Terry's Blog

Category: Gynaecology

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For some time Gynaecologists have been aware that many cases of ovarian cancer arrive from the fallopian tubes. The fallopian tubes simply transport eggs from the ovaries to the uterus, but they do not produce any hormones and therefore do not play a role in […]

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 […]

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.

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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 […]

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, […]

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 […]

During endometriosis week there has been an increase in awareness of this disease that affects up to 1 in 10 women. Unfortunately it presents with symptoms which are common in the normal population, including painful periods and heavy periods. Because of this, it can take […]

The National Institute of Clinical Excellence (I.C.E.) have issued a new guideline on endometriosis. This is a common condition which affects 1 in 10 women. Sometimes diagnosis can be difficult. This condition mimics conditions such as pelvic inflammatory disease, irritable bowel syndrome or even fibroids. […]

The National Screening Register was planned to be active on 23 February 2017. Due to administrative concerns, there has been further delay in the renewed National Cervical Screening Program until 1 December 2017. In the meantime the Health Department has advised us that we should […]

Professor Robert Langer has reviewed the evidence base for hormone replacement therapy (HRT). He reviewed the 2002 Women’s Health Institute clinical trial on HRT. “This was a very important paper where serious errors were made during this study in that many of the key investigators […]