Congenital Uterine Abnormalities

Congenital anomalies of the uterus occur when the Müllerian ducts fail to form, fail to fuse, or the septum fails to dissolve completely. These abnormalities are characterised by recurrent preterm labour and delivery. More severe abnormalities can manifest earlier in adolescence. 5 – 6%…

Urge Urinary Incontinence

Urge urinary incontinence is characterised by involuntary urine leakage, which is preceded by a perceived, strong, imminent need to urinate. It differs from Overactive bladder (OAB), which is an umbrella term for increased urinary urgency, with or without incontinence. Overactive bladder affects men…

Bypass Urinary Incontinence

Bypass urinary incontinence occurs when urine leaks after avoiding the normal continence mechanisms. It is usually due to fistulas, which become apparent between 1 and 2 weeks after the inciting event. The risk for developing fistulas following surgery is higher in women…

Functional Urinary Incontinence

Functional urinary incontinence is the involuntary leakage of urine due to environmental or physical barriers to toileting. This type of incontinence is sometimes referred to as toileting difficulty. The underlying causes should be addressed and alleviated if possible.

Dysmenorrhoea

Dysmenorrhoea is defined as pain on menstruation, usually to the point where it is debilitating. It is the most common cause of cyclical pelvic pain in patients of childbearing age. It comes and goes in predictable intervals, which may be known or unknown…

Dysfunctional Uterine Bleeding (DUB)

Dysfunctional Uterine Bleeding (DUB) is an outdated term that used to refer to abnormal uterine bleeding that occurs in the absence of recognisable pelvic pathology, systemic disease, or pregnancy. It is typically caused by hormonal imbalances, particularly those involving the hypothalamic-pituitary-ovarian axis, leading…

Hormone Replacement Therapy (HRT)

Hormone replacement therapy (HRT) is used to relieve moderate to severe vasomotor symptoms and urogenital symptoms, and to prevent osteoporosis. It replaces oestrogen and progesterone, which are no longer being produced. Progestogens are included in patients with a uterus to prevent endometrial…