Ask the gynaecology consultants at Spire Healthcare your questions on all things gynaecology - £200 voucher to be won

[LucyBMumsnet]

Gynaecology isn’t a topic that’s likely to come up in everyday conversation. However, many people are seeking answers to their gynae-related questions and finding the right time or person to ask can be a challenge. That’s why Spire Healthcare has recruited a panel of gynaecology experts who will be here to answer your questions about all things related to gynaecology.

Here’s what Spire Healthcare has to say: “Spire Healthcare is a leading independent hospital group in the United Kingdom, with 39 private hospitals and eight clinics across England, Wales and Scotland. Working in partnership with around 7,500 experienced consultants, Spire Healthcare delivered tailored, personalised care to almost 750,000 inpatients, outpatients and day case patients in 2020.

The Group’s well located and scalable hospitals have delivered successful and award-winning clinical outcomes, positioning the Group well with patients, consultants, the NHS, GPs and Private Medical Insurance providers. 90% of Spire Healthcare’s hospitals are rated ‘Good’ or ‘Outstanding’ by the CQC (or the equivalent in Scotland and Wales).”

Want to find out more about who will be answering your questions? Read about the panel of experts below:

Dr Gail Busby
Dr Gail Busby is a Consultant Gynaecologist specialising in paediatric, adolescent and adult gynaecology conditions. She qualified in Trinidad in 1996, before amassing a wealth of experience at Liverpool and London. Her clinical interests include menstrual disorders, endometriosis, laparoscopic surgery, hysteroscopy and post-menopausal problems.

Mrs Sarah Hussain
Sarah has been a consultant gynaecologist for 33 years. She has a special interest in incontinence, prolapse of vagina and uterus, heavy and painful periods and abnormal bleeding, menopause, endometriosis and fibroids.

Mr Mohamed Mabrouk
Mohamad is a Consultant Gynaecologist and adjunct professor in Gynaecology in the University of Southern Denmark. His special interests are endometriosis, advanced laparoscopic and hysteroscopic surgery and menstrual disorders. He has extensive experience in laparoscopic surgery for endometriosis and is dedicated to helping women with endometriosis have a better quality of life and improve their fertility.

Maybe you have a question about recovery after childbirth or strengthening your pelvic floor muscles? Perhaps you’d like information on the things all women should know about their health or if they should have regular gynaecology check-ups? Whether your question is about menstrual disorders, childbirth injuries or incontinence, post it on the thread below. The expert consultants from Spire Healthcare will be back in July to answer a selection of your questions.

Everyone who shares a question on this thread will be entered into a prize draw where one lucky Mumsnet user will win a £200 voucher for a store of their choice (from a list).

Thanks and good luck!
MNHQ

Insight Terms and Conditions apply

My auntie and grandma both died of ovarian cancer at a young age (early 50s) and my mum had a preventative hysterectomy at 45, I am now 42, and are there any tests you can have for this cancer, and is a preventative hysterectomy or removal of ovaries the only real way of protecting myself (non smoker and light alcohol only and not overweight)

Q1) Why is there sometimes failure to progress in labour from latent phase to active despite interventions being used such as water breaking and hormone drips?

2. How does/could a cesarean affect future fertility?

Is there a link between endometriosis and diminished ovarian reserve (low AMH)? If so, why is this?

It's well in know that breast cancer can be hereditary can cancer of the womb also be? I got asked at a breast appointment about cancer if the ovaries but no mention of cancer if the womb which my grandmother had. Are breast cancer and cancer of ovaries related in someway?

I’ve read a lot about the problems (and refusal) for women to get an IUD/coil removed. It is putting me off getting one to be frank. Do you agree that the medical profession still see women as being too stupid to understand their own bodies?

@Brogues what problems?

I would think that by the time you get to see these women, a lot of women are truly desperate for answers and or have been fobbed off repeatedly by their GP.

Do you feel that some GPs are loathe to refer women who present with ongoing gynaecological problems like heavy bleeding in perimenopause and severe period pain (to name but two) to people like yourselves?. This has certainly been my experience and I wonder if this is representative amongst the women you see.

That women permanently bleeding or having excessive blood loss through periods should just suck it up @OrangeSoda2021 and being told to give it a better try for a few more months. I’ve heard women on MN only being allowed to make an appointment if they threaten to remove it themselves.

