ARVIND VASHISHT

Mr. Arvind Vashisht is a Consultant Obstetrician and Gynaecologist at University College Hospital, London. He has an interest in benign gynaecological conditions including pelvic floor prolapse, urinary incontinence, ovarian cysts, and hormonal, menstrual, and postnatal problems. He is a specialist in vaginal surgery and laparoscopic surgery.  Mr. Arvind Vashisht completed his undergraduate training at the University of Cambridge and was awarded his medical degree with a distinction in Obstetrics and Gynaecology from the Royal London Hospital Medical School.
He started his junior training at the Chelsea and Westminster Hospital, with subsequent registrar training in the North West Thames region. He went on to a one year fellowship in urogynaecology at St.George’s Hospital and then completed a two year subspecialty fellowship in urogynaecology at University College Hospital, London. He has been awarded a higher MD degree from the University of London for work on natural hormonal treatments for the menopause and has published numerous peer-reviewed papers, reviews and book chapters.  He has presented his research work at many national and international meetings.


PUBLICATIONS

PEER-REVIEWED JOURNALS

Vashisht A, Studd J, Carey A, Burn P. “Fatal septicaemia after fibroid embolisation.” Lancet 1999; 354: 307-8
Burn P, McCall J, , Chinn R, Vashisht A, Smith R Healy J.. “Uterine Fibroleiomyoma: MR Appearances before and after Embolization of Uterine Arteries” Radiology 2000;214:729-734
Vashisht A, Domoney CL, Handscomb K, Smith JR, Bridges JE. “Patient Satisfaction With The Care Provided At A Gynaecology Oncology Clinic.” Journal of Obstetrics and Gynaecology (2000) Vol.20, No.2, 183-184
Vashisht A, Studd JWW, Carey AH, McCall J, Burn PR, Healy JC, Smith JR. “Fibroid Embolisation: a technique not without significant complications” BJOG. 2000 Sep;107(9):1166-70
Moore A, Vashisht A, Sabin C,  Mocroft A,  Madge S, Phillips AN, Studd JWW,  Johnson MA.Reduced bone mineral density in HIV-positive individuals. AIDS. 2001 Sep 7;15(13):1731-3.
Vashisht A, Domoney C, Cronje W, Studd J.  Prevalence of and satisfaction with complementary therapies and hormone replacement therapy in a specialist menopause clinic.  Climacteric. 2001 Sep;4(3):250-6.
Vashisht A, Smith JR, Thorpe-Beeston G, McCall J Pregnancy subsequent to uterine artery embolization. Fertil Steril. 2001 Jun;75(6):1246-8
Dragovic B, Greaves K, Vashisht A, Straughair G, Sabin C, Smith N “Chlamydial co-infection among patients with gonorrhoea”.   Int J STD AIDS. 2002 Apr;13(4):261-3a
Durvasula R, Ahmed SM, Vashisht A, Studd JWW.  “Hormone replacement therapy and malignant melanoma: to prescribe or not to prescribe?” Climacteric 2002;5:197-200
Domoney C, Vashisht A, Studd JWW. Use of complementary therapies by women attending a specialist, premenstrual syndrome clinic. Gynecol Endocrinol. 2003 Feb;17(1):13-8.
Vashisht A, Studd JW Five-year changes in bone density, and their relationship to plasma estradiol and pretreatment bone density, in an older population of postmenopausal women using long-term estradiol implants.. Gynecol Endocrinol. 2003 Dec;17(6):463-70
Cronje WH, Vashisht A, Studd JW Hysterectomy and bilateral oophorectomy for severe premenstrual syndrome. Hum Reprod. 2004 Sep;19(9):2152-5.
Vashisht A, Yentis S. The value of routine haemoglobin concentration measurement before caesarean section. J Obstet Gynaecol. 2005;25(2):131-3
Vashisht A, Wadsworth F, Carey A, Carey B, Studd J. A study to look at hormonal absorption of progesterone cream used in conjunction with transdermal estrogen. Gynecol Endocrinol 2005; 21(2):101-105.
Vashisht A, Wadsworth F, Carey A, Carey B, Studd J. Bleeding profiles and effects on the endometrium for women using a novel combination of transdermal oestradiol and natural progesterone cream as part of a continuous combined hormone replacement regime.BJOG 2005; 112(10):1402-1406.
Cutner A, Kearney R, Vashisht A Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation. BJOG 2007 114(9):1159-62
Benster B, Carey A, Wadsworth F, Vashisht A, Domoney C, Studd J. A double-blind placebo-controlled study to evaluate the effect of progestelle progesterone cream on postmenopausal women. Menopause Int 2009 15(2) : 63-9

