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What are Fibroids ?

Fibroids are muscular tumors that grow in the wall of the uterus (womb). In medical terminology, fibroids are also called as  “leiomyoma”  or  “myoma”. They range from the size of a seed to the size of a tree and can be confined to the wall of the uterus or grow into the cavity of the womb.

The cause for Fibroids is not specific but Researchers think that the factors include:

  • Hormonal (affected by  estrogen and Progesterone  levels)
  • Genetic (runs in families)

Fibroids can grow on different places in different sizes :

  • Submucosal fibroids. Fibroids that grow into the inner cavity of the uterus which causes heavy menstrual bleeding .
  • Intramural fibroids. Fibroids grow within the muscular uterine wall which causes prolonged, heavy periods, as well as pain and pressure.
  • Subserosal fibroids. Fibroids that project to the outside of the uterus which causes urinary symptoms.


Symptoms of uterine Fibroids 

  • Heavy menstrual bleeding
  • Prolonged menstrual periods — seven days or more of menstrual bleeding
  • Pelvic pressure or pain
  • Frequent urination
  • Difficulty emptying your bladder
  • Constipation
  • Backache or leg pains
  • Abdominal discomfort, abdominal fullness
  • Enlargement of the lower abdomen
  • Pain during sex

Complications of Fibroids

Fibroids can increase pregnancy complications and delivery risks.

  • Anemia due to iron deficiency may result from heavy menstrual bleeding.
  • Large fibroids may reduce fertility, although this is not very common.
  • Hyaline degeneration (asymptomatic).
  • Torsion of pedunculated fibroid.
  • Ureteral obstruction causing hydronephrosis.
  • Infertility
  • Recurrent Miscarriage

Do you have any symptoms of Fibroids , then  discuss with Mrs. Sarah Hussain for better ways to diagnose and treat your problem.


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What is Faecal Incontinence?

Faecal incontinence may be experienced in women especially after childbirth. It is the inability to control bowel movements, causing stool (feces) to leak unexpectedly from the rectum. This is also called as called bowel incontinence . It ranges from an occasional leakage of stool while passing gas to a complete loss of bowel control.

This is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual. It can lead to social isolation, loss of self-esteem and self-confidence, and depression.

What Causes Faecal Incontinence?

  • Stretching or tearing of muscles or nerves near the rectum during childbirth
  • Diarrhea
  • Certain illnesses such as diabetes, multiple sclerosis, or stroke
  • Gastrointestinal problems, such as inflammatory bowel disease, irritable bowel syndrome, colitis, or cancer of the rectum
  • Rectovaginal fistula
  • Constipation
  • Surgery or radiation therapy to the pelvic area


   What are the Symptoms?

  • Involuntary leaking of gas, liquid or solid stool
  • Diarrhea
  • A strong or urgent need to have a bowel movement
  • Stool spotting on underwear
  • Constipation                                                                                                                                                                                                                             

Basic precautions to Reduce the effect of Faecal Incontinence    

  • Avoid foods such as Diary products, spicy foods, fatty or greasy foods, caffeinated beverages, diet foods or drinks, sugar-free gum or candy, and alcohol..
  • Eat smaller more frequent meals.. Eating smaller and more frequent meals can reduce the frequency of bowel movements.
  • Increase fiber in the diet. Fiber increases stool bulk and often improves the consistency of stool.


Sarah Hussain Urogynecology doctor specialists in diagnosing and treating pelvic floor disorders and “Mrs Sarah Hussain can discuss with you about these types of gynaecological problems”


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Endometriosis problems in Women

The tissue that lines inside uterus is known as the Endometrium. Endometriosis is a condition that occurs when tissue similar to the inside lining of the uterus is found outside of its normal location. It most commonly involves in ovaries, bowel or the tissue lining pelvis. Rarely, endometrial tissue may spread to pelvic region.

Signs and symptoms

Most common symptoms of endometriosis include:

  • Pelvic pain – which is associated with menstrual periods rarely and the pain can be severe and debilitating
  • Pain during sexual intercourse
  • Abnormal menstrual bleeding (heavy periods or bleeding between periods)
  • Difficulty or inability to get pregnant.
  • Lower back pain
  • Bowel pain, bloating, pain with passing wind or pain when passing a bowel motion.
  • Constipation or Diarrhea
  • Constant tiredness
  •  Premenstrual syndrome
  • Depression and mood disturbances
  • Pain before or while passing urine or recurrent urinary tract infections.





Causes of Endometriosis

The reason for the cause of endometriosis is explained by most accepted theories:

  • Sampson’s Theory: This theory explains that the flow of menstrual blood gets “backed up” causing some of the blood to flow in a reverse direction. This process causes blood containing endometrial tissue to attach to surfaces outside of the uterus.
  • Vascular Theory: This theory suggests that the endometrial tissue “travels” through the body via blood vessels. It then reaches various tissues, implants, and then grows, causing pain.
  • Meyer’s Theory: This theory proposes that specific cells called “metaplastic cells” change into endometrial cells and are actually present at birth.

    If endometriosis is not found and treated carefully, it can grow and damage the fallopian tubes and ovaries. So consult best urgogynacologist @ Sarah for relieving pain, controlling the progression of the endometriosis, and preserving fertility for future childbearing.

