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Giada FrontinoGiada Frontino Posts: 43 Consultant Gynaecologist
edited October 2020 in Ask a health professional

Get practical tips on miscarriage symptoms, treatment options, early pregnancy care and more. Simply post your questions using the button below and Dr Frontino will be in touch within 72 hours!

About Dr Frontino

Dr Frontino is a Consultant Gynaecologist with over twelve years of experience in caring for women from adolescence through their postmenopausal years.

She has vast experience in the diagnosis and treatment of fertility issues such as endometriosis and fibroids, as well as in adolescent gynaecology and fetal medicine and has also developed expertise in assisting high-risk pregnancies and gynaecological emergencies.

She has a strong interest in improving quality of life in all of its aspects and is particularly interested in fertility counselling and contraception counselling, sexual health, adolescent gynaecology, pregnancy scans, HyCoSy and sonohysterography.

Dr Frontino was the recipient of several clinical research grants and has published in peer-reviewed journals and international textbooks.


Wonderful manner and brilliant at explaining everything clearly and patiently, thank you!

GMC Full Specialist Registration # 7468911 

Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

Comments

  • Hi

    I haven’t had a period now for 18months so I assume I’m in menopause although I feel ok and not many symptoms. I have a coil which I had 5 years ago (it is a 10year coil)

    should I have the coil removed now ?

    thank you

    Teri

  • Giada FrontinoGiada Frontino Posts: 43 Consultant Gynaecologist

    Dear Teri @Reggiemargo1

    If you haven't had any bleeding in the past 18 months, then it is very likely you have entered menopause and therefore you would not require contraception from the coil.


    Please let me kniw if you have any further questions.


    Kind regards,

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Lisa BLisa B Posts: 5

    Hello Dr Frontino - I just discovered the opportunity to ask a question, thank you so much!! I posted a question a couple of days ago on trying to conceive. My partner and I would like to try for a baby, however I've been looking into information online and found that anti-depressants can contribute to a miscarriages. Is this true?

    I'm currently taking citalopram 10mg for anxiety and would like to understand if I have to stop. My GP said it's absolutely fine but I'd love to hear your advice on this! Thank you so much.

  • Giada FrontinoGiada Frontino Posts: 43 Consultant Gynaecologist

    Dear @Lisa B Thanks for your question, which is actually a very important one. What is currently known of Citalopram on pregnancy and the fetus is that it should be avoided if possible. There is a small increased chance of the baby developing congenital heart defects when taken in the first trimester--as such, it should be stopped well before conceiving. There are further possible complications on the newborn reported in scientific literature if used in the third trimester of pregnancy.

    My suggestion would be to speak with your GP or your Consultant Psychiatrist who prescribed this for you and very slowly wean it off. I do recommend that this is paired with professional psychological support, as the weaning off period and the period following it can be very emotionally charged and challenging.

    Do let me know if you need any help and advice.

    Kind regards,

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • SpookaloopsSpookaloops Posts: 1

    Hi, last January I had a smear test and it came back positive for HPV along with the news I'd have to get another test this January to see if it's cleared up. The trouble is, that smear test was incredibly painful as my cervix is covered in endometriosis scars and it's inverted. When I had my last smear I vowed I'd never let myself go through it again but here I am faced with an appointment I don't want but probably need. I had a hysterectomy last year and am going through menopause age 32. My smear tests have always been painful but since my hysterectomy they are blinding, sickening pain, is there any other way to test for HPV?

  • Giada FrontinoGiada Frontino Posts: 43 Consultant Gynaecologist

    Dear @Spookaloops

    I'm very sorry that you have felt so much pain with cervical smears due to endometriosis.

    If you had a full hysterectomy including removal of the cervix, I would recommend speaking to your GP as to whether you still need to have the smear on the vaginal walls or not. The need to do this depends on the cervical smear result that followed your last HPV test.


    I normally use the virgo or small sized speculums in plastic (instead of metal) and note how patients find this very helpful and not painful at all. I would suggest that you ask your GP if he can use these in your case.


    Kind regards,

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

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