London gynaecologist answers your questions on
women's health, birth control, PCOS, infertility, diet, menorrhagia, PMS,
menopause, HRT, sexual problems and pregnancy: Evidence based answers to
FAQs on women's health issues.
When should I seek professional advice?
Will I require any tests and if so what will these involve for me?
Do I require treatment?
What will be my treatment options?
What are reproductive hormones and how is the menstrual cycle
controlled?
How can I tell which will be the best treatment for me?
How will I benefit from a particular treatment?
Could a proposed treatment cause side effects for me?
Could I change my treatment if I am not happy with it?
What is the best way for me to avoid an unplanned pregnancy?
Will we be able to have children when we wish?
What will happen to me at the menopause?
Women's health problems and related questions are extremely common.
There are seldom simple answers to these questions.
Every woman is an individual, with her own particular set of
circumstances.
Every clinical problem requires evaluation and the potential benefits
and risks of investigations and treatments demand careful consideration
and explanation.
If you have a recurring pain that does not require even a Paracetamol
tablet it is unlikely that you would require an operation to determine
the cause or remove the source of the pain - the risks of surgery are
likely to be greater than the potential benefits.
This website offers simple introduction to each subject followed by
greater detail for those who may require it whether patients or
professionals.
These are all very personal and intimate matters that are rarely
discussed with others.
Frequently the relationship with a partner may be affected sometimes
leading to marital disharmony.
For a gynaecologist, and in particular for those sub-specialising in
reproductive medicine, there are quite complex issues to be addressed.
It is relatively simple for a patient to understand that a 'joint is
wearing out' or that a 'heart-valve is leaking' but hormones are an
enigma to the majority.
The interplay of the various hormones that are involved in the menstrual
cycle, fertility, general health and the psyche are not yet fully
understood even by specialists.
This website seeks to raise awareness on the range of factors that affect
women's health.
Treatment within women's health is one of the most rapidly
advancing areas of medicine.
This website is devoted to women's health and simplifies finding
relevant information.
The media appear to thrive on women's health issues, harping on anxieties,
particularly when there is no other newsworthy story.
Information for Patients
Women's health Issues are amongst the most popular topics in current
affairs featuring frequently in TV, radio, magazines, journals and all
other media.
It is apparent to all doctors that patients are seeking ever more detailed
explanations for their symptoms and information to assist them with treatment
options. There is a particular interest in women's health.
Many will have found a book or article in a magazine.
Although few patients would wish to reach into the very depths of current
research, some go as far as a computer search on the internet. These sites can
provide a useful source of information although caution is required (internet
information). At the end of most sections of this book, a few selected Web
sites have been included, which may set you on the road to some fascinating
surfing.
Details of support groups have also been provided.
Most of the questions answered on this website arose during consultations
over several years at clinics in .
Developments in Women's health issues:
Mankind doubles its knowledge every ten years. There have been
astonishing developments in women's health since I qualified nearly forty
years ago. I plan to discuss some of these developments in my
forthcoming newsletters.
To give one example, during my first training post in gynaecology, we had
to remove the remaining Fallopian tube of a woman as she was having her
second ectopic pregnancy. In those days it was standard practice to remove
the tube and we celebrated the fact that it was a sucessful life saving
opertion. The operation sadly sterilized the woman who was desparate for a
child. The couple wanted to know how they could have a child but sadly their
only option at that time their only option was adoption. Ten years later, in
vitro fertilization - IVF was developed to overcome tubal infertility. The
first IVF baby is now in her thirties.
There has been a revolution in information technology. This has benefited
the medical profession who have ready access to details of the latest
research. Patients similarly have open access to this information and seek
greater involvement in discussions about their investigations and treatment
options. We shall be discussing developments in:-
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, menopause and HRT.
David Viniker qualified from University College Hospital London. with M.B.,
B.S. He became a Fellow of the RCOG, London and received his doctorate (MD) from
the University of London
His training included posts at UCH, London: The London Hospital (Now
the Royal London Hospital, The Hammersmith Hospital, London; The Leicester Royal
Infirmary.
The aim of this web site is to provide a general
guide and it is not intended as a substitute for a consultation
with an appropriate specialist in respect of individual care and
treatment.
