I don’t think I’m ready for fertility treatment…

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.

How can gynaecological laser treatment help my menopause symptoms?

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.

Well Woman Screening FAQs

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.

5 myths about endometriosis

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.