A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues
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Hysteroscopy with Dilation and Curretage (D & C)
501 19th Street, Trustees Tower FORT SANDERS WOMEN’S SPECIALISTS 1924 Pinnacle Point Way Suite 401, Knoxville Tn 37916 P# 865-331-1122 F# 865-331-1976 Suite 200, Knoxville Tn 37922 Dr. Curtis Elam, M.D., FACOG, AIMIS, Dr. David Owen, M.D., FACOG, Dr. Brooke Foulk, M.D., FACOG Dr. Dean Turner M.D., FACOG, ASCCP, Dr. F. Robert McKeown III, M.D., FACOG, AIMIS, Dr. Steven Pierce M.D., Dr. G. Walton Smith, M.D., FACOG, Dr. Susan Robertson, M.D., FACOG HYSTEROSCOPY WITH DILATION AND CURRETAGE (D & C) Please read and sign the following consent form when you feel that you completely understand the surgical procedure that is to be performed and after you have asked all of your questions. If you have any further questions or concerns, please contact our office prior to your procedure so that we may clarify any pertinent issues. Definition: HysterosCopy is an outpatient procedure that allows your doctor direct visualization of the inside of the uterine cavity (womb) by inserting a thin lighted telescope (hysteroscope) through the vagina (birth canal) and cervix, without making an abdominal incision. This procedure enables your doctor to examine the lining of the uterus, look for polyps, fibroids, scar tissue, blockages of the fallopian tubes, and abnormal partitions. In addition, this procedure allows your doctor to remove or surgically treat many of the abnormalities seen. Dilation and Curettage (D&C) allows your doctor to take a sample of the tissue that lines your uterus (endometrium) and/or to remove polyps, fibroid tumors, or hyperplasia. Suction D&C is used in cases of miscarriage. -
Defining the Role of the Urogynecology Nurse Practitioner: a Call to Contemporary Distinction Through Subspecialty Certification
Copyright 2021 Society of Urologic Nurses and Associates (SUNA) All rights reserved. No part of this document may be reproduced or transmitted in any form without the written permission of the Society of Urologic Nurses and Associates. Defining uRologIC NuRSINg Defining the Role of the Urogynecology Nurse Practitioner: A Call to Contemporary Distinction through Subspecialty Certification Jennifer L. Cera, DNP, APRN-NP, WHNP-BC; Melanie Schlittenhardt, DNP, APRN, FNP-BC, CUNP; Amy Hull, DNP, WHNP-BC; and Susanne A. Quallich, PhD, ANP-BC, NPC, CUNP, FAUNA, FAANP Research 1.4 contact hours Urogynecology is emerging as a subspecialty role © 2021 Society of Urologic Nurses and Associates for nurse practitioners (NPs) whose focus is on pre- Cera, J.L., Schlittenhardt, M., Hull, A., & Quallich, S.A. (2021). vention and treatment of female urinary and fecal Defining the role of the urogynecology nurse practitioner: incontinence (also known as dual incontinence) and A call to contemporary distinction through subspecialty pelvic floor disorders (PFDs). An increased demand certification. Urologic Nursing, 41(3), 141-152. https:// for NPs with knowledge and expertise in this sub- doi.org/10.7257/1053-816X.2021.41.3.141 specialty is projected to grow considering the preva- lence of these conditions, the aging population, and This is the first survey conducted to examine the role of the current shortage of physicians who provide care the urogynecology nurse practitioner (NP) and highlights the need for the development of a current, distinct for this population. According to the U.S. Census description of the sub-specialty role. Descriptive statis- Bureau, by 2030, there will be a 35% increased tics were used to report the characteristics of the sam- demand in care for women with incontinence and ple group (N = 55). -
Vaginal Screening After Hysterectomy in Australia
