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Fred Marion Howard, M.D.

Fred Marion Howard, M.D.

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Call Center (585) 276-3000

About Me

Dr. Howard is Associate Chair for Academic Affairs of Obstetrics and Gynecology, Director of the Division of Obstetric/Gynecologic Specialties, and Professor of Obstetrics & Gynecology. He earned his bachelors degree at Berea College in 1969, his masters degree at Purdue University in 1972, and his ...
Dr. Howard is Associate Chair for Academic Affairs of Obstetrics and Gynecology, Director of the Division of Obstetric/Gynecologic Specialties, and Professor of Obstetrics & Gynecology. He earned his bachelors degree at Berea College in 1969, his masters degree at Purdue University in 1972, and his medical degree at Vanderbilt University School of Medicine in 1976. He completed his residency in obstetrics and gynecology at Fitzsimons Army Medical Center in Colorado and served as a Major in the U.S. Army Medical Corps in Georgia and South Carolina. Dr. Howard was in private practice and on the faculties of the University of South Carolina Medical School and Medical University of South Carolina before moving to Rochester in 1991. He was Chief of Obstetrics and Gynecology at Rochester General Hospital, where he established the first center in upstate New York dedicated to the treatment of endometriosis and pelvic pain, prior to becoming a Division Director at Strong Memorial Hospital in May, 2000.
Dr. Howard is an internationally-recognized expert on chronic pelvic pain in women, and is senior editor of the textbook Pelvic Pain: Diagnosis and Management, published by Lippincott, Williams, and Wilkins. He is the author of numerous scientific papers on pelvic pain, endometriosis, and laparoscopic surgery. In collaborative research with his wife he has also co-authored scientific papers on breastfeeding and neonatal circumcision. His current primary areas of research interest are in gynecologic laparoscopic surgery and chronic pelvic pain in women.

Dr. Howard is certified by the American Board of Obstetrics and Gynecology, is a Fellow of the American College of Obstetricians and Gynecologists, and holds Certification in Advanced Operative Laparoscopy and Advanced Operative Hysteroscopy by the Accreditation Council for Gynecologic Endoscopy. He is Chairman of the board of directors of the International Pelvic Pain Society where he has served as president and vice president. He is on the Advisory Board of the American Association of Gynecologic Laparoscopists and the Editorial Board of the Journal of Minimally Invasive Gynecology.

Dr. Howard has received a number of honors and awards. He was awarded a National Faculty Award for Excellence in Resident Education in 1999 and 2007 by the Council on Resident Education in Obstetrics and Gynecology. He received the Excellence in Teaching Award from Rochester General Hospital Obstetrics and Gynecology Residency each year from 1995 to 2000. He was awarded the Association of Professors in Gynecology and Obstetrics APGO Excellence in Teaching Award in 1993. He received the Residents' Teaching Award from the department of Obstetrics ad Gynecology at the University of Rochester in 1992 and 1993. He is a member of the Alpha Omega Alpha Medical Honor Society.

Dr. Howard's practice is primarily a referral practice for the care of women with chronic pelvic pain or endometriosis, and for advanced operative laparoscopic surgery.

Current areas of clinical and research interest:
Gynecologic laparoscopic surgery and chronic pelvic pain women.

Faculty Appointments

Professor Emeritus - Department of Obstetrics and Gynecology (SMD)

Credentials

Education

MD | Vanderbilt Univ Sch Medicine. Medicine. 1976

MS | Purdue University. Biochemistry. 1972

BA | Berea College. Chemistry. 1969

Awards

Speaker of the Royal College of Physicians and Surgeons of Canada. 2006

Council on Resident Education in Obstetrics and Gynecology National Faculty Award. 2006 - 2007

Council on Resident Education in Obstetrics and Gynecology National Faculty Award for Excellence in Resident Education. 1999

Excellence in Teaching Award
Rochester General Hospital Obstetrics and Gynecology Residency 1999

Excellence in Teaching Award
Rochester General Hospital Obstetrics and Gynecology Residency 1998

