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Occasionally gynaecologists will use drugs, such as clomiphene (which stimulates
ovulation), and, most famously, oral contraceptives (which are also used for
dysmenorrhoea).
However, surgery is the main area of therapy. For historical reasons, gynaecologists are not actually surgeons (this is the source of some tension).
Operations that gynaecologists do include:
termination of pregnancy
dilation and curettage (removal of the uterine contents, for various reasons,
including miscarriage and menorrhagia; procedurally very similar to the above);
hysterectomy (removal of the uterus);
colposuspension ('tightening' of the ligaments around the vagina, a common
therapy for incontinence and discomfort in older women);
Large Loop Excision of the Transition Zone (LLETZ), where the surface of the
cervix, containing pre-cancerous cells identified on Pap smear are removed).
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