OB/GYN

Maternal ambivalence: the side of motherhood no one talks about

Conditions

March 3, 2025

An excerpt from Maternal Ambivalence: The Loving Moments & Bitter Truths of Motherhood.

What is maternal ambivalence?

Motherhood is a messy, loving process, filled with complicated and conflicting feelings that, though it’s hard to admit to, can even include passing moments of hate. The struggle a mother faces as she recognizes troublesome feelings equally allows her to discover new ways to engage with her child. This investigation of the mother within …

The deadly impact of the U.S. anti-abortion funding policy

Analisa Conway and Ashley Gordon

Policy

March 1, 2025

As first-year medical students, we are taught to always prioritize patients over politics. However, our research in maternal health has shown us that the two are dangerously intertwined, with political decisions directly impacting the provision of health care not just domestically but around the globe.

On January 24, only four days into his second term, President Trump reinstated “Protecting Life in Global …

Navigating the complexities of at-home hormone tests [PODCAST]

The Podcast by KevinMD

Podcast

February 22, 2025

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Fertility specialist Oluyemisi Famuyiwa discusses her KevinMD article, “The rise of at-home hormone tests: a double-edged sword for patients.” In this episode, Yemi explores the surge in popularity of at-home hormone testing …

Endometriosis and fertility: What every woman should know

Oluyemisi Famuyiwa, MD

Conditions

February 22, 2025

Introduction

Endometriosis is a chronic, estrogen-dependent inflammatory disease affecting approximately 10 percent of reproductive-age women and is a leading cause of infertility. Despite its significant impact, it remains underdiagnosed and inadequately managed. This review examines the pathophysiological mechanisms linking endometriosis and infertility, current treatment strategies, and the role of dietary and lifestyle interventions in optimizing reproductive outcomes.

Endometriosis is characterized by the presence of endometrial-like tissue outside the …

Marijuana’s hidden threat to fertility and family planning [PODCAST]

The Podcast by KevinMD

Podcast

February 6, 2025

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Fertility specialist Oluyemisi Famuyiwa discusses her KevinMD article, “Why is no one listening? The urgent impact of marijuana on fertility.” In this episode, Yemi explores the emerging concerns surrounding marijuana legalization and …

Pain management for IUD procedures is not a one size fits all: A patient-centered conversation about women’s pain doesn’t have to be painful

Madison Ziobro

Conditions

January 30, 2025

On August 8, 2024, the CDC updated its selected practice recommendations for contraception for the first time since 2016. This revision emphasized the importance of discussing pain management options with patients undergoing intrauterine device (IUD) placement. Although the steps involved in IUD insertion are widely recognized as painful, this update marked the first time the CDC recommended tailoring pain management strategies based on open conversations with patients.

Despite the well-known discomfort …

Critical care in critical moments: Anesthesiologists play a vital role in maternal health

Christina McGinnis, Alexandria Raab, Gloria Bachmann, MD, and Alopi Patel, MD

Conditions

January 23, 2025

Maternal mortality crisis in the U.S.

The U.S. faces a significant maternal health crisis, with alarmingly high maternal mortality rates compared to other developed nations. As of 2022, the overall maternal mortality rate was 22.3 deaths per 100,000 live births, with a disproportionately high rate of 49.5 deaths per 100,000 live births among Black women. These figures starkly contrast with much lower rates in countries like Germany, Australia, Japan, and Sweden.

Maternal …

How sleep affects your fertility and boosts reproductive success [PODCAST]

The Podcast by KevinMD

Podcast

January 21, 2025

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We dive into the powerful connection between sleep and fertility with guest Oluyemisi Famuyiwa, a fertility specialist. Discover how sleep impacts reproductive hormones, gamete quality, and the success of assisted reproductive technologies (ART). …

The hidden grief of Black fathers after pregnancy loss

Scott Janssen, MSW, LCSW

Conditions

January 13, 2025

In the United States, as many as 20 percent of known pregnancies end in miscarriage (before the end of the twentieth week of pregnancy) and approximately 1 percent in stillbirth (after the twentieth week, including time of delivery).

Parents who experience pregnancy loss are often left to grieve not only the child they never had the opportunity to know but also the loss of a future they had envisioned. The …

The rise of at-home hormone tests: a double-edged sword for patients

Oluyemisi Famuyiwa, MD

Conditions

January 12, 2025

At-home hormone testing kits have surged in popularity, offering individuals unprecedented access to tools they believe will help them understand their bodies. Marketed as convenient, empowering solutions to monitor fertility and general hormone health, these tests may seem like a valuable resource at first glance. However, the reality is far more complex. In many cases, these kits create confusion, unnecessary stress, and even lead to harmful interventions.

