New Rapid Treatment For Heavy Menstrual Bleeding

As any woman who has suffered / is suffering from heavy menstrual bleeding (menorrhagia) knows, as well as being very unpleasant and disruptive, it can also bring the worry and the real possibility of suffering iron-deficient anemia. In some cases where the bleeding has been very heavy and prolonged it can lead to other worrying symptoms of larger volume blood loss such as shortness of breath, fatigue and palpitations.

Many menorrhagia sufferers try to manage and control their symptoms as best they can with vitamin and iron supplements, or try one of the many different drug treatments available to reduce the bleeding e.g. nonsteroidal anti-inflammatories, oral contraceptives, Progestin, GnRH agonists, a Mirena coil, and Danazol. Some women may seek procedures like endometrial ablation, or even more serious steps such as Hysterectomy.

I offer my patients a rapid and highly effective third generation endometrial ablation treatment called NovaSure®. Endometrial ablation treatments work by affecting the uterine lining in a way that causes it to heal with a scarring that reduces or prevents bleeding. This new NovaSure®. treatment is fast, safe, doesn’t involve incisions, and many women report little or no pain. What is really impressive about this treatment is that it brings about a 97% reduction in heavy periods, and patients only need to be in hospital for 2 to 3 hours.

This treatment was only launched in the UK in 2005 and many women are unaware that it is available. It is particularly good for women whose heavy menstrual bleeding hasn’t really responded well to other medical pills or Mirena coil treatment. The NovaSure® treatment is best for women who have completed their family although it lightens or stops periods without hormonal side effects or the risks of hysterectomy. 75% of patients who have received the treatment do not have any periods at all after 5 years following this treatment. You can find details of the Novasure treatment here on my website.

The private NovaSure® treatment that I offer involves an initial consultation and an assessment with either ultrasound or outpatient hysteroscopy (examination of the uterus). To arrange for an appointment in a London hospital call 0203 318 0263 or contact me online.

Thinking About The Benefits of HRT

HRT is always a subject that attracts a lot of interest in the press and this is often because of new studies showing the different effects on health. The result of this over time has been that many women have simply avoided the treatment because they fear the side effects more than they fear the immediate symptoms.

For example the UK Women’s Health Initiative studies showed increased breast cancer and heart disease risk and a higher risk of breast cancer diagnosis with combined HRT. On the other hand a recently completed study by New York University, presented to the American Society for Reproductive Medicine in Baltimore showed that women who took HRT for up to 25 years were no more likely to develop breast cancer, heart disease or diabetes than women who were not taking HRT treatment. This study had involved comparing the health of 80 women who had been taking HRT for an average of 14 years to the health of women who had not.

Consider The Benefits

It is worth remembering of course that there are some very good reasons why approximately 1 million UK women are currently taking Hormone Replacement Therapy. The symptoms of menopause can be very unpleasant e.g. hot flushes, night sweats and headaches plus there are the longer term and serious post menopausal risks to think about such as depression, osteoporosis, cardiovascular disease and stroke.

It is worth remembering too when worrying about the risks associated with HRT that Drinking more than 3 units of alcohol a day, and being overweight increase the risk of developing breast cancer and heart disease compared to HRT.

HRT involves replacing the lost oestrogen in the body, thereby relieving the symptoms of menopause and guarding against many other potentially serious longer term conditions.

I believe that HRT has a very valuable role as an effective agent in treating some of the highly unpleasant symptoms of menopause, and premenstrual syndrome, protecting against bone loss, and in treating postnatal depression. Topical oestrogens also have a lower risk of causing thrombosis in the veins and pulmonary embolism. I feel that there are real benefits in using topical oestrogens in combination with a Mirena coil, which minimizes the exposure to progesterone.

Through my private London clinic I offer HRT counselling and advice to women on their breast cancer and heart disease risk. I am also able to carry out specific tests for inherited thrombosis risks which are common in Northern Europeans and Ashkenazi Jews.

If you would like more information about HRT visit my website here, or you would like to make an appointment for a consultation please call 020 7390 8041 or email me here.

Good Reasons For Cosmetic Genital Surgery

It’s often the case that if you’re not affected by a certain problem you can never fully understand all of the feelings you can experience or just how much, and in what ways the problem can really affect you. When it comes to the increased numbers of women seeking cosmetic vaginal surgery it would be all too easy to assume that it is somehow unnecessary or related to fashion or vanity. The truth is quite different.

The fact is that situations and motivations vary greatly among women, and there are in fact many different genital cosmetic procedures for women including labiaplasty, vaginoplasty (vaginal tightening) and pelvic floor reconstruction, perineal refashioning, and hymenoplasty.

