Fiona Li

TL;DR: The decision to allow the progression of CSPs exposes women to a high risk of life-threatening hemorrhage and hysterectomy, and medical treatment options alone are often insufficient.

TL;DR: In this article, a double-blind, randomized, sham-controlled trial with 12-month follow-up was undertaken at a single tertiary referral hospital in Sydney, Australia.

TL;DR: Although less specific than hysteroscopy, saline infusion sonohysterography offers a similar detection rate and permits concomitant visualization of the ovaries and myometrium, and transvaginal ultrasonography lacks sensitivity to be used alone to exclude the presence of polyps and leiomyomas in women with abnormal uterine bleeding.

TL;DR: Non-randomized data supports energy-based treatments improving vaginal symptoms, sexual function and clinician-reported outcomes, and whilst prospective data continue to show promising outcomes, without strong evidence from well-powered, double-blind placebo-controlled trials to determine efficacy of treatment compared to placebo, the use of energy- based treatments should continue to be undertaken in research studies only.

TL;DR: There is a finite volume of surgery performed annually by trainees and certified specialists alike, and the detailed assessment of this surgical substrate is important, since it guides true exposure in gynaecological surgical training and practice after fellowship.