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How to Manage Premenstrual Syndrome

How to Manage Premenstrual Syndrome (PMS): Lifestyle, Medication, and Surgery

Premenstrual Syndrome condition will affect your emotions, physical health, and behavior just two weeks before your menstruation and it typically goes away by the end of your menstruation. PMS is a very common condition and its symptoms are seen almost in 90% of menstruating women.

The levels of estrogen and progesterone will increase during assertive times of the month. An increase in estrogen and progesterone hormones will cause mood swings, anxiety, and irritability. serotonin levels will also affect your mood swings. Ovarian steroids can also modulate the activity in some areas of the brain correlated with premenstrual symptoms.


Some of the Risk Factors for Premenstrual Syndrome include: 

  • Bipolar Disorder 
  • Physical and emotional trauma 
  • Domestic violence 
  • Substance abuse 
  • Depression 

Conditions of Premenstrual Syndrome:

  • Dysmenorrhea
  • Massive depressive disorder 
  • Seasonal affective disorder 
  • Anxiety 
  • Schizophrenia

Symptoms of Premenstrual Syndrome:

On average women, the menstrual cycle lasts of 28days. Ovulation is a period where the egg is released from the ovaries, and occurs on the 14th day of the cycle. Menstruations occur on the 28th day of the cycle. PMS signs may start around the 14th day and will last 7 days after the menstruation. The PMS symptoms are usually moderate. 

  • Abdominal pain 
  • Abdominal bloating 
  • Sore breasts
  • Acne 
  • Cravings
  • Diarrhea
  • Headache 
  • Sensitivity 
  • Constipation 
  • Irritation 
  • Depression 
  • Sadness
  • Emotional outbursts
  • Sadness
  • Fatigue
  • Alcohol intolerance 
  • Change in libido 
  • Poor concentration 

Causes of Premenstrual Syndrome:

Few women are sensitive to hormonal changes during their menstrual cycle. 

Some chemical substances in the blood such as neurotransmitters can be a cause.


Few adjustments in lifestyle like exercise, controlled and healthier diet, carefulness, and meditation works positively in controlling your PMs Symptoms.


Non-Hormonal Treatment: 

Under healthcare, experts guidance and prescription  Antidepressants will help in PMS symptoms. Few women may have side effects such as nausea and low libido after using these medicines.

Hormonal Treatment:

A pill that contains progesterone can be used in hormonal treatment. If estrogen hormone is taken as gel or patch it improves the symptoms of PMS. They won’t work as a contraceptive.


The surgical treatment for premenstrual syndrome is in the form of a hysterectomy and removal of both ovaries.

Following surgeries are not recommended:

  • Endometrial ablation 
  • Hysterectomy

 If you are having gynae symptoms that relate to premenstrual syndrome ,as discussed above and worried about  it , consult a professional gynaecologist. You can consult with Mrs. Sarah Hussain, the leading female gynaecologist in London. Request a call for treatment.

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Do Uterine polyps need to be removed

Do Uterine Polyps need to be Removed

Uterine Polyps are also called endometrial polyps, are redundant growths found in the inner walls of the uterus which extend into the uterine cavity. Usually, some of these polyps are cancerous or can even ultimately turn into cancer. These polyps’ sizes may range from a few millimeters to centimeters. These polyps attach to the uterine walls by a hefty base or even a fragile stalk. You may have one or even more uterine polyps. Sometimes these polyps will slip down through the cervix into your vagina.  These polyps generally occur in women who have concluded their menopause. Hormonal factors play a vital role. These polyps are estrogen sensitive.

Symptoms of Uterine Polyps Include: 

  • Irregular menstrual bleeding.
  • Heavy period bleeding. 
  • Infertility.
  • Bleeding of vagina after menopause. 
  •  Vaginal discharge.

Risk Factors of Uterine Polyps Include:

  • Perimenopausal or Postmenopausal 
  • Hypertension
  • Obesity 

Complications of Uteine Polyps:

These uterine polyps may correlate with infertility. You may not have children. Removal of these uterine polyps will allow you to become pregnant.

Removal of Uterine Polyps: 

The removal of uterine polyp can be performed by hysteroscopy. The polyp can be dissected and can be retrieved at the same time. As the premalignant and malignant alter can happen at the root of the polyp it must be completely excised. Even after removal, there might be a chance for recurrence. If the uterine polyp is cancerous, then the removal of the uterus is imperative. 

