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What is vaginal agenesis?

Vaginal agenesis is a rare congenital birth defect that can occur in females. Patients with vaginal agenesis, are born without a vagina, or with a very short vaginal canal. Many patients who are are born with this condition also suffer from other reproductive organ defects such as an absent or small uterus. In addition some patients also suffer from kidney abnormalities. Most cases of vaginal agenesis remain unnoticed until puberty, when the condition prevents menstruation from beginning.


It’s not clear what causes vaginal agenesis. Scientists think that at some point during the first 20 weeks of pregnancy, tubes called the mullerian ducts don’t develop properly. Normally, one of these ducts develops into the uterus and vagina, and the other grows into fallopian tubes.


Symptoms of vaginal agenesis?

  • Small pouch or dimple where vaginal opening should be
  • Lack of menstrual cycle
  • Lower abdominal pain if a uterus is present without a connection to a vaginal canal.

Treatment for Vaginal Agenesis

Treatment for vaginal agenesis may vary depending on the patient’s individual condition. Two common types of treatment for vaginal agenesis may include:


Some females may be able to reconstruct their vaginas non-surgically through daily use of a dilator. Using a very small tube called a dilator, the patient applies pressure over the vaginal area for about twenty minutes each day to stretch the vaginal canal.


Surgical reconstruction of the vagina, the most common form of treatment for vaginal agenesis, is achieved through a procedure known as vaginoplasty. This procedure reconstructs the vagina with a graft of skin or tissue from the inner-cheek lining, which is then applied to an incision where the vagina would normally be located.


Prior to treatment, vaginal agenesis may impact your sexual relationships

Mrs. Sarah Hussain is one of the most experienced URO GYNACOLOGIST . Request an appointment with her and she will start by discussing your symptoms and provides you the best solution.

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Do you know what are called Bladder Irritants?

One of the most devastating problems affecting women is the problem of overactive bladder which is also known as urge incontinence. It is a problem that results in a sudden urge to urinate and potential loss of bladder control.

A number of factors affect this condition. One factor is the food that we intake. The effects of various foods on an overactive bladder vary from person to person. There are a number of foods and drinks that most people eat or drink every day that can irritate the lining of your bladder.  We call these bladder irritants.

By following the below diet will not cure the problem but certainly these tips will help you to control the problem.

One of the most devastating problems affecting women is the problem of overactive bladder which is also known as urge incontinence. It is a problem that results in a sudden urge to urinate and potential loss of bladder control.

A number of factors affect this condition. One factor is the food that we intake. The effects of various foods on an overactive bladder vary from person to person. There are a number of foods and drinks that most people eat or drink every day that can irritate the lining of your bladder.  We call these bladder irritants.

By following the below diet will not cure the problem but certainly these tips will help you to control the problem.


Drinking too little water causes your urine to become more concentrated, which can irritate your bladder. On the other hand, drinking too much water can be a problem as well. Try to find the right balance to meet your needs and avoid drinking a lot of water after 6 pm, so that you don’t keep waking up to go to the bathroom at night.

Coffee, tea, soft drinks and energy drinks all contain caffeine, which is a diuretic that causes your body to produce more urine. Drinking less caffeine will give you better control over your bladder.

Chocolate is another source of caffeine that can worsen your bladder control. If you don’t want to give up chocolate, try to consume it earlier in the day, or switch over to white chocolate.

Spicy foods
Spicy foods also irritate your bladder, so try to dial down the amount of chilli you add to your meals and avoid spicy snacks and sauces.

Citrus fruits
Citrus fruits like lemons, oranges, grapefruits and limes are all acidic. Acidic foods irritate your bladder and worsen urinary incontinence, so try to limit your intake of these fruits
Most people aren’t aware of this, but pineapples are actually acidic fruits as well. Limit your intake of pineapple and avoid drinking pineapple juice.

Tomatoes also worsen urinary incontinence, since they are also acidic. They will be pretty hard to cut out of your diet, since tomato-based foods also have the same effect, so you would have to avoid sauces, gravies, ketchup, and other tomato-based items.

Onions can also irritate your bladder, so try to cut down your onion intake and avoid eating raw onions. You can even switch to a milder vegetable like shallots instead.

