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BackTable Women's Health

BackTable Women's Health

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The go-to podcast for OBGYNs, gynecologic surgeons, and healthcare professionals focused on women's health. Tune in every week for practical, physician-led conversations on common and complex clinical topics in women's health. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field.All rights reserved. Hygiene & gesundes Leben
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  • Ep. 136 Managing Adnexal Masses in GYN Practice with Dr. Mona Guo and Dr. Marcia Ciccone

    Ep. 136 Managing Adnexal Masses in GYN Practice with Dr. Mona Guo and Dr. Marcia Ciccone
    Oct 13 2026
    It is 4:50 on a Friday, and an ultrasound report lands in your inbox: six centimeter complex right ovarian mass, neoplasm cannot be excluded. What happens next? On this episode of BackTable Women’s Health, Dr. Mona Guo and Dr. Marcia Ciccone team up to discuss how general obstetrician gynecologists should evaluate, follow, and operate on adnexal masses and when to refer to gynecologic oncology. They walk through reading the imaging yourself, understanding what “complex” means on a report, ultrasound features and O-RADS, tumor marker selection, and when an MRI adds value beyond ultrasound. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:57 - Incidental Ultrasound Report on a Friday Afternoon05:57 - Ultrasound Features, ACOG Bulletins and O-RADS08:44 - Red Flag Findings and Urgent Evaluation10:58 - Tumor Marker Selection and the Limits of CA 12514:31 - Markers by Age, Tumor Type and New Assays in Development19:38 - When MRI Adds Value23:15 - Surveillance Versus Surgery27:05 - Cystectomy, Oophorectomy and the Consent Conversation31:10 - Preventing Rupture and Containing the Specimen35:42 - Closing Remarks --- More about this episode The conversation separates true emergencies like torsion, hemorrhage, and abscess from imaging findings that require faster evaluation, then breaks down the tumor marker panel, including the limits of CA 125, the value of hormonal and GI markers, and how thresholds shift by age and presentation. They review evidence supporting surveillance of simple cysts under ten centimeters, surgical choices between cystectomy and oophorectomy, and the consent and extraction plans that prevent upstaging from a cyst rupture. The episode closes with practical pearls for preventing spill, managing tubo-ovarian abscess, and the value of a quick call to a colleague when the next step is unclear. --- Resources ACOG Practice Bulletin No. 174: Evaluation and Management of Adnexal Masses. Obstet Gynecol. 2016https://doi.org/10.1097/AOG.0000000000001768 Andreotti RF, et al. O-RADS US Risk Stratification and Management System: A Consensus Guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology. 2020https://doi.org/10.1148/radiol.2019191150 ACR Ovarian-Adnexal Reporting and Data System (O-RADS)https://www.acr.org/Clinical-Resources/Clinical-Tools-and-Reference/Reporting-and-Data-Systems/O-Rads Modesitt SC, et al. Risk of malignancy in unilocular ovarian cystic tumors less than 10 centimeters in diameter. Obstet Gynecol. 2003https://doi.org/10.1016/s0029-7844(03)00670-7 Im SS, et al. Validation of referral guidelines for women with pelvic masses. Obstet Gynecol. 2005https://doi.org/10.1097/01.AOG.0000149159.69560.ef Society of Gynecologic Oncologyhttps://www.sgo.org Moore RG, et al. Assessing the risk of ovarian malignancy algorithm for the conservative management of women with a pelvic mass. Gynecol Oncol. 2015https://doi.org/10.1016/j.ygyno.2015.09.010 Widschwendter M, Salhia B, et al. OvaPrint, A Cell-free DNA Methylation Liquid Biopsy for the Risk Assessment of High-grade Serous Ovarian Cancer. Clin Cancer Res. 2023https://doi.org/10.1158/1078-0432.CCR-23-1197 Dr. Bodour Salhia, Keck School of Medicine of USChttps://keck.usc.edu/faculty-search/bodour-salhia/ Dr. Mona Guo, Keck Medicine of USChttps://keck.usc.edu/faculty-search/xiaoyue-mona-guo Dr. Mona Guo, BackTable contributor pagehttps://www.backtable.com/shows/obgyn/contributors/dr-mona-guo Dr. Marcia Ciccone, Keck Medicine of USChttps://keck.usc.edu/faculty-search/marcia-ciccone/ Dr. Marcia Ciccone, BackTable contributor pagehttps://www.backtable.com/shows/obgyn/contributors/dr-marcia-ciccone --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women’s health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    39 Min.
  • Ep. 135 Building the Career You Want in OB/GYN with Dr. Chitra Akileswaran

