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Friday, 28 April 2017 10:30

Menopause & Hormone Replacement Therapy

New Evidence for Safety

For many women, the menopause can be a time of great discomfort with hot flushes, irritability, mood changes, sleep disturbance and loss of libido. The good news is that new medical studies and re-evaluation of old research shows that Hormone Replacement Therapy (HRT) is extremely safe and by far the best therapy to alleviate the discomfort of the menopause.

Tuesday, 16 May 2017 10:36

Good News on Pap Smears

Welcome changes for many women

Pap smears are understandably an unpleasant test for many women and the 2 years in between recalls seems to come around a little too quickly for most. The good news is that from the beginning of December 2017 the interval in between is to be stretched to 5 years with women advised to start having pap smears at age 25 rather than the current 18 years.

Monday, 20 November 2017 06:08

Post Natal Depression

Post Natal Depression

All new parents will experience fatigue and extremes of emotion at some point but how can you tell the difference between simple tiredness and Postnatal depression (PND)?

It is common for new mothers to experience the baby blues in the first few weeks after birth. This can be crying and feeling low, but if these symptoms persist after the first month, or occur in the year after birth, this may be postnatal depression. 

Wednesday, 27 December 2017 06:08

The New Age of Contraception

The New Age of Contraception

For many years the oral contraceptive pill was the first choice for women looking for reliable and safe contraception and it remains a good choice for many. It was developed in the 1960s but over the last 10 years or so the appearance of various Long Acting Reversible Contraceptives (or LARCS) has begun to replace their position as the best choice for women of all reproductive ages. The World Health Organisation (WHO) and various other professional bodies now recommend LARCs as first line contraception for young women.

 

Monday, 18 June 2018 09:29

Hot Flushes

Hot Flushes

Probably the most disturbing menopausal symptom is the hot flushes that usually start early on.  They often settle after a year or two although for some women they can persist for much longer. If they are troubling you then it is worth seeing your doctor as they can have other causes other than the menopause and there is treatment available to relieve your distress.

The hot flushes are caused by the fall in oestrogen levels around the time of the menopause. This seems to change the body’s thermostat in the hypothalamus of the brain so that there is a more narrow body temperature range that it is willing to tolerate. Anything that slightly raises the bony temperature such as stress, alcohol, spicy foods, caffeine or a warm room can provoke a rapid and vigorous response of dilation of skin blood vessels which causes the flushing, sweating and a feeling of overheating.

Thursday, 08 March 2018 09:07

Polycystic Ovary Syndrome

PCOS

Polycystic Ovary Syndrome (PCOS) is very common with studies showing at any one time it is present in 12% to 21% of women of reproductive age. It is important to be aware of this condition as its symptoms vary between women and in up to a third of people the diagnosis is not reached until 2 years after they present to doctors with their symptoms.

Women with PCOS may have irregular periods (usually infrequent) due to irregular ovulation. This in turn can lead to delays in falling pregnant. In addition they may also show signs of high free testosterone levels in their blood with problems such as excessive and male pattern hair growth, acne and scalp hair loss. When pelvic ultrasounds are done they may also demonstrate multiple ovarian cysts, which gives the condition its name. However, each woman may show a different mixture of these symptoms and with different severity.