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Women’s Health

GDM Diagnosis & Management – SWS leading the way

8th November 2018, Dr Chee L Khoo When there is so much talk about gestational diabetes (GDM), you can’t help but think that just about every pregnant woman has GDM in south west Sydney (SWS). After all, if you look at the “high risk” group…

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PCOS diagnosis – an end to the dog breakfast?

11th October, 2018, Dr Chee L Khoo The original diagnostic criteria for polycystic ovary syndrome (PCOS) put forward after the first international conference on PCOS in 1990 was oligo-anovulation and hyperandrogenism or hyperandrogenaemia in the absence of all other endocrinopathies. This was based on expert…

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Prenatal programming – can it affect offspring mental outcomes?

11th October 2018, Dr Chee L Khoo Epigenetics is the modification of the DNA that changes a gene’s expression without altering the nucleotide sequence. DNA methylation and histone modifications are the most commonly studied epigenetic mechanisms by which cell structure and function can be altered…

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3D Mammogram – is there a role in clinical practice?

30th September, 2018, Dr Chee L Khoo There is no question that screening mammograms have led to a decline in late stage breast cancers. There have been a gradual decrease in breast cancer mortality, at least partly, due to the introduction of screening mammograms over…

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Ondansetron – is it safe in pregnancy?

15th September, 2018, Dr Chee L Khoo Nausea and vomiting affects up to 80% of pregnancies but severe nausea and vomiting in early pregnancy or hyperemesis gravidarum (HG) can affect up to 1% of pregnancy. As GPs, we are often the first port of call…

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Non-invasive prenatal screening – A package deal

Increasingly, women are now requesting non invasive prenatal screening. Spectrum Medical Imaging now offers a comprehensive non-invasive prenatal screening at Liverpool. For patient convenience, they provide pre-test discussion, a viability/dating scan, GeneStyle NIPS and 13 week structural scan. NIPS results are available within 5 days. Genetic…

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Metformin in pregnancy – where are we now?

April 2018, Dr Chee L Khoo Another day, another study published on the good or bad about metformin use in pregnancy. There is a lot of confusion and unknowns about the benefit or safety of metformin to the mother-to-be or to the long-term outcome of…

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Metformin during pregnancy – Goldilocks principle strikes again!

March 15, 2018 Dr Chee L Khoo Hyperglycaemia during pregnancy has significant metabolic consequences for the mother, the pregnancy as well as for the offspring’s future health. It is tempting to assume that keeping the glucose lower during pregnancy must be beneficial for both parties….

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Non-invasive prenatal testing – what GPs need to know

February 2018, Dr Chee L Khoo You would have no doubt come across a few patients enquiring about non-invasive prenatal testing. Obviously, this come on top of the “optional” nuchal translucency (NT) with or without maternal serum analysis which has been around for some years….

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