What is a ‘Mucus Plug’, and what should you do when you lose it during pregnancy? Mr Pisal, our consultant gynaecologist spoke to Women’s Health magazine to answer questions on mucus plugs, that you may not be aware of. To read the article, click here.
Our COO is looking for an administrative assistant to help her with her duties. This includes (but definitely not limited to), arranging meetings (co-ordinating diaries), minute writing, document editing and formatting, Excel manipulation (vlookup, pivot, concatenate level skills), filing, PowerPoint presentation work, organising/working with IT and other suppliers / helping stay on top of projects.
We are a busy women’s health practice, we as passionate about creating the best experience for patients as possible, and that results in having a very busy COO who is driving new change as well as dealing with day to day management of the business. This is a great role, working very closely with Emma, and is based at Portland Hospital and possibly our clinic in Austin Friars.
This would suit a dynamic individual who enjoys getting on with the job, ticking off a big task list and multitasking.
It’s a temporary position for a few months, but could lead to longer term employment. The successful candidate would need to have a basic DBS check.
Interested applicants should send their cv and covering email to [email protected]
Application deadline Tuesday 1st June.
Ahead of your covid vaccine appointment, you may have heard or read about some of the possible side affects you may experience such as fever, headache or more commonly a painful arm for a day or two after being vaccinated. There will be no mention of ‘changes to menstrual cycle’.
However, some women are sharing their personal stories on social media often related to how they have suddenly experienced ‘heavier-than-normal periods’ after having the COVID-19 vaccine. This discussion was first started by two doctors from the US on Twitter in February 2021, Dr Kate Clancy and Dr Katherine Lee.
Dr Kate Clancy, a medical anthropologist, shared her experience about her own unusually heavy period following the Moderna vaccine, and received dozens of similar messages in response. Her former colleague Dr Katharine Lee launched a survey documenting people’s experiences.
At present, there is not any evidence to report whether the vaccine is linked to menstrual changes, as this has not yet been studied.
Mr Narendra Pisal, our consultant gynaecologist reveals: “In our experience at London Gynaecology, these menstrual changes are transient and usually resolve within 3 cycles. This risk is far outweighed by the benefit of protection against the potentially serious COVID infection and we strongly recommend the vaccine for all women.”
Dr Victoria Male, a reproductive immunologist at Imperial College London told the BBC in the article ‘Covid vaccine: Period changes could be a short-term side effect.’ that, ‘Some post-menopausal women, and people taking hormones which stop their periods, have reported bleeding.’ Therefore, according to the article, Dr Male is inclined to suspect there may be a physical reaction occurring.
Make an appointment:
If you experience any bleeding that is unusual for you, we advise you to contact your GP, or gynaecologist. At London Gynaecology, we have a team of consultants who see patients at two convenient locations; The Portland Hospital in Central London and our new location within Austin Friars in the City of London. To book a consultation please email our team on [email protected] or call 0207 10 11 700 (24hrs).
Our Consultant Gynaecologist, Mr Pisal, was featured in Women’s Health online to discuss the different types of vaginal discharge, to help people understand what is normal and when to seek medical advice. To read the article, click here.
Our Consultant Gynaecologist, Mr Pisal, was featured on Yahoo to discuss the various types of vaginal discharge, to help women understand what is normal and when to seek medical advice. To read the article, click here.
To ensure we are maintaining the highest levels of infection control, we ask that you are aware of the guidance regarding handwashing. One of the easiest ways to protect yourself and others from illnesses such as food poisoning and flu and COVID-19 is by washing your hands. By doing so, it removes dirt, viruses, and bacteria and therefore stops the spread of viruses to other people and on to objects. We encourage patients to view the guidance regarding handwashing techniques and best practice prior to your appointment.
The handwashing guidance is by the NHS National Safety Agency and has been adapted from the World Health Organisation on hand hygiene and care.
What are the symptoms of Adenomyosis?