Vashisht A, Gulumser C, Pandis G, Saridogan E, Cutner A. Voiding dysfunction in women undergoing laparoscopic treatment for moderate-severe endometriosis. Fertility and Sterility 2009 92(6):2113-5

ABSTRACTS / LETTERS

Vashisht A, Studd JWW. “Uterine artery embolisation: a pilot study.” Journal of the British Menopause Society. 1999;Vol5,S3:32
Domoney CL, Vashisht A, Kelman R, Studd JWW. “HRT Continuation 10 Years After Hysterectomy.” Menopause 1999;Vol6,4:338
Vashisht A., Domoney C, Cronje W, Wirth KA, Studd JWW “Unorthodox versus Conventional Therapies for the Treatment of Menopausal Symptoms” Journal of the British Menopause Society 2000 S3:36  
Vashisht A, Studd JWW, Domoney C, Khastgir G “The effect of long term oestradiol implants on bone mineral density” Journal of the British Menopause Society 2000 S3:22.
Domoney C, Anim-Nyame N, Vashisht A, Wirth KA, Studd JWW. “Leptin and Insulin Resistance in women with Premenstrual Syndrome and Asymptomatic Women.”  Journal of the British Menopause Society 2000 S3:26-7
Domoney C, Vashisht A, Wirth KA, Studd JWW “Comparison of the Use of non-oral oestrogens by gynaecologists and general practitioners for severe pre-menstrual syndrome” Journal of the British Menopause Society 2000 S3:27
Vashisht A, Khastgir G, Domoney C, Studd J. “The Effect of Prolonged Oestradiol Therapy on Bone Density” Menopause 2000;7(6):436
Domoney C, Vashisht A, Cronje W, Wirth KA, Studd JWW. “Complementary Therapy Use by Premenstrual Syndrome Sufferers and Menopausal Women” Menopause 2000;7(6):437
Domonev C., Vashisht A., Studd J. “A survey of doctors' attitudes to premenstrual syndrome and its management” International Journal of Gynecology and Obstetrics, Volume 70, Supplement 4, 2000, pp. 114-114(1)
Cronje W, Vashisht A, Hawkins A, Studd J “Five Year follow-up of women diagnosed with PMS. How are they now?” Menopause 2001;8:674

Cronje W, Vashisht A, Studd JWW. “Continuation rates in women who have had TAH and BSO for PMS” Journal Of the British Menopause Society, Supplement S3 p24 2001

Domoney C, Vashisht A, Studd JWW,  Boag F. The use of open access genito-urinary clinics by women over the age of 45. Journal Of the British Menopause Society, Supplement S3 p25 2001

Vashisht A, Cronje W, Studd JWW  “Testosterone therapy to treat partial endocrine deficiency in the aging male”Journal Of the British Menopause Society, Supplement S3 p33 2001
Studd J, Cronje W, Vashisht A. Reply: Hysterectomy and bilateral oophorectomy for severe premenstrual syndrome. Hum Reprod 2005; 20(4):1114.
Jeffery ST, Doumouchtsis S, Franco A, Vashisht A, Aslan E, Fynes M. “Antomical and Functional Outcomes of high uterosacral ligament suspension performed at the time of vaginal hysterectomy.” Int Urogynecol J (2006) 17 (Suppl.2):S188-9
Vashisht A, Jeffery S, Franco A, Fynes M. “ The effects of different sequences of filling on urodynamic parameters and on the detection of detrusor overactivity and stress incontinence” Int Urogynecol J (2006) 17 (Suppl.2):S248.
Domoney C, Vashisht A, Fynes M. “A study evaluating the management of obstetric anal sphincter injury and factors affecting clinical follow-up”. Int Urogynecol J (2006) 17 (Suppl.2):S294-5.
Jeffery ST, Vashisht A, Fynes M. Evaluation of a local anaesthetic technique for insertion of the transobturator tape.  Int Urogynecol J (2006) 17 (Suppl.2):S300

