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The Dr Louise Newson Podcast

186 - Bleeding on HRT with Consultant Gynaecologist Mr Osama Naji

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8798 Ratings

🗓️ 10 January 2023

⏱️ 31 minutes

🧾️ Download transcript

Summary

Mr Osama Naji is a consultant gynaecologist at Guy’s and St Thomas’ hospital in London and he leads the busy department of women’s cancer diagnostics at Guy’s Cancer Centre. Mr Naji specialises in early detection of pre-cancerous conditions and is an international expert in advanced gynaecological scanning, contributing significantly to scientific research in women’s gynaecological health. In this episode, the experts discuss the complexity and influence of the menstrual cycle, bleeding on HRT and when it should be investigated further, and the safety of HRT with regard to gynaecological cancers. Mr Naji’s three take home messages are: The workforce of women is needed now more than ever, therefore we must invest in women’s health and wellbeing and paramount to this is education about HRT. Endometrial cancer is on the rise but can usually be detected at an early stage and treated very effectively through raising awareness, identifying the causes, managing risk factors and engaging and empowering the patient. HRT is the very last item on the list of risk factors for endometrial cancer, therefore believe and trust the patient on whether the bleeding is abnormal for them and work through the management process using a shared decision-making approach. For more information on Mr Osama Naji, visit www.rylonclinic.com

Transcript

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0:00.0

Hello, I'm Dr. Louise Newsome and welcome to my podcast. I'm a GP and menopause specialist and I run the Newsome Health Menopause and Wellbeing Centre here in Stratford-Bron-Avon. I'm also the founder of the Menopause charity and the Menopause support app called Balance.

0:29.9

On the podcast, I will be joined each week by an exciting guest to help provide evidence-based

0:36.5

information and advice about both the perimenopause and the

0:40.9

menopause. So today on the podcast I'm going to introduce to you someone that I've recently

0:49.9

met, but I hope it's the beginning of a fruitful relationship. It's someone called Osama

0:55.5

Naji, who is a consultant gynaecologist at Guys in St Thomas's. And there's another connection

1:01.0

there actually, because the first job that I had as a student when I was still at school was a summer

1:05.4

holiday job at St Thomas's Hospital, as a clinic clerk, actually. And that was the first time that I'd had a bit of

1:11.9

patient experience. I watched my first post-mortem there. I managed to get my way into the mortuary

1:17.1

and really just created this thirst for medicine and I used to sneak out at lunch and go and look

1:23.3

at the South Bank and think how wonderful, what a great hospital it is and it's really built

1:28.3

up and obviously now with guys. So welcome to the podcast today. Thank you so much, Louise,

1:33.6

for having me. I am delighted to be with you on this podcast. So you reached out to me actually

1:38.6

from a mutual patient and some of you might know we have somebody that does scans in our clinic actually,

1:45.8

who's very experienced.

1:47.1

And when women have bleeding, when they're on HRT, we usually recommend them to have an

1:52.0

examination and then have a scan and it can either be done in the clinic or through their GP

1:57.1

or through another gynecologist.

1:59.5

And you phoned me up.

2:00.6

And I'm always on the defensive so I was

2:02.9

worried that something had wrong and it was delightful that you were very complimentary about

2:08.5

Adrian, my scanner who's phenomenal, he's very good and then we started to have the conversation more

...

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