Essure-Related Pain & Removal: a prospective follow-up of surgical outcomes

En bloc removal of Essure coils for women with chronic pelvic pain is critical to ensure that all of the coils are removed. Fragments of the coils that are left in place due to inadequate removal may prevent the patient's recovery, particularly if their chief complaint is hypersensitivity. We plan to develop a database of cases and outcomes to determine the importance of en bloc, complete removal of Essure coils. 

The CDC's medical eligibility criteria recommends against the placement of post-placental IUDs following intra-amniotic infection. However, these IUDs are sometimes placed immediately before an infection is diagnosed, raising the question of whether or not these IUDs should be removed. A chart review of these cases is warranted to better understand the potential risk or lack thereof entailed with such insertion. Selection of the appropriate candidate for post-placental IUDs is critical. 

Post-placental IUD placement in the setting of Intra-Amniotic Infection

Female surgeons in the operating room are more likely than their male counterparts to be penalized or face consequences for social misconduct or medical errors. However, these behaviors are not more common by gender. Gender-based reporting biases exist. Given that OB/GYN is increasingly female-dominated, male providers may be under greater scrutiny such that they may be more likely to be reported or penalized, which may ultimately influence men's willingness to enter the field. 

Gender inequality in the reporting of healthcare provider conduct: the OB/GYN experience

Variations in the incidence of Disseminated Intravascular Coagulation by IUFD management

Disseminated intravascular coagulation is described as a complication of IUFD management, possibly related to the migration of thrombogenic fetal tissue factors into the maternal bloodstream. Risk factors and predictors of DIC are largely unknown, possibly linked to time during which the demised fetus has been in utero w/out delivery. Fibrinogen levels can potentially predict DIC, however decreases in fibrinogen may reflect an already ongoing process, rather than a process that can be predicted and prevented. We suspect that mechanism of removal of fetal remains may influence the incidence of DIC.

Comparing condoms: examining the "nocebo" effect in condom branding

Condoms come in many shapes and sizes. Further, condoms are frequently differentiated by "name brand" with some individuals believing that condoms obtained from clinics or given for free to be less effective or less desirable. We believe that branded and unbranded condoms are similar in quality, however are perceived as different based upon a "nocebo" effect.

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Brian T. Nguyen, MD MSc

Assistant Professor of Obstetrics & Gynecology

Assistant Program Director for Family Planning

Keck School of Medicine of USC

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