5th August 2019 | Posted by Florence Wildblood
Feminine Hygiene Products: Yes Or No?
Feminine hygiene products are expensive and washing the outside of the vagina with water is enough cleansing. In this article for Glamour, Consultant Gynaecologist Pradnya Pisal explains why buying them is just not worth it.
16th July 2019 | Posted by Florence Wildblood
Consultant Gynaecologist Saurabh Phadnis Joins The Team
We are delighted to announce that Mr Saurabh Phadnis is joining the London Gynaecology team.
Mr Phadnis is a Consultant Gynaecologist at The Royal London Hospital (Bartshealth NHS Trust), London. He completed his general gynaecology training in busy hospitals in the East of England and his subspecialty training in gynaecological oncology at Barts Gynaecological Cancer Centre.
His research included investigations into association of pregnancy related complications following treatment of precancer of cervix. He has won several prizes in national and international conferences. He was awarded the RCOG-Bernhard Baron Travelling fellowship to visit centre of excellence in Germany to expand his expertise in ovarian cancer surgery.
He is an expert in complex minimally invasive and open abdominal surgery. His particular interests include fertility preservation in gynaecological cancer, counselling and management of familial gynaecological cancer and advanced stage ovarian cancer cytoreduction surgery. He is an experienced hysteroscopic surgeon. He has more than 10 years of experience as a colposcopist and is an accredited trainer with the BSCCP.
Mr Phadnis believes in holistic and individualised approach to patient care.
If you would like to book an appointment with Mr Phadnis, please call 0207 10 11 700 or email [email protected].
10th July 2019 | Posted by Florence Wildblood
HPV Vaccination To Be Offered To Boys
We were delighted to hear the news yesterday that, after this summer, the HPV vaccine will be offered to 12-13 year old boys as well as girls. Health officials say that this will prevent 29,000 cancers – of the anus, penis, head and neck – in UK men in the next 40 years.
Consultant Gynaecologist Narendra Pisal says,
“Human papillomavirus affects both boys and girls. Currently 80% of men and women get HPV at some stage of their life.
Vaccination for boys as well as girls will mean that the incidence of HPV infection will fall to a very low level. Vaccinating both will also lead to herd immunity providing additional benefit to the population by reducing transmission rates.
HPV is the second common cause of cancers after smoking and eradicating HPV will lead to a huge reduction in cancer numbers in both sexes including throat cancers, anal cancers and cervical and vaginal cancers. This is great news for men and also women who will also benefit from this. Human papillomavirus, we are coming for you…”
| Posted by Florence Wildblood
The Contraceptive Implant
The contraceptive implant is more than 99% effective. Below, Consultant Gynaecologist Mr Ash Alam answers some questions for those considering the implant as a contraception, outlining what it is, how it works and why it can be a great choice for women.
What is the contraceptive implant and how does it work?
The contraceptive implant is a small plastic rod that is inserted under the skin on the inner aspect of the upper arm. It contains the hormone progesterone and works by thickening cervical mucus and can stop ovulation. It is a very effective form of contraception (approximate 99% effective). The implant lasts for three years at which point it can be replaced if desired. Once removed fertility returns quickly.
Why do women choose the contraceptive implant?
It is a very effective form of contraception that does not require women to remember to take a pill. It is also very discreet but can be felt by the user under the skin of the upper arm. It can also be fitted at any point in the menstrual cycle or after birth or termination.
Who can use the contraceptive implant?
It is particularly suited for women who cannot for whatever reason use a contraceptive containing oestrogen, for example women with focal migraines or high blood pressure or who are overweight. It is also particularly suited for women who may find it difficult to remember to take a pill. It can also be used while breastfeeding.
Are there any side effects?
Although most women have no side effects, some women can have side effects related to the progesterone such as fluid retention, breast tenderness or acne.
Some women find their periods change. In some women periods stop altogether, although the majority find this beneficial. Some women experience irregular bleeding.
How is the contraceptive implant fitted?
The implant is fitted during an outpatient appointment by a consultant. You will need an injection of local anaesthetic just under the skin that is on the inner aspect of the upper arm. The implant is then inserted but this should not be painful.
A bandage is normally placed around the upper arm for 24 hours. Some localised bruising or pain can occur but this usually settles after a few days.
Are there any risks associated with the contraceptive implant?
Most side effects should they occur are short-lived and settle after a few months. Red flag symptoms are post-coital bleeding and persistent intermenstrual bleeding as well as pelvic pain, abdominal swelling/bloating & weight loss. Most settle within 6 months.
Very rarely, fitting can cause long-term local pain or discomfort.
Where can I get the implant removed?
The implant can be removed by a specialist at London Gynaecology or alternatively most NHS family planning clinics have a trained implant remover.
Removal can sometimes be difficult but is usually performed under local anaesthetic. Occasionally though a general anaesthetic is necessary especially if the implant is deep or cannot be located.
| Posted by Florence Wildblood
Fertility, Pregnancy, IBD and Surgery
When it comes to Irritable Bowel Disease (IBD) and fertility/pregnancy, possible complications lie in the medication more so than the disease itself. Although pregnancy will affect everyone differently, women with IBD who are pregnant are defined as ‘high risk’. Read what Consultant Gynaecologist Meg Wilson has to say on the topic in this piece by Trust Your Gut.