Gynaecological

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As a Gynaecologist, Dr Samina is a women’s health expert, helping you with problems such as menstrual problems, infertility, sexuality and menopause. Your GP or other specialist will usually refer you to Dr Samina if you have a complex gynaecological condition, specific gynaecological concerns, or you need an expert second opinion. Dr Samina combines expert medical diagnoses, treatments and an empathetic approach with the latest advances in gynaecological surgery to give you the most pertinent information about your condition. She can provide you with all the options available to you to help you make the right decision about your continued well being.

Heavy Menstrual Bleeding

Heavy menstrual bleeding is defined as bleeding loss more than 80ml/period. Or else, report:
  • Using more than 1 tampon per hour
  • More than 20 tampons or pads per cycle
  • Bleeding for more than 7 days
  • Passing clots more than 50c piece

Unfortunately many of (40%) women believe their cycles are normal and put up with a reducedquality of life. There are many causes of heavy bleeding including polyps, fibroids, hyperplasia,cancer, dysfunctional uterine bleeding and less common causes due to thyroid or bleeding disorders.If there has been a change in menstrual flow in a person >35 years of age, the gold standard is to perform a hysteroscopy and curette to exclude serious pathology. Numerous medical and surgical options are available for the treatment of heavy menstrual bleeding including Mirena and NovaSure Endometrial ablation.

IUD & Mirena placement

Hormonal intrauterine devices (or IUDs) like Mirena offers effective, long-term contraception for premenopausal women, including teenagers. Its effects can last for up to 5 years and after removal you will return to your full baseline fertility prior to insertion. IUDs can also decrease menstrual problems and endometriosis, the risk of pelvic inflammatory disease (PID), STIs, and endometrial and cervical cancers. Dr Samina has performed many successful IUD and Mirena placements, so you get added peace of mind that your procedure will go smoothly and with minimal risk. Dr Samina also performs Nova Sure Endometrial Ablation.

What is NovaSure Endometrial Ablation?

QUICK — The actual procedure is done in just five minutes and a one time procedure.

SIMPLE — There’s no pre-treatment required. And you can have the procedure done any time during your cycle, even if you are bleeding.

SAFE AND EFFECTIVE — Approved by the Food and Drug Administration (USA) in 2001 with more than 15 years of clinical experience. (citation required).

This one-time five-minute procedure is designed to remove just the uterine lining—the endometrium—which is the part of your body that causes heavy bleeding. No incisions are required, leaving your uterus intact. For 9 out of 10 women, their heavy periods are dramatically reduced or stopped altogether.

How the NovaSure procedure works

Step 1: Your doctor opens your cervix (the opening to your uterus) slightly, inserts a slender wand and extends a triangular-shaped netted device into your uterus.

Step 2: The netting expands, fitting to the size and shape of your uterus.

Step 3: Precisely measured radiofrequency energy is delivered through the netting for about 90 seconds.

Step 4: The netted device is pulled back into the wand, and both are removed from your uterus.

This procedure requires Hysteroscopy Important Safety Information NovaSure endometrial ablation is for premenopausal women with heavy periods due to benign causes who are finished childbearing. Pregnancy following the NovaSure procedure can be dangerous. The NovaSure procedure is not for those who have or suspect uterine cancer; have an active genital, urinary or pelvic infection; or have an IUD. NovaSure endometrial ablation is not a sterilization procedure. Rare but serious risks include, but are not limited to, thermal injury, perforation and infection. Temporary side effects may include cramping, nausea, vomiting, discharge and spotting.

Hysteroscopy

If you’re experiencing severe cramping, abnormal bleeding, fibroids, polyps, infertility or your IUD device had been misplaced, a hysteroscopy lets your doctor see inside your uterus. A thin, lighted instrument with a camera called a hysteroscope, is inserted into your vagina and gently guided through your cervix and into the uterus. The camera is connected to a videoscreen to allow Dr Samina to examine the lining (endometrium) of your uterus. A treatment can be done at the same time.

Colposcopy for abnormal pap results

If you’ve had an abnormal pap smear test result, a colposcopy lets your Gynaecologist examine your cervix, vagina and vulva more closely. It usually takes around 20 minutes and can be performed in the surgery.

