
MyoSure : A great addition to Gynaecology
As a Consultant Gynaecologist, practising in Harley St, I follow all the technical advances in the speciality. Hologic is a company which revolutionised the cervical smear, and developed the modern thin prep technology. Hologic then developed NovaSure, a second generation endometrial ablation treatment for heavy periods. Again this radically changed our practice, and in 2021, […]

Ballerine Coil, Intra-uterine Device, Available Now
Over a hundred thousand women have benefitted from using the Ballerine IUD for contraception. This novel coil is available in thirty countries, and I originally reviewed the Ballerine coil for the daily mail. At the time, this coil was being promoted as a safe alternative and most important of all comfortable form of intra-uterine contraception. […]

Vestibulitis is treatable?
As a Private Gynaecologist working in Harley Street, London. I am now seeing many more patients, who cannot access NHS GPs or are referred for NHS Gynaecology appointments. Vestibulitis is treatable but a difficult condition to manage, and I am struck by how much women with this condition suffer. These conditions require a face-to-face consultation […]

Inhaled Steroids and Covid-19
As a partner of Sapien Care Group it has been a privilege to work with Stafford Lightman FRS on this platform. Last week Prof Peter Barnes’s group from the Brompton and Oxford presented their exciting date on inhaled steroids. The findings are exciting inhaled steroids prevent severe respiratory disease even in non asthmatics. A great […]

Welcome to the Menopause Cafe
Now I know I’m not alone. I’m not going mad’ At gatherings across the UK, women can discuss menopausal symptoms, tips, and worries in a confidential, inspiring environment… Read More

What Is Endometriosis?
One common cause of pelvic pain, painful periods, as well as painful sex and painful bowel movements is endometriosis. Endometriosis is a condition where cells normally found in the lining of the uterus / womb grow elsewhere in the body e.g. in the fallopian tubes, ovaries or along the pelvis. These cells, however, still behave […]

Some Thoughts About Labiaplasty
We’ve all recently heard the news about The British Association of Aesthetic Plastic Surgeons (BAAPS) reporting a 40% drop in the number of people in the UK, male and female, undergoing cosmetic surgery. The BAAPS figures also show that the fall among women was actually 47.8 %. The sort or cosmetic procedures referred to in […]

Do You Feel Pain During Sex?
The results of a recent study have shown that a sizeable minority, almost 1 in 10 of women in the UK, experience pain during sex. The findings, from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), are significant because they come from the largest scientific study of sexual health lifestyles in the UK. […]

Multivitamins and Pregnancy in the News
You may well have heard on the news this month about the widely publicised results of a study published in the BMJ journal’s Drug and Therapeutics Bulletin which indicate that multivitamin and mineral supplements are unlikely to be needed by most pregnant women. The main message about taking multivitamins during pregnancy to come out of […]

Endometrial Cancer Study
A recent Medical News Today article has highlighted the results of a study carried out by an international team. The study identified 5 new gene regions that may increase the risk of a woman developing endometrial cancer. In order to identify the genetic variants this latest study used the DNA of more than 7,000 women […]

Greater Risks With a High BMI
The results of research published online by JAMA Neurol and highlighted in a recent BMJ article indicate that obese women i.e. those with a BMI of 30 or greater who use oral contraceptives could be at greater risk of suffering a (rare) type of stroke called cerebral venous thrombosis (CVT). This is essentially a stroke […]

Endometrial Hyperplasia and the Risks of Leaving it Untreated
You may have read in the press that The Royal College of Obstetricians and Gynaecologists (RCOG) and British Society for Gynaecological Endoscopy (BSGE) recently published national guidance on the management of endometrial hyperplasia. This is a condition where there is an overgrowth of the cells that line the womb that causes the womb to thicken. […]

Surgery To Correct Prolapse
Weakening of the tissues surrounding the womb / uterus, the rectum or the bladder can lead to these organs slipping down and protruding into vagina, and this is commonly known as a prolapse. It is essentially a hernia in the vagina; it is normally the rectum which is affected. There are however different types of […]

PMS: Not a Psychiatric Condition But An Ovarian Cyclical Syndrome
Why do I say this? I am referring to the naming of what appears to be what we know as PMS by The American Institute of Psychiatrists to Premenstrual Dysphoric Disorder (PMDD). This or course sounds as though there is a suggestion that PMS is a psychiatric condition, which I do not believe. You may […]

Polycystic Ovaries & Polycystic Ovarian Syndrome, are not the same.
There is a lot of information available out there about polycystic ovaries, and one important thing that I need to point out here is that an ultrasound finding of polycystic ovaries is not the same thing as having the metabolic disease called Polycystic Ovarian Syndrome. This is why if you have an ultrasound finding of […]

The wellwoman check, what every woman needs to know.
You may already have visited my website via the search engines (this Blog is part of that website although not linked via the menu) because you are searching for information about gynaecological services or obstetrics. You will see that I do list many of the main services on there with some detailed information. There are […]

Why have a well-woman check-up?
For many women today it’s often the case that they lead very busy lives, and the only time they are really able to speak to a medical professional about any aspect of their health is when they visit their doctor or for example when they have their smear test. It is however unlikely that a […]

Novasure, the modern treatment for heavy periods
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 […]

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 […]

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 […]