Dr. Thaïs Aliabadi

diagnose that PCOS patients.

And let me tell you, you can't just diagnose in your head and throw a medication at them.

Patients' compliance goes down when they don't know why they're taking a medication, certain medication.

But if you take the time and explain it to them, they're going to go home and say, this medication I'm going to take.

So if you separate OB from GYN,

then you empower gynecologists, A, to spend more time with their patients, to not be exhausted, not run from the hospital into their office, just completely burnt out.

And then you can focus on women's health.

And then we can also talk about Well Woman Exam.

I mean, I can sit here until tomorrow morning and talk to you about what a Well Woman Exam should all be about.

I know we talked about surgery when it comes to endometriosis, but endometriosis implants in general, not the stromal type, they grow with estrogen, but their growth slows down with progesterone.

So if you have a young patient who you suspect they might have endometriosis and you can't really prove it, right?

You don't have the experience, but you know they're complaining of painful periods, and I'm talking to clinicians right now or patients,

then there's nothing wrong with prescribing them some form of birth control or hormonal suppression that will suppress their symptoms of endometriosis.

What do I mean by that?

You can use progesterone-only birth control pills, which that's what I would remember.

We talked about birth control, and I said I want to circle back with endometriosis.

Birth control pills in endometriosis patients can be the difference of fertility and not having children.

That's how amazing birth control pills work for suppression of endometriosis.

No, they actually have more pain with the shedding of the lining, with the period.

But some patients do complain of chronic pain.