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Expert Advice and Care

To book an appointment please contact:

[email protected] | 0207 10 11 700 (24hrs)

How much does it cost to see a private gynaecologist?

Should you decide to book an appointment with a private gynaecologist, fees are often an important factor.  We believe that it is crucial for patients to be aware of the cost of fees as early in their journey as possible and have created self pay packages in order to make costs as transparent as possible.

The cost of a new appointment with a gynaecologist

The cost of a new appointment with a private gynaecologist at London Gynaecology is £280. The appointment will last for 30 minutes and this will be with one of our highly experienced consultant gynaecologists, many of whom hold senior positions at their NHS hospitals and collectively bring a wealth of knowledge and expertise to London Gynaecology.

The cost of an appointment includes the following:

Please see our fees page for full details of pricing for all our services including outpatient procedures and self-pay packages. We also offer a range of surgical inpatient procedures with prices available upon request.

Make an appointment

For appointments and enquires or to learn more about any of our services please call 0207 10 11 700 or email the team on [email protected]

Let’s discuss, the baby blues

Consultant Gynaecologist, Mr Narendra Pisal, is featured in Women’s Health online to reveal all about the baby blues, from what they are to how they differ from post-natal depression and tips for keeping the baby blues at bay. To read the full article, click here.

 

Pre-Menstrual Exacerbation (PME)

Our Consultant Gynaecologist, Mr Narendra Pisal, was featured in Women’s Health online to share insight on what Pre-Menstrual Exacerbation (PME) is and if you can get a diagnosis of PME after a women shares her reality living with the condition. To read the article in full in Women’s health, click here.

Ovarian cancer prevention: what you need to know

In the UK, approximately 7,500 women are diagnosed with ovarian cancer each year and it is the 6th most common cancer in women.

Our Consultant Gynaecologist and Gynaecological Oncologist, Mr Saurabh Phadnis, reveals why certain individuals ‘deemed more at risk,’ may want to consider preventative measures at the appropriate time or ‘gene testing,’ which could be vital in the prevention of this type of cancer. Mr Phadnis details why this is particularly important for people with a genetic link, having a family member diagnosed with ovarian or breast cancer.

What is ovarian cancer?

Ovarian cancer is when abnormal cells from the ovary grow in an uncontrolled way.

The ovaries are a pair of small organs located low in the tummy. Connected to the womb, the ovaries store a woman’s supply of eggs.  It is believed that most cases of ovarian cancer arise from the fallopian tube, hence the term “tubo-ovarian cancer.”

How is it screened?

There is no reliable test to screen for ovarian cancer. At present there is no national screening programme. The UKCTOC trial, which was the largest randomised trial in screening for ovarian cancer, suggested multimodal screening using blood test for CA 125, using Risk of Ovarian Cancer Algorithm (ROCA) and transvaginal ultrasound at timely intervals (dependant on individual status) as an effective method. Further data is awaited.

Genetic screening is another method to determine the risk and may help with appropriate counselling and prevention.

Is it advisable for women to take preventative measures to best protect themselves?  Why is this important?

For certain individuals, who have a genetic link to ovarian cancers, prevention can be offered at an appropriate time. This is individualised and should be offered after careful counselling. Determining the risk of ovarian cancer is important as surveillance strategy can be formulated according to one’s risk. Prevention is usually by surgery to remove fallopian tubes and ovaries. But this has to be timed appropriately to avoid adverse effects of menopause.

What do you advise women to do?

It is advisable to seek appropriate specialist advice if you think you are at risk of ovarian cancer or you wish to determine the risk of ovarian cancer. This is particularly important if you have a family member diagnosed with ovarian or breast cancer. 

Who is most affected/more at risk? What makes someone more at risk of ovarian cancer?

Ovarian cancer is more common with older age and your risk increases if you have any of the following:

If there is a family history of this type of cancer, does this make a person more at risk?

Yes, approximately 10-15% of ovarian cancer is linked to faulty genes. A fault in genes such as BRCA1, BRCA2, RAD51C, RAD51D and BRIP-1 are known to be linked with ovarian cancer.

Do you advise this for all women or is it specific to a certain age group /family history?

All women should be aware that they can access specialist advice, particularly if they feel anxious regarding their risk of ovarian cancer. Access to tests should not be limited to certain age groups or depend on family history.