Cranberries are an effective remedy for urinary tract infections, however they are pretty acidic so they could reduce your control over your bladder.

All forms of alcohol dehydrate your body, but they do so by increasing the amount of urine, which means you need to visit the bathroom much more frequently. Alcohol also interferes with the signals that the brain sends to the bladder about when to release urine, so if you suffer from urge incontinence, where you sometimes lose control of your bladder, you should avoid alcohol as much as possible.

Both sugar and artificial sweeteners affect the bladder. Try to cut sugar out of your diet for a few days and see whether it makes a difference to your bathroom habits.

Carbonated drinks
Avoid carbonated drinks like soft drinks, soda, sparkling water and fizzy juices. The fizz irritates your bladder, and makes you need to pee more often.

Certain condiments like mustard, vinegar, soy sauce, ketchup and chili sauce can all worsen your condition, so consume them sparingly. Switch over to healthier chutneys and spices instead.

Processed foods
The artificial colors, flavors, additives and preservatives in processed foods could also be adding to the problem. Try to cut them out of your diet and eat more home-cooked meals instead.

The above foods can irritate the bladder or urinary tract and exacerbate symptoms which can result in urine leakage. It is suggested that the above foods be eliminated or replaced by alternatives.

Above are few simple diet changes you can follow to lessen urinary urgency. But for permanent solution, talk to Mrs. Sarah Hussain, one of the best urogynacologist in London from last 32 years. She will understand your symptoms, recognize the problem and sooner she will provide you the best solution. Call or Email her today with your problem!


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Do you know what is Urethral Diverticula – Symptoms, Causes and Diagnosis ?

Urethral diverticulum (UD) is a condition in which a pocket, sac, or pouch forms in the urethra. The urethra is a small tube through which urine passes to exit your body. Because this sac is in the urethra, it can fill with urine and sometimes pus. The urine or pus that is trapped in the UD can become infected and cause issues or symptoms.

UD occurs almost always in women between the ages of 30 to 60.







Symptoms of Urethral Diverticula

The symptoms of UD can vary from person to person. However, the most common symptoms of UD may include:

  • Frequent urinary tract or bladder infections
  • Bloody urine
  • Painful sex
  • Pain in the pelvic area
  • Overactive bladder
  • Urinary incontinence, or leaking urine when you laugh, sneeze, or cough
  • Leaking urine after you empty your bladder
  • Pain when you urinate
  • Vaginal discharge
  • Urinate multiple times at night
  • Blockage in the urinary tract
  • Difficulty emptying your bladder
  • Tenderness in the vaginal wall
  • Mass in the front of the vaginal wall that you can feel

Causes of UD

The exact cause of a UD is unknown. However, several conditions may be linked to UD which include

  • Multiple infections that weaken the uterine wall
  • Urethral glands that become blocked
  • Birth defect
  • Trauma that occurred during childbirth


Since many of the symptoms associated with UD are non-specific, patients may often be misdiagnosed and treated for years for a number of unrelated conditions before the diagnosis of UD is made. This may include therapies for interstitial cystitis, recurrent cystitis, vulvodynia, endometriosis, vulvovestibulitis and other conditions.

The diagnosis and complete evaluation of UD can be made through a combination of thorough history, physical examination, appropriate urine studies, endoscopic examination of the bladder and urethra and selected radiologic imaging.

Are you suffering from Urethral Diverticula or any Urology problems? Then consult a doctor which is specialized in Urogynaecology because these are very sensitive areas and it is crucial that Urethra not be damaged in the procedure. Mrs . Sarah Hussain is one among best Urogynacologist based in London . She has been a Gynecologist for 32 years who will treat any urology problems by considering many factors.

Contact her today to get rid of all your Urology problems.
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What is Enterocele -Causes, Symptoms and Preventive Measures

An enterocele is essentially a vaginal hernia in which the peritoneal sac containing a portion of the small bowel extends into the rectovaginal space between the posterior surface of the vagina and the anterior surface of the rectum .

