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Urogynecologic 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.
pev001pelvic-pain-s11

 

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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Different Types of Pregnancies

High risk

Pregnancy is defined as the carrying of one or more embryo in the womb of a female. It is also known as gravidity or gestation, which is the time during one or more offspring develops inside a woman.

As Pregnancy might seems like a simple term, but there are different types of pregnancies.Most of them are a result of physical differences between women and some are related to multiple egg release.

Intrauterine Pregnancies

An intrauterine pregnancy is a pregnancy that happens inside of the womb. The fertilized egg implants itself on the interior wall of the uterus. The placenta is attached to the inside of the uterus, to the uterine muscle. This condition may be referred to as a normal pregnancy.

Throughout an intrauterine pregnancy, a woman’s body goes through many changes. Each change in the mother and fetus combine to prepare them for the eventual birthing process.

Lupus Pregnancies

Lupus is an auto-immune disease. This lupus pregnancy is not an easy pregnancy for the mother as well as child and is not safe. Pregnancies for women with lupus can be complicated by blood clotting.

Lupus pregnancy mothers are at a greater risk of having a baby prematurely and they have to be extra cautious about their health and their baby development as it may cause stillbirth.

Ecoptic Pregnancies

An Ectopic pregnancy is an abnormal type of pregnancy also known as tubal pregnancy, occurs when an embryo latches to a uterus externally. Women who go through this stage experience severe abdominal pain and vaginal bleeding. The chances of this pregnancy are 1 to 2% in millions of cases. If this medical condition is not diagnosed in the early stages i.e., Immediately after the confirmation of pregnancy, the woman can experience severe pain and that can lead to losing consciousness and going into shock. If she does not receive immediate medical care, the condition can lead to death also. Such deaths are known as maternal deaths as they occur in the first trimester of the pregnancy.

Molar Pregnancies

Molar pregnancy is an abnormal form of pregnancy in which a non-viable fertilized egg implants in the uterus and will fail to come to term. It is a gestational trophoblastic disease which grows into a mass in the uterus that has swollen chorionic villi.

Sometimes a pregnancy that seems to be twins is found to be one fetus and one molar pregnancy. But this is very rare.

High-Risk Pregnancies

Women over the age of 35, with diabetes and other health conditions that affect pregnancy or those pregnant with multiples may be considered as high-risk due to increased risk of pregnancy complications. These pregnancies require management by a specialist to help ensure the best outcome for the mother and baby.

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Ectopic Pregnancy

An Ectopic pregnancy is an abnormal type of pregnancy also known as tubal pregnancy, occurs when an embryo latches to a uterus
externally. Women who go through this stage experience severe abdominal pain and vaginal bleeding. The chances of this pregnancy  are 1 to 2% in millions of cases. If this medical condition is not diagnosed in the early stages i.e., immediately after the confirmation of pregnancy, the woman can experience severe pain and that can lead to losing consciousness and going into shock. If she does not receive immediate medical care, the condition can lead to death also.Such deaths are known as maternal deaths as they occur in the first trimester of the pregnancy.

Reasons

Many reasons have been identified as the root causes for ectopic pregnancy occurring in early stages of pregnancy. Some of them are infertility, a history of miscarriages, pelvic inflammation, smoking, tubal ligation, advancing age, malnourishment, assisted reproductive treatment, etc.

Symptoms

Some women do not experience any symptoms of ectopic pregnancy in the initial stages. In such cases, it can be diagnosed only when the condition deteriorates to slipping into shock and death. Usually, the women who have this kind of a pregnancy experience symptoms of Nausea, Vaginal Bleeding, Diarrhoea, pelvic pain, abdominal pain, tender cervix, hypovolemic shock (leads to death), etc.

Diagnosis

Ectopic pregnancy is a medical condition which can be diagnosed but cannot be averted. An ultrasound can locate this condition and can be treated by laparotomy.

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6 everyday things to avoid if you have Urge Incontinence

Urge incontinence is one of the four main types of urinary incontinence.

It involves the loss of urine as a result of strong, uncontrollable urges to urinate. Certain foods, drinks and medications can worsen those urges and therefore increase the severity of your incontinence.

Consider reducing your intake of these 6 things if you suffer from urge incontinence:

1. Caffeine

caffeine

Caffeine causes Urinary Incontinence

A number of studies have shown caffeine to worsen urinary incontinence. Caffeine is a diuretic which means it can increase your need to urinate. For those who suffer from urge incontinence, caffeine may make the urges worse, Health 24’s resident GP Dr Owen Wiese explains.

Try limiting your intake of caffeine by cutting down on coffee, certain teas, energy drinks and caffeinated fizzy drinks.

2. Spicy foods

spicy foods

Spicy foods can contribute to Incontinence

Spicy foods are commonly known to irritate the stomach and bowel but they have been found to have a similar effect on the bladder, Dr Wiese explains. Try to avoid cooking with chilli and other spices for a while to test if your symptoms improve.

3. Certain medication

medication

Medication associated with Incontinence

There are a number of different medications that can increase the frequency or urgency to urinate. These include:

Hypertension medication:

– Diuretics such as Hydrochlorothiazide (Ridaq) and Furosemide (Lasix)

– ACE inhibitors such as Enalapril maleate (Pharmapress; Renitec) and Captopril (CaptoHexal; Zapto)

– Alpha-antagonists including Doxazosin maleate (Cardura) Prazosin (Pratsiol)

Muscular pain medication:

– Muscle relaxants including Baclofen (Lioresal) and Orphenadrine (Norflex, Disipal)

4. Sweeteners

artificial sweetners

Sweetener linked to Incontinence

Artificial sweeteners such as aspartame that are commonly found in diet drinks and sugar-free foods can also cause incontinence. Like spicy foods, sweeteners are known to irritate the bladder. Try adding honey or agave syrup to your tea instead of sweeteners to prevent uncontrollable urges.

5. Alcohol

alcohol

Alcohol linked to Urinary Incontinence

If you suffer from incontinence, alcohol intake is another lifestyle factor that could be aggravating your symptoms.

Like caffeine, alcohol is a diuretic and therefore increases your need to urinate. Also, being intoxicated can prevent you from realising that you need to go to the bathroom or from getting to the bathroom in time.

Try to reduce the amount of alcohol you consume to better control your urges.

6. Citrus fruit

Citrus-Fruits

Citrus fruits cause the same problem as spicy foods and sweeteners. The acidity caused by the vitamin C in the fruit irritates the lining of the bladder which can increase the urge to urinate.

Try replacing citrus fruits with less acidic alternatives such as apples, watermelon and apricots.

While these different foods, beverages and medications can worsen urge incontinence, they can also have little affect on your incontinence at all. Some people are affected by alcohol and caffeine but not by citrus fruit or spicy foods.

You can test what, if any of these things affect your incontinence by eliminating them one at a time and monitoring whether your continence improves or not.

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