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Reasons and Treatments for Pelvic Floor Muscle Dysfunction

Reasons and Treatments for Pelvic Floor Muscle Dysfunction

 What is Pelvic Floor Dysfunction:

Pelvic floor dysfunction is a common problem in which you cannot properly relax and control the muscles in your pelvic floor to urinate or have a bowel movement.

The pelvic organs include:

  • The bladder 
  • The uterus and vaginal canal
  • The rectum 

In few cases, there are chances that women have pelvic floor dysfunction. But what is it, exactly? Pelvic floor dysfunction (PFD) is a disorder that affects the pelvic floor muscles and tissues. The bladder, bowel, and uterus are all supported by these muscles and tissues. If they become weak or damaged, symptoms such as incontinence (involuntary urination), fecal incontinence (involuntary stool leakage), and pain during sex can occur. Pelvic floor dysfunction can be caused by childbirth, obesity, age, and other factors.

Usually, you can go to the restroom without difficulty since your pelvic floor muscles tense and relax. This is comparable to clenching your fist or tightening your biceps when you lift a heavy box. If you have pelvic floor problems, your body continues to tighten these muscles instead of relaxing them as it should. This tension implies that you may be experiencing a blockage in the urinary or intestinal tube that empties the bowels.

 If you are experiencing these symptoms, it is essential to see your doctor to discuss treatment options. There are many treatments available for pelvic floor dysfunction

What leads to Pelvic Floor Dysfunction?

There are some of the reasons for pelvic floor dysfunction they are like:

  •  Any injury occurred in the pelvic area.
  • The pelvic muscles become overused (like going to the bathroom too frequently or compressing hard), resulting in muscular coordination problems.
  • During pregnancy time 
  • Any pelvic surgery 
  • Obesity
  • Advancing age

Treatments  for Pelvic Floor Muscle Dysfunction:

There are several treatments available for PFD, may be non-surgical treatments and minor surgical treatment 

  • Pelvic Floor physical therapy:

    Physical treatment is frequently done at the same time as biofeedback therapy. The therapist will determine which muscles in your lower back, pelvis, and pelvic floor are overly tense and teach you techniques to loosen these muscles so that their coordination may be enhanced.

Some physical therapists suggest relaxation methods such as meditation, hot baths, yoga, and exercise or acupuncture 

  • Medication:

Daily medications that assist in the maintenance of soft and regular bowel motions are an essential component of managing pelvic floor problems. MiraLAX®, Colace®, Senna, or generic stool softeners are some of the stool softeners available over-the-counter at the pharmacy. A gastroenterologist or your general practitioner can help you determine which medicines to use.

  • Physical Therapy:

Pelvic floor muscle problems are treated through physical therapy and biofeedback, not surgery. When physical treatment and biofeedback fail to work, your doctor might advise you to seek a pain injection specialist in rare cases. These specialists specialize in pinpointing the tense or painful muscles, and they can use a tiny needle to administer anesthetics and relax


Depending on your symptoms and how severe your pain is, you may be treated by a general practitioner, a physical therapist, a gynecologist (gyno), a gastroenterologist (GI), a pelvic pain anesthesiologist, or even a pelvic floor surgeon.If you would like to know more about pelvic , consult a professional London Gynaecologist, Mrs. Sarah Hussain. Contact us to book an appointment.

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Exercise During Pregnancy

Exercise During Pregnancy

Every woman is happy when she becomes a mother, and she feels great wanting to give birth to a healthy kid so that doctors, family members, and well-wishers can provide her with sound advice for a successful safe delivery.

  • Maintain a regular aerobic activity schedule, such as walking or swimming, for at least 30 minutes every day 
  • Regular exercise can help you avoid pregnancy complications and manage pregnancy discomforts, such as back pain.

Exercise is one of the most important things you can do for your health during pregnancy.In fact, it’s recommended that all pregnant women can do exercise every day. However, you should always check with your doctor before starting any new exercises while pregnant. There are many safe and effective exercises to choose from, so find something you enjoy and get moving.

Talk to a professional gynaecologist like Dr. Sarah Hussain, about exercising during pregnancy. Exercising is often safe and beneficial for pregnant women and their babies. If you and your baby are in good health, exercising will not raise the likelihood of a miscarriage. Reduce your risk of having a cesarean birth (also called a c-section). 

How much time is required to do Exercise during Pregnancy?

  • Pregnant women who are healthy need at least 2½ hours of moderate-intensity aerobic activity each week. 
  • Aerobic exercises make you breathe quicker and deeper, as well as increase your heart rate. Moderate intensity is defined as a workout that allows you to sweat and raise your heart rate. 
  • A brisk walk is an example of a moderate-intensity aerobic.
  • If you can exercise for 30 minutes on most or all days, that’s ideal. If this seems like a lot, break up the 30 minutes into three 10-minute sessions three times per day.

