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The Obstetrician & Gynaecologist 10.1111/tog.12392 http://onlinetog.

org Editorial

Editorial
For this issue I am going to start at the end. Professor In commissioning the review by Adam Balen on Editorial board
Drife and myself sandwich the content of each issue with polycystic ovary syndrome (PCOS), I specifically asked Mark Roberts MD MRCOG
our editorials, although obviously his is funnier than him to explain the current understanding of this Royal Victoria Infirmary,
Newcastle Upon Tyne
mine. In this issue he discusses the changing roles of condition for trainees and general obstetricians and
Mohamed Abdel-Fattah FRCOG
research and reflective practice in training. Please read gynaecologists. It is a condition with a broad spectrum of University of Aberdeen, Aberdeen George
his comment And finally reflecting on research, which I clinical manifestations and he could have easily written a Attilakos MD MRCOG University College
found thought-provoking. The value of reflection in book for us, but here it is in brief for easy digestion. London Hospitals NHS Foundation Trust,
London
learning is beyond dispute; when growing up, I recall There are specialists in cancer and pregnancy, but few
George Attilakos MD MRCOG
being told: Sit on the stairs and think about what you are both at the same time. Susnata China and co-authors University College London Hospitals NHS
have done. There has been considerable research into outline the management of gynaecological cancers in Foundation Trust, London
reflection and a formal record of experience, thoughts pregnancy. Optimal treatment is complex because there Shagaf Bakour MD FRCOG
and learning are now fundamental parts of training and can be a conflict between the mothers wellbeing and the City Hospital, Birmingham
appraisal portfolios. Many believe this is the way life of the fetus. Perhaps surprisingly, pregnancy itself does Kate Harding FRCOG
forward, but as Professor Drife asks himself, was my not appear to affect the prognosis of the commonest two Guys and St Thomas NHS Foundation
Trust, London
research useful?, will we be asking the same of reflective gynaecological cancers encountered, although the type
Justin Konje FMCOG (Nig) FWACS MRCOG
practice in the future? and timing of intervention has serious implications for the University of Leicester, Leicester
I invited Alison Fiander and Nia Sheppard to write mother and fetus. (Lead CPD Editor)
the Spotlight on global health editorial to outline the Laura Percy and Diana Mansour present a review of Bid Kumar FRCOG
Leading Safe Choices programme for those who are not iron deficiency and iron-deficiency anaemia in womens Wrexham Maelor Hospital, Wrexham
already aware of it, and to pick key articles from past health. More than 20% of women are iron deficient in Kate Langford MA MD MBA FRCOG
Guys and St Thomas NHS Foundation
issues of TOG that are relevant to global health. As their reproductive years, yet as the authors point out, Trust, London
always, these can be reached via the Collections tab on gynaecologists often focus on reducing menstrual blood
Jo Morrison BM BCh MA MRCOG DPhil (Oxon)
the TOG webpage. loss in women with heavy menstrual bleeding but Musgrove Park Hospital, Taunton
In this issue we have eight review articles. Wee-Liak frequently fail to diagnose, manage and treat Nicola Mullin MFFP FRCOG
Hoo, Rebecca Hardcastle and Keith Louden present a iron deficiency. Countess of Chester Hospital NHS
core topic in gynaecology. They revisit the evidence for Primum non nocere or first, doing no harm. This is Foundation Trust, Chester

management of pain in endometriosis, creating a useful the message from Julia Unterscheider and her colleagues Surabhi Nanda MRCOG
Liverpool Womens NHS Foundation Trust,
document for MRCOG revision and good reading for on the role of thrombophilia testing in women with Liverpool
the majority of gynaecologists who are not adverse pregnancy outcomes. Those who speak to Thomas Tang MD MRCOG
subspecialists. At the other extreme we have an article by women who may have inherited or acquired Regional Fertility Centre, Royal Maternity
Desiree Kolomainen and Desmond Barton on pelvic thrombophilias are advised to read this before Hospital, Belfast
exenteration for recurrent gynaecological cancer after offering investigation. Ephia Yasmin MRCOG
University College London Hospitals NHS
radiotherapy. Cure rates can be surprisingly high in Finally, a few words for those of you wanting to submit Foundation Trust, London
select groups of patients, although there is a clear need to TOG. Instructions for authors are found on the TOG
Jason Waugh MRCOG (Emeritus Editor)
to balance quality and quantity of life. This should be web page. We commission about a third of the abstract Royal Victoria Infirmary, Newcastle Upon
read by anyone linked to gynaecological cancer care, not proposals submitted to go on to the next stage of peer Tyne
just subspecialists but also diagnostic and palliative review, and most are published. To have a greater chance of International advisory board
clinicians and nurse specialists. success, in writing your proposal, please consider the Richard Brown MBBS DFSRH FRCOG FACOG
It is 12 months since we published the Spotlight following: first, it should be primarily a review article McGillUniversityHealthCentre,Montreal,Canada,
on mental health by Tahir Mahmood, which was in rather than a case report, study or personal opinion; Amr El-Shalakany MSc MD FRCOG
response to the International Womens Day focus on second, it should not duplicate what is already available Ain Shams University Maternity Hospital,
Cairo, Egypt
mental health. The article by Gabrielle Bambridge and (previous TOG articles, Green-top Guidelines or NICE
colleagues titled Perinatal mental health: how to ask and publications, for example), unless there is significant new Carman Lai MRCOG FHKCOG FHKAM (O&G) Cert
RCOG (Maternal and Fetal Medicine)
how to help does exactly what it says on the tin, helping information; third, make sure the authors include an Queen Mary Hospital, University of Hong
us to start the conversation with our patients. appropriate expert(s) with an informed overview of the Kong, Hong Kong
Lucky Saraswat and Kevin Cooper presented a topic; and finally, think about what the audience wants to Henry Murray MRCOG

definitive summary of different methods of endometrial read more than what you want to write. Australia

ablation in their review of the surgical management of Dimitrios Koleskas MRCOG


Euroclinic, Athens, Greece
heavy menstrual bleeding (part 1) published in the
N Rajamaheswari MD DGO MCh (Urology)
January issue. In this issue, part 2 focuses Director, Urogynaecology Research Center
on hysterectomy. Pvt Ltd, India
Duru Shah MD FCPS FICS FICOG DGO DFP FICMCH
Jaslok Hospital, Sir Hurkinsondas Hospital
and Breach Candy Research Centers, India
David Shaker FRCSEd FRCOG FRANZCOG
Editor-in-Chief University of Queensland, Rockhampton
Base Hospital and Mater Private Hospital,
Australia

Mark Roberts

2017 Royal College of Obstetricians and Gynaecologists 95

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