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Abnormal Uterine Bleeding: Overview
Abnormal uterine bleeding (AUB) refers to irregular or excessive bleeding from the uterus, often indicative of underlying health issues. Causes of AUB vary and can include hormonal imbalances, uterine fibroids, polyps, or endometrial hyperplasia. Diagnosis typically involves a thorough medical history, physical examination, and various tests such as ultrasound, endometrial biopsy, or blood tests to identify the underlying cause. Management of AUB depends on the underlying cause and may involve medications such as hormonal contraceptives, nonsteroidal anti-inflammatory drugs (NSAIDs), or surgical interventions like endometrial ablation or hysterectomy. AUB can significantly impact a person's quality of life, causing symptoms such as fatigue, anemia, and emotional distress. Early intervention and regular gynecological screenings are crucial for diagnosing and managing AUB effectively. Patient education on menstrual health and awareness of symptoms is essential for timely medical intervention and improved outcomes. Hormonal therapies, lifestyle modifications, and dietary changes may also be recommended to manage symptoms and promote overall well-being in individuals with AUB.
About the Speaker
Dr. Dilini Ilukpitiya
Gynecologist & Fertility Specialist, Ministry of Health, Srilanka
Dr. Dilini Ilukpitiya, currently working as Consultant (Acting) in Fertility and Reproductive Medicine at the Fertility Unit of a Teaching Hospital and within the Ministry of Health, boasts a rich array of professional affiliations and memberships. These include accreditation with the General Medical Council (GMC) in the UK, lifetime membership with the Sri Lanka College of Obstetricians & Gynaecologists, and the Endometriosis Society in Sri Lanka. Additionally, Dr. Ilukpitiya is a member of the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG), as well as a Fellow of the Association of Minimal Access Surgeons India (AMASI) and an Associate Member of the Sri Lanka Association of Minimal Access and Digital Surgeons (SLAMADS). Dr. Ilukpitiya's scholarly contributions extend to authored books, including co-authorship and thematic design of "OBSTETRICS IN CYCLES FOR POSTGRADUATES," co-authorship and original illustrations for the "COG MANUAL COURSE IN OBSTETRICS," and contributions to "Tabulated Obstetrics for Undergraduates" and "Tabulated Gynaecology for Undergraduates," among others.
Upcoming Case Discussions
Menopause Nutrition for Optimal Health
Menopause nutrition plays a critical role in supporting women’s health during this transition, helping to manage symptoms and promote overall well-being. A balanced diet rich in calcium and vitamin D is essential for maintaining bone density, as menopause increases the risk of osteoporosis. Incorporating phytoestrogen-rich foods like soy and flaxseeds may help regulate hormonal changes, while omega-3 fatty acids found in fish can reduce inflammation and improve heart health. Maintaining a diet high in fiber and low in refined sugars supports metabolic health and aids in weight management. Hydration and mindful eating are also key to managing menopause symptoms and boosting energy levels.
Optimizing Enteral Nutrition in Preterm Units
The panel discussion on "Optimizing Enteral Nutrition in Preterm Units" highlights growth and development in premature infants. It involves carefully balancing the delivery of essential nutrients like proteins, fats, and vitamins to meet the specific needs of these vulnerable infants. Early and gradual introduction of enteral feeds can help prevent complications like necrotizing enterocolitis (NEC). Advanced feeding protocols, alongside close monitoring, ensure that preterm infants receive the optimal nutrition required for healthy development. This approach significantly improves long-term outcomes and reduces the risk of malnutrition.
Approach to high risk pregnancy
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The Future of AI in Healthcare
The future of AI in healthcare promises transformative advancements, enabling faster and more accurate diagnoses through machine learning algorithms. AI will enhance personalized medicine, tailoring treatments to individual patients based on genetic and lifestyle data. Robotic surgery and AI-driven imaging will improve precision in medical procedures, reducing risks and recovery times. AI-powered virtual assistants will support doctors by streamlining administrative tasks, allowing more focus on patient care. Ultimately, AI has the potential to revolutionize healthcare by increasing efficiency, reducing costs, and improving patient outcomes globally.
Management of Gestational Diabetes
The management of gestational diabetes (GD) is centered on maintaining healthy blood sugar levels to ensure the well-being of both mother and baby. A key aspect of management is dietary modification, where pregnant women are advised to follow a balanced diet with controlled carbohydrate intake, focusing on small, frequent meals. Physical activity, such as moderate exercise like walking, plays a crucial role in enhancing insulin sensitivity and helping regulate glucose levels. Regular blood glucose monitoring is essential, allowing for timely adjustments to the treatment plan. In cases where lifestyle changes are insufficient to control blood sugar, insulin therapy or oral hypoglycemic medications may be introduced. Continuous prenatal care is vital, with healthcare providers closely monitoring both maternal and fetal health to prevent complications. Early delivery might be considered if GD is severe. Proper management of gestational diabetes reduces the risks of preeclampsia, preterm birth, and the development of type 2 diabetes later in life.