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3 conditions in Uterus related to pelvic pain and bleeding

3 conditions in Uterus related to pelvic pain and bleeding

Most of the women ignore abnormal bleeding or pelvic pain as they think it is normal, but in reality, these symptoms can be a sign of abnormal cell growth in the uterus which is known as a womb.

The uterus contains various types of cells to help women carry a baby. When the cells grow abnormally, three common or sometimes painful conditions can arise 

  • Fibroids
  • Uterine polyps
  • Adenomyosis

Each of these conditions causes symptoms that can negatively influence women’s life such as pain, abnormal bleeding, and fertility issue. Mrs. Sarah Hussain, the leading female gynaecologist in London offers world-class treatment for all these problems either through medication or surgery depending on the woman’s specific needs.

Treatments for uterine conditions

  • Fibroids: Fibroids are mild tumors made of smooth muscles of the wall of the uterus that can be in size from grain to watermelon. Women with reproductive and premenopausal age are most likely to experience symptoms which may occur in about 30 % of cases which includes:
    • Abnormal menstrual bleeding
    • Constipation
    • Urinary frequency
    • Increase in abdominal size
    • Pelvic pressure
    • Pelvic pain
    • Painful intercourse

If left untreated more serious problems can arise. Large fibroids can press on the other organs in the abdomen and pelvis that include bowels, bladder, and blood vessels. Fibroids can also distort the uterine cavity that will result in difficulty getting pregnant. If women dont have bothersome pelvic pressure or pain, then female consultant gynaecologist will start with medication for progesterone hormones pills in order to manage abnormal bleeding. If it was not treated with medication, consultant gynaecologist will go for surgical treatment that includes:

Endometrial ablation 

Focused ultrasound

Uterine fibroid embolization

Laparoscopic ultrasound-guided radiofrequency ablation



  • Endometrial polyps: It is the abnormal cells overgrowths in the uterus line and extends into the uterine cavity. Most of them are harmless but it may sometime cause cancer. It was very rare in women younger than 20 which typically affects premenopausal and postmenopausal women. Women with obese and also who take tamoxifen, prescribed after breast cancer is at increased risk of developing polyps. Abnormal bleeding is the most common symptom that means:

Bleeding after menopause

Bleeding between periods

Bleeding after sex

Overly-heavy periods

Female gynaeologist use transvaginal ultrasound to identify polyps which entail placing a small device in the vagina that emits sound waves that create an image of the uterus shows the growth.  Hysteroscopy is the alternative treatment that involves placing a small, thin camera into the uterus to see the polyps. The treatment involves removing symptomatic polyps and diagnose the concerning cell. Consultant gynaeclogist will use a small, thin instrument and a hysteroscope to identify and remove polyps with a bit of pain.

  • Adenomyosis: Adenomyosis is the expansion of the uterus due to tissue that normally lines the uterus grows into the muscular wall of the organ. Adenomyosis cause is unknown as the diagnosis can be made only by microscopic examination of the uterus following a hysterectomy.  Symptoms of adenomyosis include:

Heavy bleeding

Period pains

Pain during sex

Pelvic pressure or bulkiness

Treatment options offered by female London gynaecologist include hormone medications such as birth control pills, progesterone, or intrauterine devices. Endometrial ablation is an effective surgical option or hysterectomy might be suggested if the medication doesn’t work.

If you are facing any of these issues, then book an appointment now with Mrs. Sarah Hussain, the leading consultant female gynaecologist at London, Chigwell.

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4 stages of endometriosis


Endometriosis: It is a condition in which the uterus lined by the endometrial tissue starts to spread outside the uterus. The implants get embedded in places like ovaries, fallopian tubes, and also in the other regions of the pelvic parts. 

In normal conditions, the endometrial tissue grows inside the uterus and the tissue sheds during every menstrual cycle. 

But there is a condition in which the endometrial tissue sheds where the implants grow outside the uterus, thereby causing shedding, inflammation cysts, and scars the tissues which are present in the entire region of pelvic.

Symptoms caused by endometriosis are-chronic pelvic pain, painful urination, pain during sex, heavy periods, infertility, gastrointestinal issues, and many more.

Female gynaecologist performs laparoscopy by the implants and scarring that enables them to see the patient is which stage of endometriosis. Based on the views of the reports of laparoscopy, the endometriosis has been divided into four stages. Based on the view doctors give scores, a score of 15 means that the patient is in the first stage or second stage, which means minimal or mild, respectively. A score of 16 to 40 is that the disease is in stage 3, which is moderate when the score is 40 or more, which means that it is the fourth stage, and the stage is more severe. 

What are the different stages of endometriosis?