    Ep. 135 Building the Career You Want in OB/GYN with Dr. Chitra Akileswaran
    Sep 29 2026
    What does it take to design a career in medicine that truly fits your values, your life, and your goals? On this episode of BackTable Women’s Health, Dr. Nicole Faulkner welcomes Dr. Chitra Akileswaran, board-certified OBGYN and founder of Avaiyar Private Care, for a candid discussion on building a career that breaks the mold. Dr. Akileswaran traces her path from global public health and a joint MD-MBA to leadership in county health systems, digital health startups, and now direct pay practice, sharing how each chapter reflected her changing priorities. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction06:19 - Public Health and Global Work10:33 - Residency and Early Career Choices15:04 - Founding a Digital Health Company19:48 - Ambulatory Operations Leadership24:36 - Leading a County Medical Group29:32 - Physician Needs and Retention34:25 - Physician Compensation Overhaul41:47 - Physician Unionization and Employment46:25 - Pregnancy Loss and Perspective49:09 - Launching a Direct Pay Practice57:10 - Mentorship in Private Practice01:03:28 - Closing Remarks --- More about this episode The conversation explores lessons learned leading hundreds of physicians, overhauling compensation and benefits, and navigating unionization and administrative change. Dr. Akileswaran speaks openly about personal milestones, including pregnancy loss, and how it drove her to redesign her life and practice. Topics include mentorship, apprenticeship, work-life integration, and the practical steps and mindset shifts needed to carve out a fulfilling, sustainable career in medicine. --- Resources Avaiyar Private Care, Dr. Akileswaran's direct pay OBGYN practicehttps://avaiyarprivatecare.com/Cleo, the digital health company she co-foundedhttps://hicleo.com/ ACOG Well-Being and Physician Support Resourceshttps://www.acog.org/career-support/well-being AMA Physician Practice Benchmark Survey: Smaller Share of Doctors in Private Practice Than Ever Beforehttps://www.ama-assn.org/practice-management/private-practices/smaller-share-doctors-private-practice-ever MGMA Provider Compensation Data Reports, the benchmarking source referenced on airhttps://www.mgma.com/mgma-data-reports Dr. Chitra Akileswaran, UCSF OBGYN Residency Alumni Profilehttps://obgyn.ucsf.edu/residency-program/chitra-akileswaran-md-mba --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women’s health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    1 Std. und 4 Min.
  • Ep. 134 Shared Decision-Making in Overactive Bladder Care with Dr. Jannah Thompson

    Ep. 134 Shared Decision-Making in Overactive Bladder Care with Dr. Jannah Thompson
    Sep 15 2026
    Can shared decision-making and patient support change the treatment journey for overactive bladder? On this episode of BackTable Urology, host Dr. Suzette Sutherland and OAB expert Dr. Jannah Thompson discuss how patient education, clear counseling, and ongoing follow-up improve care for patients with overactive bladder and urge incontinence. They cover practical strategies for building an effective OAB care pathway, staff training for better patient navigation, and proactive approaches that increase adherence and access to advanced therapies. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Medtronic Pelvic Healthhttps://urgencyisreal.com/ --- Timestamps 00:00 - Introduction04:00 - Shared Decision-Making06:51 - Clinic Efficiency10:38 - Expanding OAB Therapy Options12:27 - Long-Term OAB Care17:41 - Building an OAB Program18:18 - Staff Training and Follow-Up25:32 - OAB Navigator Implementation27:14 - Navigation Outcomes28:39 - Scaling with Staff and Epic30:35 - Algorithm Resources34:08 - Neuromodulation Advances38:37 - New Tibial and Battery-Free Devices40:56 - Quality of Life in OAB Care46:11 - Access and Adoption51:22 - Streamlining Therapy Discussions52:47 - Closing Remarks --- More about this episode The conversation explores the diverse landscape of OAB treatment options, the evolving role of neuromodulation, and how new technologies are enabling more personalized care. Dr. Thompson shares insights on empowering staff as part of the clinical team, leveraging patient navigators to boost follow-up and advanced therapy uptake, and the importance of integrating patient preferences and lifestyle factors into every decision. They emphasize that quality of life, not just symptom control, should be central to OAB management, and discuss how to engage patients as partners throughout their treatment journey. --- Resources Patient navigation for overactive bladder improves access to carehttps://link.springer.com/article/10.1007/s00192-019-04085-7 --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women’s health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
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    56 Min.
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