Welcome to

Gynaecology and Obstetrics Update

by

T. M. Malak

MB, BCh, M. Sc., DFFP, Ph.D., FRCOG

Eastbourne, UK

 

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National Recognition of the

 Eastbourne

Continence Care Team


 

Due to the continuous developments in clinical knowledge including diagnosis and treatment (medications and operations) and new scientific evidence on current treatment, the advice included is mainly related to the time of publication and that included in recent "Update" issues is more appropriate  than that included in earlier issues on the same topic. 

 

Issues

NEW    July 2007 

Issue 59 July 2007: Recurrent Postcoital Bleeding

 

Due to the continuous developments in clinical knowledge including diagnosis and treatment (medications and operations) and new scientific evidence on current treatment, the advice included is mainly related to the time of publication and that included in recent "Update" issues is more appropriate  than that included in earlier issues on the same topic. 

 

 Bleeding and Pain

Cancer Screening/Risk

Contraception

Endocrine disorders

Incontinence and Prolapse

Menopause and HRT

Pregnancy

Management of bleeding Screening for Ovarian Cancer Contraception at and after the Menopause Hirsutism Management of Female Urinary Symptoms Update 2001

Update 2002: WHI study

Update 2002: 4 Trials

Iron Therapy
Microwave Ablation for Abnormal Uterine Bleeding  2-Week Referral to Gynaecology Cancer Unit Yasmin a new COC pill Premenstrual Syndrome (PMS) and Premenstrual Dystrophic Disorder (PMDD) Management of Genital Prolapse and Urinary Incontinence Million women study 2003: Effect of HRT on breast cancer risk Nausea and Vomiting
Management of Endometriosis Contraception for at Risk for Thromboembolism and for Epileptics The effect of Depo-Provera on Bone Mineral Density Polycystic Ovarian Syndrome (PCOS) TVT (Tension free Vaginal Tape) for Urinary Incontinence  SERMs: Selective Estrogen Receptors Modulators

General Gynaecology

  Management of Pelvic Inflammatory Disease (PID)  From the Newspapers: 'Pill may cause cancer risk' Contraception for women aged over 40 years Polycystic Ovarian Syndrome - 2004 Update: New Diagnostic Criteria' TVT (Tension Vaginal Tape Operation): NICE Appraisal and Personal Audit Pelvic and Breast Examination for Women on HRT Vaginal Discharge: The management of women of reproductive age-1/2/3
Microwave Endometrial Ablation: NICE Appraisal and The Author's Experience  Sussex Cancer Network: Screening for Ovarian Cancer  Missed Pills: New Recommendations Metformin in PCOS Medical Treatment of Stress Urinary Incontinence Is Androgen indicated for HRT for women? Genital Warts
Initial Management of Chronic Pelvic Pain Cervical and Vaginal Vault Smearsr3 Contraception during Breastfeeding  PCOS Screen Tension-free Vaginal Tape operation  (Obturator approach) - TVTo Case Discussion 
Chlamydia screening and diagnosis Vaginal Vault Smears after hysterectomy The use of contraception outside the terms of the product license: Part I: COC 3 The extent and severity of urinary incontinence amongst women in UK GP waiting rooms NIH Stops Oestrogen-Alone Arm of WHI3and HRT before the menopause 3
3Recurrent Postcoital Bleeding Endometrial cells in cervical smears The use of contraception outside the terms of the product license: Part II: POP 3

NICE recommend that Duloxetine should not be used as first– or second–line treatment for Urinary Stress Incontinence

 Mirena as a part of HRT regimen 33
Vaccination against Cervical Cancer The use of contraception outside the terms of the product license: Part III: IUCD 3 3 3HRT Update: 2007 3

Christmas Quiz

Recurrent Postcoital Bleeding Contraception during breastfeeding 3 3

Androgen Therapy after Hysterectomy and removal of both ovaries

3

3

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Lectures

Postmenopausal Bleeding Management

Brighton and Sussex Medical School, Gynaecology Update: Primary & Secondary Care Interface:  

Presentation Part I

Presentation Part II

Handout

 

Due to the continuous developments in clinical knowledge including diagnosis and treatment (medications and operations) and new scientific evidence on current treatment, the advice included is mainly related to the time of publication and that included in recent "Update" issues is more appropriate  than that included in earlier issues on the same topic. 

Issue 1 : Antenatal Iron Therapy -------- HRT and Breast cancer.

For recent HRT Update see Issues:  21 23 29  34

Issue 2 : Diagnosis of Menopause and Climacteric.

Issue 3 : Management of Abnormal Bleeding (Updated 9/99).

Issue 4 : Nausea and Vomiting in Pregnancy.

Issue 5 : Selective Oestrogen Modulators (SERMs).

Issue 6 : Investigation of Hirsutism.

Hirsuitism should be considered within PCOS management protocol. See  Update  Issues: 19  33  35

Issue 7 : Contraception at and after the Menopause.

