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Women's Health

Gynecology research

Studies I can join

Management of Canadian women with uterine fibroids, a patient registry

Uterine fibroids have been found to affect a large number of women, especially those who are 50 years and older. The symptoms can include heavy, prolonged menstrual bleeding, pelvic pressure or pain and reproductive dysfunction. Women with uterine fibroids usually take many pain killers and must have more frequent doctors’ visits. Despite how common uterine fibroids are, there is little information about the treatment of symptoms in women and their preference in treatment, across Canada.

In this study we are describing treatment options available to women who have been diagnosed with uterine fibroids. We’re also learning about women’s preferences and satisfaction with different types of treatments to manage their symptoms. The study team will also examine the risks and benefits of medical procedures that can help improve treatment options for those living with uterine fibroids.

If you are a woman attending St. Michael's hospital for gynecological care and you have been diagnosed with uterine fibroids, you may qualify for this research study. Please contact the research team for more details.

Making gynecological examination more comfortable for patients

Pelvic examination using a speculum is common practice during gynecology procedures, such as a PAP test. Examination of the vagina and cervix (lower part of the uterus), is part of the usual care of female patients. It is the goal of the physician to minimize the discomfort associated with any kind of examination, especially if it is performed on a regular basis. Reducing patient discomfort during speculum examination may improve medical care, including screening for cervical cancer or sexually transmitted infections.

In this study, we are comparing two different types of speculum insertion to find out from our patients, what their level of comfort is. We will compare the straight horizontal insertion of the speculum and the vertical insertion and rotation. Both of these methods of speculum insertion are currently used in clinical practice based on the doctor’s personal preference.

If you are attending St. Michael's Hospital for gynecological care, you may qualify for this research study. Please contact the research team for more details.

Improving OR performance through video feedback

Time delays can occur during any operating room procedure. The team working in the operating room (OR) includes nurses, technicians and physicians. Recording the laparoscopic procedure in the OR and then reviewing these videos can help us improve OR efficiency, such as decreasing waiting time for patients and helping to improve patient flow so that the next surgery can easily occur as scheduled.

In this study, the view of the laparoscopic camera is video-recorded throughout the procedure as part of routine care.  Views of the entire operating room will also be video-recorded once the OR team has entered the room, using a camera that is in a fixed location in the OR. Environmental factors are also recorded such as the room temperature and sound level. The patient’s privacy is protected as videos have no names.

If you are attending St. Michael's Hospital for an elective laparoscopic surgery, you may qualify for this research study. Please contact the research team for more details.