Excellence in Teaching Award
Rochester General Hospital Obstetrics and Gynecology Residency 1997

Excellence in Teaching Award
Rochester General Hospital Obstetrics and Gynecology Residency 1996

Excellence in Teaching Award Rochester General Hospital Obstetrics and Gynecology Residency 1995

Association of Professors in Gynecology and Obstetrics APGO Excellence in Teaching Award. 1993

Residents' Teaching Award
Department of Obstetrics and Gynecology
University of Rochester School of Medicine and Dentistry 1992

Residents' Teaching Award
Department of Obstetrics and Gynecology
University of Rochester School of Medicine and Dentistry 1992

Outstanding Chief Resident Award
Fitzsimons Army Medical Center. 1980

Alpha Omega Alpha Medical Honor Society Vanderbilt University. 1975

Perley F. Ayer Memorial Award Berea College. 1968

Phi Kappa Phi Honor Society Berea College 1967

Austin Scholar Berea College 1967

Publications

Journal Articles

Contributions of physical and sexual abuse to women's experiences with chronic pelvic pain.

Poleshuck EL, Dworkin RH, Howard FM, Foster DC, Shields CG, Giles DE, Tu X

The Journal of reproductive medicine.. 2005 February 50 (2):91-100. Epub 1900 01 01.

Management of breastfeeding when the mother is ill.

Howard CR, Howard FM

Clinical obstetrics and gynecology.. 2004 September 47 (3):683-95. Epub 1900 01 01.

Randomized clinical trial of pacifier use and bottle-feeding or cupfeeding and their effect on breastfeeding.

Howard CR, Howard FM, Lanphear B, Eberly S, deBlieck EA, Oakes D, Lawrence RA

Pediatrics.. 2003 March 111 (3):511-8. Epub 1900 01 01.

Chronic pelvic pain.

Howard FM

Obstetrics and gynecology.. 2003 March 101 (3):594-611. Epub 1900 01 01.

The role of Laparoscopy in the chronic pelvic pain patient

Howard FM.

Clinical Obstet Gynecol. 2003; : 749-66.

Chronic Pelvic Pain in Women

Howard FM.

Amer J Managed Care. 2001; : 1001-13.

Transcervical or intraperitoneal analgesia for laparoscopic tubal sterilization: a randomized controlled trial.

Wrigley LC, Howard FM, Gabel D

Obstetrics and gynecology.. 2000 December 96 (6):895-8. Epub 1900 01 01.

Conscious pain mapping by laparoscopy in women with chronic pelvic pain.

Howard FM, El-Minawi AM, Sanchez RA

Obstetrics and gynecology.. 2000 December 96 (6):934-9. Epub 1900 01 01.

Gynaecological and obstetrical morbidity in women with type I von Willebrand disease: results of a patient survey.

Kouides PA, Phatak PD, Burkart P, Braggins C, Cox C, Bernstein Z, Belling L, Holmberg P, MacLaughlin W, Howard F

Haemophilia : the official journal of the World Federation of Hemophilia.. 2000 November 6 (6):643-8. Epub 1900 01 01.

Office prenatal formula advertising and its effect on breast-feeding patterns.

Howard C, Howard F, Lawrence R, Andresen E, DeBlieck E, Weitzman M

Obstetrics and gynecology.. 2000 February 95 (2):296-303. Epub 1900 01 01.

Adhesiolysis for pain relief

Howard FM.

Operative Techniques in Gynecologic Surgery. 2000; 5(1): 3-12.

An evidence-based medicine approach to treatment of endometriosis-associated chronic pelvic pain

Howard FM.

J Amer Assoc Gynecol Laparosc. 2000; : 477-88.

The role of laparoscopy as a diagnostic tool in chronic pelvic pain

Howard FM.

Bailliere's Best Practice & Research in Clinical Obstetrics & Gynaecology. 2000; : 467-94.