REVIEWS

Vashisht A, Khastgir G, Studd JWW. “The Role of initiating hormone replacement therapy to prevent and treat osteoporosis in the older postmenopausal woman.” In Management of the Menopause in the Millenium. Parthenon ED J Studd 1999.
Studd JWW, Vashisht A. “HRT: The Ideal Timing to Start and Stop” In Controversies in Obstetrics Gynaecology and Infertility. Eds. Ben-Rafael Z & Shoham Z. 1999: p19-22
Studd JWW, Vashisht A. “Selecting the Oestrogen for Treatment” In Controversies in Obstetrics Gynaecology and Infertility. Eds. Ben-Rafael Z & Shoham Z. 1999: p41-44
Vashisht A, Studd JWW. “Molecular Mechanisms of Oestrogens: The Gynaecologists’ Viewpoint”  European Journal of Cancer 2000(36) S14-15.
Vashisht A, Studd J  “HRT after hysterectomy” FOGSI focus on “The New Science of HRT”2000 p19-21.
Cronje W., Vashisht A.  Lichen Planus.  Trends in Urology Gynaecology & Sexual Health 2001,6;3:28
Vashisht A, Cronje WH.  Vulval carcinoma Trends in Urology Gynaecology & Sexual Health 2001; Vol6 Issue 5

Studd J, Cronje W Vashisht A, “The role for supplemental androgens in men and women” In Controversies in Obstetrics and Gynaecology and Infertility Eds. Ben-Rafael Z, Shoham Z, & Frydman R.  2001: p 285-291

Vashisht A, Studd J. “Perimenopausal applications of oestrogen therapy”. Gynaecology Forum 2001;6:28-31  
Domoney CL, Vashisht A, Studd JW. Premenstrual syndrome and the use of alternative therapies. Ann N Y Acad Sci. 2003;997:330-40.
Vashisht A, Studd J. Managing menorrhagia:hysterectomy. Women’s Health Medicine. 2005; 2:3:25-29
Vashisht  A, Regan L.  Antiphospholipid syndrome in pregnancy-an update. RCPE 2005http://www.rcpe.ac.uk/fellows/CME/maternal/regan/regan_2.html
Vashisht  A, Regan L. Recurrent miscarriage – the role of prothrombotic disorders.  In Implantation and Early Development. RCOG Press 2005. Eds Critchley, Cameron and Smith. p229-239.
Vashisht A, Fynes M. Caesarean Section and Pelvic Floor Function .  Ed M. Stark. Elsevier. In press 2008
Vashisht A, Kearney R, Cutner A. Laparoscopic Colposuspension. In press 2009
Vashisht A  Cutner A Laparoscopic hysteropexy In press 2010


