The Uterine Sound Podcast

Episode 40: Endometrial Cancer Part 2

This week on The Uterine Sound, we're diving deep into the world of endometrial cancer. Meet Pamela, a 64-year-old with post-menopausal bleeding and a concerning endometrial thickness of 15mm. After a hysteroscopy and curettage, Pamela’s results reveal endometrioid adenocarcinoma.

Join us as we walk through Pamela's journey, from delivering the diagnosis and outlining the next steps to discussing staging and management strategies. We'll cover:

• Breaking the News: How to approach delivering a cancer diagnosis with compassion and clarity.
• Staging & Investigations: What tests are crucial before referring to the Gynecology Oncology team.
• Surgical Options: The preferred surgical approach for endometrial cancer and the evolving role of lymph node evaluation.
• Adjuvant Therapy: Decisions on whether Pamela needs additional treatment based on her cancer’s risk classification.
• Follow-Up & Recurrence: Strategies for monitoring and managing potential recurrences, including when to consider advanced treatments.

Tune in to explore the complexities of managing endometrial cancer and gain insights into how treatment plans are tailored to individual cases.

Episode 39: Endometrial Cancer

In this eye-opening episode of The Uterine Sound podcast, hosts Anne Woolfield, Mel Acreman, and Carla Pecoraro tackle the rising tide of endometrial cancer. With rates surging due to factors like obesity and an ageing population, this episode sheds light on why it’s more important than ever to understand and address these trends.

Discover essential strategies for prevention, from making lifestyle changes like improving diet and exercise to leveraging hormonal contraceptives. The hosts also unravel the complexities of endometrial cancer classification and tackle the ongoing debate about the effectiveness of screening.

Tune in for a comprehensive exploration of endometrial cancer, complete with actionable insights and the latest research updates. Don’t miss this crucial discussion that promises to keep you informed and empowered.

 

 

 

 

 

 

Episode 38: Endometrial Hyperplasia

Join Anne, Mel, and Carla as they delve into the mysteries of endometrial hyperplasia. Meet Tiana, a 30-year-old grappling with irregular bleeding and an unexpected diagnosis post-polypectomy. Is it a benign polyp? Not quite—it's endometrial hyperplasia! But what does that mean?

In this episode, we uncover the nitty-gritty of endometrial hyperplasia, from its ominous precursor status to endometrial cancer to its surprising risk factors. Learn how unopposed estrogen, obesity, and even genetic conditions like Lynch Syndrome can tip the balance. Discover why menopausal hormone therapy and medications like tamoxifen might inadvertently set the stage for this condition.

Anne, Mel, and Carla break down the diagnostic journey, and cut through the old classification system's confusion and unveil the simplified guidelines of today.

But wait—what about treatment? From expectant management to the nuanced world of progesterone therapies and the pivotal role of the Mirena, they explore options tailored to each patient's needs. Should Tiana opt for fertility preservation? Discover the challenging decisions and implications when managing atypical hyperplasia, where the stakes are higher and fertility hangs in the balance.

Join us for this episode packed with clinical insights, debunking myths, and empowering women to navigate the complexities of endometrial health. Whether you're a clinician, patient, or simply curious, this podcast episode promises to demystify and enlighten. Tune in to The Uterine Sound for all things O&G!

 

Episode 37: Post-Menopausal Bleeding

Join Anne, Mel, and Carla, your hosts of The Uterine Sound podcast, as they dive into one of the most common yet concerning issues in gynaecology: post-menopausal bleeding. Discover why 10% of post-menopausal women experience this alarming symptom, and learn about the various causes—from benign polyps and atrophy to the rare but serious endometrial cancer. Through an engaging case study of Barbara, a 55-year-old woman facing this issue, the hosts provide expert insights into diagnosis, risk factors, and treatment options. Don’t miss this informative episode packed with essential knowledge and practical advice for anyone navigating post-menopausal health concerns.

Episode 36: Gestational Trophoblastic Neoplasia

Join hosts Carla, Mel, and Anne on this episode of "The Uterine Sound" as they unravel the complexities of Gestational Trophoblastic Neoplasia (GTN). Discover the fascinating world of these rare tumours, from the aggressive choriocarcinoma to the mysterious invasive mole. Learn about the critical follow-up care involving bhCG testing and explore the groundbreaking treatments that boast nearly 100% cure rates. The hosts also delve into the unique challenges of rarer forms like placental site trophoblastic tumour and epithelioid trophoblastic tumour. Whether you're studying for your RANZCOG exams or just curious about the latest in gyneacologic oncology, this episode is packed with intriguing insights and vital information. Don't miss out!

Episode 35: Gestational Trophoblastic Disease

Join hosts Mel, Carla, and Anne on this week's episode of The Uterine Sound Podcast as they delve into the fascinating and complex world of Gestational Trophoblastic Disease. In this episode, the team takes a deep dive into the nuances of complete and partial molar pregnancies, providing listeners with a thorough understanding of these unique early pregnancy complications.

With a blend of expert insights and compelling patient stories, the hosts explore the intricacies of diagnosis, the latest advancements in treatment, and the emotional journey of those affected. From understanding the initial symptoms and diagnostic findings to navigating the management and follow-up care, Mel, Carla, and Anne leave no stone unturned.

Whether you're a healthcare professional, a student, or simply curious about reproductive health, this episode promises to be both informative and engaging. Tune in to gain a richer understanding of Gestational Trophoblastic Disease and its impact on patients' lives. Don't miss out on this enlightening and thought-provoking discussion!

 

Episode 34: Evidence with Anne - Early Pregnancy

Join hosts Carla, Mel, and Anne as they delve into groundbreaking RANZCOG landmark trials on early pregnancy in this must-listen episode of the Uterine Sound podcast. Discover how they turn complex, landmark studies into bite-sized, exam-ready insights.

In this episode, the hosts break down major trials exploring treatments for recurrent miscarriage, including the effectiveness of low molecular weight heparin and aspirin, and compare medical versus surgical management of miscarriage. Learn how these studies influence current practices and what the latest evidence means for clinical decisions in obstetrics and gynaecology.

Perfect for busy professionals, this episode transforms dense medical research into practical knowledge you can digest on the go. Stay informed and up-to-date with the latest in O&G by tuning in, and connect with us on Instagram @theuterinesound or visit our website theuterinesound.com.

Episode 33: Atypical Ectopic Pregnancies

This week’s episode delves into the fascinating realm of rare ectopic pregnancies. While ectopic pregnancies are relatively uncommon, we'll explore those intriguing cases that deviate from the typical fallopian tube implantation. From CS scar ectopic to cervical, ovarian, cornual, and abdominal pregnancies, we'll uncover the diagnostic challenges, management complexities, and intriguing aspects of these unusual occurrences.

Discover why non-tubal ectopics are both rare and perilous, with significantly higher risks compared to their tubal counterparts. With each type, we'll delve into its distinct characteristics, diagnostic criteria, and management strategies. Whether it's the intricacies of diagnosing a CS scar ectopic or the complexities of managing an abdominal pregnancy, we'll provide insights into the latest guidelines and clinical practices.

Join us as we navigate through the diagnostic intricacies of these rare ectopic pregnancies, highlighting ultrasound findings, management options, and the importance of timely intervention. Whether you're a healthcare professional seeking to enhance your understanding or a curious listener intrigued by medical mysteries, this episode promises to captivate and enlighten.