CATEGORY: BEST PRACTICE Vaginal screening after hysterectomy in Australia Objectives: To provide advice on vaginal This statement has been developed and screening after hysterectomy. reviewed by the Women’s Health Committee and approved by the RANZCOG Target audience: Health professionals Board and Council. providing gynaecological care. A list of Women’s Health Committee Values: The evidence was reviewed by the Members can be found in Appendix A. Women’s Health Committee (RANZCOG), and applied to local factors relating to Disclosure statements have been received Australia. from all members of this committee. Background: This statement was first developed by Women’s Health Disclaimer This information is intended to Committee in November 2010 and provide general advice to practitioners. This reviewed in March 2020. information should not be relied on as a substitute for proper assessment with respect Funding: This statement was developed by to the particular circumstances of each RANZCOG and there are no relevant case and the needs of any patient. This financial disclosures. document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The document has been prepared having regard to general circumstances. First endorsed by RANZCOG: November 2010 Current: March 2020 Review due: March 2023 1 1. Introduction In December 2017, the National Cervical Screening Program in Australia changed from 2 yearly cervical cytology testing to 5 yearly primary HPV screening with reflex liquid-based cytology for those women in whom oncogenic HPV is detected in women aged 25–74 years. New Zealand has not yet transitioned to primary HPV screening. -
Team of Experts Sexual Violence in Conflict Rule of Law/Sexual Violence in Conflict
office of the special representative of the secretary-general on Team of Experts sexual violence in conflict Rule of Law/Sexual Violence in Conflict report & recommendations Workshop on Sexual Violence against Men and Boys in Conflict Situations New York 25-26 July 2013 C O N T E N T S Executive Summary 5 1. Overview of Sexual Violence in Conflict as a Women, Peace & Security Issue 7 Conceptual, Political and Statistical Challenges to Introducing Men & Boys into the SGBV domain 8 Understandings & Assumptions about Gender 8 Blurring of ‘Gender’, ‘Women’ and SGBV 8 Under-reporting, Under-documenting, and Under-Acknowledging 9 Institutional Gaps in Applying the SGBV Agenda to Include Men & Boys 9 Why this Workshop? 10 2. The Scope of Sexual Violence against Men & Boys in Conflict 11 Men and Boys as Victims 11 Forms of Conflict-Related Sexual Violence 11 Spaces where Conflict-Related Sexual Violence Occurs 12 Recognising the Post-Conflict Dimension 12 acknowledgements The Logics of Sexual Violence against Men & Boys 12 The Perpetrators of Sexual Violence against Men & Boys 13 this report draws on the presentations given and the discussions held during the workshop, copies of which can be found at: 3. Impacts and Consequences of Conflict-Related Sexual Violence – the Five ‘P’s 13 http://www.slideshare.net/osrsgsvc/presentations. Comparing Conflict-Related Sexual Violence against Men & Boys with Sexual Violence against Women & Girls 14 the workshop was made possible by the concerted action of the office Comparing Conflict-Related Sexual Violence against Men & Boys with Sexual abuse in Peace-Time 14 of the special representative of the secretary-general on sexual violence in conflict, and the us state department. -
FGM in Canada
Compiled by Patricia Huston MD, MPH Scientific Communications International, Inc for the Federal Interdepartmental Working Group on FGM. Copies of this report are available from: Women's Health Bureau Health Canada [email protected] The Canadian Women's Health Network 203-419 Graham Avenue Winnipeg, Manitoba R3C 0M3 fax: (204)989-2355 The opinions expressed in this report are not necessarily those of the Government of Canada or any of the other organizations represented. Dedication This report is dedicated to all the women in the world who have undergone FGM and to all the people who are helping them live with and reverse this procedure. This report is part of the ongoing commitment of Canadians and the Government of Canada to stop this practice in Canada and to improve the health and well-being of affected women and their communities. Executive Summary Female genital mutilation (FGM), or the ritual excision of part or all of the external female genitalia, is an ancient cultural practice that occurs around the world today, especially in Africa. With recent immigration to Canada of peoples from Somalia, Ethiopia and Eritrea, Sudan and Nigeria, women who have undergone this practice are now increasingly living in Canada. It is firmly believed by the people who practise it, that FGM improves feminine hygiene, that it will help eliminate disease and it is thought to be the only way to preserve family honour, a girl's virginity and her marriageability. FGM has a number of important adverse health effects including risks of infection and excessive bleeding (often performed when a girl is pre-pubertal). -
