Norma Salceda MD Info All obstetricians, therefore, are trained gynaecologists, although the reverse is not necessarily true. However, some OB/GYNs may choose to drop the obstetric component of their practice and focus solely on gynaecology, especially as they get older. This decision is often based on the double burden of very late hours and, depending on the country, high rates of litigation.
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In the UK the Royal Collect of Obstetricians and Gynaecologists, based in London, encourages the study and advancement of the science and practice of obstetrics and gynaecology. This is done through postgraduate medical education and training development, and the publication of clinical guidelines and reports on aspects of the specialty and service provision. The RCOG International Office works with other international organisations to help lower maternal morbidity and mortality in under-resourced countries. The college holds regular training events for Gynaecologists such as the Recent Advances in Gynaecology conference organised by London Gynaecologist Professor Ellis Downes FRCOG, and Professor Peter O’Donovan FRCOG, Bradford.
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Surgery, however, is the mainstay of gynaecological therapy. For historical and political reasons, gynaecologists were previously not considered "surgeons", although this point has always been the source of some controversy. Modern advancements in both general surgery and gynaecology, however, have blurred many of the once rigid lines of distinction.
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As with all surgical specialties, gynaecologists may employ medical or surgical therapies (or many times, both), depending on the exact nature of the problem that they are treating. Pre- and post-operative medical management will often employ many standard drug therapies, such as antibiotics, diuretics, antihypertensives, and antiemetics. Additionally, gynaecologists make frequent use of specialized hormone-modulating therapies (such as Clomifene citrate and hormonal contraception) to treat disorders of the female genital tract that are responsive to pituitary and/or gonadal signals.
For lists of gynaecological drugs (by the ATC classification system), see ATC code G01 and ATC code G02.
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