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Urogynaecological Problems in Women

Urogynecology is a fairly new sub-speciality and a fast-growing one, which is dedicated to the treatment of pelvic floor disorders. The term Urogynecology sound like “medical-ease,” but urogynecologists plays a unique & vital role in caring for women’s health.

Some of the Urogynecologic Problems include:

 Voiding dysfunction

 Voiding dysfunction is a condition where there is poor coordination between the bladder muscle and the urethra. This results in incomplete relaxation or over-activity of the pelvic floor muscles during voiding. This can occur in women with neurological issues, pelvic floor problems including vaginal prolapse, and in women with previous pelvic surgery.

Urinary incontinence:

Urinary incontinence is any leakage of urine or loss of bladder control which is underdiagnosed and underreported problem that increases with age. The two most common types of urinary incontinence are

  • Stress incontinence and
  • Over-active bladder or Urge incontinence.

 Stress incontinence is caused by a weakening of the urethra and Urine leakage associated with increased abdominal pressure from laughing, sneezing, coughing, climbing stairs, or other physical stress or on the abdominal cavity and, thus, the bladder. Urge incontinence is Involuntary leakage accompanied by or immediately preceded by urgency

 Painful bladder syndromes

W0811b-1Painful bladder syndrome  is a chronic bladder health problem with a feeling of pain and pressure in the bladder area. The symptoms can include pelvic pain, urgency, bladder over-activity or pain, and urinary frequency and nocturia.

Painful bladder syndromes can be divided into two categories based on the clinical course. Such as

  • Interstitial cystitis (IC) and
  • Urethral syndrome.
  • Cystoscopy is an important part of the evaluation for patients where painful bladder syndromes are suspected.

Vaginal prolapse & Recurrent urinary infections

 Vaginal prolapse is a condition where the bladder, urethra, rectum, or uterus bulges into the vagina. The loss of support by the vaginal muscles causes pelvic organs to prolapse. This weakening of the vagina is associated with multiple or difficult childbirth, however, smoking, obesity, aging, menopause, chronic constipation, genetic predisposition, lung disease, and chronic lifting can also be contributory factors.

Not all doctors have the experience to address urogynecological problems. For Immediate solutions to your Problems contact @Sarah Husain – An amazing, caring doctor who actually takes the time to hear your concerns.

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Pelvic Problems in Women

The pelvis is the lowest part of your tummy (abdomen) and between the hipbones. Organs in pelvis include bowel, bladder, womb (uterus) and ovaries. It usually starts from one of these organs. In some cases the pain comes from your pelvic bones that lie next to these organs, or from nearby muscles, nerves, blood vessels or joints.

Pelvic pain has possibilities of sudden unexpected pain or excruciating, dull and constant, or some combination. The pelvic area may feel tender when touched. Depending on the cause, women may have bleeding or a discharge from the vagina. The pain may also be accompanied by fever, nausea, vomiting, sweating, and/or light-headedness.


There are many causes for Pelvic pain which includes:

1. Muscular contractions or cramps of both smooth and skeletal muscles
2. Psychogenic factors, which can cause or aggravate pain
3. Inflammation or direct irritation of nerves caused by acute or chronic trauma, fibrosis, pressure, or intraperitoneal inflammation
4. Ectopic pregnancy. A pregnancy that occurs outside the uterus.
5. Pelvic inflammatory disease (also called PID). An infection of the reproductive organs.
6. Twisted or ruptured ovarian cyst
7. Urinary tract infection
8. Appendicitis
9. Uterine fibroids. Abnormal growths on or in the uterine wall.
10. Miscarriage or threatened miscarriage
11. Adhesions. Scar tissue between the internal organs in the pelvic cavity.
12. Endometrial polyps. Protrusions attached by a small stem in the uterine cavity.
13. Cancers of the reproductive tract such as Uterine cancer and Cervical Cancer
14. Ruptured fallopian tube
15. Menstrual cramps
16. Endometriosis

What Symptoms Suggest Pelvic Pain:
1. Worsening of menstrual cramps
2. Vaginal bleeding, spotting or discharge
3. Painful or difficult urination
4. Constipation or diarrhoea
5. Blood seen with a bowel movement
6. Menstrual pain
7. Fever or chills
8. Bloating or gas
9. Pain during intercourse
10. Pain in the hip area

Management of Pelvic Pain
Avoid or reduce the frequency of the sharp pain in your pelvic area during pregnancy by following these simple tips:
1.Taking a warm shower helps to relax your muscles and reduce the chances of pain. Make sure that the water is not too hot as it may be harmful for your baby.
2.Make sure to sit down before performing activities that may trigger the pain.
3.Get plenty of rest.
4.Do not step over object lying on the ground.
5.While rolling in bed, keep your legs together by placing a pillow between your knees.
6.To get in bed, first sit on the edge keeping the legs together, then lie down on your side before bringing both your legs up sideways.
7.Avoid climbing stairs as much as possible.
8.Avoid deep squatting.
9.Avoid quick movements or twisting and turning your body sharply as these may put pressure on the pelvic region.
10.Wear flat or low-heeled shoes providing proper arch support. Do not wear high heels.

By following above steps, you should be able to reduce Pelvic pain to some extent. For 100% solution, We must concern specialist doctor @Sarah Hussain.

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