I have just returned from the United States and have had the opportunity to discuss healthcare systems with a number of gynaecologists there. Having had these conversations and others over the years with other gynaecologists having a similar practice it strikes me that whilst the US is good in the main part for many people…
Over the years I have unfortunately seen multiple people who have had a large number of laparoscopies before finally having definite surgery. The most recent was a 37 year old woman with severe endometriosis who had had at least 12 laparoscopies and several cycles of IVF all of which were unsuccessful before finally having excision…
A recent paper suggests that vaginal delivery at childbirth might be protective for the recurrence of endometriosis. What a fabulous idea. I am not sure why this should be so. It certainly avoids the problem of endometriosis invading into caesarian section scars (a rare but painful manifestation) . It might have something to do with…
As recently as 1987 whilst a registrar at King George V Hospital working under Professor Robert Jansen who founded Genea, initially as Sydney IVF, I had the pleasure of being involved with some of his laparoscopic surgery for endometriosis. At that time he published a paper illustrating the myriad appearances that endometriosis may have. Around…
In 1995, McArthur Wheeler walked into two Pittsburgh banks and robbed them in broad daylight with no visible attempts at disguise. He was arrested later that night, less than an hour after video tapes of him were taken from surveillance cameras were broadcast on the eleven o’clock news. When police later showed him the surveillance…
I attended a meeting as the Head of Department at one of the major public teaching hospitals in the state this week. The level of frustration with the system is intense. I do not believe it is the fault of the people who are all working towards a common goal. The problem seems to lie…
Adenomyosis is yet another poorly understood gynaecological disorder that is reasonably common, difficult to diagnose and difficult to treat. It is defined as the presence of endometrial glands within the myometrium or muscle of the uterus and in many respects is similar to endometriosis. It was previously known as endometriosis internus although it is likely…