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We offer various gynaecological & fertility services
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Period problems / Heavy periods (Menorrhagia) and treatment
Caused by excessive bleeding during consecutive periods, other symptoms can be brought on by Menorrhagia such as menstrual pain which is otherwise known as dysmenorrhoea. Menorrhagia is not necessarily a serious problem but it can affect a woman’s wellbeing as well as causing major disruptions to her life. Period blood loss pattern varies between women.
If Menorrhagia continues for several consecutive months, a woman should seek medical help from her GP. An initial assessment is made by the GP to establish the most likely cause and treatment, if necessary, is offered. There are options available in primary care (community) and others in hospital. If menorrhagia is causing anaemia then treatment is also offered to boost a woman’s iron levels. Surgery is a last resort but is carried out on women who experience consecutive heavy periods over a very long time and conservative treatment fails.

Female urinary problems
(Stress urinary incontinence and overactive bladder problems)
Urinary incontinence is caused by urine being passed without a woman’s knowledge or control. It is not experienced by a handful of women but millions across the world. Urinary incontinence is thought to affect twice as many women as men and the chance of a woman developing it increases with age. There are two types of urinary incontinence, one of which is caused by weakness of the pelvic floor muscles and supporting tissue (stress urinary incontinence) and the other type is where the bladder muscle contracts inappropriately for a variety of reasons (overactive bladder). Many women have suffer from overactive bladder. When a woman believes that she should be passing urine, her bladder does so without her being able to stop until it is empty. Otherwise known as urge incontinence, an overactive bladder is largely caused by the detrusor muscles being too active. As a result, urine is passed whenever the bladder wants to.
Many women feel embarrassed because it seems that they cannot control their bladder even though it isn’t their fault.
Initial assessment by your GP or practice nurse aims to rule out treatable causes such as urinary tract infection. Remember you must report to your GP or practice nurse the presences of blood in your urine. There are many ways to treat or control female urinary incontinence. These depend on the most likely cause. Management include adopting healthy diet and life style, avoidance of smoking and reducing alcohol consumption as well avoiding bladder irritants such as excessive caffeine, fizzy drinks and citrus juices and by losing weight (if overweight). A bladder can also be trained and pelvic floor advice and exercises are important first line treatments, but surgery is viewed as a last resort but is still an effective solution in managing stress urinary incontinence.

Pelvic floor prolapse and surgery
Weakness of the pelvic floor and prolapse (of womb and or vaginal walls) can occur at any age but are more common in women who had children and getting older.
When pelvic floor weakness and prolapse has happened, surgery can help. Repairing either the prolapsed organ or tissue that is located around the vagina, surgery aims to strengthen vaginal walls so that a prolapse is prevented. Surgery can also remove the womb in more serious cases but is carried out when there is a threat to a woman’s life.

Polycystic Ovary Syndrome
Affecting many women, Polycystic Ovary Syndrome can be caused by many problems. It is a hormonal (endocrine) problem caused by the cells/tissues inability to deal with insulin effectively. It most likely to a have a genetic tendency but environmental factors will play a role.
It can present in various ways. These include weight gain, fertility problems, lack or infrequent menstrual periods and excessive hair growth.
Management of the condition depends on the problem. This includes maintaining a normal body mass index (normal weight for height), adopting a healthy life style. Medications and or surgery may also be needed to treat fertility problems.

Management of the menopause
The menopause can be traumatic for many women whereas others are able to cope better with this period in their life. There are various ways to manage the menopause, such as wearing light clothing to combat hot flushes. Exercising on a regular basis and maintaining a healthy life style can help.
Other treatments include supportive measures such as relaxation techniques and non-hormonal agents. However, for some women, treatment with hormone replacement therapy is need. Your GP or healthcare professional will advise you.

Premature ovarian insufficiency & premature menopause
There is no definite age of when a woman first starts to experience the menopause but it is unusual for this to happen before their 40th birthday. Premature ovarian insufficiency happens when the ovaries release eggs sporadically and the woman misses periods. No cause is found in the majority of women. However some women might have a reason such as a genetic tendency, a medical problem or damage to the ovaries from previous medical or surgical treatment. Natural pregnancies are possible but natural chances are reduced.
As a result of premature ovarian insufficiency, premature menopause can happen. When ovaries stop releasing eggs altogether and the menopause will occur at an earlier age. Many women who are in their 20’s have experienced premature menopause but it can be managed. HRT (Hormone Replacement Therapy) can help with treating premature menopause. Fertility treatment, if required, is usually with eggs donated from another woman.

 
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