Latest Research Updates:


FDA approves Mirena for 8 years for contraception.

Read approval here.


WHO finds Mirena effective as a contraceptive for 7 years. Read article here.


Mirena Device not associated with weight gain compared to copper IUD after 10 years use. (Published Feb 2015).

​Read abstract here


Mirena Device associated with small increased risk of lobular and ductal breast cancer in a Finnish Population (published Feb 2016)read abstract here


But, scientists unsure if device is the cause, or other factors associated with the reason women choose it article here



Recent analysis shows no increased risk of breast cancer in progestin users, but larger studies needed (published Dec 2015) Abstract here


​Mirena device associated with reduced risk of endometrial, ovarian, pancreatic, lung cancers. (Published August 2014)

 Abstract here


​Obesity a significant independent risk factor for cancer (published March 2016) Abstract here (Could obese/nulliparity/non breast feeding  be the confounding factor?)


Prepregnancy obesity an independent risk factor for breast and ovary cancer (published Feb 2016).

 Abstract here


Oral contraceptives and risks of Breast and Ovarian Cancer. Full article here


Oral Contraceptive use and risk of Breast, Cervical, Colorectal and Endometrial Cancers. Full article here


Association between Metabolic Syndrome and cancer.

​Full article here


​Cancers in Australia in 2010 attributable to and prevented by the use of combined oral contraceptives. Full article here


​Study of >300,000 women shows childbearing, breast feeding, oral contraceptive use reduces all cause mortality. Full article here

​Thank you very much to the many patients over 18 years since I have been at The Wesley Hospital who have allowed me to share the de-identified pictures of their surgeries with other women, and for participating in research projects I have been involved in. You have helped many other women understand their bodies by being so kind as to do this, you have reduced their anxieties, and helped them to make decisions about their own treatment ... you deserve to know how important this has been to them.

​Links to external sources provided on this site are for educational purposes only. If you have questions about this information please direct them to Dr Buttini or an appropriately qualified medical practitioner. 


All surgical procedures and medical treatments discussed on this site carry risks. You should completely familiarise yourself with these risks before proceeding with any treatment, and obtain independent advice if your are unsure.

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 Office consultations

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Masks are advised, please wear one when you come to the office.

Please hand sanitise on entry and keep 1.5 metres distance. Thank you.


​Professor Chris Maher and I have published an article in the Medical Journal of Australia in November 2018 on this subject, here


Other Professors have commented on this issue in the lay press, here.

The International Society For the Study of Vulvovaginal Disease statement on Laser and RF devices here.

The Australasian Menopause Society comment here.

​The Urologic Society of Australia  and NZ statement here.


The FDA warning here.



Other conditions I treat:

Submucous fibroids grow inside the uterine cavity and can cause very heavy periods. If a woman develops heavy periods with a Mirena IUD already in place, a fibroid should be suspected. This video shows fibroid resection performed as an outpatient as a day surgery case, with no cuts in the body, and little post operative discomfort, allowing return to normal activities the next day.


Contraversies in the treatment of postmenopausal

​vulvovaginal atrophy with energy based devices (laser/ radiofrequency)



Gynaecology Treatment in Brisbane Qld


The Wesley Medical Centre Brisbane

Basic Science Gynaecology

Research



Research Updates:



A study by Professor Jason Abbott has shown that vaginal laser is no better than placebo for treating vaginal dryness. Read the findings here.


Probiotics unfortunately not yet showing promise in treating vulvovaginal Candidiasis or BV. International review article here



​A selection of educational videos patients might find useful

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Hysteroscopy is a procedure to inspect inside the cervix and uterine cavity.


It is usually performed to exclude cancer of the endometrium, remove sub mucous fibroids, or, as in this video, to identify and remove polyps

​​​​​​​​​​

       Dr  Melissa  Buttini   m.b.b.s  franzcog

​      Specialist Gynaecologist


   

​I have participated with researchers at The Queensland University of Technology in studies identifying new findings regarding the biome of the upper genital tract, read our findings here and  here.


 

Vulvovaginal  disorders 

including Lichen Sclerosus and Chronic vulvovaginal Candida and 

​post menopausal dry vagina 

Adolescent ​gynaecology

​Sexually transmitted Infections



What's inside the abdomen?


​We may only think about it when we have cramping pain, swelling or bloating.


​Many women think the uterus and ovaries are much higher than they really are, but actually they are normally deep inside the pelvis.


In fact, most of the abdomen is taken up by the small and large intestine, which are the culprits when it comes to many common symptoms of abdominal pain and bloating.


Take a tour in this video, and then learn about Irritable Bowel Syndrome and the FODMAPS diet here.