Gynaecology Update

Mr T. M. Malak. Msc, DFFP, PhD, FRCG. Consultant Obstetrician, Gynaecologist & Urogynaecologist
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Lectures


PowerPoint Presentation, XPS format & PDF format




Cost Effectiveness  of referral to secondary care


To acheive the same effectiveness of outpatient management some hospital services are more cost effective than those that can be established in primary care





Gynaecology and Urogynaecology Update (XPS format)


PDF format


Cervical Screening

Early detection of gynaecological cancer

Management of urinary incontinence and genital prolapse

New data about HRT







Gynaecological Cancer

PDF format


Cancer Risk Reduction, Early Detection and Referral Pathway of Gynaecological Cancers





Management of Menorrhagia (Heavy Menstrual Bleeding):

This based on the current NICE guidelines on management of Heavy Menstrual Bleeding (HMB)


Handout







Masked Urinary Incontience:

The effect of genital prolapse on masking of urinary incontinence

 



















































































































































































 n

Since 1997



Issue 1: Antenatal Iron Therapy

 

Issue 2: Diagnosis of Menopause and Climacteric.


Issue 4: Nausea and Vomiting in Pregnancy.


Issue 5: Selective Oestrogen Modulators (SERMs).


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


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


Issue 13: Microwave Ablation for Abnormal Uterine Bleeding


Issue 14: Screening for Ovarian Cancer


Issue 15: 2-Week Referral to Gynaecology Cancer Unit


Issue 18: Is Androgen indicated for HRT for women?


Issue 19: Polycystic Ovarian Syndrome (PCOS)


Issue 20: Management of Endometriosis


Issue 22: Yasmin a new COC pill


Issue 24: Christmas Quiz


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


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


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 and 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: See Issue 58 for a recent NICE advice on Duloxetine


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

 

Issue 60: September 2007: Cervical Screening: Questions and Answers


Issue 61: October 2007: Does HRT increase the risk of ovarian cancer?

 

Issue 62: The 10th Anniversary (1997-2007) for the "Update". New Interent Site and Unique Search Engines

 

Issue 63: Cervical Screening and Colposcopy in Pregnancy

 

Issue 64: NICE guidelines on the use of LARC: Long Acting Reversible Contraceptives

 

Issue 65: Management of the Menopause: Interactive

 

Issue 66: The role of Endometrial Ablation in management of Heavy Menstrual Bleeding (I): Introduction

 

Issue 67: The role of Endometrial Ablation in Heavy Menstrual Bleeding’s management (II): Types

 

Issue 68: Progestogen-only Implants (I)

 

Issue 69: Progestogen-only Implants (II)

 

Issue 70: Progestogen-only Implants (III)


Issue 71:Assessment & Management of Pruritus Vulvae: Part I

 

Issue 72:Assessment & Management of Pruritus Vulvae: Part II

 

Issue 73: Postmenopausal Bleeding

 

Issue 74: Highlights of 2008


Issue 75: Prophylactic antibiotics before IUCD insertion 


Issue 76: Type of HRT Is Key With Regard to Myocardial Infarction (MI)risk

 

Issue 77: Metformin should not be used as first line treatment for PCOS  &


Breast Cancer Risk associated Testosterone Therapy for women


Issue 78: Cervical Screening revisted I


Issue 79: Cervical Screening revisted II



Issue 80: New technique for management of stress urinary incontinence: Urethral injection of bulking agent (Bulkamid)


Issue 81: Uroogynaecology Questions & Answers I: Prolapse and Masked Urinary Incontinence


Issue 82: Uroogynaecology Questions & Answers II: The effect of continence surgery on urgency and urge incontinence.


Issue 83: Unscheduled bleeding with hormonal contraception

I: Initial Assessment.


Issue 84: Unscheduled bleeding with hormonal contraception

II: Medical Management.


Issue 85: Dianette: How long can it be used for?


Issue 86: The management of Urinary Tract Infection during Pregnancy.


Issue 87: The role of CA125 as a Tumour Marker


Issue 88: The management of low Haemoglobin in pregnancy


Issue 89: New-onset breast tenderness during HRT judged a risk factor of cancer.


Issue 90: Management of abnormal

vaginal bleeding in age group 20-24

Issue 91: Herbs use in pregnancy may pose fetal risks


Issue 92: HRT Update 2010


Issue 93: MHT rather than HRT


Issue 94: Female Cystitis


Issue 95: Contraception for the above 40: [I]


Issue 96: Contraception for the above 40: [II]


Issue 97: Contraception for the above 40: [III]


Issue 98: Pelvic pain as pert of pelvic floor dysfunction


Issue 99: Patients' expectations from Pelvic Organ Prolapse Surgery