Male Circumcision and Virginity Testing of Girls) and the Legal Rights of Children
HARMFUL TRADITIONAL PRACTICES, (MALE CIRCUMCISION AND VIRGINITY TESTING OF GIRLS) AND THE LEGAL RIGHTS OF CHILDREN. LUCINDA LE ROUX A mini-thesis submitted in partial fulfillment of the requirements for the degree Magister Legum in the Faculty of Law, University of the Western Cape. Supervisor: Professor Julia Sloth-Nielsen. November 2006 2 ABSTRACT In South Africa the practice of virginity testing is most prevalent in KwaZulu- Natal amongst the Zulu and Xhosa. Proponents of the practice claim that some of the benefits include the prevention of the spread of HIV/Aids as well as teenage pregnancy and the detection of children who are sexually abused by adults, amongst others. In South Africa most black males undergo an initiation when they are approximately 16 years old to mark the transition from boyhood to manhood. Male circumcision is also performed as a religious practice amongst the Jews and Muslims. A number of human rights groups in South Africa, including the Commission on Gender Equality (CGE) as well as the South African Human Rights Commission (SAHRC) has called for a total ban on the practice of virginity testing on the basis that it discriminates against girls, as the practice is carried out predominantly amongst teenage girls. The CGE and SAHRC are particularly concerned about the potential for human rights violations of virginity testing. The problem with traditional male circumcisions in South Africa is the number of fatalities resulting from botched circumcisions and the spreading of sexually transmitted diseases through unhygienic procedures and unqualified surgeons. Also of concern are other hardships often accompanied by traditional circumcisions such as starvation, frostbite, gangrene and infection amongst other health related injuries. -
Fearful Symmetries: Essays and Testimonies Around Excision and Circumcision. Rodopi
Fearful Symmetries Matatu Journal for African Culture and Society ————————————]^——————————— EDITORIAL BOARD Gordon Collier Christine Matzke Frank Schulze–Engler Geoffrey V. Davis Aderemi Raji–Oyelade Chantal Zabus †Ezenwa–Ohaeto TECHNICAL AND CARIBBEAN EDITOR Gordon Collier ———————————— ]^ ——————————— BOARD OF ADVISORS Anne V. Adams (Ithaca NY) Jürgen Martini (Magdeburg, Germany) Eckhard Breitinger (Bayreuth, Germany) Henning Melber (Windhoek, Namibia) Margaret J. Daymond (Durban, South Africa) Amadou Booker Sadji (Dakar, Senegal) Anne Fuchs (Nice, France) Reinhard Sander (San Juan, Puerto Rico) James Gibbs (Bristol, England) John A. Stotesbury (Joensuu, Finland) Johan U. Jacobs (Durban, South Africa) Peter O. Stummer (Munich, Germany) Jürgen Jansen (Aachen, Germany) Ahmed Yerma (Lagos, Nigeria)i — Founding Editor: Holger G. Ehling — ]^ Matatu is a journal on African and African diaspora literatures and societies dedicated to interdisciplinary dialogue between literary and cultural studies, historiography, the social sciences and cultural anthropology. ]^ Matatu is animated by a lively interest in African culture and literature (including the Afro- Caribbean) that moves beyond worn-out clichés of ‘cultural authenticity’ and ‘national liberation’ towards critical exploration of African modernities. The East African public transport vehicle from which Matatu takes its name is both a component and a symbol of these modernities: based on ‘Western’ (these days usually Japanese) technology, it is a vigorously African institution; it is usually -
Gender Reassignment Surgery Policy Number: PG0311 ADVANTAGE | ELITE | HMO Last Review: 07/01/2021
Gender Reassignment Surgery Policy Number: PG0311 ADVANTAGE | ELITE | HMO Last Review: 07/01/2021 INDIVIDUAL MARKETPLACE | PROMEDICA MEDICARE PLAN | PPO GUIDELINES This policy does not certify benefits or authorization of benefits, which is designated by each individual policyholder terms, conditions, exclusions and limitations contract. It does not constitute a contract or guarantee regarding coverage or reimbursement/payment. Self-Insured group specific policy will supersede this general policy when group supplementary plan document or individual plan decision directs otherwise. Paramount applies coding edits to all medical claims through coding logic software to evaluate the accuracy and adherence