Scientific program

Nov 26-27, 2021    London, UK
International Experts Meet on

Gynecology and Womens Health

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Keynote Forum

Rakhee Shah
10:00 AM-10:45 AM

Title: How to Combat and Improve Infertility in as Little as 90 Days

Abstract:

With 1 in 6 couples struggling to fall pregnant or stay pregnant, more needs to be looked into their full holisitic lifestyle to ascertain why it could be happening and what can be done to help the couples achieve a successful pregnancy. Most medical practitioners only seem to look at the physical symptoms of infertility, but through the work we do at our clinic at Fertility, Bump and Beyond, we are seeing more and more clients with emotional and nutritional issues that once worked on and rectified are helping the couples be strong and ready for conception. We have helped many a couple to avoid IVF too but also succeed in forthcoming IVF’s too where in the past it has not been successful. We are finding more couple with male infertility being the issue but unfortunately there is not enough in the medical world to help them improve their sperm. Lifestyle factors seem to play a huge part in the fertility world as does immense stress too. Couples are in need of advice on how to help improve this area and what to do/eat so that they can improve the quality of eggs and sperm and better the hormones too. Of course, its not the solution for everyone but it can massively help couples create a healthier stronger baby. It is known that the lifeycle of an egg and sperm is 90 days and so what you do in those 90 days has a huge impact too. We look at the emotional aspect too and if there is trauma that is in the client to know if there maybe an energetical blockage causing the infertility. Therapies such as fertility massage, fertility reflexology, kinesiology, Reiki and Nutrition have had a huge impact on our clients and leading them to that positive test that many clients long for.

Biography:

Rakhee Shah is a holistic fertility therapist specialising in fertility issues and helping couples prepare their bodies for conception using Fertility Massage, Fertility Reflexology, Nutrition, Kinesiology and Reiki. Having been through her own struggles of conceiving and is now a mother to 11 year twins conceived via IVF, Rakhee set up her business, Fertility, Bump and Beyond in 2013 to be of support to others going through the infertility journey and help the couples become stronger within themselves to progress in their journies. Her Fertility programs are based on the journey she and her husband underwent to be able to conceive their twins. With a background in IT but always having an interest in Complementary Therapy, Rakhee studied part time to learn massage and reflexology to then study further in Fertility Massage, Fertility Reflexology, Kinesiology and Nutrition. She has a real passion for helping couples with their issues and supports them wholeheartedly in their journey too.

 Laura Gtz
09:15 AM-10:00 AM

Laura Gtz

St. Johannes Hospital, Department of Obstetrics-Gynecology, Germany Germany

Title: How to use Technology and Marketing to become Superstars and win back our Patients from Dr. Google - Business Model and Case Study

Abstract:

We as physicians pride ourselves on thinking that not even the most advanced technologies, such as artificial intelligence, will ever be a substitute for the humanly doctor-patient relationship. Nevertheless, phone applications like Siri, robots such as Sophie and Dr. Google succeed with ease in gaining something that we struggle to obtain: trust. Back in the day, the medical profession had self-implied authority. This has decreased over the years, leading to low compliancy, excessive or delayed medical visits. It is not just doctors who blame technology and especially social media for these phenomena.  But in reality, aren't all of those markers of a faulty medical care system? And aren't we, physicians, the backbone of the system is us? Therefore, the change has to begin with us. We have to find ways to win back patients from Dr. Google, and for this we need to think out of the box. We need to look and learn from other people who gain instant irrefutable trust: influencers. Branding experts know: people love superstars! They love to ''see'' others show off what they can do and how they act. People instinctively compare values and attitudes and associate with the one or the other superstar. With doctors, patients do this when reading reviews, but reviews lack objectivity and thus can lead to disappointment when the encounter does not hold up to the expectation. Are patients looking for empathy, humor, blunt objectivity? Using social media, doctors can get in front of their patients in seconds. Their personality will shine through the photos they post, the wording they use and the videos they make. Using the marketing principle ''turn strangers into friends and friends into clients'', in this case patients, this strategy builds up instant trust and lowers the anxiety associated with a medical visit. Whether we agree with it or not, modern medicine has turned into a friendship business. I tested out this theory and learned through trial and error. When I started my online charity medical consultancy in Romania, while working from Germany, my plan was to delivered raw scientific information. The engagement was low, until I changed my strategy. I let my personality flow in every content I posted and soon enough I was getting praise from my followers, 5-star recommendations, requests that they come join my practice. My reach is hundreds of thousands and I am still a resident in my last year. The possibilities for my future career are endless, but what I most excited about is the positive impact I will have on universal health. To sum up, the best ways physicians can win back their patients from Dr. Google is to use the same techniques. Dear doctor, get online and be that person who delivers not only medical content, but also human connection. Make that nervous first trip to the doctor as short and safe as possible through a phone screen. Built instant trust using your personality and let the patient choose you. Be what you know a doctor truly is: a superstar!