Physical activity during Pregnancy:

  • During pregnancy, exercise can assist you to acquire the correct amount of weight.
  • Relieve various pregnancy symptoms, such as constipation, back pain, and leg swelling.
  • They may help you relax and sleep better. Stress is an emotion experienced as a result of circumstances in your life.
  • Maintain a healthy mind and body. Physical activity might assist you to feel better and have more energy. It also helps to strengthen your heart, lungs, and blood vessels while keeping you fit.
  • Reduce your risk of having a cesarean birth (also called a c-section). Your baby is delivered via a cut in your belly and uterus during cesarean delivery.

Activities to Do During the Pregnancy: 

Make an effort to do things you like. Find out what sorts of activities are safe for you by asking your doctor. Begin slowly and increase your activity gradually as you progress. 5 minutes each day is a good place to begin it. 

These are some activities :

  • Walking: Walking is a wonderful form of exercise that doesn’t put any stress on your joints or muscles. This is an excellent way to get started with exercise if you’re new to it.
  • Yoga: Yoga helps you peaceful mind and stress relief.  Tell your yoga instructor what you’re expecting, they can assist you in modifying or avoiding postures that are harmful to pregnant ladies.
  • Swimming workouts: Swimming and water exercises are both excellent for you. The water supports the weight of your developing kid, making it easier to move against it. It’s also nice for your joints and muscles since it’s gentle on them. If other activities make your back hurt, try swimming instead.
  • Pelvic floor exercises: Pelvic floor exercises may be done sitting, standing, or even resting on the floor.

Activities not to do during the Pregnancy: 

Be careful. Some activities are better not to do during pregnancy time.

  • Activities such as horseback riding, downhill skiing, off-road cycling, gymnastics or skating may cause you to fall because of the jerky, bouncing motions.
  •  Basically, any exercise that made you lie flat on your back (such as sit-ups). When you lie down on your back, your uterus puts pressure on a major vein that returns blood to your heart. Lying down can cause your blood pressure to fall and restrict the flow of blood to your baby.
  • Boxing, soccer, basketball, and other sports in which you may be struck in the belly.
  • Water sports, such as water skiing, surfing, and scuba diving are activities that may induce you to strike the water with great force.
  • Scuba and sky drive  Scuba diving can cause decompression sickness, which is a condition caused by the formation of hazardous gas bubbles in your baby’s body.

The benefits of being physically active throughout pregnancy extend to both mother and baby. Keeping your core strong, muscular, and cardiovascular healthy by doing some sort of exercise on most days of the week might be beneficial. It can also benefit to mother’s mental health.

If you would like to know more about exercise during pregnancy, consult a professional London gynaecologist, Mrs. Sarah Hussain. Contact us to book an appointment.


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How Are Gynaecologic Cancers Treated

How Are Gynaecologic Cancers Treated?

Gynaecological cancer is any cancer that develops in any of the organs of the female reproductive system, which are positioned in the pelvic region beneath the stomach and between the hips. Cancer arises when cells divide excessively, causing body tissue to be damaged. Gynaecological cancer develops in the reproductive organs, and Gynaecologic oncology is the study and treatment of cancers of the female reproductive tract. Gynecological abnormalities are one of the top causes of cancer-related fatalities in women all over the world. Thousands of women are treated for gynaecological abnormalities each year, making it critical to understand the various types of gynaecological cancers. Below are the types of gynaecological cancer:

  1. Uterine Cancer
  2. Vulvar Cancer
  3. Cervical Cancer
  4. Ovarian Cancer
  5. Vaginal Cancer

Symptoms of Each Type of Cancer

Each type of gynaecological cancer has its signs, symptoms, and risk factors:

Uterine Cancer:

  • Bleeding between periods and after sexual intercourse.
  • Abnormal vaginal discharge contains blood

Vulvar Cancer:

  • In the vulva, there may be a burning feeling or bleeding.
  • The urine colour is brighter or paler than usual.
  • The presence of warts or irritation is similar to a rash in the affected region.
  • Non-healing sores or tumors.
  • Pelvic discomfort while sexual activity or urinating.

Cervical Cancer:

  • Bleeding between menstrual periods
  • Plenty of vaginal discharge with a little blood.
  • Bleeding after vaginal intercourse
  • Lower back soreness and abdominal pain

Ovarian Cancer:

  • Lower abdominal discomfort, comparable to indigestion.
  • Pelvic pain.
  • Fatigue, anemia, and loss of appetite are a few of the symptoms 
  • Abnormal body hair as a result of hormonal changes

Vaginal Cancer:

  • Bleeding during periods
  • Urinary discomfort.
  • Vaginal lumps of multiple lengths.


Treatment for Gynaecological Cancer

  1. Surgical Treatment:

    Gynaecologic cancer is distinctive to each woman, and surgery is frequently used to remove as much of the tumor as feasible. Because there are fewer cancers to treat, shrinking the tumor improves the efficiency of following chemotherapy or radiation therapy. Medication-assisted cancer treatment is a possibility for some women with gynaecologic cancer, depending largely on the type and stage of cancer.

  2. Intraperitoneal Chemotherapy:

    It is a complex and one-of-a-kind treatment that administers chemotherapy medications directly into the abdominal cavity via a device. When used in some cases of ovarian cancer, it primarily targets cancer cells in the abdomen, reducing medication exposure to vital cells. 

