Vaginal Dryness Treatment London

There is much talk about what the menopause does to a woman’s body temperature and her moods. There is, understandably but rather misleadingly, much less time given to what changes she is likely to experience in her vagina. The sharp drop in the levels of the hormone oestrogen can cause devastation as it plays a key part in the health of the vulvo-vaginal tract, including by producing glycogen which encourages the helpful bacteria that keeps infections at bay. The decrease in oestrogen also affects the glands at the neck of the womb that produce essential fluids and mucus that keep the vaginal skin and tissues supple and moist.

How is vaginal dryness treated?

When this change causes symptoms such as pain during sexual intercourse, doctors term it atrophic vaginitis. About half of women display some related symptoms after the menopause – likely more but they have been too embarrassed to talk to their doctor about it, choosing instead to put up with discomfort. Some women are put off by the idea of HRT, having seen too many negative stories in the press. Female gynaecologist Miss Amanda Tozer has helped many women navigate their way through myriad menopausal symptoms, looking at each case on an individual basis, and prescribing a wide range of treatments, including HRT and alternative therapies. During a consultation at her London menopause clinic, Miss Tozer will ask you which symptoms you find most debilitating and that will inform the approach.

Is there a side-effect-free alternative to HRT?

Miss Tozer is pleased to be able to offer her London patients an innovative new treatment for vaginal atrophy: the MonaLisa Touch – a safe, painless and minimally invasive procedure that utilises laser therapy to rejuvenate the vulvo-vaginal tract. Its aim is to restore the premenopausal structures to enable the natural production of the all-important vaginal mucosa.

How to choose a fertility clinic London

Anyone who is struggling with infertility will tell you how stressful an experience it can be. Whether it feels like everyone around you is caressing a blooming bump or whether you’re dreading yet another physical examination, every aspect of getting pregnant can be an ordeal – so finding the right fertility clinic for you is important. Here are some points to consider.

1. What are their qualifications and success rates?

When embarking on IVF, most people find it reassuring to know that their fertility doctor is indeed a specialist who has a good track record of helping couples to achieve a family.

2. Who will perform each procedure?

There are several stages in the IVF journey, from consultation and diagnostic scans, to ovulation induction, egg collection and embryo transfer. Often in large clinics these will be performed by several different people, something some patients find impersonal, adding to their bewilderment at the whole process. Female gynaecologist Miss Amanda Tozer offers her London IVF patients one-to-one treatment with continuity of care, personally performing each step. Furthermore, understanding that couples going through fertility treatment benefit from being able to talk through concerns, Miss Tozer provides all her patients with her direct line and encourages them to call at any time.

3. What are the total costs?

No decision about medical care should be made on cost, but it is important that you know the full financial picture before embarking on treatment. Establish from the start that there will be no hidden extras.

4. What is the general atmosphere like?

Testimonials from past patients describe London-based Miss Amanda Tozer’s approach as compassionate, reassuring and personalised. Having confidence that you are in the right hands will help you through this emotionally difficult time.

Can Endometrial Scratching improve my chances of getting pregnant

For couples undergoing IVF, having a cycle fail despite the transferred embryo being of good quality can sometimes be all the more distressing. They may question if it doesn’t work when all the signs are good, when will it? In some cases where there has been no discernable reason for the IVF to have failed, a procedure called endometrial scratching has had some encouraging results.

How does an endometrial scratch work?

The procedure involves superficially injuring the womb lining thereby initiating a ‘repair reaction’ where the production of endometrial white blood cells is stimulated. This improves the implantation conditions of the uterus. Research is still to be carried out to understand how and to what extent endometrial scratching is successful, but the belief is that growth factors, hormones and chemicals are released during the repair process. The new lining appears to be more welcoming to an implanted embryo. The scratching may also ‘switch on’ the genes responsible for preparing the endometrium for implantation, thereby increasing the chances of a successful pregnancy.

