The Diagnosis of AUB: Causes and the Emerging Diagnostic Option


PROGRAM 1:
A New and Better Standard of Care Than Blind Biopsy for the Diagnosis of Abnormal Uterine Bleeding

Host: Andrea J. Singer, MD
Guest: Steven R. Goldstein, MD

Recent advances in technology are significantly changing the way physicians evaluate patients with abnormal uterine bleeding (AUB).

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Overview

Recent advances in technology are significantly changing the way physicians evaluate patients with abnormal uterine bleeding (AUB). Clinicians must understand the gravity of abnormal uterine bleeding in terms of patient health. One-third of patient visits to the gynecologist are for abnormal bleeding – accounting for more than 70% of gynecologic consults in perimenopausal and postmenopausal women. For younger women between ages 19 and 39, abnormal bleeding most frequently occurs as a result of pregnancy, benign structural lesions, anovulatory cycles in polycystic ovarian syndrome, abnormalities of hormonal contraception, and occasionally even endometrial hyperplasia.

Join host Dr. Andrea Singer as she welcomes Dr. Steven R. Goldstein to discuss AUB and Endosee, an in-office diagnostic hysteroscopy. Dr. Goldstein is a Professor of Obstetrics and Gynecology at the New York University School of Medicine, immediate Past President of the American Institute of Ultrasound in Medicine, and a clinical practitioner in the Faculty Practice Suites at New York University.


PROGRAM 2:
Abnormal Uterine Bleeding (AUB): Impact of Direct Visualization for Earlier Diagnosis




Host Renée Simone Yolanda Allen, MD, MHSc., FACOG
Guest Abigail Feathers, MD
Guest Kevin J. Lee, MD, MSPH, FACOG

Guest Stephen M. Volin, MD

Endometrial biopsy (EMB) has limitations in diagnosing abnormalities within the uterine cavity. If cancer occupies less than 50% of the surface area of the endometrial cavity, the cancer can be missed by a blind EMB alone.


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Overview

Endometrial biopsy (EMB) has limitations in diagnosing abnormalities within the uterine cavity. If cancer occupies less than 50% of the surface area of the endometrial cavity, the cancer can be missed by a blind EMB alone. And, EMB alone could potentially miss the diagnosis of focal lesions in up to 18% of patients. In this first discussion of a 2-part series, experts will be discussing the benefits of direct visualization of the uterine cavity at the point-of-care and its benefits to both you and your patients.

Host Dr. Renee Allen welcomes:

  • Abigail Feathers, MD, Fellow of the American College of Obstetricians and Gynecologists (FACOG) and practicing gynecologist at Garrett Regional Medical Center, Oakland, MD.
  • Kevin J. Lee, MD, MSPH, FACOG, practices minimally invasive gynecology and gynecologic endoscopy in Baltimore, MD. Dr. Lee has particular expertise and interest in uterine fibroids, abnormal uterine bleeding, pelvic pain, endometriosis, and health disparities.
  • Stephen M. Volin, MD, founder and managing physician with The Women’s Health Group and the Colorado Pelvic Floor and Incontinence Center, instructor with the University of Colorado School of Medicine and Rocky Vista University

PROGRAM 3:
Endosee: Changing the Work Up of Abnormal Uterine Bleeding




Host Renée Simone Yolanda Allen, MD, MHSc., FACOG
Guest Abigail Feathers, MD
Guest Kevin J. Lee, MD, MSPH, FACOG

Guest Stephen M. Volin, MD

In this second discussion of a 2-part series, host Dr. Renee Allen welcomes back gynecologic experts as they discuss “Endosee: Changing the Work Up of Abnormal Uterine Bleeding.”


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Overview

In this second discussion of a 2-part series, host Dr. Renee Allen welcomes back gynecologic experts as they discuss “Endosee: Changing the Work Up of Abnormal Uterine Bleeding.” They will review their experience on how Endosee benefits their individual practices, the benefits to their patients, and the overall healthcare system. Our medical guest experts are Dr. Abigail Feathers, solo practitioner, Medical and Surgical Gynecologist in Oakland, Maryland; Dr. Kevin J. Lee, minimally invasive GYN surgeon at MedStar Medical Group Women’s Health at MedStar Good Samaritan Hospital in Baltimore, Maryland; and Dr. Stephen M. Volin, founder and managing partner of the Women’s Health Group in Denver, Colorado.

"My patient was extremely happy that I was able to arrive at a diagnosis very quickly thanks to the Endosee procedure that was performed within the confines of my office and with no physical discomfort."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

Average time per procedure: Less than 3 minutes Average time doctors were in the exam room per procedure: Less than 13 minutes "With Endosee, we can turn over the room in 20 minutes" – Physician feedback

  • Feedback from 106 Endosee Trials with 42 Clinicians

"Endosee is a game changer for my practice and for my patients. It is now my first line evaluation for any abnormal uterine bleeding patient before surgery as well as prioritizing patients’ disposition over a hysterosalpingogram. I can now see and evaluate the patient for polyps or most intrauterine abnormalities in my office in less visits and without the OR expense."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

"Endosee allowed myself and the patient a direct assessment of the uterine cavity. We were both surprised to see the reoccurrence and extent of intrauterine pathology that I was not able to appreciate on pelvic sonogram."

Steven Lindhelm, MD, MMM
  • Steven Lindhelm, MD, MMM
  • Wright State University
  • Boonshaft School of Medicine

"In-office hysteroscopy benefits my patients in several different ways. For example, it eliminates unnecessary OR time, deductible expenses, exposure to anesthesia, as well as possible major complications from surgery."

Donald Peghee, Jr., MD
  • Donald Peghee, Jr., MD
  • Legends OB/GYN
  • Kansas City, KS

"Endosee is shifting the paradigm of how we evaluate our patients with abnormal bleeding. It has enabled me to evaluate most of the abnormal bleeding patients right in the office instead of the operating room."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

"Endosee employs disposable cannulas: even though we have to buy them, the cost is significantly less than having to sterilize equipment after every use."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

"First and foremost, it saves patients the cost of visiting an operating room. Plus, there’s no need to take a full day off from work since the procedure is quick and requires no anesthesia."

Cynthia Baldwin, MD
  • Cynthia Baldwin, MD
  • Halifax OB/GYN Associates
  • Daytona, FL

Patients reporting no discomfort or mild discomfort* 91.5%
Procedures in which NSAIDs were used 44.2%
Procedures in which a paracervical block was used 37.5%
Procedures in which a slight dilation was used 45.1%

*Discomfort reported was mostly due to uterine distention.

  • Feedback from 106 Endosee Trials with 42 Clinicians