Are men at risk? What action should men take?

BRCA mutation can also affect men and may be linked with increased risk of breast cancer, prostate cancer, pancreatic cancer and melanoma

What are the benefits of early screening (is it a blood test?)

Gene testing is a blood test. The benefit of having gene test is to formulate an individualised surveillance strategy. Your specialist will be able to offer screening for breast cancer in addition to ovarian cancer if appropriate.

What happens during a consultation/screening?

 During the consultation, a detailed history including personal and family history is taken. Relevant test for example, blood test for gene testing and CA 125 may be requested. An ultrasound scan to check the ovaries may be requested. Test for ROCA (risk of ovarian cancer algorithm) may be requested. Follow up timelines discussed.

My early screening results are abnormal, should I be worried, what happens next?

 When a test is abnormal, it is natural to have worries and questions. Please discuss with your specialist what the abnormal test means. Having an abnormal test does not mean you have cancer. It will help your specialist to allow counselling in a more effective manner and offer appropriate preventative measures.

Make an appointment

If you would like to book a consultation with Mr Saurabh Phadnis or any other member of the London Gynaecology team, please call 0207 10 11 700 or email [email protected]

Let’s talk, vaginal itching

Our Consultant Gynaecologist, Mr Narendra Pisal, was featured on NetDoctor to discuss vaginal itching and why this may be happening. Mr Pisal reveals the likely and less common causes and the appropriate treatment options. To read the article in full on NetDoctor, click here.

Ten causes for vaginal itching

Our Consultant Gynaecologist, Mr Narendra Pisal, was featured in Yahoo Lifestyle online, revealing the 10 common causes for vaginal itching. To read the article in full, click here.

Let’s talk, PMDD

Our Consultant Gynaecologist, Mr Narendra Pisal, shares insight into what premenstrual dysphoric disorder (PMDD) is and some things to know if you have the condition, following a story shared about a woman’s struggle with the condition. To read the full article featured in The Sun, click here 

 

 

Ever wondered what it feels like to run a marathon?

Our Consultant Gynaecologist, Mr Narendra Pisal shares key moments of Sunday 4th October, the day he completed the virtual London Marathon in 4 hours 35 minutes and 19 seconds and raised an incredible £8,662 for the women’s health services at The Whittington Health NHS Trust.

Mr Pisal says, “We started at 7am, colleague and friend Voi Shim Wong and his wife came to see us off. Simon (who is much faster) and Nipun (who hasn’t done a marathon before) were with me. I had bought a totally tsunami-proof light jacket which was ridiculously expensive but ever so great! The route was amazing and we went down to Primrose Hill and Regents Park and Hyde Park through to Chelsea.

“Then along the river all the way up to Tower bridge. My wife Pradnya and son Rohit were there to cheer us on (and again at Kings Cross and Angel). We ran down Oxford Street, Regents Street and went up Euston Road all the way up to Angel and Highbury and back to Crouch end Clock tower. It rained non stop but our skin is waterproof! It was one of the most enjoyable marathons – one to remember.”

“Keith and Giles, our running club mates accompanied us for the last 10k and there was a mini crowd at the finish line! We bumped into so many other virtual marathon runners and cheered each other on. The spirit of marathoners is alive and well in spite of the pandemic. And we have raised nearly 10k! 10K in exchange for a marathon, now that’s not a bad exchange, is it?”

I have been overwhelmed by the response and words of encouragement – from the kind words, messages of support and donations from generous colleagues, friends and patients. A very special thank you to you all.”

To find out more about the charities we support and the previous fundraising efforts undertaken by Mr Pisal, visit our Charity page here 

 

Does caffeine affect pregnancy?

In a recent study about the effects of consuming caffeine in pregnancy published in the journal BMJ Evidence Based Medicine in August, it concluded women should avoid caffeine, contrary to UK guidelines.

It is important for women to know that the UK advice and guidelines surrounding the amount of caffeine advisable for consumption in pregnancy is to restrict your intake to 200mg a day (the equivalent of 2 cups of coffee, but remembering it is also found in energy drinks and chocolate). This is also supported by the Royal College of Obstetricians and Gynaecologists, so limiting and not eliminating caffeine consumption in pregnancy.

We asked Consultant Gynaecologist Miss Meg Wilson and Nutritional Therapist Laura Southern to find out more on this subject.