Female gynaecologist Miss Amanda Tozer who offers the service at her London fertility clinic will be glad to talk about whether you would be a good candidate for endometrial scratching and to answer any questions you have on the treatment.

An endometrial scratch sounds painful – is it?

Endometrial scratching may cause some minor discomfort, similar to that of a cervical smear, but should not be painful. The scratch itself is made with a plastic catheter. It may be an idea to take some paracetamol half an hour before the procedure, but no anaesthetic is required and takes just 15–20 minutes. London-based Miss Tozer will talk you through what to expect during and after the procedure, explaining that afterwards you may experience some mild cramping and you may prefer to take the day off work rather than return immediately.

Fibroid Investigation London

Many women who have fibroids experience no symptoms so carry on as usual, unaware of the condition. For others, the experience is very different. Female gynaecologist Miss Amanda Tozer sees many women with fibroids in her London clinic, each with their own set of symptoms – but many of the concerns are the same. Here are five of the most commonly asked questions:

1. What is a fibroid?

A fibroid is a muscular tumour that grows in the wall of the womb, sometimes within the wall (intramural fibroids) and sometimes into the uterine cavity (submucosal fibroids).

2. Are fibroids dangerous?

Cases of fibroids are overwhelmingly benign, with less than 1 in 1000 being cancerous. Furthermore, it is not thought that an existing fibroid can develop into a malignant tumour, nor that having fibroids increases your chances of developing other womb-related cancers. Depending on where they are located and to what size they grow, fibroids may exert pressure on other parts of the anatomy, particularly the rectum and bladder, causing discomfort and other related symptoms.

3. Why do fibroids happen?

The cause of fibroids is not certain and there are probably several contributing factors including genes and hormones. The likelihood of a woman having fibroids increases in her 40s. Fibroids are more likely to occur too in women of African-American heritage, those with a family history, and those who are obese.

4. How are fibroids treated?

The treatment options for fibroids will depend on your symptoms and the size and location of your fibroids. During your consultation at her London clinic, Miss Amanda Tozer will conduct a thorough examination and perform a pelvic ultrasound; she will then recommend a treatment plan for you.

5. Can fibroids affect pregnancy?

Most women with fibroids have a normal pregnancy but it is important that any doctor you see is aware of your fibroids as they can cause complications.

It is no secret that IVF is a stressful process. With all that is stake, it is going to be. You then throw some hormonal drugs into the mix for good measure. For every eager-to-get-going woman who presents at Miss Amanda Tozer’s London fertility clinic, there will be another who is filled with apprehension and trepidation: how will the drugs affect her mood? Will she cope without her usual emotional strength? If this sounds familiar, here is some advice on taking the next step.

1. Do your fertility research.

While having a sense that an ordeal lies ahead is putting you off, knowing concrete facts can often help you through. Getting some clarity on what will happen when will enable you to plan ahead and to keep clear of stressors at particular times.

2. Keep communicating.

While the woman bears the brunt of the IVF treatment, it can put strain on both partners so it is important to keep talking. Enlist the support of family and friends, and many women find comfort from online forums where others are going through the same process. Remember that you are not alone.

3. Choose the right fertility care for you.

If you are feeling particularly nervous of IVF, you may find a large clinic too impersonal. At her London IVF clinic, female gynaecologist Amanda Tozer offers one-to-one care, guiding her couples through the entire process you’re undergoing fertility treatment. She personally performs each procedure and encourages her patients to call her personal line any time with questions or concerns.

4. Keep your eye on the prize.

It is an undeniable truth that a woman’s fertility decreases as she gets older, and the rate at which it does so accelerates after 35. While you must only embark on IVF if you feel it is the right step for you, if you are experiencing difficulty in conceiving, the sooner you seek help, the greater the chances of success.

Ask most women what they imagine their treatment options will be when they come to the menopause, and the majority will say ‘HRT or a herbal alternative’. There are, however, more options for women and one of the latest introductions is the innovative MonaLisa Touch. A laser treatment for vaginal atrophy, laxity and mild urinary incontinence, it has significantly improved many of the rarely discussed menopausal symptoms for many women.

