels.

The primary functional change in the cardiovascular system in pregnancy is a marked increase in cardiac output.

In the first half of pregnancy, cardiac output rises as a result of increased stroke volume and, in the latter half of pregnancy, as a result of increased maternal heart rate, whereas the stroke volume returns to near-normal, nonpregnant levels. These

These changes in stroke volume are due to alterations in circulating blood volume and systemic vascular resistance. Circulating

about one-fifth of the cardiac output goes through the uterus at term increasing the risk from postpartum hemorrhage substantially.

During pregnancy, arterial blood pressure follows a typical pattern. When measured in the sitting or standing position, diastolic blood pressure decreases beginning in the 7th week of gestation and reaches a maximal decline of 10 mm Hg from 24 to 26 weeks. Blood

Physiologic changes in blood pressure in midpregnancy may be misunderstood as hypotension unless allowance for gestational age is made.

The cardiovascular system is in a hyperdynamic state during pregnancy. Normal physical findings on cardiovascular examination include an increased second heart sound split with inspiration, distended neck veins, and low-grade systolic ejection murmurs, which are presumably associated with increased blood flow across the aortic and pulmonic valves.

Serial blood pressure assessment is an essential component of each prenatal care visit.

Measured blood pressure is highest when a pregnant woman is seated, somewhat lower when supine, and lowest while lying on the side.

The period of gestation can be divided into units consisting of 3 calendar months each or 3 trimesters. The first trimester can be subdivided into the embryonic and fetal periods. The embryonic period starts at the time of fertilization (developmental age) or at 2 through 10 weeks’ gestational age. The

Fetal lung maturity is assumed after 39 weeks’ gestation but can be verified at an earlier gestational age by analysis of amniotic fluid by amniocentesis.

Increased morbidity and mortality may be associated with a macrosomic infant or a large for gestational age (LGA) fetus. This is defined as a fetus with an estimated fetal weight at or beyond the 90th percentile at any gestational age. At term, approximately 10% of newborn infants weigh more than 4000 g, and the weight of 1.5% of newborns is in excess of 4500 g. Excessive

Progesterone causes increased central chemoreceptor sensitivity to CO2, which results in increased ventilation and a reduction in arterial pco

Gestational diabetes mellitus (GDM) refers to glucose intolerance identified during pregnancy. In most patients, it subsides postpartum, although glucose intolerance in subsequent years occurs more frequently in this group of patients.

Approximately 7% of pregnancies are complicated by diabetes that either develops during pregnancy (gestational diabetes) or was antecedent to pregnancy (pregestational diabetes mellitus). In

In 1845, Alabama’s J. Marion Sims horrifically started experimenting on the vaginas of eleven enslaved women for a procedure to heal a complication of childbirth called vesicovaginal fistula. The procedures were “not painful enough to justify the trouble” of anesthesia, he said. It was a racist idea to justify his cruelty, not something Sims truly knew from his experiments. “Lucy’s agony was extreme,” Sims later noted in his memoir. After a marathon of surgeries into the early 1850s—one woman, Anarcha, suffered under his knife thirty times—Sims perfected the procedure for curing the fistula. Anesthesia in hand, Sims started healing White victims, moved to New York, built the first woman’s hospital, and fathered American gynecology. A massive bronze and granite monument dedicated to him—the first US statue depicting a physician—now sits at Fifth Avenue and 103rd Street, across from the Academy of Medicine.19

Gestational diabetes refers to any degree of glucose intolerance with variable severity with the onset or first recognition during pregnancy. This

The universe is littered with them: hidden villages, windswept little towns under wide skies, isolated cabins on chilly mountains, whose only mark on history is to be the incredibly ordinary place where something extraordinary started to happen. Often there is no more than a little plaque to reveal that, against all gynecological probability, someone very famous was born halfway up a wall. Mist

Woman as sinner The word ‘sin’ is derived from the Indo-European root ‘es’ meaning ‘to be.’ When I discovered this etymology, I intuitively understood that for a [person] trapped in patriarchy, which is the religion of the entire planet, ‘to be’ in the fullest sense is ‘to sin’. Mary Daly, Gyn/Ecology

The first stage of labor is evaluated by the rate of change of cervical effacement, cervical dilatation, and descent of the fetal head.

