Pearls of Exxcellence

The Foundation for Exxcellence oversees a collaboration between ABOG and SASGOG which allows the most challenging topics from the oral exams to be reviewed by the Pearls Editorial Board.  The Editorial Board then generates and maintains the Pearls articles to help candidates for the certifying (oral) examinations to ensure adequate knowledge in these areas.  A short review and references will be posted periodically.  The Editorial Board continuously reviews, reaffirms and/or revises the library of articles.

The Society for Acedemic Specialists in General Obstetrics and Gynecology


Notice Regarding Use

** The Foundation for Exxcellence is committed to accuracy and will review and validate all Pearls on an ongoing basis to reflect current practice.

These documents are designed to aid practitioners in providing appropriate obstetric and gynecologic care. Recommendations are derived from major society guidelines and high quality evidence when available, supplemented by the opinion of the author and editorial board when necessary. It should not be construed as dictating an exclusive course of treatment or procedure to be followed.

Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. The Foundation for Exxcellence in Women's Health, Inc. reviews the articles regularly; however, these publications may not reflect the most recent evidence. While we make every effort to present accurate and reliable information, the publications are provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. The Foundation does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither The Foundation, the ABOG, SASGOG nor their respective officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.


  Date Title Category Author
3/1/2019 Endometrial Ablation Gynecology Sara Whetstone, MD, MHS
1/1/2019 Intrahepatic Cholestasis of Pregnancy Obstetrics Shelby Dickison, MD
1/1/2019 Management of Prolonged Latent Phase Obstetrics Callie Bauer, DO, FACOG
12/1/2018 Laparoscopic Sterilization Gynecology Tera Howard, MD
12/1/2018 Management of Late Term Pregnancy Obstetrics Jennifer Salcedo, MD, MPH, MPP
11/1/2018 Evaluation and Management of Bleeding in Perimenopausal Women Office Practice Corrine Bazella, MD
11/1/2018 Laparoscopic Port Site Hernias Gynecology Nicole Scott, MD, FACOG
10/1/2018 Management of pelvic pain after negative diagnostic laparoscopy Gynecology Michael Breen, MD, FACOG
10/1/2018 Fluid Management at Hysteroscopy Gynecology Michelle Meglin, MD
9/1/2018 Management of Preeclampsia at Term Obstetrics Maria Shaker, MD
9/1/2018 Evaluation and Management of an Ovarian Mass in a Patient with a Family History of Ovarian Cancer Gynecology Christina Wallace Huff, M.D.
8/1/2018 Management of Brow, Face, and Compound Malpresentations Obstetrics Meera Kesavan, MD
8/1/2018 Vaginal Squamous Intraepithelial Lesions Office Practice Christine Conageski, MD
7/1/2018 Management of Hirsutism in a PCOS Patient Office Practice Camille A. Clare, MD, MPH
6/1/2018 Evaluation and Management of Ruptured Membranes with Amnionitis at Term Obstetrics Katie Shvartsman, MD
5/1/2018 Ultrasound Markers for Down Syndrome Obstetrics Meaghan Shanahan, MD
4/1/2018 Glycemic Control in Diabetic Patients Undergoing Gynecologic Surgery Gynecology Joseph Peterson, MD
4/1/2018 Prevention of Complications in Women with Diabetes Undergoing Surgery Gynecology Tara E. Kelly, MD
3/1/2018 Surgery in Morbidly Obese Patients Gynecology Bani M. Ratan, MD
3/1/2018 Hysteroscopic Bowel Injury Gynecology Makeba Williams, MD, FACOG. NCMP
2/1/2018 Evaluation of Preeclampsia at Term Obstetrics Cynthie K. Anderson, MD, MPH
1/1/2018 Abnormal Uterine Bleeding in Adolescents Office Practice Nyima Ali, M.D.
1/1/2018 Complications of Pessary Use Office Practice William Po, M.D., FACOG
12/1/2017 Pertussis in Pregnancy Obstetrics Sarah Shaffer, DO
11/1/2017 The Management of Borderline Ovarian Tumors in Young Nulliparous Women Gynecology Erica L. Berry D.O., FACOG
10/1/2017 Surgical Management of Women with Chronic Obstructive Airway Disease and Asthma Gynecology Roopina Sangha, M.D., MPH