Why am I experiencing vaginal discomfort?

During the menopause, the ovaries slow down their production of oestrogen, a hormone that is integral to the health of the vulvo-vaginal tract, resulting in dehydration and malnourishment; in this state, the vagina is fragile and more susceptible to infection. When women present at female gynaecologist Miss Amanda Tozer’s menopause clinic in London, they frequently complain of vaginal pain, dryness or irritation, and sometimes experience pain during intercourse. They may also report a degree of urinary incontinence or urgency. This is all related to vaginal atrophy.

How does a laser alleviate these symptoms?

The MonaLisa Touch is a safe, painless treatment that is backed up by clinical results and takes only minutes to rejuvenate the vulvo-vaginal tract. It addresses the root of the problem – the vaginal atrophy itself – by promoting the metabolic activity the vagina had before the menopause threw everything into disarray. Using a gentle action, the laser stimulates, tightens and tones the tissue of the vaginal walls and regenerates collagen and other essential elements such as hyaluronic acid and proteoglycans. In so doing, the mucosa is rehydrated and a healthy trophic supply to the tissues restored. Understanding that vaginal laxity, dryness and discomfort can cause distress on a daily basis, Miss Tozer is pleased to be able to offer the MonaLisa Touch to her London patients as they navigate their way through the menopause.

Do you have much time in your life to think proactively about your health? Very few women do, but it is well worth factoring in some time to attend a Well Woman screening appointment.

1. Who is it for?

Well Woman screening is for all women, whether they are in their reproductive or postmenopausal years. There is a misconception that it is only really relevant for women in their later years but there are many feminine conditions that do not discriminate by age.

2. Is it not sufficient to make an appointment with my GP?

Your GP is certainly your first port of call if you have any concerns but the NHS cannot cover such a level of screening – nor will your GP have the specialist equipment to run all the tests (e.g. pelvic ultrasounds). During your Well Woman screening with London female gynaecologist Amanda Tozer, you will discuss your full medical history and any current concerns before undergoing a flexible package of tests. The consultation is an unhurried affair, and Miss Tozer will personally talk you through the results, advising on any necessary next steps, be they further treatment or simply lifestyle changes.

3. What tests will be run?

At Miss Tozer’s London clinic, she offers the full range of Well Woman screening tests including blood tests, full blood count, liver and renal function, BMI, blood pressure, fasting glucose and cholesterol levels, urinalysis, hormone tests, breast examination, thyroid function, bone densitometry and the CA125 tumour marker for ovarian cancer.

4. Do I want to know?

While some women will say that ignorance is bliss, others will argue that knowledge is power. Early detection of any condition – be it anaemia, diabetes, a hyperactive thyroid or cancer – means swifter, targeted action and a better chance of full recovery.

For the millions of women who endure years (seven, on average) of pain before receiving a diagnosis of endometriosis, recent coverage of the disease will have come as a relief. For too long this debilitating condition has been referred to dismissively as ‘women’s problems’ by society, and many doctors do not recognise the symptoms and repeatedly misdiagnose. Perhaps it is the recognition of the economic impact that has made people sit up and listen: according to a report published in the Guardian, the cost of endometriosis to the UK economy in 2012 through women having to drop out of the workforce was a staggering £10.6bn. Now that endometriosis is back on the public agenda, it is time to return to some of those oft repeated myths.

Myth 1

Severe period pain is normal. Being in such pain that you cannot function at school or at work is not about having a low pain threshold. It is not normal and you should seek help from an expert such as London female gynaecologist Miss Amanda Tozer.

Myth 2

Endometriosis leads to infertility. The condition’s potential negative impact on fertility is often one of the concerns that trigger women to attend Amanda Tozer’s clinic in London’s Harley Street. While it can be a factor in infertility, it is estimated that 60–70% of women with endometriosis are fertile.

