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In the past hysterectomy was the only reliable way to treat heavy periods. The ACSQHC (Australian Commission on Safety and Quality in Health Care) has become aware of the high rates of hysterectomy in Australia. Hysterectomy is a major operation. Often lesser therapies such as hormones, Mirena coil or endometrial ablation can be tried first […] Read more
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TAILORED PAIN MANAGEMENT FOR PAIN AFTER DELIVERY
The American College of Obstetricians and Gynaecologists has recommended that Paracetamol and non-steroidal anti-inflammatories e.g. Voltaren/Indocid be used in preference for gynaecological pain. Opioid based drugs such as Panadeine Forte or Endone should be reserved for more severe pain. Read more
A recent study in “Maturitas” 2018 showed low Vitamin D levels are associated with higher triglycerides and low high density lipoproteins (LDL cholesterols) and with high insulin levels in postmenopausal women. Being outdoors allows Vitamin D absorption. It may be that in this group of postmenopausal women, Vitamin D supplementation has a role in improving […] Read more
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THE USE OF LASER FOR VAGINAL SYMPTOMS
An extensive literature review concerning the use of laser for vulvovaginal symptoms was reviewed in the most recent Australian and New Zealand Journal of Obstetrics and Gynaecology, April 2018. While there does appear to be some benefit from largely observational studies and small retrospective trials, there is no large randomised controlled trial concerning the safety […] Read more
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WOMEN WITH MENOPAUSAL SYMPTOMS
A recent study (March 2018) from the British Journal of Obstetrics and Gynaecology states that women may benefit from psychological measures to help manage their menopause symptoms. These measures include behaviour based therapies, mindfulness and cognitive behavioural therapies. There is now good evidence of benefit from symptoms such as hot flushes, irritability, forgetfulness, joint pain […] Read more