Biography:

Laura Götz graduated medical university in Cluj-Napoca, Romania, and is a gynecology resident in her last year of training in Germany. She is the owner of three different businesses, which allow her to contribute daily to her vision of helping women lead healthy and happy lives. Her original focus was on infertility and even published a number of scientific papers, till her passion shifted to public health. Working with women made her realize the desperate need for the medical system to go back to its roots and tend to quintessential yet neglected doctor-patient relationship, which has stranded over the years. Her online platform Women from A to Z provides free medical advice for hundreds of thousands in her native country of Romania. Women who are going through a life crisis or suffer from psychosomatic illnesses benefit from her coaching method, which will be detailed in a book launching end of 2020. Her coaching newly expanded to other medical professionals, interested in building up their own medical platform. Having established her own publishing agency, Laura has two other books on women's health in the pipeline for the years to come.

MaFernanda Peraza-Godoy
10:00 AM-10:45 AM

Title: What is Behind the Orgasm Gender Gap. Online Survey Peraza Godoy, MF. . Healthy Pleasure Collective

Abstract:

Currently data show that heterosexual cisgender women have less orgasmic occurrence than men and that women with other sexual orientations. Apparently the orgasmic gap is social and cultural based rather than biological, deepened or explained by the pornographic model of female sexuality that prevails in the collective imageryy where the focus isintercourse and the idea that all women should obtain pleasure mainly from coitus dismissing the most common form which is from clitoral stimulation. Research indicates ignorance and the educational imprint on female sexuality does not allow women to validate their sexual needs and desires. Historically women have given power, control with the language of sex and handed the responsibility of their pleasure to men; because the words they use to talk about female sexuality do not include them and do not include the permission to feel pleasure either. Until a point where heterosexual woman needs to see an erect penis to verify, that she is desired and to loudly fake orgasms to maintain the status quo and avoid hurting the male ego. Wanting to know a little about the orgasmic occurrence in a heterogeneous random women group, We decided to launch an online survey-Google Form- called in English/ Spanish for men/women. Single and multiple selection questionnaire .The diffusion was mainly through social media platforms during May to July 2019. We show results as percentage distribution. We got 242 answers. 198 heterosexual cisgender women included for this partial results: Mean age 32.69 years. 99% of women consider that nurturing and feeling sexual pleasure is related to health and well-being. 86% consider that sexual pleasure is related to self-esteem and self-image. 69% acknowledge having orgasms; 4.45% of women cannot recognize if they have ever felt an orgasm; 64% have faked orgasms. 31% Believe that if there is no intercourse, the relationship is not considered complete and 31% believe that intercourse is the main way to obtain orgasms. 71% consider that female orgasms are a couple issue. 75% masturbate. 23% get orgasms with masturbation and intercourse alone or with a partner. 31% reach orgasms only with masturbation (alone or with a partner-not with intercourse) 8% get orgasms only with intercourse. An interesting fact is that 42% of women who consider that sexual pleasure is related to well-being and health and that is related to self-esteem and self-image faked orgasms. The reasons why women faked orgasms: 21% to end quickly, 20% because they believe that it is important for their partners to believe that they have had an orgasm. 5% Do not know how to reach an orgasm within a sexual encounter with a partner. 9% do not know how to communicate or talk about their sexual needs and desires. 5% believe that their partner would be upset if they know that they have not reached orgasm. The results are comparable to those published in other series, However, the dissonance between the importance of health concept, well-being and sexual pleasure with the percentages of orgasmic occurrence and reasons why orgasms are feigned, are flashy. As well as the top report of women who masturbate 75% with respect to those who reach orgasms 69%. We ask ourselves: Does the woman have other negative distracting factors that we are not taking into account? Or, perhaps the need for external validation from the couple overcomes the need to take responsibility for their own pleasure? Or that simply the concept of sexual pleasure and well-being is not incorporated as its own and conceived as outsourced to the male partner? Because why end quickly if it is a pleasant intimate encounter? Many questions and new perspectives could be discussed. More studies are needed.

Keynote Forum

Lydia Charitopoulou
09:00 AM-09:45 AM

Title: Key Elements in the Evaluation and Management Criteria of Ectopic Pregnancy

Abstract:

