Videos /Videos

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Videos /Videos     

Kolposkopie-laparoskopie /Colposcopie-laparoscopie

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Kolposkopie-laparoskopie /Colposcopie-laparoscopie     

Posters /Posters

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Posters /Posters     

Urodynamik /Urodynamique

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Urodynamik /Urodynamique     

Kombinierte Gn-RH-Analogen/hMG/hCG-Behandlung

Ovarian stimulation with human menopausal gonadotropins after Gn-RH-analogue induced pituitary desensitization has been shown to optimize the follicular maturation. This is mostly due to the avoidance of irregular endogenous LG-reactions which occur during hMG-therapy in about one third of the treatment cycles. In several studies using Buserelin or Decapeptyl as Gn-RH-analogue 282 patients were treated for in vitro fertilization, gamete intrafallopian transfer or as part of an "in vivo" therapy. Pregnancy rates were significantly improved in all groups: HMG/hCG therapy resulted in a pregnancy rate of 17% per patient whereas by the combined therapy in 25% of the patients a pregnancy was achieved.     

Primary care of the lesbian/gay/bisexual/transgendered woman patient

Lesbian patients comprise a special population which has unique health care needs. Providing those needs is hindered by a number of factors: (1) difficulty characterizing a population whose members may identify themselves, or be identified, as lesbian, gay, bisexual or transgendered; (2) barriers to care due to patient discomfort with the health care system, and the system's discomfort with the lesbian patient; and (3) scarcity of medical evidence regarding healthcare risks and behaviors of lesbian patients, due to the lack of controlled medical studies. The primary care physician addresses these needs by careful analysis of known risk factors, preliminary information about lesbian health, and the health risks and behaviors of the individual patient. Through the template provided in this article, decisions about appropriate healthcare maintenance can be made. Finally, we address emerging issues regarding lesbian conception and childbirth, and the needs of the transgendered patient.