It would be true to say that things like the Internet have contributed to fashions like genital shaving which has in turn made some women more conscious about the appearance of their genitals. This in itself though is not the only reason why a woman would seek labiaplasty surgery / labial reduction.

Women seek labial reduction surgery to improve their self esteem, or because they may be embarrassed or conscious about the appearance of their genitalia, particularly if there have been relationship issues.  It may be that they have always been unhappy the appearance of their genitals and this may have caused the emotional distress over many years. Some women may for example have experienced problems since puberty, or they may want to relieve the discomfort caused by clothing in that area. Some women have pigmented and uncomfortable labia, and this may be affecting their sex life and their relationships with partners. For other women involved in certain sports such as equestrian sports or gymnastics, discomfort or self consciousness may also be reasons why they are thinking about surgical options.

The reality is that the shape, size and appearance of labia vary widely within what is normal and in some cases I will have to say that a woman will not benefit from surgery because of this. It’s also not simply a case of me operating because a woman asks me to. I collaborate closely with a psychiatrist and a psychosexual therapist and I believe that a psychological and sensitive approach is essential, as is the need to rule out body dysmorphia, and self harm.

I have been carrying out labial surgery for 15 year and when I see a patient for a Consultation, I carry out a detailed assessment of the labia and advise the patient about whether they have enlarged labia. I will then go through the types of operations which I can carry out.

For more information see my website here, or to arrange an appointment call 0203 3180263.

No More Suffering in Silence – Getting Treatment For Perineal Trauma Injuries

The safe delivery of a healthy baby is the obvious goal for parents in childbirth. The health and wellbeing of the mother through pregnancy is also vital and this is monitored along with the baby’s with antenatal care. When it comes to delivery in natural childbirth however, even though baby is delivered safe and well and mum’s generally OK, we know from Royal College of Obstetricians and Gynaecologists figures that 85% of mums who have a vaginal birth suffer some degree of perineal trauma. For many women this will take the form of some relatively small amounts of tissue damage mainly caused by the stretching of tissue and muscle as the baby was delivered. For other women however the damage to perineal muscle, nerves and tissue can be more severe and can leave them with some very unpleasant symptoms. Unless the mother finds effective ways to manage these symptoms, or chooses an option such as corrective surgery the symptoms simply persist. Sometimes these symptoms can have a very negative effect on the quality of the sufferer’s life and their relationships with their partners.

The types of symptoms associated with trauma injuries to the mother in natural childbirth include:

  • Incontinence and other urinary symptoms
  • Recurrent UTI and interstitial cystitis
  • A lump or a dragging pain
  • Solid stool
  • Problems with straining or constipation
  • The need for perineal support during defecation
  • Feeling open and experiencing with no frictional benefit or intimacy with sexual intercourse.

Women often find it difficult to talk about some of these symptoms and the psychological, emotional and social problems that can follow. Many women in this situation can also worry that they are unable to satisfy their partner and this can lead to stress and relationship problems.

Corrective Surgery

There are several different surgical options to correct this kind of damage in many cases dramatically improve things.

Perineal Refashioning – Where episiotomy or the repair of a tear in the area between the vagina and the anus has caused disfiguring, a refashioning operation can improve the appearance of the perineum area. This can also help to restore a woman’s confidence and this in turn can help to improve her libido.

Vaginal Reconstruction – Natural childbirth can result in the loosening and loss of tone in vaginal muscle. This can cause lack of friction in intercourse which can affect sexual enjoyment and libido. Reconstructive surgery can bring back the internal shape and structure essentially bringing the vagina back to how it was prior to pregnancy. This can also be carried out at the same time as perineal refashioning.

Vaginal Tightening & Pelvic Floor Repair and Reconstruction – My method of vaginal tightening involves rebuilding the perineum i.e. the area where the muscles meet at the entrance to the vagina. This is the area where the muscles have been overstretched by the baby’s head during birth. The results of this surgery can improve yours and your partner’s full sexual enjoyment. This surgery can be carried out at the same time as labial surgery. You can find more information on my website here.

If you would like to book an appointment you can contact me online or call +44 (0)20 7390 8041.

The Importance of Great Antenatal Care

What happens at the very beginning of life is incredibly important because the health differences in our children start before birth. The quality of the antenatal care you receive can therefore be an important factor in shaping your child’s future, and making sure that it is more likely to be a healthy one.

Birth rates are rising. Inequalities in our society and geographical differences in antenatal care in the UK are just 2 factors that can increase the risks to the health of babies and their mothers. Our modern lives and culture mean that many women are having children later in life. This in itself can carry some extra risks for baby and mother, and can mean that getting the right type of monitoring, advice and care all the way through the pregnancy are especially important. Now more than ever it is widely understood and accepted that keeping a very close and experienced eye on the health of the foetus and the mother during pregnancy is proven way to improve the outcomes of maternal and perinatal morbidity and mortality for all pregnancies. So many parents-to-be are now willing to search for a private antenatal care package that can give them a high level of care at this vital development stage, plus the right level of care for the delivery and beyond.