A randomized, controlled trial of a eutectic mixture of local anesthetic cream (lidocaine and prilocaine) versus penile nerve block for pain relief during circumcision.

Howard CR, Howard FM, Fortune K, Generelli P, Zolnoun D, tenHoopen C, deBlieck E

American journal of obstetrics and gynecology.. 1999 December 181 (6):1506-11. Epub 1900 01 01.

Physiologic stability of newborns during cup- and bottle-feeding.

Howard CR, de Blieck EA, ten Hoopen CB, Howard FM, Lanphear BP, Lawrence RA

Pediatrics.. 1999 November 104 (5 Pt 2):1204-7. Epub 1900 01 01.

Operative laparoscopic treatment of ovarian retention syndrome

El-Minawi A; Howard FM.

J Am Assoc Gynecol Laparosc. 1999; 3(6): 297-302.

The effects of early pacifier use on breastfeeding duration

Howard CR; Howard FM; Lanphear B; deBlieck EA; Eberly S; Lawrence RA.

Pediatrics. 1999; : e33.

Medical therapy for chronic pelvic pain

Howard FM.

Inf Reprod med Clin N A. 1999; : 743-63.

A survey of gynecologists' attitudes regarding decision making in the management of non-cancerous conditions that frequently result in hysterectomy.

Dolan JG, Howard FM

Medical decision making : an international journal of the Society for Medical Decision Making.. 1999 19 (2):186-92. Epub 1900 01 01.

Iliohypogastric nerve entrapment following gynecologic operative laparoscopy.

El-Minawi AM, Howard FM

Obstetrics and gynecology.. 1998 May 91 (5 Pt 2):871. Epub 1900 01 01.

Management of tubal prolapse after hysterectomy

Hernandez C; Howard FM.

J Am Assoc Gynecol Laparosc. 1998; 1(5): 59-62.

Neonatal circumcision and pain relief: current training practices

Howard CR; Howard FM; Garfunkel LC; de Blieck EA; Weitzman M.

Pediatrics. 1998; 3(101): 423-8.

Reaction of residents to a teaching collaborative practice.

Howard FM, Leppert PC

Journal of nurse-midwifery.. 1998 43 (1):38-40. Epub 1900 01 01.

Direct laparoscopic cannula insertion at the left upper quadrant

Howard FM; el-Minawi AM. DeLoach VE.

J Am Assoc Gynecol Laparosc. 1997; 5(4): 595-600.

Laparoscopic lateral ovarian transposition before radiation treatment of Hodgkin disease

Howard FM.

J Am Assoc Gynecol Laparosc. 1997; 5(4): 601-604.

Residents and nonphysician health care providers

Leppert PC; Howard FM.

Academic Medicine. 1997; 3(72): 161-2.

Discharge packs: how much do they matter?

Howard CR; Howard FM.

Birth. 1997; 2(24): 98-101.

Surgical management of benign cystic teratoma. Laparoscopy vs. laparotomy.

Howard FM

The Journal of reproductive medicine.. 1995 July 40 (7):495-9. Epub 1900 01 01.

Laparoscopic adnexal surgery during pregnancy.

Howard FM, Vill M

The Journal of the American Association of Gynecologic Laparoscopists.. 1994 November 2 (1):91-3. Epub 1900 01 01.

Antenatal formula advertising: another potential threat to breast-feeding.

Howard CR, Howard FM, Weitzman M, Lawrence R

Pediatrics.. 1994 July 94 (1):102-4. Epub 1900 01 01.

Omental herniation after operative laparoscopy. A case report.

Howard FM, Sweeney TR

The Journal of reproductive medicine.. 1994 May 39 (5):415-6. Epub 1900 01 01.

Acetaminophen analgesia in neonatal circumcision: the effect on pain.

Howard CR, Howard FM, Weitzman ML

Pediatrics.. 1994 April 93 (4):641-6. Epub 1900 01 01.

Infant formula distribution and advertising in pregnancy: a hospital survey.

