Barriers to Incontinence Treatment

October 1, 2015no responses, by: Women Health Center, Tags:

A recent qualitative focus-group study has found that there are a number of barriers leading to lack of treatment for incontinence. Fear of treatment and lack of knowledge were the top 2 problems. Other barriers were a belief that incontinence is a normal part of aging and provider barriers. “Even in insured and educated study [&hellip…


Best practice on the use of Long Term HRT

October 1, 2015no responses, by: Women Health Center, Tags:

All of us are confronted by the patient how has been on Hormone Replacement Therapy (HRT) for some time and does not want to go off it. Long-term use of (HRT) is certainly controversial. If we combine medical evidence and clinical experience we can provide some guidance for the next time a patients asks, “How [&hellip…


Morcellation, To be or not to be?

October 1, 2015no responses, by: Women Health Center, Tags:

In October 2013, Amy Reed, MD, PhD, underwent a hysterectomy procedure involving morcellation at Brigham & Women’s Hospital in Boston for what was presumed to be benign fibroids. All went fine until about 1 week later, when Dr. Reed, an anesthesiologist at Beth Israel Deaconess Hospital in Boston, received a phone call informing her that [&hellip…


Severe teenage acne linked to endometriosis

September 2, 2015no responses, by: Women Health Center, Tags:

Scientists have discovered that women with a record of severe acne in their adolescence are at considerably increased risk of endometriosis. (Dr. Jing Xie of Harvard Medical School in Boston) We should therefore consider early referral for patients with a history of severe teenage acne and non-specific symptoms, such as an irregular menstrual cycle or [&hellip…


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…


Obstetric intervention linked to post partum dyspareunia

August 2, 2015no responses, by: Women Health Center, Tags:

Post partum dyspareunia linked to Obstetric intervention according to a prospective cohort study published January 21 in BJOG. “Almost all women experience some pain during first sexual intercourse following childbirth,” lead author Ellie McDonald, PhD, from the Murdoch Children’s Research Institute, Melbourne, Victoria, Australia, said in a news release. “However, our findings show the extent to [&hellip…


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…


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…


Salpingectomies routinely?

July 1, 2015no responses, by: Women Health Center, Tags:

You may be aware that we are now routinely offering patients bilateral salpingectomies at the time of hysterectomy. Although this was not recommended in the past, because of worries in hastening the onset of the menopause recent studies have suggested that this should be offered to all patients undergoing routine pelvic surgery. Much like studies [&hellip…


Why I became a Gynaecologist by Naylin Appanna

March 15, 2015no responses, by: Women Health Center, Tags:

I am constantly asked,” Naylin Appanna, what made you decide to become a gynaecologist. “ The answer is very simple really. I didn’t grow up wanting to become a gynaecologist. In fact I grew up wanting to become an airline pilot. Unfortunately in South Africa during the apartheid era, this was only the realm of [&hellip…



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