I am an experienced Consultant Gynaecologist and Obstetrician who is passionate about natural childbirth. I ran a high risk obstetric practice in the NHS and I am an authority on high blood pressure in pregnancy (pre-eclampsia). My father Norman Morris, was the obstetrician who pioneered the development of a more humane approach to childbirth in the United Kingdom. It is this background and experience that has helped me put together truly comprehensive antenatal and delivery package that is designed to achieve the best possible outcome for mother and baby. Working alongside me on this are my Colleagues Gordon Cochrane DCR DMU who is an experienced expert in obstetric ultrasound, and Esther who is a skilled breast feeding midwife who also teaches baby massage and bonding techniques. Between us we are able to offer a package that holistic as well as comprehensive. This service is delivered through my private obstetric practice at The Portland Hospital in London.

The many different elements that make up this package include: a dating scan, monthly antenatal assessments (until 28 weeks), screening for Down’s syndrome. (11-13 weeks), an anomaly scan (20 weeks), a 4D UltraSound bonding scan, a growth scan (34 weeks), weekly antenatal appointments (from 34 weeks), and presence and supervision of normal delivery.

You can find more information about me, my team, and the obstetrics services that we offer by looking on at my website here. If you would like to book an appointment for the comprehensive antenatal and delivery package you can contact us online or call +44 (0)20 7390 8041.

What Do We Know About The Harmony Down’s Syndrome Test?

Down’s syndrome affects 1 in 1000 babies and is something that happens at the conception stage when the genetic material from the egg and sperm first join together. Screening in pregnancy is therefore commonplace but despite providing some idea of the likelihood of your baby having Down’s syndrome, screening doesn’t provide a definite answer. That is left to the kinds of diagnostic tests that are carried out only if the screening shows a higher chance of Down’s. Harmony is diagnostic test.

Risks & Accuracy

The Harmony Test is a relative newcomer to popular Down’s diagnostic tests. Prior to Harmony and still common antenatal diagnostic tests (although proving to be a lot less popular now that the safer Harmony Test is here) include:

CVS – Chronic Villus Sampling

CVS is a test that’s only really carried out if other screening, tests, family history may indicate that it could be appropriate, and the patient of course has the choice of whether to go ahead with it. CVS is generally carried out between 11 and 13 weeks. As well as detecting Down’s CVS can also detect some other genetic conditions.

The CVS test involves your obstetrician taking a sample of your placenta. The sample is taken by needle through the tummy and womb, or by forceps and a thin tube through the cervix (guided by ultrasound).

In essence the CVS is an invasive procedure because it requires cells to be taken from the placenta and therefore it does carry a 1% to 2% risk of miscarriage. There have also been some rare cases of infection.

Amniocentesis

Amniocentesis is offered where there it is believed that the baby is at significant risk of developing a serious condition. The test is usually offered between 15 and 20 weeks of pregnancy and although it has a lower miscarriage risk than CVS (about 1%), Amniocentesis is also an invasive procedure because a needle is used to extract some amniotic fluid for testing. This is the fluid that surrounds the foetus in the womb. Just as with CVS, the invasive nature of Amniocentesis also brings the very small risk of infection.

Why Could Harmony Be A Better Option For Down’s Testing?

Quite simply the Harmony Test is very accurate and extremely safe.

The Harmony Prenatal Test uses a simple blood test rather than an invasive procedure. It does not involve any disturbance of the womb or placenta, and it is this that dramatically reduces the risk of miscarriage. The Harmony Test can also correctly predict Down’s syndrome in more than 99% of cases because it can isolate ‘cell free’ Fetal DNA (the building bricks of chromosomes). This makes the Harmony Test very accurate.

This revolutionary test is predicted to reduce the need for invasive procedures by over 90%!

Safety and certainty are a powerful combination in Down’s testing, and this is the reason why Harmony has become so popular so quickly. You can find out more about the Harmony Prenatal Test on my website here.

How do I go about booking a test?

If you would like make an appointment with me for a Harmony Prenatal Test please call 0203 318 0263.

What Happens Next?

I will then organize an ultrasound on the day of the test to confirm the pregnancy is 10 weeks or more and also to assess for multiple pregnancy. This is because the test is not used in multiple pregnancies. You and your partner will then have a consultation with me to go through the test, and the blood sample is then taken. Your blood sample is then sent to a lab in the USA where the test itself is carried out. You can expect to receive the results within 2 weeks.