Enterocele occurs when the intestines (or small bowel) protrude through a fascial defect or weak tissues, typically at the top of the vagina (apex)

An enterocele can develop in the posterior wall (back side by rectum) or anterior wall (front side by bladder), basically wherever the small bowel (intestines) fall through defects in the vaginal wall. The size and “degree of drop” of enteroceles may vary considerably, from halfway down the vaginal length, down to the perineum (tissues surrounding the urogenital and anal openings), or even protrude out of the anal canal to form rectal prolapse.  An enterocele may be distinguished during pelvic examination as a bulge that occurs during the Valsalva maneuver (deep held breath while bearing down).

There are 4 types of enterocele:

  • Pulsion: Caused by continual pressure in abdomen from chronic cough or extreme physical exertion like repetitive heavy lifting.
  • Traction: Caused by pregnancy, childbirth and estrogen loss which contribute to weakening and stretching of pelvic tissues.  Additionally other prolapsed organs may put pressure on tissues contributing to enterocele.
  • Latorgenic: Cause is not fully known but assumed to be related to hysterectomy or some cystocele repair procedures.
  • Congenital: Birth defect.

What are the Causes?

The main cause for Enterocele is the increase in the pressure on the pelvic floor. This pressure can be increased due to various reasons and include:

  • Pregnancy
  • Childbirth
  • Chronic constipation
  • Straining during bowel movements
  • Chronic cough
  • Repeated heavy lifting
  • Obesity.

What Are The Symptoms Of Enterocele?

Some of the symptoms of Enterocele are:

  • A pulling sensation in the pelvis which calms down with lying
  • A sensation of fullness in the pelvis with associated pain
  • Low back pain
  • A small bulge in the top part of vagina

What Are The Ways To Prevent Enterocele?

Some of the preventive measures that can be taken to prevent Enterocele are:

  • Maintaining a Healthy Lifestyle and Monitoring Weight: In case if an individual is obese, then losing weight in a healthy way is extremely helpful since it decreases the pressure put on the abdominal muscles and thus decreases the risk for developing Enterocele.
  • It is important to eat foods which is high in fiber as it prevents constipation and consuming plenty of fluids as constipation leads to straining during bowel movements and thus increases the pressure on the abdominal muscles
  • Quitting smoking is imperative to cut down the risk for developing Enterocele.
  • It is advisable to avoid lifting heavy items as they tend to increase pressure on the abdominal muscles increasing the risk for developing Enterocele.

Are you suffering from Severe Enterocele? Then immediately contact Mrs.Sarah Hussian so that she will perform a detailed pelvic examination and diagnose the problem with her best solution.

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What are different type of Vulva conditions and how to diagnose them?

What is Vulva?

The outer (external) sex organs of a woman are known as the vulva. The vulva is made up of two pairs of ‘lips’. The outer pair, called the labia majora, is covered in pubic hair. The inner pair is called the labia minora, which are thinner and more delicate.

There are two openings between these lips. One is the vagina which leads to the womb (uterus). The other is the urethra, which is the short tube that carries urine from the bladder. At the front of the vulva is the small organ called the clitoris.


What are different type of Vulva conditions?

Vulvar conditions can be loosely categorised in the following ways:

  • Skin complaints
  • Infections
  • Chronic pain

Skin complaints

Skin complaints of the vulva include:

Dysaesthetic Vulvodynia

This condition is a cause of vulval burning and soreness. It usually affects women from the mid-forties onwards. Dysaesthetic (dis-as-thet-ic) comes from the medical term dysaesthesia – which means an altered nerve sensation and “vulvodynia” means vulval pain

Lichen Sclerosis

Lichen Sclerosis (LS) is a skin condition that mainly affects the vulval and perianal area. The affected skin resembles the appearance of lichens hence its name. The condition mostly affects adult women after menopause.

Vulval vestibulitis

The vestibule is where the vulva meets with the vagina. It is an extremely sensitive part of your body and contains the Bartholin’s glands (which lubricates your vagina), the urethra (where you pass urine) and a number of the small glands. Vulval vestibulitis literally means inflammation of the vestibule.


Infections include


Thrush is a very common vaginal infection, caused by an overgrowth of yeasts which live normally in the bowel and may be present in other parts of the body, such as the mouth, skin and vagina.

