Episiotomy during vaginal delivery was first recommended in 1920 as a way to protect the pelvic floor from lacerations and protect the fetal head from trauma. It was rapidly adopted as a standard practice and has been widely used since then. However, over the last several decades, there has been a growing body of evidence that episiotomy does not provide these purported benefits and may contribute to more severe perineal lacerations and future pelvic floor dysfunction. In this review, we examine the evidence that led to changing episiotomy practices and the debate that has surrounded episiotomy. By doing so, we can not only evaluate this specific obstetric procedure, but also gain insights into the challenge of changing medical practice as new data emerge.
Interstitial Cystitis (IC) or Painful Bladder Syndrome (PBS) is a condition of the urinary bladder associated with pelvic pain, pressure, or discomfort with persistent urge to void in the absence of urinary tract infection. The condition was first given its name in 1887 and has undergone several name changes and diagnostic criteria. Over 33 million Americans are affected by urinary dysfunction making this condition more prevalent than adult onset Diabetes in the U. S.
Tags: adult, bladder pain, carrolton, cystitis, dysfunction, endometriosis, frisco, IC, interstitial cystitis, irritable bowel syndrome, lewisville, Mckinney, Painful Bladder Syndrom, pelvic pain, plano, symptoms, urinary dysfunction, urinary tract infection, urogynecology, women
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The first pill designed to boost the female sex drive called Flibanserine and manufactured by Boehringer Ingelheim, failed to make a significant impact on libido in two studies, federal health regulators said.
Tags: Boehringer Ingelheim, dysfunction, FDA, female, female sex drive, female viagra, loss of sexual desire, low female libido, medical, Menopause, sex drive, sexual, Sexual Dysfunction, women
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