While the promise of …

They thought motherhood would break you, and you almost agreed

Tomi Mitchell, MD

Physician

December 20, 2024

Before children (B.C.), life was completely different. I had the kind of freedom I didn’t even realize I had. I could decide, on a whim, to go out for dinner, catch a late movie, or simply lie in bed doing absolutely nothing (well, that part rarely happened as I was too busy either in school or thinking about work). I could stay up late, not because I had to, but …

How conflict in Sudan is impacting women and children [PODCAST]

The Podcast by KevinMD

Podcast

December 19, 2024

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Join us as we talk with Gillian Burkhardt, an obstetrician-gynecology physician currently on assignment with Doctors Without Borders in South Darfur. We explore the devastating impact of the ongoing conflict in Sudan, which …

Why is no one listening? The urgent impact of marijuana on fertility

Oluyemisi Famuyiwa, MD

Conditions

December 10, 2024

The growing concern

In the age of marijuana legalization, a troubling health concern is emerging—its impact on fertility. While cannabis enjoys increased social acceptance, its unintended consequences on reproductive health are often overlooked. Daily marijuana use now surpasses high-frequency alcohol consumption, marking a cultural shift that demands urgent attention. Yet, despite accumulating evidence, why does it feel like no one is listening?

As fertility specialists, we are witnessing an alarming trend: couples …

The impact of sleep on fertility: Why rest matters for reproductive health

Oluyemisi Famuyiwa, MD

Conditions

December 3, 2024

Introduction

Sleep is not just a luxury; it is essential for maintaining health, and its role in fertility is particularly profound. From regulating reproductive hormones to protecting egg and sperm quality, sleep impacts every stage of the reproductive process. Yet, sleep disturbances—such as insomnia, obstructive sleep apnea (OSA), and irregular schedules—are often overlooked in fertility discussions. Recent research highlights how poor sleep affects fertility in men and women, influencing natural conception …

Seeing the unseen: How racism manifests in professional spaces and how you can help

Tera Frederick Howard, MD

Physician

November 28, 2024

My sister and I speak almost every day. Sometimes we talk about our kids, our husbands, and our jobs. She is an attorney in the military and part of the JAG corps. I am an academic obstetrician/gynecologist (OB/GYN), which means my practice involves education. We are both Black women in majority-white professions. Our morning conversations about our respective jobs are sometimes about the work itself, which we are both passionate …

How lifestyle choices today could impact your future family’s fertility [PODCAST]

The Podcast by KevinMD

Podcast

November 21, 2024

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Epigenetics is transforming our understanding of fertility. In this episode, fertility specialist Dr. Oluyemisi (Yemi) Famuyiwa joins us to explore how lifestyle factors like diet, stress, and environmental exposures influence gene expression through …

Resilient heart: a journey through medicine and life

Adrienne Ligouri, MD, MPH

Physician

November 21, 2024

Prologue: a life forged in resilience

If you had asked me in the early days of my life where I thought I would end up, my answer would have been straightforward—a career in medicine like my mother, a family of my own, and perhaps a path well-traveled. But life rarely follows the lines we draw for it. Instead, it takes unpredictable turns, tests our strength in ways we never expect, and …

When a physician gets a rare disease diagnosis

Lawrence Arky, MD

Conditions

November 9, 2024

As an OB/GYN for the past 22 years, I have loved delivering babies, performing surgeries, and having long-term relationships with my patients. Now, I am on the other side of things, as a patient myself. I was diagnosed with adult polyglucosan body disease (APBD) in April of 2023 at the age of 59.

APBD is an ultra-rare, neurodegenerative disorder characterized by a deficiency of glycogen-branching enzyme. The result: an accumulation of …

Gender-based violence and the life-changing power of reconstructive surgery for survivors

Shirley Sarah Dadson

Conditions

November 8, 2024

This year, the world was shocked by the tragic death of 33-year-old Rebecca Cheptegei, who had just completed the women’s marathon at the Olympics in Paris. She succumbed to her injuries in a Kenyan hospital after her partner’s brutal attack left 80 percent of her body burned. This horrific incident is not isolated; it is part of a disturbing global pattern of gender-based violence (GBV).

According to the World Bank, …

How abortion laws turned our family vacation into a life-or-death dilemma

Christine King, CRNA

Conditions

November 5, 2024

This past summer, we planned a family vacation with our two adult daughters and their significant others to the Outer Banks of North Carolina. The trip was scheduled for July 6. After we planned our vacation, our older daughter announced her pregnancy, and to our surprise and delight, she was expecting twins! She consulted with her OB/GYN and was permitted to go on the trip under the condition that she …

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