Dr. Emily Thompson

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Dr. Emily Thompson Professor of Gynecology, University of Oxford Hospital

29/04/2025
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31/03/2025

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03/03/2025

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Estrogen and testosterone are s*x hormones. Estrogen is often called the female s*x hormone, as it plays an important ro...
10/01/2025

Estrogen and testosterone are s*x hormones. Estrogen is often called the female s*x hormone, as it plays an important role in the female reproductive system. Likewise, testosterone is referred to as the male s*x hormone for the roles it plays in male s*xual development and function. It's true that women and people assigned female at birth (AFAB) have much higher levels of estrogen, but they have some testosterone, too.

Understanding Polycystic O***y Syndrome (PCOS)Polycystic O***y Syndrome (PCOS) is a common hormonal disorder that affect...
30/12/2024

Understanding Polycystic O***y Syndrome (PCOS)
Polycystic O***y Syndrome (PCOS) is a common hormonal disorder that affects up to 10% of women of reproductive age. It occurs when a woman’s ovaries produce an excess of androgens (male hormones), which can lead to irregular menstrual cycles, infertility, and the development of cysts on the ovaries.
Symptoms:
Irregular periods or absence of menstruation
Increased levels of acne, facial hair, or thinning hair
Ovarian cysts (often detected through ultrasound)
Difficulty in conceiving (infertility)
Causes:
The exact cause of PCOS is still not fully understood, but it is often linked to insulin resistance, obesity, and genetic factors.
Diagnosis:
PCOS is diagnosed based on a combination of clinical symptoms, ultrasound imaging, and blood tests measuring hormone levels. A pelvic ultrasound may reveal multiple small cysts on the ovaries.
Treatment:
While there is no cure for PCOS, the symptoms can be managed effectively. Common treatments include:
Hormonal contraception (birth control pills) to regulate periods and reduce excess hair growth.
Metformin to manage insulin resistance.
Lifestyle changes like diet and exercise to help manage weight and improve insulin sensitivity.
PCOS can be a complex condition, but with the right care and support, women can manage their symptoms and lead healthy lives. If you're experiencing symptoms of PCOS, it's essential to consult with a healthcare provider who can offer personalized treatment options.
Dr. Jane Thompson, MD
Reproductive Endocrinologist and Expert in Women's Health

Understanding EndometriosisEndometriosis is a common yet often misunderstood condition that affects about 1 in 10 women ...
28/12/2024

Understanding Endometriosis
Endometriosis is a common yet often misunderstood condition that affects about 1 in 10 women of reproductive age. Despite its prevalence, it remains underdiagnosed, with many women suffering in silence for years before receiving a proper diagnosis. It occurs when tissue similar to the lining of the uterus (called the endometrium) grows outside the uterus, causing a variety of painful and disruptive symptoms.

What is Endometriosis?
In a healthy menstrual cycle, the tissue that lines the inside of the uterus thickens, breaks down, and sheds during menstruation. However, in women with endometriosis, this tissue grows outside the uterus β€” on the ovaries, fallopian tubes, and other organs in the pelvic cavity. The tissue behaves in the same way as the uterine lining: it thickens, breaks down, and bleeds during each menstrual cycle. However, because this tissue has no way to exit the body, it becomes trapped, causing inflammation, pain, and sometimes scar tissue formation (adhesions).

Symptoms of Endometriosis
The symptoms of endometriosis can vary widely from person to person. Some women may experience mild discomfort, while others endure severe pain that affects their daily lives. Common symptoms include:

Pelvic Pain: This is the hallmark symptom of endometriosis. Women often experience pain that may worsen during menstruation but can also occur at other times during the menstrual cycle. Pain can range from mild to debilitating.
Heavy Periods (Menorrhagia): Many women with endometriosis experience heavy, prolonged menstrual bleeding.
Pain During In*******se (Dyspareunia): Endometriosis can cause pain during or after s*x, especially deep pe*******on.
Painful Bowel Movements or Urination: This typically occurs during menstruation and can be a sign that the endometrial tissue is affecting the bowels or urinary tract.
Infertility: Endometriosis is one of the leading causes of infertility in women. The condition can interfere with egg release and implantation, making conception difficult.
Fatigue, Digestive Issues, and Nausea: Many women with endometriosis experience digestive issues, including bloating, constipation, or diarrhea. Fatigue is also common due to chronic pain and inflammation.
Causes of Endometriosis
The exact cause of endometriosis remains unclear, but several theories may explain the condition:

Retrograde Menstruation: This theory suggests that during menstruation, some of the menstrual blood containing endometrial cells flows backward through the fallopian tubes into the pelvic cavity instead of leaving the body. These cells can implant and grow, leading to endometriosis.