The criminalization of black and Latina women includes persisting images of hypersexuality that serve to justify sexual assaults against them both in and outside of prison. Such images were vividly rendered in a Nightline television series filmed in November 1999 on location at California's Valley State Prison for Women. Many of the women interviewed by Ted Koppel complained that they received frequent and unnecessary pelvic examinations, including when they visited the doctor with such routine illnesses as colds. In an attempt to justify these examinations, the chief medical officer explained that women prisoners had rare opportunities for "male contact," and that they therefore welcomed these superfluous gynecological exams. Although this officer was eventually removed from his position as a result of these comments, his reassignment did little to alter the pervasive vulnerability of imprisoned women to sexual abuse.

Researchers routinely used Black subjects. In 1845, Alabama’s J. Marion Sims horrifically started experimenting on the vaginas of eleven enslaved women for a procedure to heal a complication of childbirth called vesicovaginal fistula. The procedures were “not painful enough to justify the trouble” of anesthesia, he said. It was a racist idea to justify his cruelty, not something Sims truly knew from his experiments. “Lucy’s agony was extreme,” Sims later noted in his memoir. After a marathon of surgeries into the early 1850s—one woman, Anarcha, suffered under his knife thirty times—Sims perfected the procedure for curing the fistula. Anesthesia in hand, Sims started healing White victims, moved to New York, built the first woman’s hospital, and fathered American gynecology. A massive bronze and granite monument dedicated to him—the first US statue depicting a physician—now sits at Fifth Avenue and 103rd Street, across from the Academy of Medicine.

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One plantation doctor, according to the medical ethicist Harriet A. Washington, made incisions into a black baby's head to test a theory for curing seizures. The doctor opened the baby's skull with cobbler's tools, puncturing the scalp, as he would later report, "with the point of a crooked awl." That doctor, James Marion Sims, would later be heralded as the founding father of gynecology.

Hirsutism is however, more than a cosmetic problem because it usually represents a hormonal imbalance, resulting from a subtle excess of androgens that may be of ovarian origin, adrenal origin, or both. The

Diabetes mellitus is a metabolic disorder that can significantly alter the maternal and in utero environment, leading to complications. Optimizing

Women with high-risk factors should undergo screening at the first visit or as soon as possible, while individuals who continue to exhibit low-risk characteristics do not require screening. A

Routine screening at 24–28 weeks is recommended for those not meeting low- or high-risk criteria.

The risk of major congenital anomalies correlates with the initial glycosolated hemoglobin level and the initial mean fasting glucose levels. The

The vast majority of women infected with HPV do not develop CIN or cervical cancer. This suggests that infection with HPV alone is insufficient for the development of CIN or cervical cancer and underscores the importance of other cofactors, such as cigarette smoking or immunosuppression.

Ravenna produced an engraving of a monster early in the sixteenth century that had the sad head of the baby Christ who sensed his tragic destiny, a rhinoceros born in the middle of his head, wings instead of arms, and the genitalia of both sexes, reflecting early alchemy’s androgynyous ideal. The monster’s torso ends in feathers, a large eye in the knee and one huge claw in the place of feet. It was claimed to be a prophecy of the destruction of Italy by the French; yet the letter Y and the cross inscribed on the body promised ultimate peace and harmony. This sad-faced monster and others like it were used as anti-papal caricatures by Protestants, the repellant features, emblematic of the decadence of the Church. The distorted, incomprehensible bodies were also sources of steadier study and led to tentative investigations of primitive genetics, early questionings of gynecology and obsetrics.

Screening for gestational diabetes at 26 to 28 weeks; generally consists of a 50-g oral glucose load and assessment of the serum glucose level after 1 hour.

active phase cannot be reliably defined until 6 cm of dilation.

however, if the progress is prolonged or uterine contractions are inadequate, oxytocin is an option.

Finally, the nonimmune rubella status should alert the practitioner to immunize for rubella during the postpartum time (since the rubella vaccine is live attenuated and is contraindicated during pregnancy).

Cesarean delivery (for labor abnormalities) in the absence of clear cephalopelvic disproportion is generally reserved for arrest of active phase and ROM with adequate uterine contractions for at least 4 hours, or inadequate uterine contractions for at least 6 hours.

