This under-researched condition, possibly a variant of endometriosis, can be a critical consideration particularly for patients with endometriosis. The definition is of endometrial glands and stroma growing within the myometrium of the uterus or in other words not dissimilar to endometriosis but growing in the wrong part of the uterus. I liken it to having…
A recent editorial article in the American literature has called for the separation of obstetrics from gynaecology. This sentiment has been raised increasingly around the western world as a consequence of a decrease in the overall number of operations performed and an increase in the number of surgeons. The situation has arisen as a result…
Our recent paper has just been published: Bowel and bladder function after resection of deeply infiltrating endometriosis. Responding to our questionnaire, women reported significant improvement in urinary and bowel dysfunction postoperatively.
It has been well established that oncogenic (cancer causing) strains of HPV are the cause of cancer of the cervix and in fact it could probably be considered a form of sexually transmitted disease. Over the last few years vaccines have become available (Gardasil and Cervarix) for the prevention of HPV related cervical cancer. Gardasil…
A recent media report of ovarian transplantation with subsequent infertile women conceiving has raised great interest at a conference in Istanbul. (“Ovary transplant breakthrough lets women gives birth in older age – SMH – 5 July 2012”). 28 babies were born to infertile women who had ovarian tissue transplanted. I have heard the lead surgeon, Dr…
Premenstrual spotting is an important characteristic sign of endometriosis. It usually takes the form of dark or brown staining or spotting lasting more than 12 hours prior to menstruation beginning normally. This association has been known about for some time but has not been well appreciated by doctors or gynaecologists. There appears to be…
Over the last few years I have travelled to Hong Kong and China to operate and run surgical workshops where I have had the honour of teaching and working with other specialist gynaecological surgeons. I am registered as a specialist gynaecologist in Hong Kong and have been accredited to operate as an advanced level laparoscopic…
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…
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…