Gynaecology

Diagnosis and Management of Endometriosis

Endometriosis is a common disorder that can cause pelvic pain and infertility, may involve multiple organ systems, and can adversely affect quality of life. The cause of endometriosis is not fully understood, and no curative treatment currently exists. Although surgery can provide a definitive histopathological diagnosis, most international guidelines now recommend a nonsurgical diagnosis based on symptoms, findings on physical examination and imaging to reduce delays to starting treatment. Treatments target symptoms and include hormonal suppression, surgery or a combination of both approaches, as well as multidisciplinary care to address persistent pain arising from central sensitisation and nociplastic pain processes, if required.

Modern Medicine – Issue 4 2024

Progesterone with a Sixty-year Safety Record

Over the past 60 years, dydrogesterone has been used in more than 100 countries. Recently, several evidence-based studies, investigator-initiated trials, randomised clinical trial publications, and clinical and post-marketing studies involving dydrogesterone have supported the safety and tolerability profile of this drug..

Modern Medicine – Issue 1 2024

Managing Irregular Menstrual Cycles Brings Benefits

Regularity of menstrual cycles is considered an indicator of women’s reproductive health; changes in the menstrual cycle have different reasons and are often attributed to ovaries-thyroid and pituitary axis dysfunctions. Secondary amenorrhoea is characterised by cessation of previously regular menses for three months or previously irregular menses for six months and warrants evaluation. Dydrogesterone has been shown to effectively induce withdrawal bleeding and maintain regular bleeding in women with secondary amenorrhoea and normal oestrogen levels.

Modern Medicine – Issue 6 2021

Pre-eclampsia Early Identification is Vital

Pre-eclampsia is a multisystem disorder that typically affects 2%–5% of pregnant women and is one of the leading causes of maternal and perinatal morbidity and mortality, especially when the condition is of early onset.

Modern Medicine – Issue 2 2020