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Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Become a Member
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

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ACS

COVID-19 Guidelines for Triage of Gynecology Patients

Online March 24, 2020

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View the American College of Obstetrics and Gynecology website for COVID-19 recommendations.

Suggestions from Temple University for handling the scheduling of OB/Gyn surgical cases during COVID19 pandemic.

Emergency surgeries (no delay)

  • Ectopic pregnancy
  • Spontaneous abortion
  • Adnexal torsion
  • Rupture tubal-ovarian abscess
  • Tubal-ovarian abscess not responding to conservative therapy
  • Acute and severe vaginal bleeding
  • Cesarean section
  • Emergency cerclage of the cervix based on pelvic exam/ultrasound findings

Surgeries that if significantly delayed could cause significant harm.

  • Cancer or Suspected cancer
    • Ovarian, Tubal or Peritoneal cancer
    • Ovarian masses cancer is suspected
    • Endometrial cancer and endometrial intraepithelial neoplasia
    • Cervix cancer
    • Vulvar cancer
    • Vaginal cancer
    • Gestational Trophoblastic Neoplasia
  • Cerclage of the cervix to prevent premature delivery based on history
  • Pregnancy termination (for medical indication or patient request)

Surgeries that could be delayed for a few weeks

  • Chorionic villus sampling/amniocentesis (CVS is performed between 11 and 14 weeks of gestation; amniocentesis is performed 15-22 weeks of gestation)
  • D&C with or without hysteroscopy for abnormal uterine bleeding (pre- or postmenopausal) when cancer is suspected
  • Cervical conization or Loop Electro-Excision Procedure to exclude cancer
  • Excision of precancerous or possible cancerous lesions of the vulva

Surgeries that can be delayed several months

  • Sterilization procedures (e.g., salpingectomy)
  • Surgery for fibroids (sarcoma is not suspected)
    • Myomectomy
    • Hysterectomy
  • Surgery for endometriosis, pelvic pain
  • Surgery for adnexal masses that are most likely benign (e.g., dermoid cyst)
  • Surgery for pelvic floor prolapse
  • Surgery for urinary and/or fecal incontinence
  • Therapeutic D&C with or without hysteroscopy with or without endometrial ablation for abnormal uterine bleeding and cancer is not suspected
  • Cervical conization or Loop Electro-Excision Procedure for high grade squamous intraepithelial lesions
  • Infertility procedures (e.g., hysterosalpingograms, most elective embryo transfers)
  • Genital plastic surgery
  • Excision of condyloma acuminata (if cancer is not suspected)

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