Howard CR, Howard FM, Weitzman ML

Birth.. 1994 March 21 (1):14-9. Epub 1900 01 01.

Laparoscopic management of selected cystic adnexal masses in postmenopausal women: a multicentered study

Parker WH; Levine RL; Howard FM; Sansone B; Berek JS.

J Am Coll Surgeons. 1994; : 733-7.

The physician as advertiser: the unintentional discouragement of breast-feeding.

Howard FM, Howard CR, Weitzman M

Obstetrics and gynecology.. 1993 June 81 (6):1048-51. Epub 1900 01 01.

The role of laparoscopy in chronic pelvic pain: promise and pitfalls

Howard FM.

Obstet Gynecol Survey. 1993; : 357-87.

A comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy.

Howard FM, Sanchez R

Journal of gynecologic surgery.. 1993 9 (2):83-90. Epub 1900 01 01.

Endometrial findings in asymptomatic postmenopausal women on exogenous estrogens--a preliminary report.

Simsen DA, Shirts SR, Howard FM, Sims J, Hill JM

Gynecologic oncology.. 1981 February 11 (1):56-63. Epub 1900 01 01.

Books

Chronic Pelvic Pain (2011)

Chapter: The Differential Diagnosis of Chronic Pelvic Pain

Authors: Howard FM

Publisher: Wiley-Blackwell, West Sussex 2011

Reconstructive and Reproductive Surgery in Gynecology (2010)

Chapter: Surgical options for pelvic pain

Authors: Howard FM

Publisher: Informa Healthcare, New York 2010

UpToDate (online) (2008)

Chapter: Chronic Pelvic Pain

Authors: Howard, FM

Publisher: UpToDate, Waltham 2008

Pelvic Pain: Diagnosis and Management, 2nd Edition (2006)

Authors: Howard FM, Carter JE, Perry CP

Publisher: Lippincott, Williams, and Wilkins 2006

TeLindes's Operative Gynecology (2006)

Chapter: Laparoscopic Hysterectomy

Authors: Howard, FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2006

Protocols for High Risk Pregnancy (2006)

Chapter: Acute abdominal pain resulting from non-obstetric causes

Authors: Sukalich S, Howard FM

Publisher: Blackwell Publishing 2006

Clinical Gynecology (2006)

Chapter: Chronic Pelvic Pain

Authors: Howard FM

Publisher: Elsevier Science, Philadelphia 2006

Textbook of laparoscopic Urology (2006)

Chapter: Laparoscopy for Pelvic Pain

Authors: Howard FM

Publisher: Marcel Dekker 2006

Encyclopedia of Pain (2006)

Chapter: Chronic pelvic pain, laparoscopic pain mapping

Authors: Howard, FM

Publisher: Springer-Verlag, Berlin 2006

Encyclopedia of Pain (2006)

Chapter: Chronic pelvic pain, pelvic inflammatory disease

Authors: Howard, FM

Publisher: Spring-Verlag, Berlin 2006

Encyclopedia of Pain (2006)

Chapter: Chronic pelvic pain, endometriosis

Authors: Howard, FM

Publisher: Springer-Verlag, Berlin 2006

Current Diagnosis and Treatment of Pain (2006)

Chapter: Chronic Pelvic Pain

Authors: Howard, F.M.

Publisher: Lange Medical Books/McGraw-Hill, New York 2006

Current Diagnosis & Treatment of Pain (2006)

Chapter: Chronic Pelvic Pain

Authors: Howard, FM

Publisher: Lange Medical Books/McGraw-Hill, New York 2006

Up To Date (2005)

Chapter: Chronic Pelvic Pain

Authors: Howard FM, Barbieri, RB

Publisher: Uptodate 2005

Primary Care for Women (2004)

Chapter: Acute abdominal pain

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2004

Primary Care for Women (2004)

Chapter: Dysmenorrhea

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2004

Primary Care for Women (2004)

Chapter: Abortion and ectopic pregnancy

Authors: Howard FM, MacKay HT

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2004

Primary Care Women (2004)

Chapter: Abortion and ectopic pregnancy

Authors: Howard FM, MacKay, HT.

