Episode 7: Cervical Smear, HPV & Colposcopy Explained

In this episode, Dr. Nicky, Sarah, and guest Velma delve into the crucial topic of cervical screening and the human papillomavirus (HPV). They aim to demystify these subjects for listeners by explaining what a cervix is, why screenings are essential, how they are conducted, and who should get vaccinated against HPV.

Cervical Screening Explained

• Importance of regular screenings to detect pre-cancerous cells.
• Description of the cervix's function in women's anatomy.
• Step-by-step process on how a smear test is conducted.

Understanding HPV

• Explanation of HPV as a common virus affecting many people.
• Discussion on high-risk strains (16 & 18) linked to cervical cancer.

Vaccination Insights

• The significance of vaccinating young people against HPV.
• Details about eligibility for vaccination under the NHS programme.

Addressing Concerns

• Common apprehensions women face regarding smear tests.
• Reassurances that procedures can be adapted for comfort.

Results Interpretation – Breakdown of possible results from cervical screenings such as normal smears or dyscariosis levels (mild/moderate/severe). – Explanation on next steps if abnormal cells or high-risk HPV are detected.

Colposcopy Procedures – What happens during a colposcopy if further investigation is needed after an abnormal result?

Special Considerations: Vaginismus & Menopause Effects

Eligibility & Access To Vaccines And Screenings

• Regular cervical screenings help prevent potential development into cancer by detecting changes early.
• The thought often seems worse than the reality; most find it less uncomfortable than anticipated.
• Vaccinations play a vital role in reducing future risks associated with various cancers caused by certain strains of HPV.

This podcast contains descriptions which may not be suitable for younger audiences or those sensitive to medical discussions.

The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately.

Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed!

**Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions.

To listen to more episodes from this show or to listen to any of our other podcasts, head over to im-listening.co.uk

DR NICKI EXPLAINS

Episode 6 - Sexual Health

In this months episode of Dr Nicki Explains;

• Hosts: Dr. Nicki & Sarah
• Guest Speaker: Amanda, Senior Practice Nurse with extensive sexual health clinic experience.

Confidentiality in Clinics

• All consultations are confidential; information stays within the clinic.
• Services available for young people showing maturity.

Purpose of the Podcast

• To explain medical conditions accessibly based on NICE guidelines.
• Not a substitute for professional medical advice.

Discussion on Sexual Health:

Common Symptoms of STDs:

• Many infections have unclear symptoms; more noticeable in women.
• Symptoms can include discharge, pain during intercourse, groin pain in men, ulcers or blisters.

Common Sexually Transmitted Diseases (STDs):

• Chlamydia: Often asymptomatic but can cause infertility if untreated.
• Herpes: Painful blisters that reoccur; related to cold sores virus type.
• Genital Warts: Caused by HPV; vaccination recommended to prevent warts and cervical cancer risks.

Other Infections & Conditions:

• Gonorrhea and Trichomonas require antibiotic treatment via GU clinics due to contact tracing needs.
• Non-STI issues like thrush and bacterial vaginosis discussed – often not sexually transmitted but common causes of vaginal discomfort.

Lesser-Known Issues:

• Scabies is itchy mite infection spread through skin contact – requires thorough cleaning regimen for eradication.

HIV Awareness:

• Significant advancements in HIV treatment including PrEP which prevents transmission significantly when taken properly.

Protection Methods: -

• Emphasis on condom use to reduce risk of STD transmission significantly despite some remaining risk from skin-to-skin contact.

• Online STI checks available anonymously through local councils such as Kent County Council’s service—free kits sent home discreetly for testing chlamydia, gonorrhea etc., results communicated privately via text message.

• Genito Urinary Clinics offer specialised care without involving GP records ensuring complete confidentiality—ideal first step if worried about potential exposure or symptoms.

Resources & Recommendations

• Encourage open dialogue about sexual health among family members/friends
• Utilize free resources like online testing services or condoms offered at clinics/community centres

The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately.

Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed!

**Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions.

To listen to more episodes from this show or to listen to any of our other podcasts, head over to im-listening.co.uk

DR NICKI EXPLAINS

Episode 5 - Understanding ADHD

Join Dr. Nicki and Sarah as they delve into the world of ADHD (Attention Deficit Hyperactivity Disorder) in this insightful episode. Featuring guest Hugh, who shares his personal journey with ADHD from childhood to adulthood.

• Definition: A common mental disorder characterised by symptoms like inattention, hyperactivity, and impulsivity.
• Prevalence: Widely affects children and adults alike.

• Hugh's Experience: Initially labeled as 'naughty' during school years due to misunderstood symptoms.
• Diagnosis & Impact: Diagnosed at age 11; medication transformed educational experiences and daily life focus.

• Types & Effects: Stimulant medications help improve focus but require monitoring for side effects such as blood pressure changes or sleep disturbances.
• Personal Perspective: Hugh describes it as feeling like a "horse with blinkers," enhancing task completion but altering social interactions slightly.

• Common myths include poor parenting causing ADHD or screen time being solely responsible for its development.

• Boys often exhibit more hyperactive behaviours compared to girls who might face social anxieties linked to their condition.

• Suggestions for classroom modifications that accommodate movement without disruption are discussed alongside dietary considerations impacting symptom management.

• Emphasising the importance of parental support groups and teacher training on managing students diagnosed with ADHD effectively.

• Highlighting Loyle Carner's influence through music and advocacy work aimed at empowering those living with ADHD.

For those suspecting they might have ADHD:

1. Begin with a GP consultation despite potential long waits for specialists.
2. Explore resources like ADHD UK or UK Adult ADHD Network (UKAAN).

Dr. Nicki wraps up by stressing that while challenges exist within society’s perceptions around neurodiverse individuals, embracing unique strengths can turn what some see as limitations into superpowers—be it humour or boundless energy channelled positively through sports!

The podcast emphasises that it does not replace professional medical advice; if you have troubling symptoms consult your doctor immediately.

Thank you for tuning into Doctor Nicki Explains where we make medicine understandable! Stay informed about your health and always seek proper guidance when needed!

**Disclaimer:** This podcast may contains graphic descriptions which might not be suitable for younger audiences or those sensitive towards medical discussions.

To listen to more episodes from this show or to listen to any of our other podcasts, head over to im-listening.co.uk