The symptoms of adenomyosis, a common yet under-recognised condition characterised by an enlarged uterus due to infiltration of the uterine lining into the muscle wall, may vary, and in fact, many women may not display any symptoms at all.
Here we highlight the symptoms of adenomyosis which can cause severe period pain and cramps and may include:
April is Adenomyosis Awareness Month and it is important we shine a light on a condition that many women live with, without ever having a diagnosis. A lot of women with adenomyosis have such bad periods that they have to put their life on hold during their time of the month. It affects their work and quality of life significantly. It can lead to anaemia due to heavy bleeding and lead to extreme tiredness and also affect performance at work and sports.
During menstruation, the adenomyotic tissue swells up in addition to the uterine lining and bleeds within the uterine wall which can lead to severe period pain, cramps and heavy periods.
There are many other causes of heavy and painful periods such as fibroids and endometriosis which are more commonly known. In fact, both fibroids and endometriosis often coexist with adenomyosis. Adenomyosis is also known as ‘internal’ endometriosis as the uterine lining grows inside the uterine wall whereas it grows outside the uterus with endometriosis.
How is adenomyosis diagnosed?
This condition can be difficult to diagnose as the symptoms are common and affect a lot of women. A large proportion of women have heavy and painful periods and accept the symptoms as ‘normal for me’. Women don’t often know how heavy or painful their periods are supposed to be.
The condition is often diagnosed on an ultrasound or MRI scan where an enlarged uterus is seen with one wall of the uterus thicker than the other.
You can call your periods heavy, if you are passing lots of clots or having to constantly use double protection, changing protection more frequently than every four hours or if your periods are making you anemic.
What are the treatment options available?
Adenomyosis can be a difficult condition to treat. To make the periods less painful, supportive treatment is often the first line of management with medication (painkillers and antispasmodic medication such as Mefenamic Acid) and to reduce the bleeding (Tranexamic Acid). Sometimes taking the minipill or the contraceptive pill back to back can also stop the periods and hence help with the symptoms. Mirena intrauterine device is also helpful in reducing the symptoms significantly. The condition also improves during and after pregnancy and after menopause.
Uterine artery embolisation (UAE) is a treatment usually reserved for fibroids but is also very effective for treating adenomyosis. The uterine blood supply is blocked by an interventional procedure carried out through the groin blood vessels. Hysterectomy is often reserved for extreme cases where the symptoms are resistant to other forms of treatment and the family is complete.
Make an appointment:
At London Gynaecology, our consultants provide diagnosis of and see patients for the treatment of adenomyosis at our practice locations at The Portland Hospital and at our new opening in the City of London. To book a consultation please email our team on [email protected] or call 0207 10 11 700 (24hrs).
To learn more about our adenomyosis package, click here.
We are delighted to announce that Ms Michelle Swer, consultant Gynaecologist, has joined the London Gynaecology team and will be seeing patients at our locations at The Portland Hospital and our new opening in The City of London.
Ms Swer is a highly experienced consultant Gynaecologist and holds the post for Care Group Lead for Gynaecology at her NHS Trust and is also part of the Abnormal Invasive Placenta Regional Service. She trained for Obstetrics and Gynaecology at a number of reputable London hospitals and her expertise is in early pregnancy and gynae scanning after having completed two years as Clinical Research Fellow at UCL.
Ms Swer has publications and book chapters in both early pregnancy and obstetrics and feels privileged in being able to help women through all aspects of their reproductive life. Her main interests lie in ambulatory gynaecology including scanning and outpatient hysteroscopy, early pregnancy and menopause, Ms Swer also speaks Italian.
If you would like to learn more about Ms Swer, visit our team page. For appointments and enquires, call our team on 0207 101 1700 or email, [email protected].
Mrs Pradnya Pisal, our consultant Gynaecologist, was featured in the Swindon Advertiser to talk about some of the most common postpartum health issues. To read the article, click here.
Our Consultant Gynaecologist, Mrs Pradnya Pisal, was published online on This is Wiltshire, to provide insight and expertise on some of the most common postpartum health issues.
To read the article, click here.
