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After completing this activity, participants should be able to: 1. Review the anatomy and physiology of reproduction. 2. Identify factors that influence female fertility. 3. Discuss the causes of infertility. 4. Describe pharmacologic and nonpharmacologic treatment options for female infertility.

At the end of this presentation you will be able to: 1. Investigate reasons for sub-acute rumen acidosis 2. Evaluate causes of endometritis 3. Make recommendations for effective transition cow diets

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Male factors are often the cause of a couple's failure to conceive. Discussion and evidence of male factor infertility can be found not only in the scientific literature, but in the popular press and on the Internet as well. The role of reproductive medicine professionals is vital in educating not only patients dealing with male infertility, but also clinicians in other specialties who may treat these patients. This area has been identified as a ...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Female infertility results from a variety and combination of factors, including abnormalities in hormonal function with subsequent anovulation, defects in or damage to reproductive organs, and genetic causes. A crucial role in reproductive care is identifying the cause(s) of infertility to determine an appropriate treatment plan. Unexplained infertility remains a difficult area as there are few evidence-based treatments. This area has been iden...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Male factors are often the cause of a couple's failure to conceive. Discussion and evidence of male factor infertility can be found not only in the scientific literature, but in the popular press and on the Internet as well. New technologies with implications for the treatment of male infertility are being developed and advancing rapidly. It is important, therefore, that practitioners are aware of progress in technology that may have an impact on t...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Male factors are often the cause of a couple's failure to conceive. Discussion and evidence about male infertility treatments can be found not only in the scientific literature, but in the popular press and on the Internet as well. New technologies with implications for the treatment of male infertility are being developed and advancing rapidly. It is important, therefore, that practitioners are aware of progress in technology that may have an impa...

Among the male-specific conditions addressed in this course are prostate disease (prostatitis, benign prostatic hypertrophy, and cancer), testicular conditions (testicular torsion, epididymitis, varicocele), premature ejaculation, erectile dysfunction, late-onset hypogonadism, infertility, and sexually transmitted infections (STIs). Prostate cancer is discussed in considerable detail. Prostate screening is among the most controversial issues in health care today, and the issue is explored here...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Infertility has a wide impact on a variety of patient populations, including infertile couples struggling with decisions about ART, cancer survivors who desire future fertility, and couples facing third party reproductive options. Recent advances in medication, microsurgery and in vitro fertilization are providing new hope for many people, but with these advances, psychological, social, legal and ethical issues become more complex and the issues th...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Female infertility results from a variety and combination of factors, including abnormalities in hormonal function with subsequent anovulation, defects in or damage to reproductive organs, and genetic causes. The first step in reproductive care is identifying the cause(s) of infertility to determine an appropriate treatment plan. Unexplained infertility remains a difficult area as there are few evidence-based treatments. This area has been iden...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Much of female infertility care involves pharmacologic treatment. The drug classes used vary, but all center on manipulation of the physiologic hypothalamic-pituitary-ovarian axis. An understanding of the drug classes and their mechanisms of action is essential to providing quality fertility care. This area has been identified as a physician practice gap for reproductive care physicians based on recent competence assessments by the American Socie...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED There is tremendous controversy regarding infertility treatment. Patients facing IVF for infertility are often desperate and request treatments that have minimal or no proven benefit. Physicians, faced with conflicting information regarding such adjunctive treatments, may choose to use some or all of these in the absence of expert advice. The goal of this course is to act as a mini-seminar on practice guidelines. Participants will review the li...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED A successful pregnancy resulting from infertility therapy is the goal of clinicians and patients alike. Management of the early pregnancy includes identification of a viable intrauterine implantation and appropriate use of luteal support. Monitoring, education and support of the pregnant patient prior to obstetric referral include normal changes of pregnancy and fetal development and signs of complications such as multiple gestation, ovarian hypers...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED The psychosocial, emotional and ethical complexities of third party reproduction require thorough exploration, both for those donating and those receiving gametes or embryos or for those undertaking a surrogate or gestational carrier arrangement. The decision to proceed with third party reproduction is complex, and psychological counseling may aid patients and their partners in this decision. Many infertility counselors, professional organizations...

New! Prepare for your boards with Gulfcoast's ULTRA "Preparation Agenda for Study Success" tools! Similar to a review book on audio, the ULTRA P.A.S.S. workbook provides a comprehensive written and narrated format of the topics listed on the ARDMS registry outlines. This workbook is designed so you can easily find a specific subject of study at any time. This spiral-bound workbook includes 291 pages, self-tests after each section and 5 digital audio CDs that can be played on current portabl...

You're Invited! Join your colleagues at the 27th annual conference, Ambulatory OB/GYN Nursing, where your clinical challenges in providing care for women will be addressed with evidence-based approaches and creative problem-solving. Designed for NPs, CNMs, PAs and RNs from women's health and family practice settings, this conference brings together a stellar panel of clinician experts who will translate the latest research into practical clinical application. Bring your questions and puzzlin...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Reproductive endocrine and infertility care provides an opportunity to affect the next generation. A thorough and accurate evaluation can help determine a family's risk for a particular genetic condition. Along with additional testing, risk assessment can provide the basis for an informed decision about whether to pass on a known genetic condition to offspring. This topic has been identified as a physician practice gap for reproductive care physici...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Anatomy and physiology form the foundation for physician practice, the understanding of disease pathology and pharmacology and are relevant to daily clinical care. In surveys1 among 38 different medical specialty professionals, gross human anatomy was considered the most relevant basic discipline for surgical specialists, while pharmacology and physiology were most relevant for medical specialists. Anatomy was considered basic for physical examina...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age. A metabolic component of the disorder promotes ovarian dysfunction, often leading to anovulatory infertility. Physicians are often confused about the best methods for identification and treatment of PCOS, as well as the most appropriate, evidence-based treatments for fertility enhancement. In addition, there is a relative lack of understanding of the g...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Hyperprolactinemia, along with secondary galactorrhea, is a common condition with various etiologies, yet often underdiagnosed. Physicians should know how to select appropriate medical and surgical therapies and when it is acceptable not to treat women who have hyperprolactinemia. As misdiagnosis can occur without proper sampling of prolactin levels, recognition of the role of exogenous factors in hyperprolactinemia is also critical, including ti...

Conference Objectives Discuss clinical management of a variety of complex conditions in women's health including abnormal bleeding, genital herpes, recurrent vaginitis, PCOS, vulvar disease, GYN pain syndromes and others. Examine the role of bioidentical hormones as an option for menopause symptom management. Through case-based discussion, strategize safe and effective contraceptive choices for women with chronic medical conditions. Utilize current screening guidelines for a vari...

PROGRAM DESCRIPTION/IDENTIFICATION OF NEED Amenorrhea is among the most common reasons for patients presenting for care to the practicing physician. Causes of amenorrhea can range from anatomic obstruction to complex endocrine dysfunction, and represent considerable consequences for the patient, who may be affected across her lifespan. Primary amenorrhea is rare, but the prevalence of secondary amenorrhea in the general population is as high as 5%; and is nearly 80% in some groups, includin...