How do you know you are going through the menopause if you have the coil fitted and no periods because of it?

I've been diagnosed with likely adenomyosis.

Bleeding for 2 weeks and heavily (tampon and pad every 20 minutes) on a 25 day cycle.

2 coils came after after mini pill failed.

I now take northisterone 5mg twice a day. After breakthrough bleed I was told to have a break but just was in agony and uncontrollable bleeding for after 5 days it's was started again.

So am I still producing endometrial lining?

What's the best treatment for adenomyosis? I've been referred to consultant as urgent but acceptance if urgent is a battle currently.

Here's my question - how can you tell what a baby's gender is before it's born, or just after birth?

In my early 40s and diagnosed with PCOS. Wat should I be aware of as I get older?
I have very heavy periods which are worse when I am anemic.
How does PCOS affect the peri menopause and menopause?
Thank you.

I’m 44 and have a Mirena Coil.

Does the Mirena mask symptoms of the menopause?

What age should I have a Mirena until to get me through the menopause?

Two years post hysterectomy for endometriosis and adenomyosis and heavy bleeding. Still suffer with extreme lower right abdominal pain for a week after sex. No pain any other time. Ovaries were removed so not sure what is causing the pain?

@AttilaTheMeerkat

I would think that by the time you get to see these women, a lot of women are truly desperate for answers and or have been fobbed off repeatedly by their GP.

Do you feel that some GPs are loathe to refer women who present with ongoing gynaecological problems like heavy bleeding in perimenopause and severe period pain (to name but two) to people like yourselves?. This has certainly been my experience and I wonder if this is representative amongst the women you see.

All the time

me, DD, my mum, most of my friends

I mean we are women periods are part of that and sometimes its difficult says the Male GP

Do adhesions ever get better after an emergency caesarean? How do you know you have them

@JellySlice

Why are gynaecological procedures such as hysteroscopies and insertion of IUDs performed on women without adequate pain relief? The statement "it may feel a little uncomfortable" patently untrue for many women. When these women try to tolerate the agonising and distressing pain, their distress is often ignored or belittled.

Why is this allowed to happen?

I came here to ask this too and was wondering what your policy is on this.

I believe I have a vaginal prolapse as I can see and feel a bulge in my vagina which can be pushed back in, I went to the GP 5 months after given birth as I was worried about this but the GP wouldn't even take a look and told me to ask my midwife; I did not do this as the midwives had signed me off of their care when my daughter was a few weeks old so I didn't know where to turn.

Now 4 years later and it has not got better or worse, should I still try to get an official diagnosis? Is it dangerous to leave unchecked? Also currently trying to conceive 2nd child, will a prolapse affect the pregnancy or birth? Can it cause miscarriage?

Thank you

Why are smears not offered until 25?

Fibroids and late menopause feature heavily in my family and so I’m aware I’m likely to suffer too. Is there anything I can do to minimise the chances of suffering? My body goes crazy with hormones (massive issues with various hormonal contraceptives which took my system months to recover from and very difficult pregnancies as my body reacted to pg hormones) so I would not be happy to take hormone based medication for it. Are there other alternatives of medication? Would the nhs operate, or is this a last resort/wait until it gets really big?

At my 2nd EMCS, the surgeon noted I had extremely dense adhesions (from my 1st EMCS.)
For the past 10 years or so, I've had constant pelvic pain, I can pinpoint where it hurts the worst. Went to my GP about 7 years ago, referred for TVUS and was diagnosed with PCOS. As I wasn't trying to conceive, I was told no treatment would be offered.
I'm 47 now, in perimenopause, and in extreme pain, particularly when I get my period. Not using contraception as my husband has had the snip.

Could my adhesions be endometriosis now? Will this all ease off when my periods stop? Thank you.

After having endometriosis removal at the spire it has now come back and due to get a full hysterectomy including ovaries, what would you suggest I take as can’t take hrt. I’ve heard of tibilone? Is this suitable

After having a bad last year my periods came back at 6 months post partum. They are longer and heavier than before. Is this something that will go back to my normal or is this my new normal now?

I think i have bowel endometriosis yet I have no other symptoms.