A special instrument called a colposcope is used to look closely at your vagina or cervix and a biopsy (a small sample of tissue) can be collected for further testing. It’s normal to feel a bit anxious about a colposcopy, but there’s no need for concern. Your cervix largely has little sensation so you’re unlikely to feel a biopsy in this area. If you’re having a cervical biopsy, you may feel a little discomfort, such as pressure or minor cramping. If you’re having a biopsy taken in the lower part of your vagina or vulva, Dr Ahmed will administer a local anaesthetic to numb the area first. After your colposcopy, you might experience some minor pain, light bleeding or dark discharge and you may need to avoid tampons or vaginal intercourse for around a week.

Laparoscopic Surgery

Laparoscopy or keyhole surgery is an advanced surgery technique that’s less invasive, so it’s less traumatic for your body. Dr Ahmed is trained to perform laparoscopic surgery.

Why do I need Laparoscopic Surgery?

Laparoscopy is used for a wide range of conditions, including endometriosis, fibroids, ovarian cysts, chronic pelvic pain or a hysterectomy.

What happens during a Laparoscopy?

Instead of a large open incision along your bikini line, your laparoscopic surgeon will make just a few tiny (0.5-1cm) incisions to insert a narrow high-definition camera so your Doctor can see a magnified video of your pelvic area.

Ectopic Pregnancy

Ectopic pregnancy is a pregnancy that is not in the usual place within the uterus but develops outside the uterus (womb). The most common place that ectopic pregnancy occurs is in one of the fallopian tubes (tubes that carry eggs from the ovaries to the uterus). Rarely, an ectopic pregnancy takes place in the abdomen, ovary or neck of the uterus (cervix).

An ectopic pregnancy happens when a fertilized egg gets stuck on its way to the uterus. This may be caused when the fallopian tube has been scarred, damaged or the shape is changed.Factors that can increase your risk for an ectopic pregnancy include:

  • History of fallopian tube infection such as pelvic inflammatory disease (PID), chlamydia and gonorrhea
  • History of fallopian tube infection such as pelvic inflammatory disease (PID), chlamydia and gonorrhea
  • Previous surgery on the fallopian tubes or in the pelvic area
  • Taking fertility medications around the time of conception
  • Women who get pregnant while an intrauterine device (IUD) is in place

If you have an ectopic pregnancy you may experience abnormal vaginal bleeding, absence of menstrual periods (amenorrhea), breast pain, lower back pain, nausea, lower abdominal or pelvic pain and mild cramping on one side of the pelvis. If you have a ruptured ectopic pregnancy you may have fainting, shoulder pain, intense pressure in the rectum, severe lower abdominal pain and low blood pressure. To diagnose ectopic pregnancy your doctor will perform a pelvic examination. Your doctor may check your human chorionic gonadotropin (hCG) levels. An abnormal rise in blood hCG levels may indicate an ectopic pregnancy. If an ectopic pregnancy is suspected, you will probably also have ultrasounds of your pelvis to visualize the location of pregnancy. A more sensitive ultrasound test may be done using an intravaginal probe (special probe inside the vagina). A laparoscopy can also be performed to provide diagnosis and treatment. Treatment choice for an ectopic pregnancy depends on the size and location of the pregnancy.Treatment options include nonsurgical and surgical methods. If the ectopic pregnancy is in the fallopian tube and the embryo is still relatively small, you may be given medications to stop the growth of the embryo. These medications dissolve the fertilized egg without doing any harm to your fallopian tubes or other organs. As the medications begin to work you may have abdominal pain and vaginal bleeding especially within the first several days. Your doctor will monitor your hCG blood levels to make sure that the ectopic pregnancy has been completely removed and no further treatment is needed. If the pregnancy is continuing or if you have certain health conditions indicating that medications should not be used you will likely need surgery to remove the abnormal pregnancy. Surgical intervention may also be necessary if the tube has ruptured, damaged or if there is severe bleeding inside the abdomen. The ectopic pregnancy may be removed using laparoscopy, a less invasive surgical procedure. During this surgery a long thin tube attached with a camera, called laparoscope is passed into the abdomen through a small incision. This enables your surgeon to observe the ectopic pregnancy and remove it.

Women who have had one ectopic pregnancy are later able to have a successful pregnancy. If your fallopian tubes are not damaged after an ectopic pregnancy, then you have better chances of conceiving again, but you will be at higher risk of ectopic pregnancy. If one of the tubesruptured or was badly damaged or removed, you still have chances of conceiving again.When you do become pregnant again, see your doctor as soon as you can to check that your pregnancy is developing in the right place.

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