Dr Ahmed Ismail

Consultant Gynaecologist & Fertility Expert


Dr Ahmed Ismail BBC Interview

27 December 2015

Sexual Transmitted Disease

                   Infertility Concern

        BBC Interview for Dr Ahmed Ismail Consultant Gynaecologist and Obstetrician, Infertility Expert

Dr Ahmed Ismail has been interviewed on the 27th December by BBC News following the media scare from chief medical officer Sally Davies of Great Britain warning the casual treatment of Gonorrhoea leading to untreatable Gonorrhoea.

Gonorrhoea is the second most common Sexual Transmitted Disease in UK for both heterosexual and homosexual

Gonorrhoea Sexual Transmitted Disease always occurs by Sex (Oral, Vaginal, and Anal Sex)

Gonorrhoea can be a cause of Infertility for both Men and Women therefore should be treated properly as soon as possible .

Gonorrhoea should be treated by a Gynaecologist with interest of Infertility and sexual health and sexual transmitted diseases, should the treatment to be carried out by GUM Centres,, patient must be followed up by Infertility Gynaecologist to check if any damages has occurred.

Gonorrhoea should not be treated by Pharmacist, GP, or on line medications.

Gonorrhoea should be treated with a maximum care with careful history to identify the parties involved in sexual activities and all should be investigated and treated at the same time if possible

Women with discharges following sexual activities must be seen and Gonorrhoea must be excluded in almost most of the cases.

Women diagnosed with Gonorrhoea must have her partner or partners treated and with men if they were diagnosed with Gonorrhoea same will apply for all partners exposed to sexual activities by him.

Casual treatment with antibiotics of urethral discharges and vaginal discharges or anal discharges can lead to what is called Super Gonorrhoea (Untreatable Gonorrhoea)

Condom is not Sexual Transmitted Disease Barrier this is the usual advise to all London Gynaecology Patients (Queens Clinic Patients)'

27 December 2015

Chief Medical Office Report

Gonorrhoea could become an untreatable disease, England's chief medical officer has warned.

Dame Sally Davies has written to all GPs and pharmacies to ensure they are prescribing the correct drugs after the rise of "super-gonorrhoea" in Leeds.

Her warning comes after concerns were raised that some patients were not getting both of the antibiotics needed to clear the infection.

Sexual health doctors said gonorrhoea was "rapidly" developing resistance.

A highly drug-resistant strain of gonorrhoea was detected in the north of England in March.

That strain is able to shrug off the antibiotic azithromycin, which is normally used alongside another drug, ceftriaxone.

In her letter, the chief medical officer said: "Gonorrhoea is at risk of becoming an untreatable disease due to the continuing emergence of antimicrobial resistance."

Soaring cases

But while an injection of ceftriaxone and an azithromycin pill are supposed to be used in combination, this may not always be the case for all patients.

Earlier this year, the British Association for Sexual Health and HIV (BASHH) warned that some online pharmacies were offering only oral medication.

Using just one of the two drugs makes it easier for the bacterium to develop resistance.

The letter, which is also signed by chief pharmaceutical officer Dr Keith Ridge, stated: "Gonorrhoea has rapidly acquired resistance to new antibiotics, leaving few alternatives to the current recommendations.

"It is therefore extremely important that suboptimal treatment does not occur."

What is gonorrhoea?


The disease is caused by the bacterium called Neisseria gonorrhoea.

The infection is spread by unprotected vaginal, oral and anal sex.

Symptoms can include a thick green or yellow discharge from sexual organs, pain when urinating and bleeding between periods. Often the person has no symptoms, however, but can still easily spread the disease to others.

Untreated infection can lead to infertility, pelvic inflammatory disease and can be passed on to a child during pregnancy.

Gonorrhoea is the second most common sexually transmitted infection in England and cases are soaring.

The number of infections increased by 19% from 29,419 in 2013 to 34,958 the following year.

Dr Jan Clarke, the president of BASHH, told the BBC News website: "We're really pleased that the chief medical officer has stressed that gonorrhoea needs this approach to treatment due to the rapid development of resistance.

"We need to protect what we've got and we need to encourage pharmacists and general practitioners to follow first-line treatment."

Dr Andrew Lee, from Public Health England, added: "Investigations are ongoing into a number of cases of anti-microbial resistant gonorrhoea.

"Public Health England will continue to monitor, and act on, the spread of antimicrobial resistance and potential gonorrhoea treatment failures, to make sure they are identified and managed promptly."



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