Structural reproductive conditions are ubiquitous in gynecology and are encountered by practicing physicians with great frequency. For instance, the Agency for Healthcare Research and Quality estimated that in 2000 there were 253,000 total hospital admissions in the United States with a principal diagnosis of uterine fibroids, accounting for more than $2.6 billion in hospital charges. As another example, ectopic pregnancies are the leading cause of first trimester mortality, yet there is no consensus concerning medical versus surgical management or even the best surgical approach. As the literature grows, the body of evidence available to guide clinicians in the management of common gynecologic conditions with reproductive implications is daunting; and the physician’s ability to assimilate and distill the vast amount of information is limited. This course is aimed at all physicians who take care of women of reproductive potential. A panel of experts will present evidence-based medicine and a review of the literature in order to provide the information attendees need to be able to optimally manage common clinical reproductive conditions. In addition to presenting a variety of surgical options, the options of medical management and observation only will be addressed.


LEARNING OBJECTIVES

At the conclusion of this course, participants should be able to:
1. List the medical and surgical options for common reproductive health conditions and assess the available evidence for each treatment.
2. Select the optimal approach for management of asymptomatic fibroids in an infertile woman based on location and size; an ectopic pregnancy based on hCG levels and size; and other common scenarios.
3. Explain the utility of the robot in the modern algorithm of fertility therapy.
4. Describe the different types of Müllerian anomalies, including their impact on reproductive function and the most appropriate treatment algorithm.

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