to accepted national standards. This medical policy is solely for guiding medical necessity and explaining correct procedure reporting used to assist in making coverage decisions and administering benefits. SCOPE X Professional X Facility DESCRIPTION Transgender is a broad term that can be used to describe people whose gender identity is different from the gender they were thought to be when they were born. Gender dysphoria (GD) or gender identity disorder is defined as evidence of a strong and persistent cross-gender identification, which is the desire to be, or the insistence that one is of the other gender. Persons with this disorder experience a sense of discomfort and inappropriateness regarding their anatomic or genetic sexual characteristics. Individuals with GD have persistent feelings of gender discomfort and inappropriateness of their anatomical sex, strong and ongoing cross-gender identification, and a desire to live and be accepted as a member of the opposite sex. Gender Dysphoria (GD) is defined by the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition, DSM-5™ as a condition characterized by the "distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender" also known as “natal gender”, which is the individual’s sex determined at birth. -
CIRCUMCISION and the LGBTI Community
Gender Equality Demands that the Bodily Integrity, Autonomy, and Rights of ALL Children be Equally Protected Female genital cutting in the US and other nations has been outlawed, leaving other children without such protections. If we in the LGBTI community truly believe in gender equality, we must become advocates for ALL children, and promote policies and laws that protect their autonomy regarding bodily integrity. Otherwise, such inequities expose our own cultural chauvinism against “barbaric” cultural practices of others and ignore our own practices that outsiders consider barbaric. All forced genital cutting of children shares anti-sexual histories and excuses. The US medical practice of male (and female) circumcision is rooted in anti-sexual Victorian-era paranoia over masturbation and fears about children’s sexuality. It’s pointless to argue about competitive suffering based on gender. All children deserve an open future that respects their bodies, their sexuality, and their human rights. This goal is consistent with the principles of the LGBTI movement. ⦿ ⦿ ⦿ ⦿ ⦿ This brochure was authored by Tim Hammond, openly gay producer of the documentary, Whose Body, Whose Rights?, founder of NOHARMM, co-founder of the National Organization of Restoring Men, and survey programmer for the Global Survey of Circumcision Harm. Attorneys for the Rights of the Child ARCLaw.org Seeks to secure equal protection for, and broaden public and legal recognition of, children’s legal and human rights to bodily integrity and self-determination that are violated by unnecessary genital cutting of male, female and intersex children. Doctors Opposing Circumcision DoctorsOpposingCircumcision.org An international network of physicians dedicated to protecting the genital integrity and eventual autonomy of all children, serving both health professionals and the public through education, support, and advocacy. -
Program Speakers Guest Speakers Department of Radiology Susan L
Program Speakers Guest Speakers Department of Radiology Susan L. Baker, MD Deidre D. Gunn, MD Director of Maternal-Fetal Medicine Assistant Professor Associate Professor, Obstetrics and Gynecology Reproductive Endocrinology & Infertility University of South Alabama Mobile, AL Jacqueline P. Hancock, MD Assistant Professor Mary E. D’Alton, MD Women’s Reproductive Healthcare Willard C. Rappleye Professor and Chairman, Obstetrics and Gynecology Lorie M. Harper, MD, MSCI Director, Obstetrics and Gynecology Services, New York-Presbyterian Associate Professor Hospital Maternal-Fetal Medicine Columbia University Director, Maternal-Fetal Medicine Fellowship Program New York, NY Kim H. Hoover, MD James W. Orr, Jr. MD, FACOG, FAGS Professor 21st Century Oncology Women’s Reproductive Healthcare Clinical Professor, Florida State School of Medicine Director, Pediatric and Adolescent Gynecology Fellowship Program Medical Director, FL Gynecologic Oncology & Regional Cancer Care Tera F. Howard, MD, MPH Fort Myers, FL Assistant Professor Carolyn A. Potter, MA Women’s Reproductive Healthcare Executive Director