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Multiple Uterine Fibroids Icd 9 Code

PMS and Estrogen Dominance

We are starting to get more and more women that are bringing their daughters now. It's so good to seeit's preventive medicine. The first thing the mother says is, They're terrible around their PMS symptoms, and their breasts are hurting them, and they're very irritable and it's just very difficult to be around my young girl at this time. So they bring them in and we do a salivary hormone test, check their estrogen, progesterone, testosterone, and DHEA, because we also want to rule out stuff like PCOS and such as this.

But we, uh this is an indication that most of the time we see a low progesterone and what we do is we either give them botanicals or we give them a little bit of progesterone cream and it works wonders. I much prefer to use bioidentical estrogen and progesterone when I have to and I don't use the synthetic. So all that said, the estrogen dominance is big in the United States. The girls are coming inmothers bringing the girls in so we can check that at an earlier age, it's great to see that, it's a preventative, less girls on.

How to Read a MRI of Lumbar Degenerative Spondylolisthesis and Spinal Stenosis

Here's a side view of an MRI of a patient with substantial degenerative changes and a degenerative Spondylolisthesis Stenosis or slip at four five and the central canal is also blocked and that is called spinal stenosis again reading this MRI we see the spinal cord here which ends there and the nerve roots which come out of the spinal cord again the white is cerebral spinal fluid which is water we see again the vertebra we see again the discs these discs here are quite degenerative and if we look carefully we're going to see that this L four vertebra has slid.

Forward on L five that slip is called a degenerative Spondylolisthesis and we can look at the spinal canal and see the spinal canal in this area his clogged up essentially and quite narrowed and that is deleterious to the nerves we can look at this with a topdown view and again the yellow line here is where we're making our cut here's the spinal canal we can see all of the nerve roots here we look at the facets before these are degenerative facets and if we march up the spine and watch the size of the canal.

Uterine Fibroids Treatments Focused Ultrasound And Diagnosis Of Uterine Fibroids

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Treatment Options For Abnormal Uterine Bleeding And Fibroids

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