The 3rd World Congress on Controversies in Obstetrics Gynecology & Infertility

Invited Lectures

Washington D.C., USA, June 20-23, 2002


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We take great pleasure in presenting you with the 3rd book of proceedings of Controversies in Obstetrics, Gynecology & Infertility which summarizes the 3rd world congress in Washington D.C. The book is solely devoted to controversial issues in the field and represents a unique source of updated knowledge for the general practitioner.

Over the years, the field of Obstetrics and Gynecology is witnessing enormous expansion in clinical and basic data as well as tremendous growth in field-related technology. This growth has also created a greater need to debate the many controversial issues that have subsequently arisen.

As evident from the content of the book, the controversies presented encompass the main unresolved issues of our profession. The various chapters presented here consolidate the knowledge but also outline the gaps and lack of evidence to support certain clinical practices.

We believe that the readers will find the chapter stimulating as a source of updating their knowledge and helpful in the handling of clinical problems.

Zion Ben-Rafael
Rogerio Lobo
Zeev Shoham






Cerebral Palsy

Neurologic Complications in Multiple Pregnancy – Is It Possible To Reduce the Incidence? What Are the Implications for Practice?
M. D’Alton


Thrombophilia in Obstetrics and Gynecology

Is There Room for LMWH Treatment in Obstetrics & Gynecology?
D. Blickstein

Should We Screen Women for Thrombophilia?
B.A. Konkle



Treatment for Minimal/Mild Disease
R.S. Schenken

Preferred Treatment for Rectovaginal Endometriosis: Surgery versus Medical Therapy
K.-W. Schweppe

Endometriosis. Is IVF the Answer for Infertility? Stage-related Success Rates in 1417 Consecutive IVF-ET Cycles
S.D. Spandorfer and Z. Rosenwaks


Workup of Infertility

Is A Simple Sperm Analysis All We Need?
S. Oehninger

When Is Infertility Surgery Indicated?
E. Hayes and J. Rock



Estrogen or Raloxifene for Postmenopausal Osteoporosis Therapy?
S.L. Silverman and M. Wong

Cardiovascular Effects of Selective Estrogen Receptor Modulators (SERMs)
L. Mosca


Ovarian Cancer: Screening and Prophylactic Oophorectomy

The Scientific Basis for Detecting Early Stage Epithelial Ovarian Carcinoma
D.A. Fishman, L. Cohen, N. Maihle, A. Baron and M. Sharon Stack

The Current Place of Laparoscopic Surgery in Gyneco-Oncology

What Is the Role of Laparascopic Surgery in Ovarian Cancer?
N. Abu-Rustum

Management of Multiple Pregnancy

Are Multiples Growth Restricted?
I. Blickstein

Do We Know How To Effectively Treat Twin-Twin Transfusion Syndrome?
T.M. Crombleholme

Complications of Pregnancy

How Do Iatrogenic Multiple Pregnancies Complicate Perinatal Care?
L.G. Keith and E. Nowak

Caesarean Section for All Patients?
N. Fisk

Hot Controversies in Perinatal Medicine

Ethical Issues in First-Trimester Screening
S. Chasen, D. Skupski, L. McCullough and F. Chervenak

First Trimester Nuchal Translucency Screening: Should It Be Standard of Care?
F.D. Malone


Severe Preeclampsia at the Limit of Viability: Is there a Role for Expectant Management?
E.R. Norwitz

The Role For Emergency Cerclage: What Does the Data Really Show?
E.R. Norwitz

Induction of Ovulation

Ultrasound Is the Only Monitoring Modality Necessary For Ovulation Induction
Z. Shoham

Concepts and Regimens of Ovarian Stimulation
J.G. Schenker

Induction of Ovulation. Is There Still a Role For Urinary Products?
S. Daya

The Enigma of PCO

The Enigma of Polycystic Ovary Syndrome – Is There a Place for Ovarian Surgery?
S. Daya

Polycystic Ovary Syndrome (PCOS): Can We Unify Two Points of View?
R.A. Lobo

Routine Use of Insulin Sensitizing Agents
J.E. Buster

Gonadotropin Treatment of PCOS: Is There a Preferred Protocol of Treatment?
P.F. Rinaudo and P. Patrizio

Increasing Success Rate in IVF

Blastocysts: Pros and Cons
D.K. Gardner

Is Success Dependent Upon the Laboratory?
D.K. Gardner

Assisted Hatching – What Is the Evidence?
N. Laufer and Y. Shufaro

Major Controversies in HRT: CVD and Cancer

Does HRT Protect Against CVD?
T. Clarkson

Incidental Prophylactic Oophorectomy During Abdominal Surgery
P.E. Schwartz

Hormone Replacement Therapy in Breast Cancer Survivors
W.R. Brewster


Uterine Fibroid Embolization: Is it Universally Suitable?
J. Spies

Laparascopic Myomectomy and Art: Which Comes First
S. Mashiach and D.S. Seidman

Pretreatment of Leiomyoma with GnRH Agonists/Antagonists B of Any Value
R. Blackwell

Myomectomy During Cesarean Section Time To Reconsider?
Zion Ben-Rafael, Tamar Perri, Haim Krissi, Dov Dicker and Arie Dekel


Five-Year Post-Procedure Follow-up of Patients Participating in a Randomized Trial of Uterine Balloon Therapy vs. Rollerball Ablation for the Treatment of Menorrhagia
F. Loffer and D. Grainger

Gynelase Endometrial Ablation System
N.A. Leyland

Coping with HIV in Obstetrics and Gynecology

The Role of Cesarean Section in the Prevention of Mother-to-Child Transmission of HIV
H. Minkoff

Treatment of Infertility in HIV Discordant Couples
M.V. Sauer

Diabetes Mellitus in Pregnancy

Pregnancy and Diabetic Nephropathy
E. Albert Reece and C.J. Homko

Diabetes and Birth Defects
E. Albert Reece and C.J. Homko

Diabetes Mellitus in Pregnancy at Term – Should We Induce Or Expect?
Zion Hagay


Total Versus Subtotal Hysterectomy: Advantages and Disadvantages
L. Mettler

Ablation versus Hysterectomy for the Treatment of Mmenorrhagia
R.S. Neuwirth

Guidelines for Hysterectomy
S.R. Kovac

Preservation of Fertility in Gineco-Oncology

Clinical Aspects of Ovarian Transplantation
K.H. Oktay

Endometrial Cancer: Can Fertility Be Preserved?
K. Podratz and W. Cliby

Fertility-Preserving Treatments for Early-stage Cervical Cancer
M. Roy, M. Plante and M.C. Renaud

Progress with Cryostorage of Female Gametes
M.J. Tucker

Androgen Therapy and Adjunctive Treatment

DHEA for Longevity and Quality of Life
J.E. Buster

Does Androgen Deficiency Exist in Women?
G. Bachmann and S. Nandi


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