Genetics: Endometriosis tends to run in families, suggesting that a genetic predisposition may play a role in its development. Women with a close relative who has endometriosis are more likely to develop the condition.

Immune System Dysfunction: Some researchers believe that a malfunctioning immune system may fail to recognize and destroy endometrial-like tissue growing outside the uterus, allowing it to thrive and spread.

Environmental Factors: Exposure to certain environmental toxins and chemicals may increase the risk of developing endometriosis, though more research is needed to fully understand this connection.

Diagnosis and Treatment
Endometriosis is often challenging to diagnose because its symptoms overlap with those of other conditions, such as irritable bowel syndrome (IBS) or pelvic inflammatory disease (PID). To confirm the diagnosis, a doctor may perform a pelvic exam, an ultrasound, or a laparoscopy (a minimally invasive surgical procedure where a camera is inserted into the pelvic cavity to look for endometrial tissue).

While there is currently no cure for endometriosis, there are several treatment options to manage the symptoms:

Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.
Hormonal Therapy: Birth control pills, hormonal IUDs, and other hormonal treatments can help regulate or stop menstruation, reducing the growth of endometrial tissue and alleviating pain.
Surgery: In more severe cases, surgery may be recommended to remove the endometrial tissue. This can improve symptoms and increase the chances of conception in women struggling with infertility.
Fertility Treatments: For women experiencing infertility, assisted reproductive technologies like in vitro fertilization (IVF) may be necessary to help achieve pregnancy.
Living with Endometriosis
Endometriosis can significantly affect a woman’s quality of life, both physically and emotionally. Chronic pain, infertility, and other symptoms can lead to frustration, anxiety, and depression. However, with the right medical care and lifestyle adjustments, many women with endometriosis are able to manage their condition and maintain a fulfilling life.

It's important to speak with a healthcare provider if you suspect you may have endometriosis or if you're struggling with

Understanding Vaginal Yeast Infections: Causes, Symptoms, and TreatmentVaginal yeast infections, medically known as vulv...
27/12/2024

Understanding Vaginal Yeast Infections: Causes, Symptoms, and Treatment
Vaginal yeast infections, medically known as vulvova**nal candidiasis, are one of the most common gynecological issues that women encounter. Affecting up to 75% of women at some point in their lives, yeast infections can range from mildly irritating to quite severe. Understanding the causes, symptoms, and treatment options is essential for effective management.
What Causes a Vaginal Yeast Infection?
A va**nal yeast infection is caused by an overgrowth of the fungus Candida, most commonly Candida albicans. This fungus is normally present in small amounts in the va**na, along with other microorganisms that help maintain a healthy balance. However, when this balance is disturbed, Candida can proliferate and lead to an infection.
Several factors can contribute to the overgrowth of Candida, including:
Antibiotics: While antibiotics are essential for treating bacterial infections, they can also kill the "good" bacteria in the va**na that keep Candida in check. This disruption can lead to an overgrowth of yeast.
Hormonal Changes: Hormonal fluctuations, particularly during pregnancy, menstruation, or menopause, can alter the va**nal environment and make it more conducive to yeast growth. For instance, higher estrogen levels can encourage yeast growth.
Uncontrolled Diabetes: High blood sugar levels can promote yeast growth, as Candida thrives on sugar.
Immune System Weakness: Conditions that weaken the immune system, such as HIV/AIDS or treatments like chemotherapy, can make it easier for Candida to multiply.
Tight-Fitting Clothing or Synthetic Underwear: Wearing tight clothing or non-breathable materials like synthetic underwear can trap moisture, creating a warm, damp environment perfect for yeast growth.
Sexual Activity: While yeast infections are not considered s*xually transmitted, s*xual activity can alter the va**nal pH and sometimes trigger an infection.
Symptoms of a Vaginal Yeast Infection
A va**nal yeast infection typically presents with several telltale symptoms, including:
Itching and irritation in and around the va**na.
Thick, white discharge that may resemble cottage cheese (often odorless).
Pain or burning sensation during urination or s*xual in*******se.
Redness and swelling of the va**nal area.
These symptoms can be quite uncomfortable but are often treatable with over-the-counter or prescription treatments. However, if you experience recurrent infections or symptoms that do not improve with treatment, it's important to consult a healthcare provider.
Diagnosis of Vaginal Yeast Infections
If you suspect you have a yeast infection, a gynecologist can diagnose the condition based on your symptoms and a physical exam. In some cases, a va**nal swab may be taken to confirm the presence of Candida and rule out other conditions, such as bacterial vaginosis or s*xually transmitted infections, which have similar symptoms.
Treatment Options
Antifungal Medications: The most common treatment for va**nal yeast infections is antifungal medications, which can be applied directly to the infected area or taken orally. These include over-the-counter options like clotrimazole and miconazole, or prescription treatments such as fluconazole.
Probiotics: Some studies suggest that probiotics, which help restore healthy bacteria in the va**na, can reduce the frequency of yeast infections. However, more research is needed in this area to establish their effectiveness as a treatment.
Home Remedies: While not scientifically proven, some women turn to home remedies such as coconut oil or garlic, which have antifungal properties, to alleviate symptoms. Always consult your doctor before trying home remedies, as some may irritate the skin or worsen the infection.
Preventive Measures: For women prone to yeast infections, preventive measures include:
Wearing breathable cotton underwear.
Avoiding tight-fitting clothing.
Wiping from front to back after using the toilet.
Avoiding scented feminine hygiene products that can disrupt the natural pH of the va**na.
When to See a Doctor
Most va**nal yeast infections can be treated easily with antifungal medications. However, it's important to see a doctor if:
You experience frequent or recurrent infections.
You have symptoms that don't improve with over-the-counter treatments.
You're pregnant or have other underlying health conditions, such as diabetes or a weakened immune system.
Your symptoms are severe, or you have unusual bleeding or discharge that doesn't match typical yeast infection symptoms.
Conclusion
Vaginal yeast infections, while common and often uncomfortable, are generally easy to treat and prevent with proper care. Understanding the causes, symptoms, and treatment options for yeast infections can help you manage the condition effectively. If you experience recurrent infections or severe symptoms, seeking medical advice is important to ensure the correct diagnosis and treatment.
Maintainin

