Hysteroscopy: What Women Need to Know

" Welcome to our webcast on Mary Wagner. Today we have four of the leading gynecologist an expert on Iraq -- and actively uterine bleeding. Doctor Linda Bradley director -- the article at the Cleveland clinic. Or even Colin directors -- to a little little eye surgery at Columbia University. Doctor Isaac and director of reproductive endocrinology and infertility at Massachusetts General Hospital and Harvard medical school and doctor great panic. Associate clinical professor at the medical college and was content and director of reproductive endocrinology at Mary's hospital in Milwaukee. -- what is going to the questions that he's -- need to ask about struck."

" Pulled her up pacers need to again be aware that has -- to -- invaluable tool for making the diagnose a -- calls it abnormal uterine bleeding. And then they understand it for -- herself when they come and to do the need examination Rome anymore. Information they had at a time the less anxiety that'll be produced. -- misunderstand the procedure they're going to do in owning routine exam table they're going to have a -- on the exam. There will be easier rigid or semi -- just go play her cervix that they should -- minimal cramping. The uterine cavity means to be distant it was and fluid usually systems saline salt water. Very little has to be used to it and visualize the cavity and -- whole procedure will take them somewhere between two and our man. And they can go about their daily activities after that. And I think once they understand. He whole procedure does this fairly benign top and it's not uncomfortable. They're not going to be more anxious passport. One name across their health care for."

" I learned data transition now there are some gynecologists are doing is right can be in the office -- on during an operating -- and not during at all. That may mean I didn't get offered distrust of being. Somewhere along the line and I think the purpose of these types of -- How to tell patients that this is available. They -- it to the doctor even if the doctor doesn't bring it up. But about a restaurant I think. What about helping me in the -- that helped me in the diagnose what my problem. And it had Indian leader of the procedures done. They may bring it happened that night opened up a conversation with their position and -- may mean to bring an upper able I don't do destroy your battery for you. To somebody who's expert in that so -- I think it's nice to educate the patients out there so that they know that these leaders are now available on the in this month --"

" I had a -- in just last week who got from many many years it was normal. He used it you had a date reference to cycle she actually went so far estimates -- to cover her her. Pot here at home since he did that and on. Comment was unarmed and -- her whole life revolved around. I'm -- when her curious can't hurt when -- make a vacation and for travel plans -- be able to attend her kid's soccer game. Because has always been constantly just change your parent I thank you know and what's normal and abnormal -- getting an evaluation and a problem per says. And knowing that there is absolutely -- you know can be done to help them evaluate and where your problem."

" We're worried that if they get a second opinion and their position doesn't offer that struck me that they're going to have to pay for this out of pocket and being very expensive procedure. And that's not the case as saying. And routines. Standard procedure -- accepted by all insurance companies cover by Alan -- copies as well as Medicare Medicaid and so it is not an out of pocket expense but thanks."

" I think it's important for the patient this week getting a diagnosis that abnormal uterine bleeding -- any -- treatment. Presidents are -- the treatment -- in the for the second opinion it isn't so commonly if people aren't fun. Treatment cannot. Talk to their problem."

" You know not an Independent restaurants can be -- coming to a second opinion -- back to encourage second opinions to make sure that treatment for diagnostic and treatment and the most effective and efficient. For that patients are we change over the last decade throughout becoming a burden on special character wants Stewart right for the patient that's the main -- you're right television to its efficient and effective and cost effective for the for the --"

" Great benefits. Until -- an addiction to being able to her her her patients well. It's much more efficient -- position perspective to be in the office I think it's not -- Gold hospital. Handing out. That extra and incurred by the insurance company to there's. And it -- only to the patient but health care in general by tapping his current could be done -- huge waste of money to excellent that he or buttons linked to quickly look."

" It also limits you do -- and spend programs on the medical errors. When you expanded out to the hospital has more chance error when you're in your office the team knows everybody thought -- Constrained and there's much chance of that I'm medical error occurring everybody knows the patient around enrichment and as opposed trying to move in the hospital and what is not going to not -- but also reduce the chance everybody. And I know what's happening parent it's more convenient -- McCain and and as we've all agreed. This very rarely -- reason to a diagnostic procedures. I'm -- I mean just doesn't need a hospital and."

