ALM G Women's Health
S1A Osteoporosis - The Total Osteoperosis Rx & prevention Area
Normalise vit D & calcium (in gp & nursing homes); try to prevent any further falls (this may include installing hand rails etc), training GPs to identify patients at highest risk (family history, smoking, female, aged etc); training on any updates for Rx management (Medicare now subsidise BMD test for patients > 70. Economically
for the Government it’s best to firstly find all those patients at greatest risk rather than test everybody.) If treatment is needed, what are the options for GPs – antiresorptives & the dual acting bone agent. (What is the ideal?). Discussion of the new RACGP guidelines for the identification, Mx & Rx of osteoporosis. Dr Stephen Thronley Servier
S5A Postmenopausal HRT & CV Risk Assessment
Subsequent to WHI there has been a decline in the usage of HRT. Much of the decline has been due to confusion in relation to its safety. This seminar will focus
on the safety & efficacy issues of HRT, particularly the issues related to cardiovascular risk. What to use, when not to use, who to use on & when to stop. Prof Michael Chapman Wyeth
S9B Reproductive Technology
This seminar will cover the latest in assisted reproductive technology from the early beginnings to today’s advanced technology; how to investigate a couple having trouble conceiving; range of assisted reproductive technologies available & success rates including egg freezing, improvements in the understanding of sperm biology (sperm DNA fragmentation), pre–implantation genetic diagnosis & embryonic stem cell research. A/Prof Peter Illingworth IVFAustralia
S11B POLYCYSTIC OVARY SYNDROME: is there any role for Metformin?
Polycystic ovaries are present in 20% of the general female population. PCOS may cause irregular periods, hirsutism, infertility & obesity in 25% of these women. This presentation reviews clinical investigations for GPs, Mx & Rx options including new & current thinking on Metformin, depending on a woman’s age & stage of life. Dr Michael Costello IVF Australia
WG Techniques for GPs to Maximise & Preserve men's & women's Fertility
1 in 6 Australian couples for the last 3 generations have had problems conceiving a first or subsequent child. One minor fertility problem increases a couple’s time to conception to 2 years on average, 2 will increase it to 7 years. In the past, when couples married in their 20s, they had over 15 years in which to conceive
spontaneously. However, now the average age of marriage for Australian men & women is the early 30s, so they only have a very limited time, in which to conceive. The techniques to maximise & preserve fertility in the 20s & 30s have become even more important. GPs are ideally placed to assist & educate their
patients on fertility preservation measures. Dr Anne Clark Sessions 4,9,11 Fertility First
WO The Endocrinology of Contraception
1. The endocrinology of contraception Contraception involves the use of different hormone analogues. The common combined oral contraceptive includes a potent form of estrogen, ethanylestrodiol in association with one of a range of progesterones. Preventing conception through a direct effect on the hypothalamus & pituitary. The consequence of this is that endogenous ovarian steroid synthesis is suppressed but early follicle growth continues. During the pill free interval the FSH concentration rises but insufficiently to stimulate complete follicle growth & maturation. The hormonal background to all of this will be discussed. An update on other contraceptive methods including surgery, coils & rings will be provided. Sessions 1,6,12
2. Managing miscarriage & early bleeding This workshop will define miscarriage, outline the incidence, causes & investigations in gp; plus management of a patient with recurrent miscarriage & additional investigations this demands, including emotional support. Sessions 2,7,13
3. Investigation of menstrual problems Women present in gp with a range of common gynaecological problems. An update on the investigation & management of these including: irregular menstrual cycles, heavy & painful periods, premenstrual tension, acne, and hirsuitism will be covered. Sessions 3,8,14 Dr Graeme Hughes, Dr Andrew Kan , Dr Peter Leung IVFAustralia
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