Do Uterine Polyps need to be Removed?

Your gynecologist may recommend the removal of your uterine polyp and may send the sample of your tissue to the laboratory for analysis to detect whether it is not uterine cancer. A diagnosis will be made by hysteroscopy, (a thin telescope is inserted into the uterine cavity.) so that the surgeon can have a look inside the uterus. In major cases, patients are advised for the removal of their polyps.

If you are going through the symptoms of uterine polyps and are seeking to consult a professional gynaecologist, you can consult with Mrs Sarah Hussain, the leading Female Gynaecologist in London. Request a call for treatment.

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Why have my periods stopped Amenorrhoea can be a reason

Why have my periods stopped? Amenorrhoea can be a reason

Amenorrhoea is the absence of periods. Menstrual bleeding is the womb lining departing the body. Meanwhile the menstrual cycle, hormones cause an ovary to outcome and discharge an egg. The ovaries will also release hormones such as estrogen and progesterone. Estrogen fundamentally causes the womb lining to thicken, at the same time progesterone produces the womb for the implantation of an egg.


If sperm don’t fertilize the egg, you may not be pregnant and the egg dissolves. The stages of estrogen and progesterone deny, and the womb lining falls away. It leaves the body through the vagina, giving you menstruation. If any female comes to the age of 16 without menstruation then it is called amenorrhoea. Sometimes a woman doesn’t have menstrual bleeding continuously for three cycles despite regular periods till then it’s called secondary amenorrhea.

In other words, Amenorrhoea is generally defined as the absence or missing of menstrual periods. The primary amenorrhea is attributed to the absence of periods who don’t get periods by the age of 15. The utmost common reasons for this primary amenorrhoea are imparted with hormonal levels, despite anatomical complications that can also cause amenorrhea. Secondary amenorrhea implies the absence of consecutively three and more menstruations. Pregnancy is the common cause for this secondary amenorrhoea, and hormonal problems can also cause secondary amenorrhoea. 



Natural reasons for amenorrhea may include pregnancy, breastfeeding, and also menopause. If a woman has regular and normal period bleeding, that implies the functions of ovaries, uterus, hypothalamus, and pituitary gland are well. 

The absence of periods may indicate complications with respect to the ovaries, uterus, hypothalamus, and pituitary gland. 

Also, there might be an abnormality of the genital tract.

Lifestyle and underlying health conditions and undergoing few medications can also cause amenorrhoea.


Possible reasons behind the absence of your periods may include:

  • Using Birth control pills
  • Malnutrition 
  • Very low body weight 
  • Stress 
  • anorexia 
  • Doing excessive exercise
  • Overweight gain 
  • Mental health conditions 
  • PCOS 
  • Genital tracts defects
  • Turner syndrome 
  • Premature ovarian failure 
  • Pituitary gland problems.


Symptoms of Amenorrhoea:

Based on the reason behind the cause of amenorrhea, You may have below symptoms along with the absence of menstruation:

  • Hair loss 
  • Acne 
  • Your periods will stop
  • Milky nipple discharge 
  • Headache 
  • Excess facial hair 
  • Vision changes 


Symptoms are not restricted; you may also experience other signs.Most causes for the absence of periods (menstruation) are treatable. If you experience any of the above discussed symptoms or effects immediately consult your Female Gynaecologist. If you are living in London you can consult with Dr. Sarah Hussain, the leading female gynaecologist in London. Request a call for treatment.

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Polycystic Ovary Syndrome PCOS symptoms and effects

Polycystic Ovary Syndrome (PCOS) Symptoms and Effects

Polycystic ovary syndrome (PCOS) is a case that affects women’s hormonal levels. Women who suffer from PCOS will produce abnormal amounts of male hormones and this will lead to menstrual periods skipping as a result getting pregnant will be harder for them. It causes facial hair and baldness. PCOS contributes to long-term health concerns such as diabetes and heart diseases. Birth control pills and diabetes drugs will support in fixing the hormonal imbalances and improve symptoms. It’s a syndrome that affects the ovaries and ovulation. It primarily produces cysts in the ovaries, immense levels of male hormones, and an irregular menstrual cycle.