Issue 8 : Urogynaecology Update: Management of Female Urinary Symptoms

Issue 9 : Urogynaecology Update: Management of Genital Prolapse and Urinary Incontinence

Issue 10: Urogynaecology Update: 

                TVT (Tension free Vaginal Tape) for Urinary Incontinence (with animation)

Issue 11: Combined HRT and the Risk of Breast Cancer.

Issue 12: Premenstrual Syndrome (PMS) and Premenstrual Dystrophic Disorder (PMDD)

Issue 13: Microwave Ablation for Abnormal Uterine Bleeding (with animation)

Issue 14: Screening for Ovarian Cancer

Issue 15: 2-Week Referral to Gynaecology Cancer Unit

Issue 16: HRT Update 2001

For recent HRT Update see Issues:  21 23 29  34

Issue 17: Pelvic and Breast Examination for Women on HRT

Issue 18: Is Androgen indicated for HRT for women?

Issue 19: Polycystic Ovarian Syndrome (PCOS)

Issue 20: Management of Endometriosis

Issue 21: HRT Update 2002

Issue 22: Yasmin a new COC pill

Issue 23: HRT Update 2002 - Combined Analysis of 4 Recent Trials

Issue 24: Christmas Quiz

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Issue 25: Contraception for at Risk for Thromboembolism and for Epileptics

Issue 26: TVT (Tension Vaginal Tape Operation): NICE Appraisal and Personal Audit

Issue 27: From the Newspapers: 'Pill may cause cancer risk'

Issue 28: Management of Pelvic Inflammatory Disease (PID)  

Issue 29: Breast cancer and hormone-replacement therapy in the Million Women Study  

Issue 30: Sussex Cancer Network: Screening for Ovarian Cancer  

Issue 31: Microwave Endometrial Ablation: NICE Appraisal and The Author's Experience  

Issue 32: Case Discussion  

Issue 33 January 2004 : Polycystic Ovarian Syndrome - 2004 Update: New Diagnostic Criteria'

Issue 34 April 2004 : NIH Stops Oestrogen-Alone Arm of WHI and HRT before the menopause

Issue 35 June 2004 : Metformin in PCOS: 2004 Update  

Issue 36 December 2004 : Cervical and Vaginal Vault Smears (NHS Cervical Screening Programme publication No 20, 2004)  

Issue 37 January 2005: Update on Depo-Provera -- Mirena--  PCOS Screen 

Issue 38 March 2005: Contraception for women aged over 40

Issue 39 April 2005: Missed Pills: New Recommendations 

Issue 40 May  2005: Initial Management of Chronic Pelvic Pain  

Issue 41 June  2005: Medical Treatment of Stress Incontinence

Issue 42 July  2005: The use of contraception outside the terms of the product license- Part I: COC 

Issue 43 September  2005: The use of contraception outside the terms of the product license- Part II: POP

Issue 44 November  2005: Vaginal Vault Smears after hysterectomy

Issue 45 December  2005: Contraception during breastfeeding

Issue 46 January  2006: Tension-free Vaginal Tape operation  (Obturator approach) - TVTo

Issue 47 Mach  2006: The use of contraception outside the terms of the product license- Part III: IUCD

Issue 48 April  2006: Vaginal Discharge: The management of women of reproductive age- 1

Issue 49 June 2006: Vaginal Discharge: The management of women of reproductive age- 2

Issue 50 July 2006:  Vaginal Discharge: The management of women of reproductive age- 3

Issue 51 September 2006:  Genital Warts

Issue 52 October 2006:  Chlamydia Screening and Diagnosis

Issue 53 December 2006:  The significance of the presence of endometrial cells in cervical smears

Issue 54 February 2007:  HRT Update 2007

Issue 55 March 2007:  The extent and severity of urinary incontinence amongst women in UK GP waiting rooms

Issue 56 April  2007:  Vaccination against Cervical Cancer

Issue 57 May  2007:  Androgen Therapy after Hysterectomy and removal of both ovaries

Issue 58 June  2007:  NICE recommend that Duloxetine should not be used as first– or second–line treatment for Urinary Stress Incontinence

Issue 59 July  2007:  Recurrent Postcoital Bleeding

 

 

Click to enlarge

Due to the continuous developments in clinical knowledge including diagnosis and treatment (medications and operations) and new scientific evidence on current treatment, the advice included is mainly related to the time of publication and that included in recent "Update" issues is more appropriate  than that included in earlier issues on the same topic. 

 

Home Page

Useful Websites

Medline MERCK Manual Hospital Doctor

NeLH Logo

Journal Scan Chief Medical Officer Department of Health
British Medical Journal National Institutes of Health (NIH) World Health Organization
NICE Committee on Safety of Medicines The electronic Medicines Compendium
Contemporary OB/GYN The Global Family Doctor Australian Family Physician

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