  3. Radiation Therapy:

    Radiation therapy is an important treatment for most gynaecologic abnormalities, whether used as a standard treatment or as adjuvant therapy after surgery. The precise insertion of needles into a tumor is a frequently complex technique that must be accomplished by an expert.


If you would like to know more about Gynaecological cancer and its treatment, consult a professional London gynaecologist, Mrs. Sarah Hussain. Contact us to book an appointment.


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Dysmenorrhea - Causes, Symptoms and Diagnosis

Dysmenorrhea – Causes, Symptoms and Diagnosis

What is Dysenorrhhea?

Dysmenorrhea, also known as menstrual cramps, is a common problem that many women experience each month. The pain can be quite severe and can make it difficult to participate in activities or complete everyday tasks. While the cause of dysmenorrhea is not entirely clear, many treatments can help lessen the symptoms. If you are struggling with dysmenorrhea, please talk to your doctor for assistance. There are several treatment options available that can help improve your quality of life.


What Causes Dysmenorrhea?

Women’s menstrual cycles can be a painful and frustrating experience, but it doesn’t have to affect the way you feel about yourself. If your cycle is causing significant discomfort in both physical symptoms (such as cramps) or emotional ones such as depression then there may be an underlying cause that needs medical attention- most often endometriosis which causes secondary dysmenorrhea due to Bleeding diseases like Clotting disorders, Infections including Pelvic Inflammatory Disease(PID).

Secondary dysmenorrhea can also be caused by the following factors:

  • Pelvic inflammatory disease (PID)
  • Uterine fibroids
  • Abnormal pregnancy (miscarriage, ectopic)
  • Tumors, or polyps in the pelvic cavity, Infection


What are the Symptoms of Dysmenorrhea?

The most prevalent symptoms of dysmenorrhea are as follows. However, each individual may uniquely experience symptoms. Symptoms could include:

  • Lower abdominal cramping
  • Lower abdominal discomfort
  • Pain in the lower back
  • Radiating pain down the legs
  • Nausea
  • Vomiting
  • Diarrhea
  • Fatigue
  • Weakness
  • Fainting
  • Headaches

The symptoms of dysmenorrhea may resemble those of other medical diseases or issues. For a diagnosis, always consult your health care practitioner.


How is Dysmenorrhea Diagnosed?

Your health care practitioner will assess your medical history as well as perform a comprehensive physical and pelvic exam to identify dysmenorrhea. Other possible tests include:

  • Ultrasound: This test generates a picture of the inside organs using high-frequency sound waves.
  • Magnetic resonance imaging (MRI): Large magnets, radiofrequency, and a computer are used in this test to create detailed pictures of organs and structures within the body.
  • Laparoscopy: A laparoscope is used in this small surgery. This is a narrow tube that contains a lens and light. It is placed through an abdominal wall incision. The doctor can often find abnormal growths using the laparoscope to examine the pelvic and abdomen area.
  • Hysteroscopy: This involves a visual examination of the cervical canal and the interior of the uterus. It employs a viewing tool (hysteroscope) placed through the vagina.


If you would like to know more about Dysmenorrhea and its diagnosis, consult a professional London gynecologist, Mrs. Sarah Hussain. Contact us to book an appointment.

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Cystoscopy - Diagnosing the Bladder Issue

Cystoscopy – Diagnosing the Bladder Issue

A cystoscopy is a procedure that uses an instrument to visually view the inside lining of the urethra (the pipe via which the bladder empties urine) and the urinary bladder (often called a camera). It is normally performed by a urologist or a specialist urology nurse, but it can also be performed by a qualified gynaecologist. The most common indications for cystoscopy in diagnosis are: blood in the urine, persistent urinary incontinence, gas bubbles in the urine, crystal passing in urine, and an irritable bladder.

A cystoscopy can also be used to get access to the ureters (the tubes that connect the kidneys to the bladder) so that they can be inspected (ureteroscopy) or visualized using injected dye (ureterography) if there is a suspected blockage or stone.

What are the Types of Cystoscopy?

Cystoscopy can be conducted as an outpatient procedure with a thin flexible fiber-optic endoscope. Sedation is not usually required because a local anesthetic gel is applied. A rigid metallic endoscope under general or regional anesthesia, or sedation, can also be employed as a day case operation without the requirement for an overnight stay in the hospital.

How is Cystoscopy Performed?

Women are positioned flat on their backs, legs bent and heels together. All mothers who have given birth vaginally will be familiar with this position. A cystoscopy usually takes about 5 minutes to perform. An antibiotic is applied to the skin at the urethral outlet (at the end of the penis in males and just inside the vagina in women). The local anesthetic gel is then injected to the urethra with a needleless syringe that takes effect after a few minutes. Because it is only a surface gel, it is never completely successful at numbing the urethra, although it does aid and works as a lubricant. The endoscope is then gently directed down the urethra, through the prostate gland (in men), and into the bladder. Across the process, the urethral and bladder linings are methodically inspected, and any abnormalities are described and noted.


If you would like to know more about the bladder issue and its diagnosis, consult a professional London gynaecologist, Mrs. Sarah Hussain. Contact us to book an appointment.

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