9/1/2017 Management of Placenta Accreta at Delivery Obstetrics Anjali Martinez, MD
8/1/2017 Infertility in patients with PCOS Office Practice Loriana Soma, MD
7/1/2017 Lynch Syndrome Office Practice Janeen Arbuckle M.D., PhD
6/1/2017 Postpartum Hemorrhage from Atony Unresponsive to First Line Uterotonics Obstetrics Efua Leke, MD
5/1/2017 Contraception in Women with Diabetes Office Practice Jane S. Limmer, MD
4/1/2017 Trial of Labor after Cesarean (TOLAC) Obstetrics Sarah Shaffer, DO
3/1/2017 Contraception for Women with Migraines Office Practice Abbey Hardy-Fairbanks, MD
2/1/2017 Overactive Bladder Office Practice Julie DeCesare, MD
1/18/2017 Contraception in Women with Cardiovascular Risk Factors Office Practice Margaret M. Boozer, MD
1/18/2017 Contraception in Women with Lupus Office Practice Jennifer M. Keller, MD
1/18/2017 Hormonal Contraception in Women Taking Medications with Potential Drug Interactions Office Practice Camaryn Chrisman-Robbins, MD
1/1/2017 Surgical Management of Women with Hypertension Gynecology Mostafa Borahay, MBBS
12/1/2016 Clostridium Difficile Colitis Gynecology Larry J. Copeland, MD
10/1/2016 Management of Symptomatic Polyhydramnios Obstetrics Jane S. Limmer, MD
9/1/2016 Minor Red Cell Antigens and Fetal Hemolytic Anemia Obstetrics Patricia A. Smith, MD
8/1/2016 Cytomegalovirus Infection in Pregnancy Obstetrics Michael Adler, MD
7/1/2016 Monochorionic Twins Obstetrics Sharon L. Seidel, MD
6/1/2016 Hyperthyroidism in Pregnancy Obstetrics Helen R. Dunnington, MD
5/4/2016 Antepartum Management of Dichorionic/Diamniotic Twins Obstetrics Marygrace Elson, MD
5/4/2016 Management of the Breech Presenting at the Introitus Obstetrics Joseph E. Peterson, MD
5/4/2016 Management of Twin Delivery Obstetrics Holly-Marie Bolger, DO
4/1/2016 Management of Vaginal Cysts Office Practice Sarah Shaffer, DO
3/1/2016 Management of Second Trimester Fetal Loss Obstetrics Vanessa Torbenson, MD
3/1/2016 Management of Large Rectoceles in Geriatric Patients Gynecology Anne Garrison, MD
2/1/2016 Management of Fetal Demise caused by Abruption at Term Obstetrics Shari M. Lawson, MD
2/1/2016 Post-pill Amenorrhea Office Practice Ahn T. Nguyen, MD
1/1/2016 Evaluation of Stress Urinary Incontinence Office Practice William D. Po, MD
1/1/2016 Surgical Management of Stress Urinary Incontinence Gynecology Anitra D. Beasley MD, MPH
1/1/2016 Non-surgical Management of Stress Urinary Incontinence Office Practice Natalie A. Bowersox, MD
12/1/2015 Management of Postoperative Ileus Gynecology Sarah M. Appleton, MD
12/1/2015 Perioperative Management of Anticoagulation in Gynecologic Patients Gynecology Christopher M. Zahn, MD
12/1/2015 Postmenopausal Bleeding in a Woman with a Stenotic Cervix Gynecology Rebecca Jackson, MD
12/1/2015 Sepsis Obstetrics Anita P. Tamirisa, MD
11/1/2015 Complications of TVT and TOT Gynecology Aaron E. Goldberg, MD
11/1/2015 Trichomonas, Gonorrhea, and Chlamydia in Pregnancy Obstetrics Meredith J. Alston, MD
11/1/2015 Postpartum Eclampsia Obstetrics Maryam Siddiqui, MD
11/1/2015 Management of Primary and Recurrent HSV 2 Vulvar Infections Office Practice Rajiv B. Gala, MD
10/1/2015 Contraception in Women with Thromboembolism and Thrombophilia Office Practice Frances Casey, MD
10/1/2015 Metabolic Syndrome Office Practice Anitra D. Beasley, MD
10/1/2015 Fecal Incontinence Office Practice Catherine A. Matthews, MD
10/1/2015 Evaluation of the Adnexal Mass in an Older Woman Office Practice Todd R. Griffin, MD
9/2/2015 Management of Adnexal Masses in Pregnancy Obstetrics Patricia S. Huguelet, MD
9/1/2015 Management of Persistent and Recurrent Trichomonas Office Practice Christine R. Isaacs, MD
9/1/2015 Management of Women on Hormonal Therapy or Contraception in Women Undergoing Surgery Office Practice Amanda Murchison, MD
8/28/2015 Postmenopausal Vulvar Disorders Office Practice Elizabeth A. Ferries-Rowe, MD
8/1/2015 Cystic Breast Masses in Young Women Office Practice Ashley Wright, MD
7/1/2015 Neonatal Encephalopathy and Cerebral Palsy Obstetrics Moune Jabre, MD
1/1/2015 Management of a Patient who has Suffered Domestic Violence Office Practice Marygrace Elson, MD