Genital herpes

Genital herpes is a sexually transmitted disease (STD) caused by herpes simplex viruses. Herpes simplex virus causes genital herpes by entering the skin or mucous membranes through microscopic breaks in the skin and mucous membranes.

Genital warts

Genital warts are a sexually transmitted infection (STI) caused by certain strains of the human papillomavirus (HPV). These skin growths can cause pain, discomfort, and itching. They are especially dangerous for women because some types of HPV can also cause cancer of the cervix and vulva.

Chronic pain

Conditions include:


Vulvodynia is persistent, unexplained pain around the opening of the vulva (the skin surrounding the entrance to the vagina). Vulvodynia can be so uncomfortable that some activities can feel unbearable, such as sitting for long periods of time or having Sex.

Vulvar vestibulitis

Vestibulitis is a condition that causes redness and pain of the vestibule. Vestibulitis is an inflammation of this skin and the mucous secreting glands found in the skin. The mucous secreting glands are called the lesser vestibular glands. Vestibulitis may include all the area around the opening of the vagina but is most commonly seen in the lower part.It occurs in women of all ages.

 What are the causes?

There are many different conditions that can affect vulva, ranging from mild infections to skin conditions and, very rarely, to cancer.

Most women experience minor vaginal problems from time to time. These problems can be related to menstrual cycles, sex, infection, birth control methods, aging, medicines, or changes after pregnancy.

A change in your normal vaginal discharge may be the first sign of a vaginal problem. Changes in urination, such as having to urinate more frequently or having a burning feeling when you urinate, also may be a symptom of a vaginal problem.

Some Conditions that may cause a change in normal vaginal discharge include:

  • Infections of the vagina, such as a yeast infection, bacterial vaginosis, trichomoniasis, human papillomavirus (HPV), or herpes.
  • Infection of the cervix(cervicitis).
  • An object in the vagina, such as a forgotten tampon.
  • Sexually transmitted infections (STIs), such as chlamydia or gonorrhea.
  • Various sex practices, such as oral-to-vaginal and anal-to-vaginal contact.
  • Vaginal medicines or douching.

How to treat Vagina Problems?

  • Avoid soaps, bubble baths, deodorants, and vaginal wipes from coming in to contact with the vulva.
  • Clean the vulva with water only, preferably using showers not baths.
  • If passing urine makes your symptoms worse, then wash the urine away from the vulva using a jug of warm water whilst on the toilet.
  • Clean the vulva only once a day, avoiding scrubbing with flannels and brushes.
  • Avoid creams that have not been prescribed e.g. topical clotrimazole.
  • Avoid antiseptics in the bath and rinse the bath carefully after cleaning it.
  • Wear loose fitting cotton underwear.
  • Try washing underwear with baking soda soap only or use a sensitive skin washing powder. Avoid biological and fragranced washing powders.
  • After washing underwear, put it through at least one whole cycle with water only. Some women have suffered needlessly from irritants in detergents whose residue was left in clothes by incomplete rinsing. Rinsing clothes thoroughly is more important than which detergent is used.
  • Wash new underwear before wearing it.
  • Fabric softeners and drying sheet should not be used.
  • Only use white or unbleached toilet tissue.
  • When washing your hair, avoid allowing the shampoo to come in contact with vulva. Try washing your hair in the sink.
  • Use 100% cotton menstrual pads (non-disposable) and tampons. Many women with vulva pain experience an increase in irritation and pain every month when they use commercial paper pads or tampons. This monthly increase in pain can often be reduced by using 100% washable and reusable cotton menstrual pads. Pure cotton tampons are also available.
  • Avoid contraceptive devices and creams that may irritate the skin.
  • Don’t sit or remain in a wet bathing suit.

There are a number of conditions that may affect your vulva and vagina. Some may cause only minor discomfort, others pain and irritation. Incase if you are having severe vaginal symptoms, such as bacterial vaginosis can affect pregnancy, may increase the risk for pelvic infections, so it is important to talk with your doctor and be treated appropriately.

Get an appointment with doctor Mrs. Sarah Hussain for quick solution for your problems.



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