Dear Barbara Yes. There is some evidence that endometrial scratch in women who had previous iVF implantation failure will improve success. However for the first IVF cycle, the evidence is still not there and under research All the best Mr Radwan Faraj Consultant Gynaecoloist Private: Thornbury Hospi...

Dear Sharon First let me explain the difference of types of hysterectomy Total Hysterectomy: means removing the womb and neck of the womb (uterus and cervix) ,by doing that there is no need for further smears Subtotal Hysterectomy: here the cervix will not be removed and women still need to have sme...

Good question! Endometrisis will cause adhesions and any operation (not necessarily for endometriosis) will be followed by adhesions. You had 2 operations already for endometriosis, this ideally should be followed by medical treatment to reduce recurrence of endometiosis. This is like GnRh injection...

Fibroids can be treated medically or surgically. Recent advances in Medical treatment is a new tablets called Esmya 5 mg is a great treatment that will stop bleeding quickly and reduce fibroid size. Surgery can be done via a cut or the key hole. Laparoscopic myomectomy in expert hands has a quick re...

I would strongly advised to see a gynaecology Oncologist who will be able to help. Treatment is available like vaginal dilators with Estrogen vaginally

All the best

Mr R Faraj

www.faraj-gynaecology.co.uk

Hello Periods vary for many reasons, being stressed , medications and so many other causes. I agree, if not pregnant, its worth wait and see the pattern of your periods in the coming few months as it may normalise again. If remained light, its worth checking hormones for ovarian function like FSH an...

Hi I suggest to have a gynaecology opinion as we may consider further imaging like MRI of the pelvis. If your pain worse with the periods, I may consider repeat laparoscopy and do thorough assessment as you said you had a laparoscopy 6 years ago.. We should not always blame adhesions as a cause of a...

Hi We as gynaecologists see and treat painful intercourse regularly. However, to be successful in treating your patient, we need to understand the cause of the problem. I do feel painful intercourse could affect the relationship and also leads to avoiding having sex. Prior the menopause the common c...

Dear Mary Thanks for the question The main concern is Bone loss (osteoporosis) I would recommend Life style and exercises Healthy diet Calcium supplement If early menopause and not had HRT I would recommend Bone Density scan (DEXA) to assess if bones are fine There is still a benefit from HRT, I wou...

Dear Sarah I am sorry to hear that you have 3 miscarriages. First I would like to reassure you that you will have good chance for a healthy pregnancy next time by 75% Please start folic acid from now. If you are overweight, healthy life style and weight loss is a priority (Ideal BMI is less than 30)...