The field of reproductive medicine is about much more than in vitro fertilization (IVF) or intrauterine insemination. Patients may require surgery for an array of uterine conditions, including fibroids, polyps, chronic endometritis, and Asherman’s disease. The good news is that many of these procedures, including a hysteroscopy, can now be done as outpatient procedures in the doctor’s office, making it more comfortable, less intimidating, and often less expensive than in the hospital.
In this episode, John Preston Parry, M.D., fertility specialist and director of Positive Steps Fertility, joins host Mark P. Trolice, M.D., to breakdown when women would need a hysteroscopy and how it is performed. Dr. Parry also discusses other diagnostic and operative procedures to detect and treat uterine conditions affecting a woman’s fertility.
Tune in to discover:
- What a hysteroscopy is and why it is performed
- The differences between hysteroscopy and laparoscopy
- The drawbacks of a hysterosalpingogram (HSG)
- Why women get less accurate, more painful OB-GYN care as a result of disparities in access to technology
- A breakdown of different uterine conditions that can cause infertility and the procedures to treat them
About John Preston Parry, MD
Dr. Parry is an American Board of Obstetrics and Gynecology certified reproductive endocrinologist, who is passionate about building families, fertility, hysteroscopy, and advancing women’s health.
Dr. Parry was a triple-major undergraduate at Cornell University in Chemistry, History, and Biology. He then went to Columbia University for a post-baccalaureate and a master’s in public health with emphases on clinical study design, epidemiology, and virology, and which led to a publication in the New England Journal of Medicine by age 25. This was followed by medical school at New York Medical College, a residency at Tufts, and an REI fellowship at the University of Louisville.
After training, Dr. Parry went to the University of Wisconsin, Madison, where he was associate residency director. Two years out of fellowship, he went to the University of Mississippi to become Division Chief for their REI program. After six years, he left to start Positive Steps Fertility and Parryscope Fertility, where he continues to practice.
Among other roles, Dr. Parry is secretary/treasurer for the Mississippi Chapter of the American College of Obstetrics and Gynecology. He is on the coding and technology committees for the American Society for Reproductive Medicine. He is also a board member for the Society of Reproductive Surgeons, overseeing the website and literature reviews for the society, as well as helping coordinate hysteroscopy education for fellows by the society. In October 2018, the live telesurgery at the ASRM annual meeting focused on state of the art for office hysteroscopy and was broadcast from Dr. Parry’s office. Finally, and for disclosures, Dr. Parry is the inventor of and has intellectual property rights relating to the Parryscope approach as a way of fusing ultrasound with hysteroscopy for gentle, accurate, safe, and fast single visit fertility testing.
About Mark P. Trolice, M.D.
Mark P. Trolice, M.D., FACOG, FACS, FACE is Director of Fertility CARE: The IVF Center in Winter Park, Florida and Associate Professor of Obstetrics & Gynecology (OB/GYN) at the University of Central Florida College of Medicine in Orlando responsible for the medical education of OB/GYN residents and medical students as well as Medical Endocrinology fellows. He is past President of the Florida Society of Reproductive Endocrinology & Infertility (REI) and past Division Director of REI at Winnie Palmer Hospital, part of Orlando Health.
He is double board certified in REI and OB/GYN, maintains annual recertification, and has been awarded the American Medical Association’s “Physicians’ Recognition Award” annually. He holds the unique distinction of being a Fellow in all three American Colleges of OB/GYN, of Surgeons, and of Endocrinology. His colleagues select him as Top Doctor in America® annually, one among the top 5% of doctors in the U.S. In 2018, he was awarded the “Social Responsibility Award” by the National Polycystic Ovary Syndrome Association. For ten years his foundation, Fertile Dreams, organized seminars to increase fertility awareness and granted national scholarships for those unable to afford in vitro fertilization (IVF) treatment.
Dr. Trolice serves on committees for the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology as well as the editorial advisory board of Ob.Gyn.News. He has conducted scientific studies with resultant numerous publications and been appointed a reviewer in many leading medical journals and textbooks. He has lectured at numerous physician and patient seminars around the country. In addition, he is interviewed regularly on TV news/talk shows, radio, podcasts, print/online magazines and newspapers on reproductive health topics. His current book is on the Infertility journey to be published by Harvard Common Press in mid-2019.