PRESENTATIONS

Burn P., McCall J, Healy J, Chinn R, Vashisht A, Smith, R.  “Uterine Fibroid Embolization: Technique, MR Appearances and Clinical Outcome”. Poster presentation at the annual meeting of Roentegen Society Of North America 1998
Vashisht A.  “Coexistent infection with chlamydia and gonorrhoea.” Presented at Northwest Thames Genitourinary Specialist Registrar Conference May 1999.  
Vashisht A, Studd JWW, Carey AH, Burn PB, McCall J, Healy JC, Smith JR. “Uterine Artery Embolization for Fibroids: a pilot study.” Poster Presentation at the Annual British Menopause Society, Manchester June 1999
Domoney CL, Vashisht A, Studd JWW, Kelman R. “Long-term HRT compliance in hysterectomised women”. Poster Presentation at the North American Menopause Society, New York, Sept.1999
Vashisht A, Domoney CL, Carey AH, Studd JWW. “Uterine Artery Embolization: A Controversial Treatment For Fibroids”  Poster Presentation at the 1st Congress on Controversies in Obstetrics, Gynaecology and Infertility, Prague Oct.1999.  
Vashisht A, “Patient Satisfaction with Gynaecology Oncology Service.” Oral Presentation at Chelsea and Westminster Audit Meeting, July 1999
Vashisht A., Domoney C, Studd JWW. “Use of complementary therapies by perimenopausal women.” Poster Presentation Second Amsterdam Menopause Symposium, Amsterdam April 2000.
Domoney C,  Vashisht A, Studd JWW. “Conventional and complementary medicine use in a specialist PMS clinic”.Poster Presentation Second Amsterdam Menopause Symposium, Amsterdam April 2000.
Vashisht A. “Oestrogens and Depression”. Invited Lecture given at the 1st International Congress on the Menopause Antalya Turkey May 2000
Vashisht A. “Oestrogens for the Over 60s”. Invited Lecture given at the 1st International Congress on the Menopause Antalya Turkey May 2000
Vashisht A. “HRT After Hysterectomy” .Invited Lecture given at the 1st International Congress on the Menopause Antalya Turkey May 2000
Vashisht A, Studd JWW. “The effect of long term oestradiol implants on bone mineral density”Free Communication British Menopause Society, Exeter July 2000
Vashisht A., Domoney C, Cronje W, Wirth KA, Studd JWW. “Unorthodox versus Conventional Therapies for the Treatment of Menopausal Symptoms” Poster presentation British Menopause Society, Exeter July 2000
Domoney C, Vashisht A, Wirth KA, Studd JWW “Comparison of the Use of non-oral oestrogens by gynaecologists and general practitioners for severe pre-menstrual syndrome” Poster presentation British Menopause Society, Exeter July 2000
Domoney C, Anim-Nyame N, Vashisht A, Studd JWW “Leptin and Insulin Resistance in women with Premenstrual Syndrome and Asymptomatic Women.” Poster Presentation British Menopause Society, Exeter July 2000
Domoney C, Vashisht A, Cronje W Studd JWW. “A Survey of Doctors’ Attitudes to Premenstrual Syndrome and its Management.” Poster presentation at XVI FIGO World Congress, Washington, USA Sept 2000
Vashisht A, Khastgir G, Domoney C, Studd J.“The Effect of Prolonged Oestradiol Therapy on Bone Density”.Poster Presentation at the NAMS Conference, Orlando USA Sept 2000.
Domoney C, Vashisht A, Cronje W, Wirth KA, Studd JWW. “Complementary Therapy Use by Premenstrual Syndrome Sufferers and Menopausal Women” Poster Presentation at the NAMS Conference, Orlando USA Sept 2000.

Moore AL,
Vashisht A, Mocroft A, Phillips AN,  Studd J, Johnson MA.“Reduced bone mineral density in HIV positive individuals”.Oral and poster presentation at Glasgow Oct 2000 (Junior Scholarshipawarded)  

Moore AL, Vashisht A, Sabin C, Phillips AN, Studd JWW, Johnson MA, “Serum Markers of bone turnover and screening for abnormal bone mineral density (BMD) in an HIV positive population”  BHIVA, Brighton.2001(Prize for 1 of the 5 best presentations)

Vashisht A  “Risks and benefits of HRT” Chelsea and Westminster Primary Care conference. Oral presentation. March 2001
Vashisht A, .Cronje WH, Studd JWW.  “Symptom improvement in men with ADAM treated with subcutaneous testosterone implants”  Poster Presentation Washington DC 4th Symposium for Women's Health and the Menopause May 2001

Domoney C, Vashisht A, Studd JWW, Boag F. “The use of open access genito-urinary clinics by women over the age of 45”. Poster presentation Washington DC 4th Symposium for Women's Health and the Menopause May 2001

Cronje WH, Vashisht A, Studd JWW. “Total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO) for premenstrual syndrome (PMS).” Oral presentation at the 4th Symposium for Women's Health and the Menopause. Washington May 2001.

