Gynaecology

Gynaecology

simpson1The Management of Vaginal Discharge
Jane Simpson (GP)

Dr Jane Simpson is a GP with a special interest in gynaecology. Her lecture on vaginal discharge is a comprehensive outline of this common presentation to general practice.
The Management of Vaginal Discharge deals with the common causes of vaginal discharge and the management of these causes, as commonly seen in general practice. The talk centres on the 3 main causes of bacterial vaginosis, candidiasis and trichomonas and provides expert advice about how to differentiate and manage these.

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Shagaf BakourManagement Strategies for Postmenopausal Bleeding
Shagaf Bakour (Consultant Gynaecologist)

Mrs Shagaf Bakour is a Consultant Gynaecologist at the Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, Honorary Senior Clinical Lecturer in the Faculty of Medicine at the University of Birmingham, Consultant at the Priory private hospital, and a Consultant at The BMI Edgbaston Hospital.

Shagaf runs general obstetric and gynaecology services, including laparoscopic and hysteroscopic surgery, and she performs a specialist scanning and post menopausal service in her NHS practice. She has an interest in managing menstrual disorders and postmenopausal problems and is the lead clinician for training and education at her HNS Trust.

Post-menopausal bleeding (PMB) represents one of the most common reasons for referral to gynaecological services, largely due to suspicion of an underlying endometrial malignancy. Endometrial cancer is present in approximately 10% of patients referred with PMB. Formerly, the principal means of hospital investigation was by dilatation and curettage (D&C), but newer methods of investigation such as outpatient endometrial biopsy, transvaginal ultrasonography and hysteroscopy have superseded D&C. However, there is professional uncertainty concerning the most accurate, acceptable and efficient diagnostic approach.

Shagaf's lecture is an excellent review of post-menopausal bleeding and it's management, concentrating as she does on the evidence.

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Janine ElsonInfertility
Janine Elson (Consultant Gynaecologist)

Janine Elson is a consultant gynaecologist and a subspecialist in reproductive medicine at Leicester NHS Trust. Her lecture will provide you with a comprehensive understanding of infertility management.

It has been estimated that at some time in their reproductive lives at least a quarter of couples experience a period of infertility lasting over 1 year. Some of these couples continue to be unable to conceive, leading to at least 1 in 6 couples seeing an infertility specialist at a hospital. After assessment by the specialist, many couples can be reassured that they do not need treatment, just more time with regular sex. Others may require some form of treatment to assist with conception

Starting with the basics Janine discusses the definition and causes of infertility, and then progresses to preconceptual advice and history taking, examination, lifestyle advice and finally when to refer couples.

In Parts 2 and 3 Janine talks about female amd male infertility in detail and in Part 4 she discusses assisted techologies.

There is a great deal of information covered in this lecture.

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Badatunde A. GboladeTermination of Pregnancy
Badatunde A. Gbolade (Consultant Gynaecologist)

In the UK, under The Abortion Act 1967, abortions can only be carried out in a hospital or a specialist licensed clinic.
It is legal for termination to be carried out up to 24 weeks of pregnancy, but most hospitals and clinics will not consider termination beyond 18 to 20 weeks. For this reason alone, if a woman is considering termination, then she should discuss the situation with a doctor sooner rather than later.

Babatunde Gbolade is a Consultant Gynaecologist and Director of the Fertility Control Unit at St James University Hospital in Leeds. He talks in detail about the subject of termination of pregnancy.

In Part 1 Babatunde discusses the law in relation to termination of pregnancy, the latest termination of pregnancy figures and pre-termination procedures.
In Part 2 he discusses the range of methods of termination of pregnancy
In Part 3 he discusses the important aspects of care and service standards expected of a provider.

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Jo NietoCervical Cancer
Jo Nieto (Consultant Gynaecologist)

Jo Nieto is a Consultant Gynaecologist at the Norfolk & Norwich University Hospital, Honorary Senior Lecturer at the University of East Anglia and Associate Professor Obstectrics and Gynaecology at the University of Pamplona (Spain).
Every year in the UK, over 3,000 women will be diagnosed with cervical cancer and nearly 1,000 women will die from the disease. Cervical cancer is the most common cancer in women aged 35 and under.

Cervical cancer, almost exclusively, is caused by persistent infection with the human papillomavirus.

This lecture will provide a detailed look at cervical cancer, how it behaves, how screening works, and how it is managed. In the second part of his lecture he discusses the new HPV vaccines and how they work.

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'Funso OlarindeGenital lumps and bumps
'Funso Olarinde (Consultant Physician)

'Funso Olarinde is a Consultant Physician at the department of GU Medicine, Royal Hallamshire Hospital in Sheffield.
When patients present with genital 'lesions', it is important to distinguish between normal anatomical variants. Often, patients simply require reassurance that their \'lesions\' are just a normal variation or a harmless anomaly of no significance.

In this short lecture 'Funso discusses and provides examples of these common conditions and normal variants, and also provides an overview of pre-malignant and malignant lesions that we should all be aware of.

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Alison WrightGenital Ulceration
Alison Wright (Genital Urinary Consultant)

Alison Wright is a consultant in genitourinary medicine at the Royal Hallamshire Hospital in Sheffield. Her lecture is primarily about herpes infections, primary and recurrent, as well as other causes of genital ulceration.

As expected, the insights from this lecture are invaluable, coming as they do from a clinician with regular exposure to these problems.

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