Endometriosis and fibroids don't have to block your patient’s path to pregnancy. In this episode of BackTable OBGYN, host Dr. Mark Hoffman welcomes Dr. Jim Robinson, Director of Reproductive Surgery at Shady Grove Fertility in Maryland, to share his guidance on reproductive surgery applications and reproductive health.

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SYNPOSIS

The conversation explores the management of endometriosis and fibroids, the use of office hysteroscopy, and the intricacies of hysteroscopic and laparoscopic procedures. Dr. Robinson covers the importance of individualized patient care, the latest advancements in reproductive technology, and insights from his unique career blending academic medicine with a focus on enhancing fertility outcomes. Listeners will gain a comprehensive understanding of the critical role surgical interventions play in reproductive endocrinology and the nuanced approach required to optimize patient outcomes.

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TIMESTAMPS

00:00 - Introduction
05:17 - Understanding Reproductive Surgery
08:51 - Hysteroscopy in Reproductive Surgery
16:28 - Endometriosis and Infertility
23:50 - Diagnosing and Treating Adenomyosis
28:10 - Surgical Interventions for Reproductive Health
33:52 - Balancing Endometrioma Removal and Fertility
35:49 - Surgical Approaches and Patient Goals
36:46 - Complexities of Fertility Consultations
42:48 - Impact of Fibroids on Reproductive Health
45:33 - Adhesion Prevention in Myomectomy
48:33 - Innovations in Fibroid Ablation
52:10 - Understanding Isthmoceles and Their Impact
58:11 - Concluding Thoughts

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RESOURCES

ReceptivaDx: What does it mean to test positive for high levels of bcl6
https://receptivadx.com/what-does-it-mean-to-test-positive-for-high-levels-of-bcl6/

Impact of hysteroscopic surgery for isthmocele associated with cesarean scar syndrome: https://pubmed.ncbi.nlm.nih.gov/28892298/