Chronic Pelvic Pain
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Chronic Pelvic Pain/Endometriosis
Chronic pelvic pain is a challenging condition which can substantially impact the quality of life. The management is not successful in numerous instances as the underlying causes differ from patient to patient. This can be straightforward such as urinary tract infection or complex such as advanced endometriosis. The strategy for diagnosing and managing chronic pelvic pain is to dedicate time and focus to the patient and listening with an attentive mindset.
We will conduct a comprehensive evaluation of your situation through detailed history collection, physical examination and diagnostic testing (Blood work, Ultrasound) as required and establish a treatment pathway for you. You will receive treatment recommendations/prescriptions/guidance, which you can obtain at Renew Skin and Health Clinic, one of the most trusted clinics for endometriosis treatment, or through the NHS. Our thorough report will be communicated to you.
If a further referral is needed, we will organise that for you .
Pre-pregnancy health check
Pregnancy is one of the most important events in a women’s life. The women’s health should be optimised before she gets pregnant for a good outcome for the mother and the baby.
We will study your case individually; identify any health risk factors (such as diabetes, kidney disorder) and address them before you get pregnant. This might include referral to other specialists and further investigations (blood and scans).
The conditions we will seek to optimise are…
- Anaemia
- Obesity
- Recurrent miscarriages in the past
- Perineal trauma in the past
- Risk of diabetes, epilepsy, kidney disorder, arthritis
- Blood pressure in previous pregnancies
- Obstetric cholestasis
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Post Natal Care
Postnatal period is around 6 weeks after the delivery and is the transition of woman into motherhood. There are significant changes that can happen in women’s health during pregnancy and the delivery process for example diabetes in pregnancy, complication of perineal tears or caesarean section.
The need and mode of contraception can be very specific depending on your needs and breastfeeding preferences. The optimisation of these conditions is needed to help you in maintaining your own health but also to care optimally for your baby and family.
We will assess your health changes by examination and investigations and provide tailored advice and treatment where needed.
Fibroids: Test and Monitoring
Fibroids are benign growths of uterine muscle and most of the times they do not cause any trouble and hence do not need any treatment but a thorough assessment and reassurance is needed. In some cases they cause pressure related symptoms to urinary or rectal tract or heavy vaginal bleeding.
We will assess your case individually, do appropriate investigations which might need a scan, haemoglobin check etc. and then advise you of the treatment options. We will produce a comprehensive report for your perusal and further treatment and referral as needed.
Pessary Clinic
Prolapse of the urinary bladder, cervix or the rectum can happen due to various causes, is usually seen in post-menopausal age group but can happen earlier due to perineal trauma or weakness.
In many case this prolapse is managed conservatively and very successfully by a simple pessary. This pessary needs changing/ replacing every 4-6 months so that it does not become adherent in the vaginal canal. We will assess your prolapse and recommend the right pessary for you (there are many types).
If you already have one we can change it and book you for future changes so that you can have the changes on time.
Disclaimer: This treatment varies from person to person.
