In this episode of the GP Series, host Dr. Ali Hodgkinson is joined by distinguished fertility specialist Dr. Simon Nothman for a comprehensive look at the management of Polycystic Ovarian Syndrome (PCOS).

Dr. Nothman provides clarity on the diagnostic criteria, the four different PCOS phenotypes—including the distinctions of Lean PCOS—and the crucial importance of ruling out confounding diagnoses like hypothalamic amenorrhea.

The episode delves into the significant long-term health considerations, detailing the high metabolic, gynecological, and often-overlooked mental health risks associated with PCOS. Furthermore, it offers practical, evidence-based advice on management strategies, including optimal contraception choices, lifestyle intervention, and the role of medications like Metformin and GLP-1 agonists. Ultimately, the discussion frames the GP as the central conductor in a necessary multidisciplinary approach, coordinating a team of allied health professionals and specialists to provide holistic and effective care for every patient with PCOS.

This is a must-listen guide for General Practitioners seeking to optimize the care and long-term health outcomes for their patients with PCOS.

To learn more about Dr. Simon Nothman's work, you can visit his website, drsimonnothman.com.au, or find him on the Genea website. More details are in the episode notes.

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Today, we are going to get the microscope out and take a close look at pre-implantation genetic testing and better understand when GPs should be considering referring their patients for such testing.
Firstly, we start off by discussing some of the language changes in this field, which are aimed at helping patients and doctors get on the same page. Then we chat about different types of pre-implantation testing and how these tests might be effective for some patients but not others.

Joining me is Dr Ying Li, who is a CREI fertility specialist, who is passionate about finding answers to both male and female infertility, as well as recurrent miscarriages and fertility preservation.

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In this episode, she highlights why an early diagnosis is so pivotal, particularly for a woman wanting to fall pregnant, while also revealing just how common the condition is.

She provides GPs with tips on recognising the telltale signs of endometriosis and emphasises why symptoms should never be dismissed as just a normal part of menstruation.

Dr Danielle Robson is an experienced gynecologist who has worked and trained in hospitals in Sydney, Brisbane, and Darwin. Danielle has completed a Masters in Reproductive Medicine, graduating with Excellence. Danielle has completed the Certificate in Reproductive Endocrinology and Infertility (CREI). Danielle is a highly motivated specialist and remains heavily involved in medical education. She works as a visiting medical officer in obstetrics and gynaecology at both Royal North Shore Public Hospital and Royal Prince Alfred Hospital, training and educating junior doctors.

For more Information and where to contact Dr Robson go to drdaniellerobson.com.au or
follow he on Instagram or Facebook.

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