  • STAGE 1:

This is concluded minimal, the implants that grow outside the uterus are few and are also small and shallow. This stage moreover, does not give any discomforts stages of pain. This doesn’t mean that the first stage of endometriosis effects are minimal or has no impact on her life. They are just minimal.

  • STAGE 2:

The implants found in this stage are more deeply embedded than the implants that are present in the first stage of the endometriosis. This stage is considered mild.

  • STAGE 3:

This stage not only has deeply embedded implants, but they also have endometrial cysts present at least one of the ovaries. When the tissue is attached to the ovary, the endometrial cysts are formed then the cysts start shedding blood and tissues. The blood that is being shed turns brown; these cysts are also called “chocolate cysts.” Organs are bonded together by thin bands called the filmy adhesions, and these adhesions are the scars that are formed when the body tries to get healed from the inflammation caused by the endometriosis. In women who are with endometriosis, they can cause the organs to stick together when they shouldn’t, which are the cause for the sharp and stabbing pains and also nausea. 

  • STAGE 4:

This is the severe stage of endometriosis and in this stage in addition to deeper implants of there present large cysts on at least one of the ovaries, and also many dense adhesions along the region of pelvic. 


This endometriosis causes an impression like cancer, which starts in one region and spreads to different parts, but this endometriosis does not grow like cancer, it does not spread. The diagnosis of endometriosis takes at least three to eleven years due to the painful symptoms. At Least one in ten women have endometriosis. 

Mrs Sarah Hussain the leading private female gynaecologist offers world-class treatment for endometriosis. Book an appointment now.

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What are fistulas? What is the symptoms, causes and treatment of Fistulas

What are fistulas?

A fistula is an abnormal connection between a tunnel-like hole between two organs or vessels. Fistulas may occur in various parts of the body. In women, fistulas include the genital and urinary tracts are the most regular and happen because of prolonged or obstructed childbirth, injury during pelvic surgery, infection, inflammation or radiation treatment in the pelvis or genital area.  

The most common fistulae in women are one that happens between the bladder and vagina.

Fistulas can involve other genital organs:

  • Cervical 
  • Enterovaginal 
  • Metroperitoneal
  • Recto-uterine
  • Vesico-uterine
  • Ureterovaginal fistulas
  • Anal fistula

Causes of Fistulas

The common cause of a connection between the vagina and the bladder is the injury to the bladder during the pelvic surgery, especially hysterectomy. Symptoms may occur immediately after surgery. Sometimes it may delay for 1-2 weeks. 

Symptoms of Fistulas

A vesicovaginal fistula or flow between the bladder and vagina can be painless; however, will cause troublesome incontinence problems that cannot be regulated as urine continuously dribbles into the vagina upon entering the bladder. 

Other symptoms 

  • Frequent infections
  • Diarrhoea
  • Abdomina pain
  • Fever
  • Weight loss
  • Nausea
  • Vomiting

Treatment of fistulas

Taking proper medication makes fistulas both treatable and preventable. Your female gynaecologist will talk about the symptoms and what may have caused them. Your consultant may check for urinary tract infection, also conduct blood tests and use a dye to locate all areas of leakage. Fistulas will not be treated on their own. Small vesicovaginal fistulas that are detached early may be managed by placing a catheter in the bladder for some time. Most of the fistulas are treated surgically. 

Most often, vesicovaginal fistula can be treated by a minimally invasive vaginal procedure. In some situations, a minimally invasive laparoscopic or robotic or open surgical approach may be preferred.

While doing surgery, the consultant will check the damaged area for cellulitis, oedema or infection, while also eliminating any scar tissue and securing proper blood supply. Once after surgery, antibiotics or other medications may be prescribed. 

Mrs Sarah Hussain the leading female gynaecologist in London offers world-class treatment for all gynac issues. Book an appointment now.

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Period changes according to the age changes

How Your Period Changes as Age Passes?

Every month getting periods can be real pain which you to deal with PMS symptoms like cramps, intense food cravings and constant bloating. All these are a regular part of a normal period cycle. 

During your lifetime, menstrual cycle and periods change develop due to regular age-related hormonal changes and other circumstances such as stress, lifestyle, medications and certain medical requisites. What is normal and what should be referred about?