12/1/2014 Evaluation and Management of a 4th Degree Laceration Obstetrics Camaryn Chrisman-Robbins, MD
11/1/2014 Evaluation of Dyspnea and Management of Pulmonary Embolism after Surgery Gynecology Sabrina N. Wyatt, MD
10/1/2014 Management of Grade 1 Adenocarcinoma of the Endometrium Gynecology Anitra D. Beasley, MD
8/1/2014 Evaluation of Postmenopausal Vaginal Bleeding Office Practice A. Savage, MD
7/1/2014 Management of Wound Complications of Cesarean Delivery Obstetrics William D. Po, MD
5/1/2014 Management of Evisceration of the Vaginal Cuff Gynecology Aaron Goldberg, MD
4/1/2014 Management of Women with Multiple Fibroids who are Attempting Pregnancy Office Practice Daniel Breitkopf, MD
3/1/2014 Fetal Heart Rate Baseline Abnormalities: Bradycardia Obstetrics Adam Sandlin, MD and Paul Wendel, MD
2/1/2014 Perforation with Uterine Sound and Suction Cannula during a D&C Gynecology Eugene C. Toy, MD
1/1/2014 Diagnosis and Management of Cervical Ectopic Pregnancy Gynecology Paula Amato, MD
11/1/2013 Proximal Tubal Occlusion Office Practice Daniel R. Grow, MD
7/1/2013 Evaluation of Anemia in Pregnancy Obstetrics Julie L. Hansen, MD
6/1/2013 Ongoing Care of a Woman with Breast Cancer on an Aromatase Inhibitor Office Practice Stephanie V. Blank, MD
5/1/2013 Management of Broad Ligament Extension and Hematoma during a Cesarean Delivery Obstetrics Paul J. Wendel, MD
4/1/2013 Amniotic Fluid Embolism Obstetrics Mari-Paule Thiet, MD
3/1/2013 Management of Bilateral Tubo-Ovarian Abscesses in Young Nulligravida Gynecology May Blanchard, MD
2/1/2013 Management of a Lost Pedicle At the Time of a Vaginal Hysterectomy Gynecology Eugene C. Toy, MD
1/1/2013 Management of Atypical Glandular Cells Office Practice Andrew W. Menzin, MD
12/1/2012 Hematoma after Delivery Obstetrics Theodore Barrett, MD
10/1/2012 Management of Breakdown of Obstetrical Anal Sphincter Repairs Obstetrics Rebecca G. Rogers, MD
9/1/2012 Complications of Varicella Infection in the Third Trimester Obstetrics Deborah A. Driscoll, MD
7/1/2012 Management of Lateral Uterine Perforation at the Time of Hysteroscopy Gynecology Jeffrey M. Rothenberg, MD
6/1/2012 Management of Ureteral Injuries Gynecology Larry J. Copeland, MD
4/1/2012 Hyperprolactinemia Office Practice Paula J. Hillard, MD
2/1/2012 Avoiding Trocar Injuries Associated with Laparoscopic Surgery Gynecology David E. Soper, MD
1/1/2012 Surgical Management of Endometriosis Gynecology Robert S. Schenken, MD
12/1/2011 Singleton Breech Presentation Obstetrics Amy Burkett, MD
10/1/2011 Antepartum Management of Vasa Previa Obstetrics L. Chesney Thompson, MD
9/1/2011 Management of Pregnancy with ABO Incompatibility Obstetrics Michael T. Mennuti, MD
8/1/2011 Desired Pregnancy after Essure Placement Obstetrics Roger Smith, MD
7/1/2011 Management of Placenta Accreta Diagnosed at 20 Weeks Obstetrics Roger Smith, MD
5/1/2011 Hypothyroidism Office Practice Frank W. Ling, MD
3/1/2011 Primary Amenorrhea in a Teenager Office Practice Priya B. Maseelall, MD
2/1/2011 Management of Urethral Diverticula Gynecology Philip J. DiSaia, MD
9/1/2010 Management of Adnexal Cysts Office Practice Vivian E. von Gruenigen, MD
6/1/2010 Elevated Maternal Serum AFP (MSAFP) at 16 Weeks Obstetrics Michael T. Mennuti, MD
5/1/2010 Management of Paget Disease of the Vulva Office Practice Philip J. DiSaia, MD
4/1/2010 Anemia in Pregnancy with Normal Iron Studies Obstetrics Michael T. Mennuti, MD
1/1/2010 Management of a Thyroid Nodule Office Practice Nanette F. Santoro, MD
12/1/2009 Postoperative Urinary Fistulae Gynecology Larry J. Copeland, MD
10/1/2009 Postpartum Perineal Pain Obstetrics Frank W. Ling, MD
9/1/2009 Complications of Gynecologic Laparoscopic Surgery Gynecology Robert S. Schenken, MD
5/1/2009 Adnexal Masses in Adolescents Gynecology Robert S. Schenken, MD
3/1/2009 Fetal Ventral Abdominal Wall Defects Obstetrics Ralph K. Tamura, MD
1/1/2009 Nonimmune Hydrops Fetalis Obstetrics Ralph K. Tamura, MD
10/1/2008 Toxoplasmosis Obstetrics Michael L. Socol, MD
10/1/2008 Parvovirus Obstetrics Michael L. Socol, MD