Polycystic Ovary Syndrome (PCOS) Symptoms:

Few women will be noticing some symptoms during their periods. Some women will realize when they gain a lot of weight. 

  • Irregular Periods:

    Inadequacy of ovulation forbids the uterine lining from shedding every month. A few women who are with PCOS get less than 8 periods in a year.

  • Massive Bleeding:

    As the uterine lining frames up for a protracted period of time, your periods can be heavier than usual.

  • Unwanted Hair Growth:

    In almost more than 70% of women with this case, hair grows on the face and body – which includes their back, belly, and chest. Hirsutism condition is excess hair growth.

  • Acne:

    As the male hormones increase they will make the skin oilier than normal and will cause breakouts on areas like the face, upper back, and chest.

  • Gaining Weight:

    Almost 80% of women who have PCOS will have obese or will gain overweight.

  • Baldness:

    Hair fall increases and particularly hair on the scalp gets thinner.

  • Skin darkening:

    Dark patches on the skin can form in the body surges like those on the neck, in the groin, and even under the breasts.

  • Headache:

    Due to hormonal changes headache triggers in few women.


Polycystic Ovary Syndrome (PCOS) Effects:


Women with PCOS will eventually experience depression and anxiety. The hormonal changes will impact negatively on emotions.

Endometrial Cancer:

The uterine lining sheds during ovulation. In case if you don’t ovulate every month, the lining will build up. The thickened uterine lining will increase the risk for endometrial cancer.


To get pregnant, women should ovulate. Women who will not ovulate frequently will not release eggs for fertilization. PCOS will result in infertility in women.

If you find any Polycystic Ovary Syndrome symptoms or effects immediately consult your Female Gynaecologist. If you are living in London you can consult with Dr. Sarah Hussain, the leading female gynaecologist in LondonRequest a call for treatment.

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pelvic floor issues

5 Most Common Pelvic Floor Issues in Women and How to get rid of them

The group of ligaments and muscles in the pelvic region is the Pelvic floor. This Pelvic floor acts as a sling to reinforce the organs in the pelvis( which includes rectums, bladder, and uterus) Pelvic Floor issues are very common conditions, and many women lag in informing this to their gynecologist. The complications women experience may vary in many cases, but in most cases preceding intervention will give the best results with medication.

Common Pelvic Floor Conditions seen are :

Urinary urgency:

Usually on average an adult goes 6 to 8 a day to the washroom. if you go more often than at least every two hours then it means you have an overactive bladder. This occurs when the muscular fibers of the bladder contract too often. A firm pelvic floor will provide a reflex of the bladder’s fiery contractility, reducing urgency and allowing control of urine./span>

Stress Urinary Incontinence:

If there is a small leak of urine while coughing, sneezing, or laughing then it means you have SUI (stress urinary incontinence). It affects almost 8 million women in the U.S, It occurs when the pelvic muscles supporting the bladder and urethra are damaged or weakened consistently during childbirth.


A sluggish Pelvic floor may lead to bowel dysmotility and diminished efficiency in evacuating stool. This injury is referred to as Dyssynergic Defecation. This sometimes demonstrates constipation or spastic pain amid defecation or inadequate evacuation of stool within the rectum. The certain act of defecation is a complicated sequence of coordinated events involving the deflation and relaxation of pelvic muscles.

Pelvic Pain:

Mostly many engage pelvic floor muscles daily during our regular activities. They facilitate good posture and decisive coordinated movement, but when they are weak or flawed, they regularly evoke back and pelvic pain and hinder flexibility and systematization. A damaged or flawed pelvic floor will lead to a lot of aches with intercourse and with orgasm in specific, as the pelvic floor muscles contract emphatically.

Vaginal  Prolapse:

The flawed pelvic floor during childbirth allows acquiescing typical structure housed inward the pelvis to sag or protrude into the vagina and periodically beyond the vaginal opening. With age decline in body estrogen milieu and consecutive loss of elasticity and strength to tissues uterine is very common. 

If you find any urgency for urinary, constipation, or any irregularity in your pelvic area, you need to consult with a professional gynaecologist, you can consult with Dr. Sarah Hussain, the leading female gynaecologist in London. Request a call for treatment.

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