CREOG: Investing in the Future of Women’s Health
At RMA of Philadelphia and Central Pennsylvania, educating the next generation of OB-GYNs is part of our mission. That’s why, along with our sister practice Reproductive Medicine Associates of New Jersey (RMANJ), we hosted the third annual RMA CREOG Test Prep Course earlier this month in Philadelphia.
Third Annual CREOG Test Prep
The CREOG test prep helps prepare OB-GYN residents for the Reproductive Endocrinology and Infertility (REI) portions of their annual exam. The event has been held concurrently in New Jersey and Philadelphia since 2017.
Hosted at the beautiful Logan hotel in Center City, the CREOG event brought together 18 Philadelphia OB-GYN residents from programs like Jefferson Health, Einstein, Abington and Temple. The residents joined RMANJ Drs. Dan Kaser and Jason Franasiak, who practice out of Marlton, NJ, and RMA of Philadelphia Dr. Jackie Gutmann for a full day of REI education.
By educating future OB-GYNs about infertility, RMA of Philadelphia is investing in the next-generation of women’s health. So what exactly did the residents go over with RMA physicians? In addition to brushing up on test-taking strategies, the residents received in-depth refreshers on several central fertility topics, including PCOS, AMH, early menopause and premature ovarian failure.
POLYCYSTIC OVARY SYNDROME (PCOS)
PCOS is a complex hormonal disorder characterized by irregular menstrual cycles or the failure to ovulate entirely, increased level of androgens (male hormones) and the presence of many immature follicles in the ovary (incorrectly referred to as cysts) that do not grow to the point of ovulation. Because women with PCOS do not regularly ovulate, they can experience infertility. Women with PCOS can get pregnant with the help of medications, Intrauterine Insemination (IUI) or In Vitro Fertilization (IVF).
AMH is a hormone produced by granulosa cells, which are vital to supporting the maturity of a woman’s eggs. A woman with an AMH level greater than 1.2 is in a good position, while an AMH level below 1.0 may suggest a lower egg count. Because the granulosa cells support eggs as they develop, the more immature the egg, the more granulosa cells, and the higher the AMH level. Too high an AMH level can be an indicator of PCOS.
Menopause, or when a woman stops menstruating, usually occurs around 50 years of age. It is possible, however, for women to experience early menopause, also known as premature ovarian insufficiency. Women with premature ovarian insufficiency can get pregnant with a donor egg.
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