Women’s Health

We are proud to announce the opening of our gynaecology consultant led Women’s Health service in our West Wickham clinic, near Bromley and Beckenham.

 

In conjunction with consultant gynaecologist Mr Shiaam Thava, we offer a wide range of personalised gynaecology services for those over 18 years of age.

 

Gynaecology is a speciality that focuses on the care of a woman’s reproductive health and our services cover a wide range of women’s health concerns, including dysfunctional bleeding, cervical polyps, abnormal smear tests and menopause.

Urinary incontinence is a condition

in which gynaecologisturine is unintentionally released, it is a common problem that affects both men and women.

 

This condition can be disruptive to someone’s day to day life and may be embarrassing as well. It can be challenging to work up the nerve to talk to someone about incontinence, however, it is important to let your doctor know about these issues so it can be investigated and treated.

 

All forms of incontinence reflect varying degrees of dysfunction of the muscles of the pelvic floor. There are a number of types of urinary incontinence which include stress incontinence, urge incontinence, overflow and total urinary incontinence. 

 

Stress incontinence is the most common type of incontinence in women, in which urine may be unintentionally leaked on exertion, laughing or sneezing. 

 

Urge incontinence, typically referred to as an ‘overactive bladder’, is when someone feels the need to urinate frequently, even if only a small amount of urine is passed.

 

Urinary incontinence may develop as a result of muscle weakness following childbirth, aging, urinary tract infections, diabetes or menopausal hormone changes.

 

Treatment of incontinence depends on each presentation. A consultation and possibly an examination will determine the cause of the incontinence, from there a treatment plan will be devised. Physiotherapy to strengthen the muscles may be advised, lifestyle changes may be recommended, or some severe presentations may need surgery to correct the anatomical structure that is causing the incontinence.

Uterine and vaginal prolapse are conditions that involve the descent or dropping of the uterus or vagina from their normal positions within the pelvic cavity.

 

Uterine prolapse occurs when muscles and ligaments which support the uterus weaken, causing displacement downwards of the uterus into the vaginal canal.

 

Vaginal prolapse, or pelvic organ prolapse, can involve, to varying degrees, the sagging of the uterus vaginal walls, bladder or rectum.

 

General symptoms of vaginal prolapse include –

 

  • Unintentional passing of urine on exertion or sneezing
  • An increased need to urinate and difficulty passing urine
  • A heavy, dropping feeling in the pelvis
  • A sensation that you are sitting on a small ball

 

Consultation and treatment – your consultant will discuss your symptoms and may perform a physical examination, a speculum may be used.

 

Depending on the severity of the prolapse, various treatment options are exercises to strengthen the pelvic region. If symptoms are severe, surgery may be recommended.

Conditions such as heavy periods,

endometriosis, PCOSgynaecology clinic, and fibroids are some of the more common conditions that can affect a woman’s reproductive health.

 

Heavy Periods: Some women have periods that are heavy, prolonged or pass a lot of clots, this may also be referred to as menorrhagia. Those with heavy periods often find themselves having to use double protection or changing their protection frequently.

 

Common causes are uterine fibroids, endometriosis and polycystic ovaries.

 

Those with heavy menstrual bleeding may find it harder to do their usual activities.

Anyone compromising their lifestyle for this reason, would benefit from consulting a gynaecologist as there are treatments available that may help.

 

Endometriosis is a condition in which cells that are similar to the ones found in the uterus, are found elsewhere in the body. These cells act like the cells in the uterus would, however, they grow where they do not belong and do not leave the body.

Endometriosis can cause pain, particularly during the menstrual period, it can also cause excessive bleeding, pain with urination and infertility. 

 

This can be a difficult condition to diagnose, pain experienced may not reflect the seriousness of the endometriosis. People may be asymptomatic and not diagnosed until they are unable to get pregnant or have surgery for another reason.

Poly Cystic Ovary Syndrome is a  gynaecologists Beckenham and Bromley

condition in which the ovaries produce an excessive amount of male hormones called androgens. This causes small fluid filled sacs, cysts, to develop in the ovaries, hence the name poly cystic. However it is possible to have PCOS and have no cysts, and it is also possible to not have PCOS and have cysts.

 

Symptoms of PCOS include missed or irregular periods, excess body hair, weight gain, oily skin, acne or infertility. To diagnose PCOS your consultant will take your medical history, may perform a physical examination or request blood or an ultrasound. Treatment for PCOS very much depends on an individuals personal circumstances and may include medication, dietary and lifestyle advice.

 

Fibroids are very common non-cancerous growths that develop in the uterus. They vary in number and size and are not linked with a higher risk of uterine cancer. It is not known what causes fibroids however hormone levels and genetics may be factors. Symptoms of fibroids include heavy or prolonged periods, bleeding between periods, abdominal discomfort or pelvic pain, bladder or bowel symptoms.

 

We understand that cost can be an important factor when considering private health care. We have a transparent approach to our fees to ensure clarity at all stages of the treatment journey.

 

Our service is pay as you go with no additional charge for private prescriptions or referrals. The cost of filling out a prescription will depend on the medication prescribed and the pharmacy chosen.

 

All appointments are with consultant gynaecologists.

 

Initial consultation

  £295

Follow-up consultation

  £195

Additional Services

 

Coil fitting, coil provided

  £370

Coil removal

  £195

Cervical smear with HPV

  £150

Blood tests from

  £75

Mr Shiaam Thava MBBS MRCOG is a Consultant

Obstetrician and Gynaecologist working at Princess Royal University Hospital. Having completed the latter years of his training there, he subsequently went onto obtain a substantive post. He is friendly, professional, down to earth and relishes the opportunity to form a strong rapport with his patients.

 

Mr Thava completed his medical training at Barts and The London Medical school in 2007, he then went onto complete his specialist training in the Kent and South London area. His interests include perinatal mortality, benign gynaecology, colposcopy, and complex tertiary menopause. Mr Thava is listed as a specialist by the British Menopause Society (BMS), and since completing his advanced training modules, has gone onto become a BMS trainer for those seeking training in complex menopause care.

 

With a specialist interest in the menopause, premature ovarian insufficiency, benign gynaecology and colposcopy, he is a member of the British Menopause Society, the British Society for Colposcopy and Cervical Pathology and the British Society of Gynaecology Endoscopy.

 

 

Accreditations

  • Massage Beckenham

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  • Sports Massage Bromley
  • Sports Massage Beckenham
  • Physiotherapist
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