Micah T. Mathai, MD

01/17/2026

Don't let anyone tell you, it's "normal" and it's "just your period". Endometriosis can be debilitating. Unfortunately, at this time, all we have are hormone suppression and surgery. One day - we'll find a marker to target these specific lesion with a drug that will take away all the pain you suffer from. These are some path reports from excision surgeries done the past 2 weeks.

01/16/2026

AJOG announces the Cesarean Delivery Supplement: Cesarean delivery has evolved from an operation of last resort to the most frequently performed major surgical procedure worldwide, with nearly 29 million births each year. Advances in anesthesia, surgical technique, and perioperative care have greatly improved safety, yet the expansion of cesarean delivery raises complex clinical, psychological, and societal questions. This article introduces the American Journal of Obstetrics and Gynecology (AJOG) supplement “Cesarean Delivery”, which assembles expert reviews, clinical opinions, original research, clinical trials, and perspectives addressing key aspects of this transformation. Topics include preoperative ultrasound to guide incision planning, evolving methods of uterine closure, Enhanced Recovery After Surgery (ERAS) guidelines, management of complex cases such as placenta accreta, and the prevention of infection, hemorrhage, and thromboembolism. This issue introduces a new quality index that evaluates outcomes for the maternal–newborn dyad, integrating cesarean rate with both maternal and neonatal outcomes to provide a more meaningful measure of obstetric performance. Psychological sequelae such as post-traumatic stress disorder and postpartum depression, and neonatal consequences of elective and preterm cesarean deliveries are also discussed. Collectively, these contributions redefine cesarean delivery as part of an integrated continuum of care—one that values surgical technique, maternal and infant outcomes, and the ethical balance between safety and autonomy. www.ajog.org

11/30/2025

Here is a list of >1,000 Gynecologists who will perform a tubal sterilization without fighting you, curated by OBGYN Paging Dr. Fran.

11/29/2025

With whooping cough cases on the rise, your strong vaccine recommendation matters. Episode 2 of the explores co-administration strategies, approaches to overcoming vaccine hesitancy, preparing pregnant patients for respiratory illness season, and more: bit.ly/47CvdSZ

10/26/2025

AJOG Expert Review: Pelvic floor injury during vaginal birth is life-altering and preventable: what can we do about it? Circumferential and downward levator ani and nerve stretch during birth https://ow.ly/t6gU50R3Wx3

10/18/2025

ACOG’s new Clinical Practice Update on bacterial vaginosis (BV) treatment explores new data and increasing evidence supporting the efficacy of sexual partner therapy in reducing recurrences of BV. Learn more: https://bit.ly/4qgja4X

09/22/2025

Now what has been proven to be dangerous in pregnancy is untreated sustained fevers.

ACOG reaffirms the safety and benefits of acetaminophen use during pregnancy.
More than two decades of research have found no causal link between acetaminophen use during pregnancy and autism, ADHD, or intellectual disability in children. Acetaminophen continues to be an important and safe option for managing pain and fever in pregnancy—conditions that can pose serious risks to pregnant patients and their fetuses if left untreated. Learn more about acetaminophen use during pregnancy: https://bit.ly/4mqIzWr

09/20/2025

"Most people imagine hospitals at night as quiet places, lights dimmed, corridors hushed. Labor and Delivery is rarely like that. Even when the unit seems calm, it’s an uneasy calm—because we know it can change in an instant."

A night in Labor & Delivery through the eyes of an obstetrician

09/09/2025

"There is no consistent evidence that antenatal corticosteroids are associated with an increased risk of impaired childhood neurodevelopment among studies with a strong design to control for confounding."

Read the full study for free at: https://buff.ly/2c5VMu4

08/26/2025

A scientist is helping uncover the role of the immune system in endometriosis—while managing the disease herself.

Learn more: https://scim.ag/4lIfl5e

08/23/2025

The American College of Obstetricians and Gynecologists (ACOG) released updated clinical guidance regarding vaccination during pregnancy against COVID-19, influenza, and RSV. The three guidance documents, all of which recommend maternal immunization, lay out the full body of current scientific evidence that underscores the safety and benefits of choosing to be vaccinated against these respiratory conditions during pregnancy.

Today, ACOG released updated clinical guidance regarding vaccination during pregnancy against COVID-19, influenza, and RSV.

08/02/2025

Best way to a healthy baby is a healthy mom.