Consultant Gynaecologist Miss Meg Wilson reveals, “The UK advice has been that 200mg of caffeine each day is safe in pregnancy, this is equivalent to two cups of filter coffee or a can of coke.  The majority of women drink caffeinated drinks and continue to have some caffeine whilst pregnant, however the study has concluded that caffeine should be avoided all together.

“Caffeine crosses from the mother’s blood across the placenta to expose the baby to a similar level of caffeine.  The study by Professor Jack James of Reykjavik, University of Iceland, has concluded that ‘there is no safe level of consumption’.  He has looked at all of the previous studies about the risk of caffeine consumption during pregnancy and analysed them together to look at an enormous amount of data (1261 papers).  He has found that the majority of these studies have found an increased risk of miscarriage, stillbirth, low birth weight and childhood leukaemia. Analysed together, there is more strength to this conclusion.  He has considered the additional aspects of health in pregnancy that may cause harm such as smoking or poor nutrition whilst looking at this data.

“Although this study is not a perfect test for evidence that caffeine causes harm in pregnancy, a test of giving caffeine to pregnant women is not an ethical study and is unlikely to ever be undertaken.  This is our most robust piece of evidence and supports the advice that pregnant women or women trying to conceive should avoid caffeine.

“Of course, many women will have drunk caffeine before they were aware that they were pregnant or may have found it difficult to stop drinking coffee during pregnancy. It is important to remember that it is likely to be the consumption of regular caffeine throughout pregnancy and not to feel scared or guilty if you have consumed it.”

Nutritional Therapist, Laura Southern says, ‘Regarding the recent study, from their evidence it does seem that omitting caffeine all together during pregnancy might minimise the risk of miscarriage, and low birth weight. There are a few things to add though, the first is that the NHS guidelines about caffeine in pregnancy have not altered – they still advise to limit caffeine to 200mg a day (about 2 cups of medium strength coffee, but don’t forget caffeine is found in tea, cola, energy drinks and even chocolate). Secondly, it can be challenging to give up caffeine – caffeine withdrawal can be nasty, with headaches and nausea. The study explains that caffeine appears to have a greater negative impact on the foetus’ health in the second and third trimester.

“My advice, from a nutritionist point of view would be to not exceed the NHS 200mg advice but to try and wean yourself off caffeine as soon as you know you’re pregnant. Often pregnancy hormones turn women off the taste of coffee and tea, so if this is the case, listen to your body and use it as a good way to kick the habit. Don’t panic or feel guilty if you’ve been consuming high levels of caffeine before you knew you were pregnant.”

It can be difficult to understand how much caffeine is contained in drinks, see below for an approximate guide:

Be aware that the caffeine content of coffees from high street coffee shops are not always the same.

Sources: Caffeine Informer and Tommy’s. For a detailed breakdown of caffeine amounts by coffee chain, see Caffeine Informer.

To learn more about UK advice on caffeine in pregnancy, visit the NHS website.

The study by Professor Jack James of Reykjavik of the University of Iceland for the BMJ Evidence Based Medicine, can be found here

Make an appointment 

If you would like to learn more about pregnancy nutrition with Laura Southern or to book a consultation with Miss Meg Wilson or any other member of the London Gynaecology team, please call 0207 10 11 700 or email [email protected]

Mr Pisal’s charity marathon to support women’s health services in the NHS

Women’s health is at the heart of London Gynaecology, and in addition to helping women through our practice we are passionate about supporting charitable causes.  We’re proud to share that on Sunday 4th October, Consultant Gynaecologist Mr Narendra Pisal, will be taking part in the first ever virtual London Marathon, joining 45,000 runners around the world who are each running from their own starting points.

Mr Pisal is raising money for women’s health services at The Whittington Hospital where he has worked for the last 17 years in the department of gynaecological oncology and says, “There’s no doubt that the NHS needs funds more than ever right now and so all the money raised will be used to improve women’s health services at The Whittington Hospital, which is much needed during this incredibly challenging time for the NHS.”

Having completed 14 marathons and previously fundraised for gynaecological cancer charities, Mr Pisal had hoped to participate in both the Comrades and London marathons this year but due to the pandemic this was not possible.

London Gynaecology is delighted to support this cause and will match every pound donated up to £5,000.

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