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    Obstetrics and Gynaecology often abbreviated to ob/gyn, O&G or Obs &
    Gynae are the two surgical specialties dealing with the female reproductive
    organs, and as such are often combined to form a single medical
    speciality and postgraduate training program.

    This combined training prepares the practicing bo/gyn to be adept at the
    surgical management of the entire scope of clinical pathology involving
    female reproductive organs, and to provide care for both pregnant and
    non pregnant patients.

    In rural areas of the United States, particularly in areas west of the
    Mississippi River, it is not uncommon for general practitioners to offer
    obstetrical services to their patients. These generalists are most often not
    trained in the surgical aspects of obstetrics, nor have they been trained in
    gynaecology, and as such, they should not be confused with residency
    trained and board certified ob/gyns.

    All obstetricians, therefore, are trained gynaecologists, although the reverse
    is not necessarily true. some ob/gyns may choose to drop the obstetric
    component of their practice and focus solely on gynaecology, especially as
    they get older.

    This decision is often based on the double burden of very late hours and,
    depending on the country, high rates of litigation. A new kind of medical spa
    has just opened in New York City a gyno spa devoted to the art of Kegels
    so that you're toned and physically fit inside and out. Dr. Lauri Romanzi, a
    gynecologist who performs pelvic reconstruction surgery, has opened Phit
    on West 58th St.

    It may be called a spa, according to an article in The New York Times,
    but it's essentially a gussied up examination room down the hall from
    Dr. Romanzi’s medical practice.The signature treatment will be a $150
    gynecological exam called Kegel Phitness where you contract your pelvic
    muscles around Dr. Romanzi’s finger so she can determine your muscle tone
    weak, moderate or strong. She offers personal training with biofeedback, at
    home Kegel programs, and if all else fails, vaginal tightening surgery.

    The idea is to make it very easy for women to come in and know their pelvic
    fitness, said Dr. Romanzi, who is a clinical associate professor of gynecology
    at NewYork Presbyterian Cornell hospital.

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