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SPOTLIGHT ON WOMEN’S HEALTH

Women’s health management in today is no longer only concentrating on curative measures but is focusing more and more on ensuring quality of life improvement for women. As society is starting to expect women to play an ever-increasing part on the socio-economic scene, women are starting to demand better care and understanding from their health givers. We are also seeing a marked change in the attitude and approach to women’s health matters since more female doctors are specializing in gynaecology and obstetrics these days. There seems to be a better understanding and empathy towards women’s problems and the male gynaecological fraternity that used to dominate the gynaecology scene have suddenly become aware of: ‘the woman behind the problem’!

At a recent South African Uro-gynaecology Society congress and International Uro-Gynae Exchange workshops held in Midrand, Gauteng, particular attention was paid to matters relative to urinary problems ranging from incontinence (leaking of urine), urinary retention (unable to urinate) and infections as well as to colon and defecation problems. Common conditions like constipation, irritable bowl syndrome (or spastic colon as it is referred to more often) and anal incontinence were put under the spotlight and discussed by South African experts and their International counterparts. It was evident from the discussions and workshops that South African specialists are holding their own when it comes to these matters, as for a matter of fact they do in almost all other fields of medicine.

An interesting aspect that emerged from the discussions was the fact that problems relating to pelvic floor damage and dysfunction are not as uncommon in black patients as previously thought. It seems that there are more women of colour suffering from pelvic floor prolapse and incontinence than previously accepted. It is possible that these women are more prone to just accept their fate than to seek help. In the case of white women about 11% of all women will require treatment for prolapse related symptoms. The most common causes for these problems are vaginal childbirth, increasing age and chronic constipation.

What has become clear is that these conditions are not only debilitating but also very common. The sad thing is that there are hundreds of women out there that are unaware of all the treatment options available.


Hermanus Doctors
On-line

Gynecological
conditions, questions & advice
Ask
Dr Paul de Flamigh
Your Mail will be treated with  utmost respect for privacy

General
conditions, questions & advice
Ask Dr Tilla Muller 
or Dr. Nico Abel
Your Mail will be treated with utmost respect for privacy

THE MIRENA TO THE RESCUE
Dr Paul de Flamigh
In modern times one is almost daily bombarded by new inventions and developments. One of the most elegant and useful inventions in medical practice must be the development of the Mirena, intra-uterine contraceptive device. This device has been around for a couple of years and has been tried and tested by millions of women over the world. It is an intra-uterine contraceptive device with a difference that instead of having copper around the stalk of the device, it has a reservoir consisting of a slow release progesterone. The reason for this is that the progesterone that is slowly released over a period of 5 – 7 years, works by suppressing the growth of the lining of the womb (uterus) and therefore cuts down on the menstrual bleeding and if the patient is fortunate (as most of them are) they will eventually stop having periods all together.

I often get asked if this is detrimental for the patient but as the action is only localized in the uterus and not systemically, it means that there is a limited effect on the particular cells lining the womb and the hormone does not enter the bloodstream in significant quantities to have any systemic effect. The patient therefore has the advantage of being protected against unwanted pregnancies, the comfort of having very little to no periods at all, and still have normal hormonal cycles because the ovaries are not affected by this particular device. Should the patient desire to fall pregnant again, the device is very easily removed in the consulting rooms and within approximately a month she will have a normal period and can therefore attempt further pregnancies with no risk. The safety factor of this device is virtually 100% and considered statis-tically as safe as having a sterilization, provided that the apparatus is properly fitted. It does not need to be fitted in theatre or under anaesthetic and can be done in the consulting rooms in most cases, provided care is taken and it is done gently. One can also use this device in women that have very heavy periods but have possibly been sterilized and where no other pathology is found and therefore avoid surgery like for instance a hysterectomy. Although the device is considered reasonably expensive at approximately R1 500, if one considers the benefits and comfort it provides and divide this costs into 60 – 72 months, you quickly realise that this is actually a bargain.
This is a very liberating device with lots of benefits for women and should any readers want to obtain any more information they can go to the Schering website or phone Sr Dianne Jooste on 086 010 2667.


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Medical Services Listed in Hermanus
Antionette van Vuuren
Physiotherapist
7 Myrtle Lane Hermanus
+27 (0)28-3121981

Dr Du Toit & Munnik
14 Paterson St Hermanus
+27 (0)28-3121119

Dr Herman Fourie
Dentist
Hoofweg 9 Hermanus
+27 (0)28-3121066

Dr J.G. Tredoux
(Specialist Physician)
48 Fourie St, Hermanus
+27 (0)28-3130356 (24H)

Hermanus Medi Clinic
Hospital

St Hermanus
+27 (0)28-3130168
L Stander & T Visser
Physiotherapist

4 Mountain Drive Hermanus
+27 (0)28-3122735

Optical Eyes
Gateway Centre Hermanus
+27 (0)28-3131101

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