Howard Harrell

speaker

1,260 appearances 4 recordings 1 series first heard May 2026 last heard 23 Jul

Howard Harrell’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 4 in all, peaking in Jul 2026 with 2.

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Thinking About Ob/Gyn · Episode 12.1 IVF Add-Ons and More! · 9 Jul 2026 podcast

Howard.

What are we thinking about on today's episode?

Okay, well I actually like this one.

This was sent to us from a friend of the show and a listener named

Ella Damiano?

So she proposed a thing that we do without evidence is recommending excision or biopsy of Bartholomew Gland cysts in patients over forty years old.

So she really went down the rabbit hole on this one, didn't she?

Where is the a rid like ground zero?

Yeah.

While I aspire to this level of nerd.

Yeah.

Well, forty is a pretty conservative number if the actual peak incidence is from age fifty-three to fifty-seven.

And it seems

Very arbitrary.

So my first question here is what would be the number needed to treat?

So in this case, biopsy.

To detect a single case of Barthland Glam carcinoma.

when you're taking t patients from age forty and up that have this

So let's say a forty year old, forty one year old who comes in with a fluid filled vulvarcyst.

It's gonna be a very high number needed to treat.

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