Cronje W, Vashisht A, Studd JWW.  “Continuation rates in women who have had TAH and BSO for PMS”. Poster presentation British Menopause Society, Birmingham  June 20001

Vashisht A, Cronje W, Studd JWW. “Testosterone therapy to treat partial endocrine deficiency in the aging male.” Poster presentation British Menopause Society Birmingham, June 2001

Domoney C, Vashisht A, Studd JWW, Boag F. The use of open access genito-urinary clinics by women over the age of 45.  Poster presentation British Menopause Society, June 2001

Moore AL, Vashisht A bone research at 3rd national conference on HIV and health, Cardiff . Oral presentation. June 2001
Moore AL, Vashisht A *, CA Sabin, M Youle, AN Phillips, JWW Studd*, MA Johnson “Bone mineral density in HIV positive patients – a cohort study”, Greece Oct 2001

Vashisht A
“Risks and benefits of HRT”. St Philomena’s Hospital, Bangalore India. Oral Presentation. October 2001
Vashisht A  “HRT Guidelines for the Gynaecologist”.  Regional meeting of Karnataka State Ob Gyn. Ooty, India. Oral Presentation. November 2001
Vashisht A  “What’s new in HRT?” Kolar Medical School, India. Oral Presentation December 2001
Vashisht A “Are SERMS the new HRT?”  MS Ramaiah Medical College Bangalore India. Oral Presentation  January 2002
Vashisht A, .Studd JWW, Domoney C, Khastgir G.  “The effect of time, oestradiol concentration and initial bone density on BMD in women using oestradiol implants over 5 years.” Poster presentation.  Hyderabad, India. Feb 2002
Cronje W, Vashisht A, Studd JWW.  “Continuation rates in women who have had TAH and BSO for PMS” Oral presentation RSM Registrars Meeting Feb 2002. London

A.Vashisht, F.Wadsworth, B.Carey, A.Carey, J.Studd  “Endometrial effects of transdermal progesterone and oestrogen” SPROGS London UK Poster April 2002

A.Vashisht, F.Wadsworth, B.Carey, A.Carey, W.Cronje, J.Studd  “Hormonal absorption and the effect on menopausal symptoms of oestrogen and natural progesterone cream” 10th World Congress on the Menopause, Berlin June 2002 Oral presentation

A.Vashisht, F.Wadsworth, B.Carey, A.Carey, J.Studd  “Endometrial effects of transdermal progesterone and oestrogen” Poster presentation 10th World Congress on the Menopause, Berlin June 2002

A.P. Hawkins, A.Vashisht, J.W.W. Studd. “Peak and Trough Oestradiol levels in long term implant users.”Poster presentation RCOG SpROGS Conference 24-26 April 2002.
A.P. Hawkins, A.Vashisht, W. H. Cronje, J.W.W. Studd. “Premenstrual Syndrome and Bone Density”. Poster presentation10th World Congress on the menopause, Berlin, 10-14th June 2002
A.P. Hawkins, A.Vashisht, J.W.W. Studd. Oral presentation“Trends in Oestradiol levels in long-term implant patients”. 10th World Congress on the menopause, Berlin, 10-14th June 2002
W. H. Cronje, A.Vashisht, A.P. Hawkins, J.W.W. Studd.“Five year follow-up of women diagnosed with premenstrual syndrome”. Oral presentation 10th World Congress on the menopause, Berlin, 10-14th June 2002.
A.Vashisht, F.Wadsworth, B.Carey, A.Carey, A.Hawkins, J.Studd. Does natural progesterone cream have a clinical effect on the oestrogenised endometrium? Oral presentation British Menopause Society  Brighton  2002  Runner-Up Prize

A.Vashisht, F.Wadsworth, B.Carey, A.Carey, W.Cronje, J.Studd. Combining transdermal oestrogen and natural progesterone cream: plasma absorption and effects on climacteric symptoms.  Poster presentation, British Menopause Society Brighton  2002
A.P. Hawkins, A. Vashisht, W. H. Cronje, J.W.W. Studd. “Bone density in women with premenstrual syndrome” Poster presentation. British Menopause Society –Brighton 3-5th July 2002.
A.P. Hawkins, A. Vashisht, J.W.W. Studd. “Testosterone levels in long-term implant patients”British Menopause Society –Brighton 3-5th July 2002.
Cronje WH, Vashisht A, Studd JWW. Follow up of women who have had abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO) for severe premenstrual syndrome (PMS) to assess satisfaction rates and continuation with HRT. Oral presentation at the British Menopause Society. Brighton, July 2002.
Cronje W, Hawkins A, Vashisht A, Studd JWW. Oestradiol levels and bone density in women with chronic fatigue syndrome (CFS). Poster presentation at the British Menopause Society. Brighton, July 2002.
A.Vashisht, C. Domoney. “The Use of Alternative therapies by women with PMS” Oral presentation. The Fifth Athens Congress on Woman’s Health & Disease.  Sept 2002

