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Why Didn't Anyone Tell Me This?

Why Didn't Anyone Tell Me This?

By: Joyce Harper
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Season 4 Joyce Harper is Professor of Reproductive Science at the Institute for Women’s Health, University College London, author, public speaker, scientist and host of the podcast Why Didn’t Anyone Tell Me This? Together with expert guests and people with lived experience, this podcast offers practical tools to help you build a life of good health and happiness. www.joyceharper.com Instagram, TikTok: @profjoyceharper Facebook: Global Women Connected© 2026 Joyce Harper Hygiene & Healthy Living Physical Illness & Disease
Episodes
  • S4, #23: Dr Stacey Bryan: Understanding vulval and vaginal cancers
    Sep 30 2026

    Dr Stacey Bryan (BSc MBBS MRCOG MD) is a consultant gynaecologist and gynaecological cancer surgeon at Imperial College Healthcare NHS Trust, where she completed her subspecialty training in gynaecological cancers. She obtained her undergraduate degrees in Biomedical Science and Medicine, at St George’s University of London in 2008, and membership to the Royal College of Obstetricians and Gynaecologists in 2015. She has undertaken research into HPV and early detection of cervical cancers and was awarded a Doctor of Medicine degree from the Institute of Women’s Health at University College London (UCL) in 2022.

    Her work has led to publications and presentations at both national and international conferences. Staceys practice focuses on the diagnosis and management of gynaecological issues including cancer and non-cancer. She specialises in complex benign and cancer surgery, colposcopy and acute diagnostic services, vulval/vaginal cancer, cervical cancer, ovarian cancer, endometrial cancer, rapid diagnostics, pre-invasive cervical and vulval disease. As such she is able to offer a one stop service including gynaecological ultrasound scanning. She is the lead for Vulval Cancers at Imperial College London. https://eveappeal.org.uk/

    In this episode Joyce speaks with consultant gynaecological cancer surgeon Dr Stacey Bryan about two of the least talked about gynaecological cancers: vulval and vaginal cancer. Together they discuss the symptoms to look out for, including persistent itching, soreness, skin changes, bleeding and unusual discharge, as well as who is most at risk and the treatment options available. One of the most important messages from this conversation is the need to know what is normal for your body.

    Stacey encourages women to check their vulva every month, be aware of any changes, and seek medical advice if they notice anything unusual. Although vulval and vaginal cancers are rare, early diagnosis can make a significant difference to outcomes. The episode also explores the links with HPV, the impact of treatment on quality of life and intimacy, and why partners can play an important role in recognising changes. This is the final episode in the gynaecological cancer mini-series and is packed with practical, potentially life-saving information that every woman should hear.


    Date of episode recording: 2026-09-17
    Language of episode: English
    Presenter:Professor Joyce Harper
    Guests: Dr Stacey Bryan
    Producer: Joyce Harper

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    44 mins
  • S4, #22: Professor Adam Rosenthal: Ovarian cancer: what women need to know
    Sep 23 2026

    Prof. Adam Rosenthal qualified from St. Mary's Hospital Medical School (now Imperial College), London, in 1992 and undertook general Obstetrics and Gynaecology training, working at various hospitals, including St. Mary's, Queen Charlotte's, the Hammersmith, and Chelsea and Westminster. He is now a Consultant Gynaecologist at UCLH, where he leads the Colposcopy and Familial Gynaecological Cancer services.

    He is also Professor of Gynaecological Cancer Prevention at University College London (UCL). His clinical interests are laparoscopic (keyhole) surgery, colposcopy, gynaecological cancer screening, HPV-related pre-cancers of the cervix, vagina and vulval and inherited gynaecological cancers. He has published extensively on gynaecological cancer screening and prevention in journals including the Lancet and the British Medical Journal. He has sat on the UK Cancer Genetics Group Steering Committee, and the NICE Familial Ovarian Cancer Guideline Committee.

    He is a Trustee and medical advisor to the Eve Appeal; the UK's foremost gynaecological Cancer charity. He features regularly in media stories about inherited gynaecological cancer and has appeared on Sky News, Chanel 4 News, Channel 5 News, BBC London, ITV London, and Radio 4 Today amongst others. https://eveappeal.org.uk/

    In this episode Professor Adam Rosenthal explains why ovarian cancer can be so difficult to detect, how our understanding of the disease has changed over recent decades, and why many ovarian cancers are now thought to start in the fallopian tubes rather than the ovaries. We discuss the key symptoms, including persistent bloating, feeling full quickly, pelvic pain and changes in bowel or bladder habits, and why it is so important for women to know what is normal for their own bodies and seek medical advice when something feels different.

    We also explore risk factors, including age, family history and inherited genes, as well as the challenges researchers face in developing an effective screening test. Adam talks us through current diagnostic tests and treatment options, including surgery, chemotherapy and newer targeted therapies, while highlighting the importance of personalised cancer care. He also tackles common myths, including the misconception that only your mother’s side of the family matters when assessing inherited cancer risk, and explains why a normal cervical screening result does not rule out ovarian cancer.

    This episode is full of practical, evidence-based information about ovarian cancer awareness, prevention and early detection, along with an important reminder that persistent symptoms should never be ignored.


    Date of episode recording: 2026-09-15
    Language of episode: English
    Presenter:Professor Joyce Harper
    Guests: Professor Adam Rosenthal
    Producer: Joyce Harper

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    54 mins
  • Season 4, #21: Professor Adeola Olaitan: Get bleeding checked: what every woman should know about womb cancer
    Sep 16 2026

    Adeola Olaitan was appointed as Consultant Gynaecological Oncologist at the University College London Hospital, the gynaecological cancer centre for the North London Cancer Network, in January 2002. She discontinued NHS Clinical work in August 2022 but retained her UCL contract and she was awarded an honorary chair in January 2026.

    She obtained her Medical Degree from the University College Hospital London where she was distinguished with a certificate of merit in surgery. As part of her training in obstetrics and gynaecology, Prof Olaitan worked in many of London's leading Hospitals. She underwent sub specialty training in gynaecological oncology at St Michael's Hospital, Bristol.

    She is an accredited minimally invasive laparoscopic and robotic surgeon and offers women the minimally invasive approach where appropriate. She is also accredited in colposcopy.

    https://eveappeal.org.uk/

    Womb cancer is the most common gynaecological cancer, and rates are rising. In this episode, Professor Joyce Harper speaks with consultant gynaecological oncologist Professor Adeola Olaitan about the symptoms every woman should know, why early diagnosis is so important, and what can be done to reduce the risk of developing womb cancer.

    Adeola explains why bleeding postmenopause should never be ignored, discusses heavy bleeding during the perimenopause, and outlines the key risk factors for womb cancer, including obesity, PMOS, Lynch syndrome and tamoxifen use. She also explains why women who have a womb and take HRT need progesterone to protect the lining of the womb. Joyce and Adeola also discuss the importance of lifestyle factors such as healthy eating, exercise and weight management, not only for reducing cancer risk but for improving overall health and wellbeing.

    They also tackle the rise of misinformation on social media, including dangerous claims about alternative cancer treatments, and highlight the importance of seeking evidence-based information from trusted organisations such as The Eve Appeal.

    This episode contains an empowering message for all women: know the symptoms, trust the evidence, and never be afraid to ask for further investigation if something doesn't feel right. Most importantly, don't ignore unusual bleeding. Early diagnosis can save lives.

    Date of episode recording: 2026-09-01
    Language of episode: English
    Presenter: Professor Joyce Harper
    Guests: Professor Adeola Olaitan
    Producer: Joyce Harper

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    44 mins
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