Ectopic pregnancy is a pregnancy that implants outside the endometrial cavity. The fallopian tube is the most common site for ectopic pregnancy. 95% of ectopic pregnancies typically occur in the fallopian tube. Other sites are ovary, cervix, and abdomen. Heterotopic pregnancy, which is defined as the presence of simultaneously gestations inside and outside of the uterine cavity, is historically rare.[1] The diagnosis of ectopic pregnancy is critical to reduce morbidity and mortality associated with this condition.[2] It has significant health consequences and is an important cause of morbidity and mortality for reproductive age women.[3] The incidence of ectopic pregnancy is about 1%-2% of all pregnancies reported in the developed world. These women are at risk for complications, such as organ rupture with massive bleeding, risk related treatment, recurrent ectopic pregnancy, and future infertility.[3] Risk factors include a history of chlamydia or gonorrheal infections, exposure to diethylstilbestrol, intrauterine device use, and assisted reproductive technology. However, 50% of women with an ectopic pregnancy do not have a risk factor. About 5% of women with ectopic pregnancy present in haemorrhagic shock. Pallor, tachycardia and hypotension. The common presentation of ectopic pregnancy occurs with vaginal bleeding and lower abdominal pain in a woman with delayed menses which also occurs in early pregnancy miscarriage. Clinical suspicion is the key to identifying women who need prompt and careful evaluation. Serial serum beta–human chorionic gonadotropin (β-HCG) levels is the criterion standard to differentiate between normal and abnormal pregnancies and to monitor resolution of ectopic pregnancy once therapy has been initiated. In almost 99% of viable first trimester intrauterine pregnancies, β-HCG values increase by at least 53% every 48 hours.[4] Ultrasonography is probably the most important tool for diagnosing an extrauterine pregnancy. An empty uterus on endovaginal ultrasonographic images in patients with a serum β-HCG level greater than the discriminatory cutoff value is an ectopic pregnancy until proven otherwise. A discriminatory zone of 1,500 to 3,000 mIU/mL is used most commonly.[4] The value of ultrasonography is highlighted further by its ability to demonstrate free fluid in the pouch of Douglas and Morison. After a definitive diagnosis of ectopic pregnancy has been made, treatment options include medical therapy with Methotrexate, surgery, or expectant management. The criteria for management of ectopic pregnancy are based on the general evaluation of the ectopic pregnancy through clinical features, sonographic assessment and serum Beta-hCG.[5] It is important that the purpose of each investigation is clearly explained and the treatment options are unambiguously outlined so that the woman and her partner may understand the treatment choices available to her. The choice of treatment is jointly agreed between the woman and the attending obstetrician.

Biography:

Lydia Charitopoulou is a consultant physician , a senior doctor by profession who practices in the medical speciality of gynecology and obstretics. Works with one of the State hospitals in the region of Frankfurt. She holds a training consulting rore in Obstretics and currently undertaking surgical, diagnostic and therapeutic cases in Gynecology Oncology. She is particular active in one of the leading certified Breast Centers in the federal State of Hessen in Germany. Lydia grew up in Athens, studied medicine in Czech Republic and Slovakia in a competitive international system. After short/time collection of medical training experience in one of the biggest

Rachel Braun Scherl
09:30 AM-10:15 AM

Title: The Business of Sexual Health

Abstract:

Female health is important business – and big business. The femtech market – companies focused on a wide range of sexual and reproductive problems – is estimated to reach $50B by 2025. The facts and figures tell the story: 43% of women have sexual concerns and difficulties at some point in their lives, over 30% of women experience symptoms of incontinence, close to 50% pregnancies in the United States are mistimed or unplanned, 1/3 of women report never having had an orgasm. Add to that, less than 50% of the states in the United States require sex education with a subset of those not requiring the information to be medically or factually accurate. Only 2 states – California and Louisiana – forbid the promotion of religion in sex education. While women control roughly $20 trillion in annual customer spending (accounting for 74% of total consumer spending), businesses have historically failed to adequately create and market products that meet the specific needs and paint points of women across the female health life cycle. Today’s femtech leaders, many of whom are female, see these industry gaps and are capitalizing on fundamental business principles, new technology, social transformation models, education and disruption in distribution to build their organizations. They are creating better solutions for big problems. And yet, these businesses still face huge challenges of bias and stigma when it comes to access to funding and access to key media channels, among others. Advertising bans on Facebook and Instagram causing growth limitations, regulatory uncertainty and the possible or alleged career consequences of including a femtech (or sextech) company in their portfolios, are some of the specific concerns from the investment community. The incredibly complex tangle of outdated barriers and challenges that stand in the way of the successful commercialization of women’s health products and services, as well as the immensely lucrative opportunities, are exposed in Rachel’s book, Orgasmic Leadership: Profiting from the Coming Surge in Women’s Sexual Health and Wellness. The book, which includes perspectives from over 3 dozen academics, HCPs, and entrepreneurs, speaks to business leaders about the trials, tribulations, travesties, and triumphs experienced in building businesses in new and challenging categories.

Biography:

Rachel Braun Scherl is a champion for women’s health and a pioneer in the space, where she has passionately focused on driving the conversation on the business of women’s sexual and reproductive health. Rachel works on women’s businesses “from the tops of their heads to the tips of their toes.” As Managing Partner and Co-Founder (1998) of SPARK Solutions for Growth, a strategic and marketing consultancy, Rachel has built an international client list that includes Johnson & Johnson, Allergan, Pfizer, Merck, Bayer and Church & Dwight, as well as venture-backed start-ups. As a business builder and Vagipreneur®, she brings deep experience in menstruation, fertility, sexual disease prevention, birth control, pregnancy, menopause and incontinence to help brands and businesses grow. Rachel’s experience, learnings and recommendations are at the heart of her book: Orgasmic Leadership: Profiting from the Coming Surge in Women’s Sexual Health and Wellness, a #1 International Best-Seller on Amazon.