Myth 3

Pregnancy will cure endometriosis. During pregnancy, you may have temporary relief from the symptoms of endometriosis, but the disease will not have gone away.

Myth 4

Young women don’t get endometriosis. Two thirds of women with endometriosis seek help before the age of 30, and many date the problems back to their very first period.

Myth 5

Endometriosis is, in part, an emotional disease. It should not be a surprise that unrelenting pain and discomfort caused by a physiological problem have an affect on a woman’s emotions. That is a result but not a cause and, fortunately, the world is slowly waking up to that.

In films, books and general parlance, the two most frequently cited menopause symptoms are (often comical) hot flushes and a significant loss of libido. However, while many women do find their sex drive has taken a nose dive, there are many others who have not lost interest in intimacy, rather the act of sex has simply become painful. At Amanda Tozer’s London menopause clinic she is often asked this one question: ‘do I just have to say goodbye to my sex life?’

What changes does the vagina undergo during menopause?

The term for pelvic pain felt during or after sex is dyspareunia, and its symptoms can be very distressing and have a negative impact on self-esteem and on relationships. Dyspareunia that has developed with the menopause is likely to be a consequence of vaginal atrophy, itself a result of oestrogen levels plummeting. The vaginal wall requires oestrogen to keep it strong and resistant by increasing the blood supply and the levels of secretions to make it softer and able to stretch; when oestrogen levels fall, the vaginal tissues thin and lose their stretch and lubrication, both vital to pain-free sexual intercourse.

Can I enjoy pain-free sex after the menopause?

Female gynaecologist Amanda Tozer is pleased to be able to offer an innovative new treatment at her London clinic for women suffering from menopausal vaginal atrophy: the MonaLisa Touch. Clinical trials have shown that after just three sessions 63.53 per cent of patients reported an improvement in their symptoms of dyspareunia.

The MonaLisa Touch is a non-invasive laser treatment that gets to the root of vaginal atrophy, promoting and recovering pre-menopausal metabolic activity. New collagen, hyaluronic acid and other essential elements are synthesised, helping to regain a hydrated mucosa and, as a consequence, a proper trophic supply to the vaginal tissues – allowing them to function more as they did before the menopause threw your sex life into disarray.

The Mona Lisa treatment works very well in treating other menopausal symptoms such as recurrent thrush and vaginal dryness.

Ovarian cysts are likely to develop in 7 per cent of women before they reach the menopause, although many people experience no symptoms and are therefore unaware of the cyst’s presence. An ovarian cyst is a fluid-filled sac that develops on the surface, or sometimes inside, the ovaries. They tend to be small and clear up without treatment, but a decision whether to remove surgically will be informed by the symptoms suffered, the type and size of cyst, and the patient’s age.

Are ovarian cysts cancerous?

Most ovarian cysts are benign and the likelihood of yours being cancerous is slim. There are risk affecting factors such as whether you have had ovarian or breast cancer (or if there is a family history of the disease), whether you have had children, and whether you smoke. In pre-menopausal women, around one in 1,000 ovarian cysts are found to be cancerous; for women over the age of 50, the risk of the cyst being malignant is higher, with about three in 1,000 ovarian cysts found to be cancerous. Female gynaecologist Miss Amanda Tozer regularly treats women for ovarian cysts at her London clinic; where cysts show suspicious features, she will run a blood test to measure CA 125 level and perform an MRI scan to evaluate the cyst further.

How will ovarian cysts affect my fertility?

Ovarian cysts do not usually cause infertility issues and will, in most cases, go away without medical intervention. However, where surgery is required to remove a cyst, particularly one that is very large or has twisted, there is a risk of damaging the ovaries, or needing to remove one, thereby initiating a fertility problem. It is important that anyone undergoing keyhole surgery for removal of ovarian cysts understands the risks; to this end, during a consultation with London gynaecologist Amanda Tozer, you will discuss at length the potential complications of surgery and how these are managed.