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2004

Primary Care in Women (2004)

Chapter: Chronic Pelvic Pain

Authors: Howard FM

Publisher: Lippincott, Williams, and WIlkins, Philadelphia 2004

Encyclopedia of the Neurological Sciences (2003)

Chapter: Pain, Pelvic

Authors: Howard FM

Publisher: Academic Press: San Diego 2003

Gynecology and Obstetrics (2002)

Chapter: History-taking and interview techniques and the physician-patient relationship

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2002

Handbook of Pain Management (2001)

Chapter: Gynecologic Pain

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2001

Pelvic Pain: Diagnosis and Management (2000)

Authors: Howard FM, Carter JE, Perry CP, El-Minawi AM.

Publisher: Lippincott, Williams, & Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Introduction

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Taking a history

Authors: Howard FM, El-Minawi AM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Physical Examination

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Mangement (2000)

Chapter: Laboratory and Imaging Evaluation

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadephia 2000

Pelvic Pain: Diagnoisis and Managment (2000)

Chapter: Endoscopy

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Adhesions

Authors: Perry CP, Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Dysmenorrhea

Authors: El-Minawi AM, Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Dyspareunia

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadephia 2000

Pelvic Pain: Diagnosis and Mangement (2000)

Chapter: Endometriosis and Endosalpingiosis

Authors: Howard FM

Publisher: Lipppincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Ovarian retention syndrome

Authors: El-Minawi AM, Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Ovarian remanant syndrome

Authors: El-Minawi AM, Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Pelvic inflammatory disease

Authors: Carter JE, Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Irritable bowel syndrome

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Peritoneal cysts

Authors: Howard FM

Publisher: Lippincott, Williams, and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Interstitial cystitis

Authors: Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Chronic pain as a diagnosis

Authors: Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Abuse and chronic pain

Authors: Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadephia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Mononeuropathy and nerve entrapment

Authors: El-Minawi AM, Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Chronic urethral syndrome

Authors: Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadephia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Pelvic floor pain syndrome

Authors: Howard FM

Publisher: Lippincott, Williams, Wilkins, Philadelphia 2000

Pelvic Pain: Diagnosis and Management (2000)

Chapter: Bipolar disorders

Authors: Doleys DM, Lowery DC, Howard FM

Publisher: Lippincott, Williams and Wilkins, Philadephia 2000

Pelvic Pain (1999)

Chapter: In: Fast Facts Gynaecological Highlights 1998-9: What's in and What's Out

Authors: Howard FM

Publisher: Health Press Limitied 1999

Primary Care for Women (1997)

Authors: Leppert PC, Howard FM.

Publisher: JB Lippincott, Philadelphia 1997

Primary Care for Women (1997)

Chapter: Dysmenorrhea

Authors: Howard FM, Laroia RL

Publisher: JB Lippincott, Philadelpia 1997

Primary Care for Women (1997)

Chapter: Interstitial cystitis

Authors: Howard FM

Publisher: JB Lippincott, Philadelphia 1997

Primary Care of Women (1997)

Chapter: Pelvic inflammatory disease

Authors: Howard FM

Publisher: JB Lippincott, Philadelphia 1997

Primary Care for Woment (1997)

Chapter: Chronic Pelvic Pain

Authors: Howard FM

Publisher: JB Lippincott, Philadelphia 1997

Primary Care for Women (1997)

Chapter: Abortion and ectopic pregnancy

Authors: Howard FM

Publisher: JB Lippincott, Philadelphia 1997

Primary Care for Women (1997)

Chapter: Acute and chronic urethral syndromes

Authors: Howard FM

Publisher: JB Lippincott, Philadelphia 1997

The Management and Prevention of Laparoscopic Complications (1996)

Chapter: Laparoscopic Management of adnexal masses and myomas

Authors: Howard FM

Publisher: Igaku-Shoin, New York 1996