Category Archives: Diagnosis

Ultrasound scanning is magic – just switch the machine on and point it in the right direction……

One thing patients often say to me when I am carrying out a scan is: “isn’t it amazing what these machines can do these days” I have to admit this usually provokes a little irritation as clearly people think you … Continue reading

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Human Papilloma Virus (HPV) to be rolled out into the NHS

It  has been announced that HPV testing  is going to become available in the NHS cervical screening programme. Clearly not directly related to pregnancy, but this news is significant for all women. It helps differentiate  between minor abnormalities on smears … Continue reading

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Caesarean section scar ectopic pregnancies – an increasing problem?

  An ectopic pregnancy is when a pregnancy develops outside the cavity of the womb. These pregnancies are usually found in the Fallopian tube, but an important minority are located in “non-tubal” places. Examples are the interstitial tube where the … Continue reading

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How are tubal ectopic pregnancies treated?

  Like people, every ectopic pregnancy is different and so not all treatments are appropriate for all ectopic pregnancies. In general terms the treatment can be divided into three approaches: Expectant management where no treatment is given and we wait … Continue reading

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What is an ectopic pregnancy?

When speaking to patients the term “ectopic pregnancy” is known to most of them – although they are not always clear on exactly what it is. The diagram on the left is a schematic of the uterus, tubes and ovaries. … Continue reading

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I have been told I have a pregnancy of unknown location or “PUL” – what does this mean?

It is very important to understand that  ”pregnancy of unknown location” is a term used to describe a situation and is not a diagnosis. It is often shortened by doctors and nurses to the acronym “PUL” – so you may … Continue reading

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Why do they do internal (vaginal) scans not abdominal ones?

Most scans carried out for a gynaecological indication or in early pregnancy (less than 10 weeks) are carried out using a vaginal probe and we are often asked why this is the case – why not do them abdominally and … Continue reading

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After a miscarriage – can we tell who might need an operation

A miscarriage is traumatic irrespective of the treatment received in hospital. In gernal the trend is towards expectant management for miscarriage – in other words a watcvh and wait approach. However there problem is that some some women will find … Continue reading

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