Modern concepts in the management of emerging gynaecological challenges
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This document discusses several common gynecological challenges and their management, including postmenopausal bleeding, polycystic ovary syndrome (PCOS), intrauterine device threads not seen, inadequate cervical smears, vaginal atrophy, ovarian cysts, adenomyosis, uterine fibroids, and uterine polyps. It provides guidance on when to refer patients versus manage issues in primary care, as well as treatment options such as weight loss programs, medication including Dianette and metformin, minimally invasive procedures like minitouch and MRI-guided focused ultrasound, and newer drugs like ulipristal acetate. Contact information is also provided for specialist Dr. Mahantesh Karoshi.
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Modern concepts in the management of emerging gynaecological challenges
- 1. Modern concepts in the management emerging Gynaecological challenges Mahantesh Karoshi www.mahanteshkaroshi.com Barnet Hospital 0208216 4507 108 Harley Street 0207 563 1234 BMI Kings Oak & Hendon Hospitals
- 2. Postmenopausal bleeding • When to refer ? • When to sit tight?
- 5. PCOS Mg. in primary care prior to referral Use of Dianette? Metformin and duration Weight loss programme
- 6. Normal PCOS
- 8. • Cycle regularity • D2 -4 FSH/LH/E2 • AFC • AMH Ovarian reserve assessment
- 10. Intrauterine device threads not seen, can I manage her in my surgery?
- 13. Inadequate cervical smear What shall I do?
- 16. Doctor, do you think, I have a prolapse?
- 21. March 2015
- 23. Vaginal atrophy
- 28. Ovarian cysts
- 29. Ovary with a cyst Normal ovary
- 32. Adenomyosis
- 34. MRI
- 36. Minitouch
- 41. MR guided Focused US
- 45. Uterine polyps
- 47. Diagnosis ??
Editor's Notes
- 8-12 afc is normal Antral follicles are potential “eggs” that have not yet been stimulated by FSH. A count of 8-12 indicates good ovarian reserve and a normal response to IVF. A count of 6 or less suggests we need to use a special protocol to optimally stimulate the ovaries.
- Start at 02min 20sec