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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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What is hymenoplasty?

Undergoing surgery to repair the Hymen is usually known as Hymenoplasty. Our female consultant London Gynaecologist provide specialist treatment for women and this form of cosmetic gynaecology is done in a delicate manner to raise the morale of woman in need of hymen repair. Hymenoplasty repairs a torn hymen and it is a painless method that women experience for various reasons. 

Why hymenoplasty?

The hymen is a thick layer that encloses the vaginal opening and allows the discharge of menstrual blood. It is the physical and psychological benefit to women. By hymen reconstruction, a woman can serve from reconstructed virginity, although sexual activity may not always be the cause why hymen is torn. Vigorous physical activities such as horse riding or gymnastics or the insertion of a tampon have also been known to reason the hymen to tear. 

Mrs Sarah Hussain is the leading consultant gynaecologist who specialises in intricate and discrete gynaecological surgeries in hymenoplasty having huge experience. 

What is the hymenoplasty procedure?

The procedure will depend on the size of the tear. If it is the tissue ends slightly cut, then re-stitching is performed to allow the hymen to naturally heal. This, still, will not be possible if the hymen is fully torn. If that is the case then the cut, the damaged membrane must be removed before a new hymen created out of tissue in the vagina lip. This will compete with the hymen in its original, unbroken condition and will, therefore, bleed if torn again. A painless treatment which usually takes about an hour of surgery requires only one visit to the female gynaecologist. 

To discuss on hymenoplasty and to book a consultation at our private gynaecologist, please contact us by calling 02076167693 | 07973500594. Our consultant gynaecologist will be more than happy to answer any question or queries you have regarding hymenoplasty. 

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Five Ways To Improve Urinary Incontinence

Urinary incontinence is the one problem that is to be considered as a highly personal and sometimes may be considered as a problematic issue. Most of the women find it challenging to discuss with their doctor. However, it is a prevalent condition that affects millions of people across the country. Still, there are several ways to manage the problem effectively.

Here in this, we will discuss five ways to follow to improve your bladder control by contacting our private female consultant gynaecologist Mrs Sarah Hussain.

How to improve female Urine incontinence issues?

  • Do regular pelvic floor exercises: Organs in the pelvic includes the bladder, bowel and uterus that are supported by pelvic floor muscles. If these muscles are weekend, they become less effective, and bladder leakage is much more likely to occur. For this, the Kegels are the best pelvic floor exercises that are designed to strengthen the pelvic floor muscles, and they are an amazingly easy way to increase female urine incontinence. 
  • Limit your caffeine and alcohol intake: Alcohol and Caffeine are both useful diuretics which boosts your body to generate more urine and may exacerbate urinary incontinence. It is the best practice to limit your intake as much as possible. Drinking too many liquids can also increase the likelihood of bladder leakage. Try to maintain the recommended 6 to 8 glasses of water.
  • Retain your bladder: You will visit the bathroom regularly if you have urinary incontinence to avoid accidental urine. Still, habituating to this may make the problem worse. Your bladder will hold less urine, and over time, it can become more overactive than it was. To improve female incontinence, you need to schedule your bathroom visits to retain your bladder control. If you feel any urgency to urinate try to delay your loo by 5 minutes.
  • Join the yoga classes: Joining yoga classes will be a fantastic way to reduce the symptoms of urinary incontinence. Practising certain poses like hook lying with block, reclining bound angle and legs up the wall will steadily strengthen your pelvic floor muscles and hence help you to retrieve control of the bladder.
  • Consult your female gynaecologist: Even if you feel embarrassed to discuss your bladder incontinence with your female gynaecologist, it very necessary to contact your consultant gynaecologist. They will offer you the effective urinary incontinence treatments which will reduce your symptoms and help you manage with urinary incontinence.

Mrs Sarah Hussain the leading consultant gynaecologist offers world-class treatment for urinary incontinence. Feel free to consult our urogynaecologists either give us call today on  02076167693 or 07973500594 to fill our online form and we will return as soon as possible.

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