Menopause Matters, Cervical Erosion, Hirsutism and Heavy Periods – Questions for the Gynecologist

London gynaecologist (now retired) answers women’s health questions on topical health issues.

Happy portrait of grandmother, mother and daughter
Happy portrait of grandmother, mother and daughter at home

Children and Teenagers Diet / Weight Loss Dysmenorrhoea Endometriosis Fibroids HRT Hirsutism Hysterectomy Infections Infertility Medication Drugs Menorrhagia Miscarriage Painful Sex Pap Smear Test  Pelvic Pain PMS Pregnancy Self Esteem Sexual Problems Vaginal Discharge Vaginal Prolapse Vulval symptoms

The most common women’s health questions asked of a gynaecologist are:-

When should I seek professional advice?

Will I require any tests and if so what will these involve for me?

Do I require treatment?

What will be my treatment options?

What are reproductive hormones and how is the menstrual cycle controlled?

How can I tell which will be the best treatment for me?

How will I benefit from a particular treatment?

Could a proposed treatment cause side effects for me?

Could I change my treatment if I am not happy with it?

What is the best way for me to avoid an unplanned pregnancy?

Will we be able to have children when we wish?

What will happen to me at the menopause?

Menopause MattersWomen’s health problems and related questions are extremely common.
There are seldom simple answers to these questions.

Every woman is an individual, with her own particular set of circumstances.

Every clinical problem requires evaluation and the potential benefits and risks of investigations and treatments demand careful consideration
and explanation.

If you have a recurring pain that does not require even a Paracetamol tablet it is unlikely that you would require an operation to determine the cause or remove the source of the pain – the risks of surgery are likely to be greater than the potential benefits.

This website offers simple introduction to each subject followed by greater detail for those who may require it whether patients or professionals.


These are all very personal and intimate matters that are rarely discussed with others.

Frequently the relationship with a partner may be affected sometimes leading to marital disharmony.

For a gynaecologist, and in particular for those sub-specialising in reproductive medicine, there are quite complex issues to be addressed.

It is relatively simple for a patient to understand that a ‘joint is wearing out’ or that a ‘heart-valve is leaking’ but hormones are an enigma to the majority.

The interplay of the various hormones that are involved in the menstrual cycle, fertility, general health and the psyche are not yet fully understood even by specialists.

This website seeks to raise awareness on the range of factors that affect women’s health.
Treatment within women’s health is one of the most rapidly advancing areas of medicine.
This website is devoted to women’s health and simplifies finding relevant information.
The media appear to thrive on women’s health issues, harping on anxieties, particularly when there is no other newsworthy story.


Information for Patients

Women’s health Issues are amongst the most popular topics in current affairs featuring frequently in TV, radio, magazines, journals and all other media.
It is apparent to all doctors that patients are seeking ever more detailed explanations for their symptoms and information to assist them with treatment options. There is a particular interest in women’s health.

Many will have found a book or article in a magazine.

Although few patients would wish to reach into the very depths of current research, some go as far as a computer search on the internet. These sites can provide a useful source of information although caution is required (internet information). At the end of most sections of this book, a few selected Web
sites have been included, which may set you on the road to some fascinating surfing.

Details of support groups have also been provided.

Most of the questions answered on this website arose during consultations over several years at clinics in .

Developments in Women’s health issues:

Mankind doubles its knowledge every ten years. There have been astonishing developments in women’s health since I qualified nearly forty years ago.  I plan to discuss some of these developments in my forthcoming newsletters.

To give one example, during my first training post in gynaecology, we had to remove the remaining Fallopian tube of a woman as she was having her second ectopic pregnancy. In those days it was standard practice to remove the tube and we celebrated the fact that it was a successful life saving operation. The operation sadly sterilised the woman who was desperate for a child. The couple wanted to know how they could have a child but sadly their only option at that time their only option was adoption. Ten years later, in vitro fertilization – IVF was developed to overcome tubal infertility. The first IVF baby is now in her thirties.

There has been a revolution in information technology. This has benefited the medical profession who have ready access to details of the latest research. Patients similarly have open access to this information and seek greater involvement in discussions about their investigations and treatment options. We shall be discussing developments in:-

      General health issues such as

exercise and nutrition.
Adolescent problems

      Early pregnancy problems including

miscarriage and ectopic pregnancy and recurrent miscarriage


Family planning / birth control / contraception including the combined contraceptive pill, the Mirena IUS and sterilisation
Fibroids– the most common cause of an enlarged uterus outside pregnancy.

Infertility investigations and treatments, including IVF
Heavy periods 
Hysterectomy including vaginal hysterectomy and laparoscopic hysterectomy
Infections including chlamydia, genital herpes and genital warts
Menorrhagia – heavy periods
menopause and hormone replacement therapy – HRT– risks and benefits on osteoporosis, heart disease and cancer menopause symptoms
Painful periods
PMS – premenstrual syndrome about 80% of women are troubled to a lesser or greater degree.

Pregnancy and Childbirth

      Prevention by screening –

Pap smears for pre-malignant cervical problems and mammograms for early breast cancer

Pelvic pain
Polycystic ovary syndrome.
PCOS New Video on PCOS

Recurrent Miscarriage
Sexual problems
Teen pregnancy
Urinary tract infection
Urinary incontinence
Vaginal discharge and the commonest causes are bacterial vaginosis and candida / thrush


Cancers such ascervical cancer,ovarian cancer and breast cancer which are understandably every woman’s greatest fear. Depression in women may be related to PMS, the menopause or sexual problems.

Alternative medicine

    including natural herbal remedies

We all know the main bad things that affect women’s health. The main three obvious ones are to stop smoking, improve diet and increase exercise.

March 2012 – Three videos on the benefits of short bursts of exercise.

Menopause Matters

Menopause matters are increasingly an issue as life expectancy increases. Cervical erosion, also called cervical ectropion is seen in perhaps the majority of younger women but it sounds like a disease: It is not.

Menopause Matters: Your Guide to a Long & Healthy Lifemenopause-matters

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This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist – Specialist Interests – Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women’s health questions in the patient information and medical advice provided.

– Specialist Interests – Reproductive Medicine including Infertility, PCOS, PMS, menopause and HRT.

David Viniker qualified from University College Hospital London. with M.B., B.S. He became a Fellow of the RCOG, London and received his doctorate (MD) from the University of London His training included posts at UCH, London:  The London Hospital (Now the Royal London Hospital, The Hammersmith Hospital, London; The Leicester Royal Infirmary.

The aim of this web site is to provide a general guide and it is not intended as a substitute for a consultation with an appropriate specialist in respect of individual care and treatment.

David Viniker retired from active clinical practice in 2012.
In 1999, he setup this website – – to provide detailed information many of his patients requested. The website attracts thousands of visitors every day from around the world.If you would like advice on your website, please visit his websites Page 1 on Google and Keyword SEO PRO or email him on

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David Viniker retired from clinical medicine in 2012. He now researches website promotion with search engine optimisation. He has developed a program that shows you the keywords your website should be targeting. If you would like to
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Answers to women’s health questions on topical health issues by London gynaecologist.

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1 Comment

  • Carolyn Kerr

    October 19, 2016 at 4:47 pm Reply

    At last l now know what has happened to me internally,l only went for a checkup and was told my womb had collapsed.My new Doctor was very thorough and this is how the problem was found,but l wanted answers about how and why,so thank you,l know know what to expect,at my hospital appointment

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