Maybe Sloan would agree to a deal. I’d talk to someone about some of my issues if she would agree to go to grief counseling. It wasn’t me giving in to Josh like she wanted, but Sloan knew how much I hated therapists, and she’d always wanted me to see someone. I was debating how to pitch this to her when I glanced into the living room and saw it—a single purple carnation on my coffee table. I looked around the kitchen like I might suddenly find someone in my house. But Stuntman was calm, plopped under my chair. I went in to investigate and saw that the flower sat on top of a binder with the words “just say okay” written on the outside in Josh’s writing. He’d been here? My heart began to pound. I looked again around the living room like I might see him, but it was just the binder. I sat on the sofa, my hands on my knees, staring at the binder for what felt like ages before I drew the courage to pull the book into my lap. I tucked my hair behind my ear and licked my lips, took a breath, and opened it up. The front page read “SoCal Fertility Specialists.” My breath stilled in my lungs. What? He’d had a consultation with Dr. Mason Montgomery from SoCal Fertility. A certified subspecialist in reproductive endocrinology and infertility with the American Board of Obstetrics and Gynecology. He’d talked to them about in vitro and surrogacy, and he’d had fertility testing done. I put a shaky hand to my mouth, and tears began to blur my eyes. I pored over his test results. Josh was a breeding machine. Strong swimmers and an impressive sperm count. He’d circled this and put a winking smiley face next to it and I snorted. He’d outlined the clinic’s high success rates—higher than the national average—and he had gotten signed personal testimonials from previous patients, women like me who used a surrogate. Letter after letter of encouragement, addressed to me. The next page was a complete breakdown on the cost of in vitro and information on Josh’s health insurance and what it covered. His insurance was good. It covered the first round of IVF at 100 percent. He even had a small business plan. He proposed selling doghouses that he would build. The extra income would raise enough money for the second round of in vitro in about three months. The next section was filled with printouts from the Department of International Adoptions. Notes scrawled in Josh’s handwriting said Brazil just opened up. He broke down the process, timeline, and costs right down to travel expenses and court fees. I flipped past a sleeve full of brochures to a page on getting licensed for foster care. He’d already gone through the background check, and he enclosed a form for me, along with a series of available dates for foster care orientation classes and in-home inspections. Was this what he’d been doing? This must have taken him weeks. My chin quivered. Somehow, seeing it all down on paper, knowing we’d be in it together, it didn’t feel so hopeless. It felt like something that we could do. Something that might actually work. Something possible. The last page had an envelope taped to it. I pried it open with trembling hands, my throat getting tight. I know what the journey will look like, Kristen. I’m ready to take this on. I love you and I can’t wait to tell you the best part…Just say okay. I dropped the letter and put my face into my hands and sobbed like I’d never sobbed in my life. He’d done all this for me. Josh looked infertility dead in the eye, and his choice was still me. He never gave up. All this time, no matter how hard I rejected him or how difficult I made it, he never walked away from me. He just changed strategies. And I knew if this one didn’t work he’d try another. And another. And another. He’d never stop trying until I gave in. And Sloan—she knew. She knew this was here, waiting for me. That’s why she’d made me leave. They’d conspired to do this.

It’s not that being around Marnie makes me uncomfortable. I’d just rather avoid it if I could. It isn’t pleasant. Knowing I have to see her is akin to knowing I have a gynecological appointment coming up. It just isn’t something I look forward to, and it’s one of those things I just want to get over with. Plus, she reminds me of those high school bitches, the ones that ran the school and tormented me every single day of my pathetic teenage existence. She’s one of them. One of those plastic girls. It’s like they’re cut from the same cloth. There must be some secret central brain somewhere that girls like her feed off of because they’re all the same carbon copy snobby legionnaires. Privileged. Insecure. Entitled. Mean.

You keep referring to this second shark as a female,” Andre Dupont interrupted. “How do you know for sure?”’ “Because I saw her. She passed over my sub when I was in the trench. She’s much larger than this first shark… and she’s pregnant.” Conversations broke out across the conference table. Mac looked at Jonas. “How the hell do you know she’s pregnant? You do a gynecological exam down there?

One study of gynecology textbooks published between 1943 and 1972 bears this out. The authors found that many textbooks asserted that women could not experience orgasm during intercourse. One textbook writer observed, “sexual pleasure is entirely secondary or even absent” in women; another described women’s “almost universal frigidity.” Given such assumptions, it’s not surprising that women were counseled to fake orgasm; after all, they weren’t capable of real ones.

Metrodora devoted her life to her clinical practice preserving her findings, serving her patients, advancing science, and promoting the science of gynecology.