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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

Modern concepts in the management of emerging gynaecological challenges

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Page 1: Modern concepts in the management of emerging gynaecological challenges

Modern concepts in the management emerging Gynaecological challenges

Mahantesh Karoshiwww.mahanteshkaroshi.com

Barnet Hospital0208216 4507

108 Harley Street0207 563 1234

BMI Kings Oak & Hendon Hospitals

Page 2: Modern concepts in the management of emerging gynaecological challenges

Postmenopausal bleeding

• When to refer ?• When to sit tight?

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PCOSMg. in primary care prior to referral

Use of Dianette? Metformin and duration

Weight loss programme

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Normal PCOS

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Biopanic and subfertility

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• Cycle regularity• D2 -4 FSH/LH/E2

• AFC• AMH

Ovarian reserve assessment

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Intrauterine device threads not seen, can I manage her in my

surgery?

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Inadequate cervical smearWhat shall I do?

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Doctor, do you think, I have a prolapse?

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March 2015

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Vaginal atrophy

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Vaginal swellings

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Modern management

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Chronic vaginal discharge

BVCandidiasisChlamydiaEctropion

Nabothian cysts

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Ovarian cysts

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Ovary with a cyst Normal ovary

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Adenomyosis

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MRI

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Minitouch

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MR guided Focused US

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Ulipristal Acetate - Esmya

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Fibroid resection

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Uterine polyps

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Diagnosis ??

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