Warner K. Huh, MD The WellHouse Professor Odenville, AL Director, Gyn Oncology Kelly H. Tyler, MD, FACOG, FAAD Sheri M. Jenkins, MD Assistant Professor Professor Division of Dermatology Maternal Fetal Medicine Department of Obstetrics and Gynecology Ohio State University Todd R. Jenkins, MD Professor and Interim Chair Columbus, OH Director, Women’s Reproductive Healthcare Kenneth H. Kim, MD UAB Speakers* Associate Professor, Gyn Oncology Janeen L. Arbuckle, MD, PhD Associate Director, Gyn Oncology Fellowship Program Assistant Professor Morissa J. Ladinsky, MD Women’s Reproductive Healthcare Associate Professor Pediatric and Adolescent Gynecology Department of Pediatrics Rebecca C. Arend, MD Charles A. “Trey” Leath, III, MD Assistant Professor Professor Gyn Oncology Gyn Oncology Kerri S. -
Appendix 1: FGM Srutiny in a Day , Item 8. PDF
APPENDIX 1 SCRUTINY IN A DAY FGM scrutiny in a day: programme Address: HENRIETTA RAPHAEL FUNCTION ROOM, Henriette Raphael Building, GUYS CAMPUS, King’s College London, London, UK SE1 1UL. Wednesday 16th September 9am – 3:30pm 9am – 9:30am Registration & refreshments 9:30am Welcome and opening remarks: Cllr Jasmine Ali, Chair of the Education & Children’s Services scrutiny committee 9:40 am – 10:30am Dr Comfort Momoh MBE will set the scene by explaining the reasons for FGM, and the implications. She will explain why she established the African Well Woman’s Clinic at Guy’s and St Thomas Foundation Trust in London, a support service for women and girls who have undergone FGM. 10:40am – 11:20am Alison Macfarlane, Professor of Perinatal Health, City University London, presenting a recently published report on rates of FGM, ’Prevalence of Female Genital Mutilation in England and Wales: National and local estimates’, which estimates that Southwark has the highest rates of FGM in the UK 11:30am – 12:00noon Work to tackle FGM in Southwark Overview by Angela Craggs Southwark Police; Clarisser Cupid, Southwark Clinical Commissioning Group and April Bald, Southwark Council social care lead on current work. 12 noon – 12:30pm Lunch 12:30pm – 2:pm How can community & voluntary groups and statutory agencies work together to end FGM? Presentation by Toks Okeniyi, FORWARD, followed by brief presentations on local initiatives : Agnes Baziwe, African Advocacy Foundation and Florence Emakpose, World of Hope and then a survivor working for change: Hawa Sesey FGM Campaign. Fishbowl discussion with contributions by national, London and local community groups , and embassy representatives of countries where the practice is common. -
Risks of Hysteroscopy and Fractional Dilation and Curettage South Care Women's Florida
Risks of Hysteroscopy and Fractional Dilation and Curettage South Florida Women's Care The Procedure I will be undergoing is ______________________________________________________ _________________________________________________________________________________________. 1. Damage to uterus, bowel, bladder, urinary organs: Perforation of the uterus is a small risk. If that were to occur, laparoscopy (placing a camera in the umbilicus) may need to be done to make sure the uterus wasn’t bleeding and repair any damage. Cervical stenosis (inability of the cervix to dilate) can increase the rise of uterine perforation. 2. Fluid overload: Special attention is taken to monitor exactly how much fluid goes into your uterus during the hysteroscopy. Rarely, extra fluid can accumulate in your lungs, called pulmonary edema. 3. Damage to nerves, skin: We are very careful to position your legs very gently before surgery. Rarely, the nerves in your legs can “go to sleep” during surgery and can have temporary nerve damage. 4. Infection: You are given an antibiotic during surgery to decrease any risk of infection. Rarely, infection can occur after surgery and need medicine, and even surgery to correct. 5. Need for further surgery: If your procedure involves treatment for heavy bleeding (i.e. Removing a polyp or endometrial ablation), it is possible that these procedures will not cure your underlying problem and further surgery will be needed. 6. Risks for endometrial ablation: Sometimes your cervix will not close over the device and cause the procedure to be abandoned for safety reasons. There is also risk of damage to abdominal organs. About 5-10% of ablations done need further surgery (hysterectomy) to stop heavy bleeding.