The reasons most women come to see me, and how I approach them.
Frequently asked questionsA stage to live well informed and without fear, caring for your intimate health too.
Hot flushes, insomnia, mood changes, vaginal dryness, leaking urine or lower desire: not everything is the menopause, and what is can be treated.
I start with lifestyle and move forward step by step: moisturisers and lubricants, local oestrogen, hormone therapy when it is indicated and safe for you, and techniques such as laser, hyaluronic acid or radiofrequency when needed.
That is not a question that can be answered in general, only in your case: hormone therapy is considered when it is indicated and safe for you, taking your history and your background into account. In some situations it is also wise to carry out thrombophilia testing first.
That is not the first step. We start with moisturisers and lubricants and with local oestrogen, and when they are needed there are the techniques I use in my practice: laser, hyaluronic acid or radiofrequency.
Yes, and it should not be taken as inevitable. The foundation is pelvic floor training, with electrical stimulation and biofeedback to learn to activate the right muscles, and for mild or moderate stress incontinence the vaginal laser can be added.
When the days before your period change your body, your mood and your life.
An inflammatory disease that takes far too long to diagnose and deserves a complete approach.
Irregular periods, excess androgens and a metabolism that needs attention.
The most common benign tumours of the uterus: often they only need monitoring.
Pain that stays in your pelvis for months is never normal and always deserves investigation.
Itching, burning and discharge that keep coming back despite treatment.
Pain during sex, dryness or low desire often have a physical cause that can be treated.
Preparing your body before trying for a pregnancy.
Diet, lifestyle and environment as the foundation of any treatment.
Whether a test or treatment is right for you is decided together, in consultation, after assessing your case. This page is for information only and does not replace a medical assessment.
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