" When we get into the cost efficient thing. A diagnostic and operatives trust me again going back. When patients don't have the proper diagnosis. When the patient has to leave work time and time again to go to the top where the do you see -- important totals twenty. Could just turn -- treatments that are ineffective. And there's an overall cost of the entire. Health care system and I think and -- would reduce that he didn't really."

" He wouldn't have been -- just live with the problems. I think the Nat issues. Diagnosed -- diagnose diagnose that -- have a problem or medical therapy they out. And even not. Had an invasive procedure or women's locked -- our leaders are done an ultra sound are dental procedure will implement. Targeting the target organ that's the offending -- then I think you do need to get a second opinion Congo that are not a problem that women need to live plant there has a -- reason. And even if there is nothing it's found there are times -- to bleed heavily there are treatment. What we're lucky that they're mentally and things it's treatment at all -- work wouldn't. Want to diagnose and made. There may be a very brief outpatient for hatred -- power to remove her vibrator removed. Or the kid that grows every month -- that -- can be just try later burned out of her and -- Bleeding may get a lot better I think. We want to make diagnosed and then offer the simplest most effective procedure that would treat that problem. And -- Can't -- options are made available pace and an array of major surgery like instruct you -- our rates of complications from surgical procedures were called to hound. I'm on the ability for women to get back swing of things -- there's very very little down time. Our operate --"

" Let's present you know there's there was going to live with because you're becoming complainant heavy bleeding heavy bleeding you -- all happened two or three years -- kind of doctor Rebecca well you know we don't need during recommend it. And I was scared in the past and think -- hysterectomy imminent they think maybe I just. Will Republican Party that brokers recommend and and now we have like instrument into all these minimally invasive. -- procedures that they. 1520. Minutes or painless to do and we can -- your problem for the rest of your life. And that somehow who still want to commit -- friends enough and I'll do everything -- been shut -- but we have complete and trying to in the treatment nowadays and that's what can sneak."

" Now there's one other -- now because we've mentioned today is -- Women are waiting longer -- children mental certainly -- that woman. Who may be late twenties early thirties even late thirties or early forties who want to have a child. And told her only treatment. Directly attacked a definite group didn't get a second opinion probably lose so that you think the future Oscar thing. Future."

" His -- is that it will be. And every now account pot but it'll be our cricket every appropriate and and I say that because when things makes sense that perhaps things happen to get done the better Madison better care for the patient dozens. Better medicine and it's. Financially reasonable principles and more efficient or as a whole insurance industry and health care system. So there's really no impediment -- no reason that he shouldn't be implemented. Worldwide. --"

" In my mind Ostrosky huge will be the expansion of the gynecologist exam they hand. Com that it will be another tool and I ball into the uterine cavity. And that I agree I think in the next three to five years because the doors were demanded. And require an on positions we'll have to come up to bat can provide -- service."

" And little -- sort of developed. It might that will develop better afternoon miserably and techniques like these dark appeared entirely. We're still -- fine job but -- I'm not going to present us folks he takes a little little bit of time to do it. And then in the -- pressure a little bit. Wouldn't nocturnal recruit -- probably not the right word but yeah. But not as prepared to take could be have been wonderful -- put through the scope a little little plastic catheter with a laser light. Stood on a total of five minutes and your periods and down with no pain. I'm so we're developing new techniques to use of this scope as well as the scope of self and we're going to see some of that that are already in research right now -- some of that being I don't Irish early."

" It'll tell -- they -- but he didn't ask and every aspect of teachers and expansion. -- what operative procedures can be done in the office once we get the wave of really what's happening -- diagnostic and not as. Expansion of procedural items including a blank Haitian. Hmmm maybe -- training operations. And my illness. In a more controlled living in the conference thank you again it's important to us on our opinion at W completing. And thank you -- our webcast."