Women's health and wellbeing
My Expertise
Experienced Obstetrician and Gynaecologist practicing for over 20 years in the NHS.
Infertility
Infertility is when a couple cannot get pregnant (conceive) despite having regular unprotected sex. Around 1 in 7 couples may have difficulty conceiving. About 84% of couples will conceive naturally within a year if they have regular unprotected sex (every 2 or 3 days).
It can be very distressing for the couple and there are different causes for infertility. This requires further tests and evaluations in order to identify the cause and provide approriate management.
Recurrent Miscarriage
Around 1 in 8 women's pregnancies end in a miscarriage. In the UK, recurrent miscarriage is defined as the loss of three or more consecutive pregnancies before 24 weeks of gestation and affects 1% of couples. Miscarriages can be devastating for the couple and it can be difficult to find the cause, but there are a few conditions which can lead to recurrent miscarriages. We offer investigations and appropriate treatment. 6 out of 10 women in this situation will go on to achieve a successful pregnancy.
Pelvic pain & Endometriosis
Endometriosis is a long-term condition where the lining of the womb is present in other places grows in other places, such as the ovaries and fallopian tubes. It is especially common among women in their 30s and 40s and may make it harder to get pregnant. Several different treatment options can help manage the symptoms and improve your chances of getting pregnant. Symptoms of endometriosis include pain in your lower abdomen or back, pelvic pain, severe period pain and pain during or after sex. Treatments for endometriosis include painkillers, hormone medicines and surgery to remove the endometriosis tissue. It's not clear what causes endometriosis. It may be linked to things like your genes or a problem with your immune system. Appropriate investigation to diagnose and treat endometriosis will be offered.
Vulval skin problems
There are a number of disorders that may affect the vulva. Infections (such as yeast infection) and sexually transmitted infections (STIs), such as genital herpes, can cause vulvar signs and symptoms. Other conditions like lichen sclerosis, folliculitis, contact dermatitis, vulvodynia, Genitourinary syndrome of menopause are some of the common causes of vulva pain, burning, dryness and itching.
Menstrual disorders
Some women naturally have heavier periods than others, but if your periods are so heavy that they impact your life then these should be appropriately investigated and there are several treatment options available. other period problems are irregular periods, bleeding in between periods, infrequent periods, Some conditions such as polycystic ovarian syndrome (PCOS), endometriosis, fibroids, cancer and premenstrual syndrome can cause period problems.
Contraception advice
There are a range of contraceotive methods available in the UK. The best type of contraception depends on your health which will be assessed and advised appropriately.
Menopause
Menopause is when your periods stop due to lower hormone levels. This usually happens between the ages of 45 and 55. It can cause symptoms like anxiety, mood swings, brain fog, hot flushes and irregular periods. Genitourinary syndrome of menopause (GSM) is a group of signs and symptoms caused by a decrease in estrogen and other sex hormones. This decline happens during perimenopause and menopause. Symptoms can include vaginal dryness, pain with sex, bladder problems, frequent urinary tract infections (UTIs), burning, itching, and irritation. Some women also may have pain during sexual intercourse.
Gynae scans
A GYN ultrasound is used to evaluate pelvic organs including the uterus, endometrium, and ovaries. It may be performed trans-abdominally or trans-vaginally (through the vagina). Pelvic ultrasound is a test that uses sound waves to make a picture of the inside of the lower belly (pelvis). It helps to check the uterus for fibroids or endometrial polyps and the ovaries for ovarian cysts. Gynaecological ultrasound can also be used to find out the causes of infertility and diagnose polycystic ovaries or identify the reasons for heavy or irregular periods.
Early Pregnancy Problems
Problems in early pregnaancy are most likely to be due to pregnancy not attaching or forming properly. Usually if a pregnancy is not going to be viable it will miscarry. Most miscarriages and ectopic pregnancies happen in the early weeks of a pregnancy. Early pregnancy can be a worrying time for women, especially if the parents have been waiting a long time for the pregnancy. One in four women will bleed in early pregnancy, many of whom will go onto have a healthy baby. However, any bleeding in pregnancy should be investigated. Pelvic scan and blood tests helps to identify the cause and to treat accordingly.
Utero vaginal prolapse
Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken until they no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina. Mild uterine prolapse is common after childbirth. It generally doesn't cause symptoms. Symptoms of moderate to severe uterine prolapse include seeing or feeling tissue bulge out of the vagina, feeling heaviness or pulling in the pelvis or sitting on a small ball, feeling that bladder doesn't empty all the way, problems with leaking urine (incontinence), trouble having a bowel movement and needing to press the vagina with your fingers to help have a bowel movement,
feeling as if you have vaginal tissue rubbing on clothing, pressure or discomfort in the pelvis or low back, sexual concerns, such as feeling as though the vaginal tissue is loose.
A diagnosis of uterine prolapse often occurs during a pelvic exam.
Treatment options are pelvic physiotherapy, pessary and surgery.
Vaginal Dryness- Desirial Treatment
Vaginal dryness, discomfort, chronic irritation and painful sex can happen to anyone. 1 in 2 women suffer from vaginal discomfort. Childbirth, menopause, hormone therapy or chemotherapy can cause these symptoms. Non hormonal treatment with injectable Hyaluranic acid gel called Desirial treatment available. It helps in hydration and improve the strength of the mucous membranes. It rehydrates the vaginal mucosa.
Procedures offered
Cervical Smear
HPV Testing
Triple Swab - to rule out infections
Mirena coil insertion and Polyp removal
Outpatient endometrial sample
Pessary Insertion - for utero vaginal prolapse
Desirial treatment for vaginal dryness
Diagnostic & Operative Hysteroscopy
Endometrial ablation procedure
Diagnostic Laparoscopy, Laparoscopic ovarian cystectomy, Laparoscopy and Treatment of Endometriosis,
Abdominal hysterectomy, Sub-total hysterectomy, Vaginal hysterectomy, Laparotomy
Anterior repair, Posterior repair, Fenton's procedure
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