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

Postmenopausal bleeding

• When to refer ?• When to sit tight?

PCOSMg. in primary care prior to referral

Use of Dianette? Metformin and duration

Weight loss programme

Normal PCOS

Biopanic and subfertility

• Cycle regularity• D2 -4 FSH/LH/E2

• AFC• AMH

Ovarian reserve assessment

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

surgery?

Inadequate cervical smearWhat shall I do?

Doctor, do you think, I have a prolapse?

March 2015

Vaginal atrophy

Vaginal swellings

Modern management

Chronic vaginal discharge

BVCandidiasisChlamydiaEctropion

Nabothian cysts

Ovarian cysts

Ovary with a cyst Normal ovary

Adenomyosis

MRI

Minitouch

MR guided Focused US

Ulipristal Acetate - Esmya

Fibroid resection

Uterine polyps

Diagnosis ??