Some of the common courses used to describe menstrual periods

  • Menarche: The age when a young girl starts to have her period. 
  • Amenorrhea: When a woman does not have a period for 6 months or more. Primary amenorrhea occurs when a young girl never begin to have a period and secondary amenorrhea occurs when a woman stops having periods.
  • Oligomenorrhea: When a woman has rare periods that befall at intervals greater than every 35 days and up to every 6 months. 
  • Dysmenorrhea: Woman with painful periods
  • Perimenopause: Period time which leads to menopause that may last for a few months to a few years. Woman with perimenopause does not ovulate regularly and has irregular cycles that may occur monthly to every few months. Even she may experience some periodic symptoms of menopause such as hot flashes. 
  • Menopause: Woman’s ovaries stop ovulating and creating adequate hormones leading to no periods for more than a year which is followed by hot flashes, vaginal dryness and other symptoms. 

Period changes as the age pass

Adolescence: A girl will get a first menstrual period at the age between 12 to 13 years and typically happens about 1.5 to 3 years after breast start to develop. One facto that impact menarche is a young girl’s body mass index this is calculated by the ratio of her weight and height. If a young girl has menstruation by age 15 or within three years of breast development, then she should be examined by a gynaecologist.

Teens/20s: A girl with 20s the periods will be likely become more consistent as you begin to ovulate more regularly. The girl may have the symptoms of PMS, cramps and breast tenderness. In this age, only the women go for birth control pills or other forms of contraception. This pills or contraception may change your periods making them shorter, lighter and more regular with less bleeding, cramping and reduced PMS symptoms. Your gynaecologist should tell all the side effects that each form of contraception may have. 

30s: Woman in this age group can predict the menstrual cycle. Some of the benign conditions can appear in your 30s that includes fibroids and polyps of the endometrium or cervix. In some cases, these conditions make your periods heavier and cause painful cramps or you may experience intermenstrual bleeding. During the reproductive lifetime, the menstrual cycle can also change after having the baby. The periods won’t come until 6 weeks after delivery and if you are breastfeeding it may not return until you stop. 

40s: In the beginning of 40s, the amount of estrogen produced by the ovaries may begin to fluctuate and may not ovulate regularly. In this year’s most women undergo menopause called perimenopause which can remain from a few months to more than 10 years earlier to your last menstrual period. The most common symptoms of perimenopause is a change in your menstrual cycle. The woman may have shorter, longer and heavier and lighter than usual. Even woman may begin to skip the periods and may experience hot flashes, sleep issues, vaginal dryness, urinary issues and emotional changes. 

50s: Most of the women will experience menopause in their 50s, this is the normal age of menopause is 51 and a typical range is between ages 45-55. 

Other factors that can impact the age of menopause include the number of babies, tobacco users, ethnicity can impact the age of menopause. 

If women experience bleeding after menopause, then consult your Private female gynaecologist in London. Book an appointment now. 

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Know Everything about Labiaplasty

Whether physical or mental, many women find themselves in great discomfort when it comes to their personal feminine physiology. It is a taboo subject, it is very common for the women who suffer must live with their problems for the rest of their lives. There is a resolution in cosmetic gynaecology to remove the issues which allow for a more comfortable.
The surgery will be performed only if medically shown unless by physical deformation or significant psychological morbidity. The Labia, if it is misshapen or asymmetrical, some women will find themselves self-conscious about its appearance during the intimacy. If itis oversized, it can affect sexual stimulation. But can have an unfavourable effect of personal health and hygiene as it can harbour bacteria which causes exacerbating infections. Even the oversized Labia also become irritated or inflamed during exercises such as walking or cycling.

There is a simple resolution to such problems by cosmetic gynaecologist surgery known as Labiaplasty which is becoming more popular as most of the woman is coming forward to take charge of their sexual health.
Now let’s move into the topic:

What is Labiaplasty?

It is a short surgery that involves the surgical sculpting of the Labia minor and Labia Major for an attractive and healthy result. This is surgery was done after the initial consultation and done between one and two hours.

Does Labiaplasty hurts? and What is Labiaplasty recover like?

The surgery was done under anaesthetic, so there will be no pain.

Once the anaesthesia wears off, there will be minor discomfort that can be put off with painkillers or by applying ice packs. There will be swelling and nothing to bothered about. Wearing loose and comfortable clothes is warn to reduce its effects. The pain and swelling will gradually reduce over time, but there will be little soreness for a few weeks. The patient needs to consult her private female consultant gynaecologist until it recovers.

It takes six weeks of time during this period the patient must avoid vigorous exercises, intercourse, the use of Tampon and hot bath. The Labiaplasty stitches should naturally dissolve. At this time the patient needs to visit here consultant private gynaecologist and make sure that the recovery is going smoothly and that you have healed effectively.

There are many reasons why an individual woman may opt for labiaplasty, but each reason may lead to an enhanced quality of life and also improved a sense of freedom.

If you are exploring the possibilities of undergoing labiaplasty book an appointment with our specialist and leading female consultant gynaecologist, Mrs Sarah Hussain today.

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