Iowa ranks last among states for the number of OB-GYNS per capita. State legislators are trying to recruit more, but some doctors say the st

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Iowa ranks last among states for the number of OB-GYNS per capita. State legislators are trying to recruit more, but some doctors say the st
Had my first term fetal demise last night. It really sucks. I didn’t think it would hit me this hard.
Idaho is losing OB-GYNs. Doctors who remain are trying to shoulder the extra burdens. • Idaho Capital Sun
114 OB-GYNs left Idaho or stopped practicing obstetrics between August 2022 and December 2024, according to data from a peer-reviewed study.
Well, I mean, what's a fetus other than a teratoma that is functional and gains sentience over time?
Me, on my plastic surgery rotation, where they remove teratomas for a living...
Molar Pregnancy (Hydatidiform Mole)
Molar pregnancy is an abnormal form of pregnancy in which a non-viable fertilized egg implants in the uterus and will fail to come to term (will not develop into a child). Instead, the cells divide and replicate into a growing mass (mole) of non-foetal tissue.
The mass formed is characterised swollen chorionic villi.
Molar pregnancies
Can develop when a fertilized egg does not contain an original maternal nucleus.
Usually contain no foetal tissue.
Characterized by the presence of a hydatidiform mole (or hydatid mole).
Approximately 20% of cases with a complete mole develop a trophoblastic malignancy (malignant disease // cancer)
Molar pregnancies make up 1 in 1,000 pregnancies in the US and up to 1 in 100 pregnancies in parts of Asia.
Symptoms
Vaginal bleeding - molar tissue separates from the decidua, causing bleeding.
Uterus may become distended by large amounts of blood, and dark fluid may leak into the vagina.
Hyperemesis - severe nausea and vomiting due to very high levels of human chorionic gonadotropin (hCG).
Hyperthyroidism - thyroid gland is stimulated by the high levels of circulating hCG or by a thyroid stimulating substance (ie, thyrotropin) produced by the trophoblasts.
Partial mole
Partial moles do not generate the same clinical features as a complete mole. Patients instead present with signs and symptoms consistent with an incomplete or missed abortion, including vaginal bleeding and absence of foetal heartbeat.
*noticing several very-bleeding arteriolas*
Surgeon: Uh oh.
Surgeon to anaesthesia: I think we solved the patient's high blood pressure.
Anesthetist: I can see that, but could you not?
The American Board of Obstetrics and Gynecology told the Daily Beast that Dr. Mahendra Amin was not certified by the organization.
Mahendra Amin is not a board-certified OBGYN, and he's faced lawsuits in the past.
“A spokesperson for ABOG told The Daily Beast that its records showed that Amin was not certified by the organization as an OB-GYN, and the American Board of Medical Specialties (ABMS) confirmed to Business Insider that Amin was not certified by any of its 24 member boards.”
I have an appointment for a pelvic exam in 2 weeks.
I’m really scared. Not because I’m ashamed of my genitalia, or of my sexual habits, or of my issue. I’m scared that this Nurse Practioner (I looked her up on the office’s staff page) is going to be awful to me or, maybe even worse, dismiss my pain as something to not even waste her time with. She has one Yelp review that I can find that details another patient’s experience (image below, censored for privacy).
For context, this is my first pelvic exam. I’m 19 and I only recently discovered that painful intercourse (with no other obvious causes) and painful orgasm is not normal. So, I’m seeking out help because I want to enjoy these things more, and not have cramps when I do.
My GP, whom I’ve seen since I was 7-ish, is the one who gave me a referral to the clinic, since it works with my insurance. My mother has gone to this clinic before, for gynecology visits, and she said she doesn’t like that clinic much. I’ve been to that clinic for psychiatric appointments (it’s a large center), and I hated my psychiatrist. She never seemed to listen to me, and prescribed me more adderal for my inability to sleep? I know that they’re two different people, but I believe that the type of employee a business hires is also representative of the business itself.
Anyone have advice on what I should do during my appointment to make sure my needs get met? Or just kind words, or sharing your own stories about shitty women’s health visits.