Vagina
Many vaginal problems are actually very common and easily treated, even though they are not often spoken about. A high number of women have at some point experienced discomfort, dryness, discharge, or thrush (candida), infection or mild incontinence.
We offer sensitive and thorough gynaecological care, with medical treatment and lifestyle advice, plus emotional guidance and life coaching if you would like extra support. We also provide surgery (e.g. for prolapse) and our specialist cosmetic surgeon is experienced in vaginal work.
Gynaecology is the cornerstone. The first step is to meet your gynaecology consultant for a chat and a gentle examination. We are proud to have one of London's most skilful vaginal specialists, Dr Rashna Chenoy, among our experienced gynaecology team.
Laboratory analysis of vaginal swabs, cervical smears and blood tests provides useful information towards diagnosing vaginal problems.
Ultrasound scanning is frequently used to investigate incontinence or pelvic pain.
Colposcopy is an examination similar to having a cervical smear test: using the colposcope enables your gynaecologist to magnify and examine your vagina and cervix in detail. If needed a biopsy will be suggested to provide an accurate diagnosis.
Medical treatment may be helpful, depending on the issue. If an infection is present antibiotics may be prescribed; we also recommend probiotics to reduce potential side effects. Natural remedies such as tea tree pessaries may replace antibiotics. Sometimes oestrogen hormones are very hlepful. Pain in the labia may respond to gentle creams that rarely contain a steroid.
Surgery may be needed to treat prolapse or to widen the vaginal opening or remove abnormal cells. It can be very effective to reduce pain. In conjunction with medical care, or for personal reasons (e.g. labial reduction or reconstruction), you may consult our specialist in cosmetic surgery.
Pelvic floor exercises strengthen muscles and ligaments that support your vagina. You may be referred to a specialist physiotherapist or a Pilates teacher for guidance. Pelvic floor strengthening classes are among our programme of courses.
Complementary care can often make a difference. For instance, nutritional measures can reduce recurrent outbreaks of thrush; osteopathy may relieve pain; acupuncture may help to rebalance hormones; while homeopathy is often used when an emotional issue is involved. You also have access to a life coach and a hypnotherapist. Your consultant gynaecologist can help you decide which, if any, therapy, might help you.
Sexual, self-esteem or relationship issues have an impact on vaginal function. Gentle exploration of your experiences may be a powerful way of releasing fear, tension or pain connected with your vagina and other erogenous zones. It may also be useful if you feel disconnected from this part of your body, or if you require treatment and need support as you go through this. If you would like to meet one of our 'Emo' (emotional support) team, your doctor will be happy to match you with a suitable therapist.