Cronje W, Vashisht A, Studd JWW. “Hysterectomy and BSO for the treatment ofsevere PMS”. Oral presentation at The Fifth Athens Congress on Woman's Healthand Disease. Athens, September 2002.
Vashisht A, Studd J  Livial Expert Meeting  “Combining oestrogen and natural progesterone: effects on symptoms and the endometrium. Malta 2003. Oral presentation Runner Up Young Investigator of the Year Prize

A.Vashisht, F.Wadsworth, A.Carey, B.Carey, J.Studd “Clinical effects and absorption of transdermal natural progesterone and oestrogen”. Oral presentation. FIGO Chile 2003.
A.Vashisht, J Studd. “Use of transdermal oestrogen or surgery for premenstrual syndrome” Invited Lecture. 8Th International Symposium on GnRH Analogues in Cancer and Human Reproduction, Salzburg 2005.
A.Vashisht, M.Fynes “ Dyspareunia following prolapse surgery”. Invited lecture. International Urogynaecology Association Meeting, Athens 2006
Jeffery ST, Doumouchtsis S, Franco A, Vashisht A, Aslan E, Fynes M. “Antomical and Functional Outcomes of high uterosacral ligament suspension performed at the time of vaginal hysterectomy.” Poster presentation. International Urogynaecology Association Meeting, Athens 2006.
Vashisht A, Jeffery S, Franco A, Fynes M. “ The effects of different sequences of filling on urodynamic parameters and on the detection of detrusor overactivity and stress incontinence” Poster presentation. International Urogynaecology Association Meeting, Athens 2006.
Domoney C, Vashisht A, Fynes M. “A study evaluating the management of obstetric anal sphincter injury and factors affecting clinical follow-up”. Poster presentation. International Urogynaecology Association Meeting, Athens 2006.
Jeffery ST, Vashisht A, Fynes M. Evaluation of a local anaesthetic technique for insertion of the transobturator tape.  Oral presentation. International Urogynaecology Association Meeting, Athens 2006.
Vashisht A, Kearney R, Cutner A. Laparascopic uterine sling suspension: a novel minimally invasive uterus-conserving technique for the treatment of uterine prolapse. Oral presentation ICS UK, Birmingham 2007
Vashisht A, Kearney R, Cutner A. Initial outcomes following laparoscopic uterine sling suspension: a new surgical technique for the treatment of prolapse. Read by title presentation ICS, Rotterdam 2007
Amin T, Siddiqui G, Vashisht A, El-Neil S. Post-partum Bladder Care: The Need for a LUTS Protocol. Poster presentation, Institute for Women’s Health Annual Meeting 2007
Vashisht A, Kearney R, Cutner A "Laparascopic Uterine Suspension: 1 Year On." Discussed poster, UKCS, Basingstoke 2008
Vashisht A “ Protecting the perineum and bladder at delivery” Invited lecture, Perineal Study Day, UCLH 2008
Vashisht A “Laparoscopic Sacrocolpopexy” Invited lecture, BSUGs London 2008
Vashisht A, Gulumser C, Pandi G, Saridogan E, Cutner A “Predicting voiding dysfunction following laparoscopic surgery to moderate and severe endometriosis” Oral presentation IUGA, Taiwan  2008
Vashisht A, Kearney R, Cutner A “One year follow up following the new laparoscopic uterine sling suspension procedure “ Poster Presentation IUGA 2008
Vashisht A, Gulumser C, Pandi G, Saridogan E, Cutner A  “Voiding dysfunction following surgical treatment for endometriosis” poster presentation, ESGE, Amsterdam 2008
Khunda,A, Vashisht A, Wang K, Swaby P, Fynes M “ Does the order of patient position for sequential bladder filling at cystometry influence observed detrusor overactivity”, Oral presentation IUGA, Como 2009