🌸 Understanding PCOS (Polycystic O***y Syndrome) 🌸Polycystic O***y Syndrome, or PCOS, is one of the most common hormonal...
26/12/2024

🌸 Understanding PCOS (Polycystic O***y Syndrome) 🌸
Polycystic O***y Syndrome, or PCOS, is one of the most common hormonal disorders affecting women of reproductive age. Despite its prevalence, it often goes undiagnosed, leaving many women struggling with symptoms without understanding what's happening in their bodies.
What is PCOS?
PCOS occurs when a woman's ovaries produce an excess of male hormones (androgens), which can disrupt the normal development and release of eggs. This imbalance can lead to various symptoms, such as:
Irregular periods or no periods at all
Ovarian cysts (fluid-filled sacs on the ovaries)
Difficulty getting pregnant (due to irregular ovulation)
Excessive hair growth (often on the face, chest, or back)
Acne or oily skin
Thinning hair or male-pattern baldness
Weight gain, especially around the abdomen
How Does PCOS Affect Your Health?
PCOS not only impacts your reproductive system, but it can also affect your long-term health. Women with PCOS are at a higher risk for:
Type 2 diabetes
Heart disease
High blood pressure
Endometrial cancer
Sleep apnea
Mood disorders like anxiety and depression
Managing PCOS
While there is no cure for PCOS, managing it is possible with the right lifestyle changes and medical interventions. Some helpful approaches include:
Maintaining a healthy weight to improve hormone balance
Balanced diet rich in whole foods and low in processed sugars
Exercise to help regulate insulin levels and reduce symptoms
Medications like birth control pills to regulate periods or insulin-sensitizing drugs like metformin
It's important to remember that every woman’s experience with PCOS is unique. What works for one person may not work for another, so it's essential to work with your healthcare provider to find a treatment plan that suits you.
πŸ’‘ Tip: If you're experiencing symptoms of PCOS, don't hesitate to talk to your doctor. Early diagnosis and treatment can help you manage the condition and prevent long-term complications.
You are not alone in this journeyβ€”PCOS is a challenge, but with the right support, it's manageable. Stay informed and empowered! 🌸

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Tuesday 09:00 - 18:00
Wednesday 09:00 - 18:00
Thursday 09:00 - 18:00
Friday 09:00 - 18:00

Telephone

1833 - 5143

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