How Accurate is biopsy sampling in Endometrial Cancer?

October 18, 2017no responses, by: Women Health Center, Tags: office endometrial biopsy accuracy

The current trend for diagnosis in post menopausal bleeding is some form of endometrial sampling by either aspiration biopsy in the rooms, hysteroscopically directed biopsies and a dilatation and curettage. Studies have shown that these procedures are extremely accurate in determining whether cancer is present. A recent study however suggests that the correlation between histological [&hellip…

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Hormone Therapy: WHI study Follow up reveals no change in Mortality after 18-Year

October 3, 2017no responses, by: Women Health Center, Tags:

The WHI study changed the world for peri and post menopausal women and influenced the way a whole generation of us prescribed Hormone replacement therapy.

“When considering the health outcomes given by the original WHI trials a major point we often overlooked is that the trial was neither designed to determine the advantages and risks of HRT for proper management of menopausal symptoms. In comparison to this both the trials were intended to evaluate the advantages and risks of HRT to avoid the chronic diseases such as cancers and cardiovascular disease. However, when it became apparent that no improvement was seen in the cardiovascular results the trials were stopped.”

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How to manage Interstitial Cystitis/Bladder Pain Syndrome?

March 26, 2017no responses, by: Women Health Center, Tags: interstitial cystitis causes, interstitial cystitis diagnosis, interstitial cystitis treatment

Abstract and Introduction Abstract Interstitial cystitis (IC) also called as bladder pain syndrome (BPS) is a chronic bladder health condition causing pain or discomfort in the bladder area in the non-appearance of infection and other identifiable causes. The precise etiology of Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) is not known, which leads to complications in its [&hellip…

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Potential Benefits of Diagnosis and Treatment on Health Outcomes Among Elderly People With Symptoms of Overactive Bladder

March 1, 2016no responses, by: Women Health Center, Tags: overactive bladder causes, overactive bladder symptoms, overactive bladder treatment

This study was conducted using an internet survey where a cross-section of the elderly population (45-65 and 65+) were identified as eligible and given questionnaires to self report. Comparisons were also made within the 65+ age group of patients, those who were diagnosed and treated compared to those undiagnosed and untreated. Overactive bladder (OAB) is [&hellip…

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The Zika Virus summarised

February 15, 2016no responses, by: Women Health Center, Tags: zika fever, zika virus pregnancy, zika virus symptoms, zika virus treatment

The Zika virus is a Flavi-virus similar to the type of virus that causes Dengue Fever. It is spread by the Aedes aegypti  mosquito and is now thought to be prevalent in up to 30 countries around the world including of interest to New Zealanders, the Polynesian Islands. Although the link between Microcephaly and the [&hellip…

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Female Sexual dysfunction (FSD)

October 21, 2015no responses, by: Women Health Center, Tags: causes female sexual dysfunction, female sexual arousal disorder, female sexual dysfunction symptoms, female sexual dysfunction treatment, female viagra, sexual disorders

I have had increasing questions regarding the newly FDA approved female “viagra” (Flibanserin-Addyi) so thought it was timely to approach this topic. Female Sexual dysfunction has generally been avoided in the past probably because we had nothing in our armoury to help manage the problem. Recent studies have suggested that the incidence in premenopausal women [&hellip…

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Hormone Replacement Therapy (HRT)

October 13, 2015no responses, by: Women Health Center, Tags: diagnostic menopause, first symptoms of menopause, hormone replacement therapy nz, how to diagnose perimenopause, how to diagnose the menopause, menopause diagnosis, pre menopause symptoms, signs and symptoms of menopause, symptoms of perimenopause, what is hormone replacement therapy for menopause?

I am frequently asked about the Menopause and Hormone replacement therapy. I am going to do a series of articles tackling this topic from various angles. When the WHI study results first came out in about 2007, most of my patients stopped using HRT but within about 6 months the majority of them had returned [&hellip…

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Ovulation reduced by NSAID’s

August 5, 2015no responses, by: Women Health Center, Tags:

A recent study confirms what has previously been suggested in that Nonsteroidal anti-inflammatory drugs (NSAIDs)  inhibit ovulation and thereby have an effect on fertility.  We should therefore be discussing this with patients who present with infertility as use of NSAID’s is becoming increasingly common and we as practitioners may not even realise that our patients are [&hellip…

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Metformin supplements lifestyle changes for PCOS

July 30, 2015no responses, by: Women Health Center, Tags: PCOS, Polycystic ovarian disease, Stein Leventhal Syndrome

Patient compliance has often hampered lifestyle change in the management of PCOS but lifestyle changes remain the mainstay of management for these patients. I have always stressed the use of lifetstyle changes in my patients with PCOS and when combining this with Metformin have emphasised the fact that this is the best chance for patients [&hellip…

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Smoking related to Hot Flushes

July 30, 2015no responses, by: Women Health Center, Tags: gynaecologist, hot flushes, smoking

A study has suggested that woman who give up smoking during the menopause, may have fewer and less severe hot flashes than women who continue to smoke. The time since the last cigarette, appears to have a direct relationship with women who had given up smoking for 5 years, being 45% less likely to have [&hellip…

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