I recently  attended a conference in Wellington on Abnormal smears, colposcopy and the HPV VIRUS. As this was the most up to date information available I thought it would be prudent to share this with the readers of my website .

Firstly the HPV virus. It stands for HUMAN PAPILLOMA VIRUS (the wart virus).There are 100 known types with 20 infecting the ano genital region. Only 2 of these cause genital warts.  I have termed them the ‘Virus of intimacy’ It is the common cold of sexual activity. We give them to each other when we have sex with each other. The HPV virus is the only known virus that directly causes cancer of the cervix, anus, penis, vulva, oropharynx, some skin cancers and some cancers of the oral cavity. The virus is further divided  into high risk (Hr) and low risk (Lr) which one we get is a jackpot. We may get a single one or multiple both Hr and LR.The jackpot goes further. If it is Hr it can be 16 or 18 or others. The most dangerous is 16 followed by 18.The numbers represent the DNA classification.

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Vulval itching is a very common and distressing symptom.

I often get women in my office telling me that they have chronic thrush that is not responsive to usual thrush medication.

The first thing I want to say is that thrush is only one of a multitude of reasons why the vulva becomes itchy.

The first thing with any successful doctor’s visit particularly the gynaecologist is for the doctor to take a detailed and full history.

In the patient’s own words a full disclosure of symptoms is helpful such as:

  1. When the itch started
  2. How long it’s been going on for
  3. Is it worse at night?
  4. How much scratching is there?
  5. Response to any medication
  6. Family history of:
    a) Psoriasis
    b) Allergic dermatitis
    c) Asthma, hay fever
  7. Infections such as thrush, scabies, worms.

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Thumbnail image for Updates On The Menopause

Updates On The Menopause

June 12, 2012

A few months ago I was invited by a large group G.P. practice to participate in a lecture evening to the public on the menopause. The topics were varied and included a talk by a physiotherapist on pelvic floor, a talk by a psychologist on moods, a G.P. talk on bones and my talk on [...]

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Painful Intercourse

November 4, 2011

One of the most common problems we face as gynaecologists on a daily basis is the very personal and often embarrassing issue of painful intercourse. By the time a woman comes to see us things are pretty bad. Often they are faced with resultant relationship issues and are quite desperate to get this problem sorted. [...]

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Chemical Pregnancy – What Is It?

October 18, 2011

From time to time I give the local General Practioners a question and answer session where we spend a few hours discussing problems that they may come across in their day to day work. It is always fascinating to see that we all have similar problems with certain conditions. The standard of general practice in [...]

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Gynaecologist – What You Should Know And Ask Before Surgery

March 9, 2011

Last week I saw a patient who had a very severe uterine and vaginal prolapse. She needed to have a vaginal hysterectomy and a pelvic floor repair. Of course this came as a huge shock to her. As I always do I explained everything to here is detail including drawings, alternative options and gave her [...]

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Early Pregnancy Loss And A Plan For Follow Up

October 22, 2010

One of the most distressing aspects of our work as gynaecologists is the management of early pregnancy loss. Often the awareness is made at a routine scan when the fetal heart is not seen to be beating. Sometimes this is preceded by a brownish discharge or some abdominal cramping. One of the most important signs [...]

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Urinary Incontinence, Urgency and Stress

October 18, 2010

Recently I went to a conference run by The incontinence society of New Zealand. It was attended by a wide range of health professionals  including gynaecologists, urogynaecologistes, physios, nurses and people dealing with incontinence. As always with such a diverse group of people there were so many options and such a variety of options that [...]

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Menopause Symptoms and Treatment

September 2, 2010

As a busy gynaecologist one of the most common complaints I see on a day to day basis are problems related to the menopause. What is the menopause? The menopause signals a time of change in a woman’s life hence the common term “change of life”. It is when ovulation ceases and periods stop. The [...]

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Hysterectomy Treatments

September 2, 2010

I have often found when a woman is faced with the prospect of having a hysterectomy there is a mixture of shock, disbelief and anger. However equally often there is absolute relief that their problem/problems will be taken away. A hysterectomy is the surgical removal of the uterus (womb).  Most hysterectomies are performed for non [...]

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