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An in-depth guide to infertility: part 1

Infertility is when a couple is unable to conceive after a year or more of regular, unprotected sex. It is estimated that it affects 1 in 7 couples in the UK and can be associated with psychological distress and significant strain to the relationship if prolonged treatment is unsuccessful. In the first article of a two-part series, revered consultant gynaecologist and specialist in fertility Miss Petya Doncheva provides an in-depth guide, explaining the signs of infertility in women, causes and diagnosis.

Bone health and menopause: what’s the connection?

Menopause negatively affects bone health due to a decline in oestrogen levels, which accelerates bone density loss. This increases the risk of osteoporosis, making bones weaker and more prone to fractures. Dr Ashlesha Dhairyawan, an experienced menopause specialist, who is accredited by the British Menopause Society, explores the link between menopause and osteoporosis.

The association between diet and endometriosis / adenomyosis

Endometriosis is a chronic gynaecological condition affecting millions of women worldwide, characterised by the growth of endometrial-like tissue outside the uterus. Research has increasingly focused on the role of diet in the development and management of endometriosis. Evidence suggests that a diet high in meat and refined foods is associated with an increased risk of endometriosis, whereas a plant-based diet may have protective effects. Renowned consultant women’s health expert and consultant gynaecologist Mr Mahantesh Karoshi explores the link between the diet and endometriosis/ adenomyosis.

Sex during pregnancy

There are lots of things you may have heard about having sex during pregnancy that might not necessarily paint the full picture. For example, some people say your baby may get hurt, it can encourage labour or that it’s not safe at all. Here to clear up any ideas, doubts or questions you might have about sex during pregnancy are leading London Gynaecology consultants sexual and reproductive health consultant Miss Julie Bowring, and Miss Meg Wilson, consultant obstetrician and gynaecologist.  

Why are sexual health check-ups important?

Sexual health check-ups are essential because, while sexually transmitted infections (STIs) can be silent, they can also have significant health implications. STIs such as chlamydia can affect female fertility and HIV weakens the immune system. In this informative article, leading consultant gynaecologist Dr Priyanka Patel provides a detailed in-depth look at this topic.

What is free fluid in the pelvis?

The Pouch of Douglas, also known as the rectouterine pouch, is a small, triangular space located in the lower abdomen, behind the uterus and in front of the rectum. It's the lowest part of the peritoneal cavity, the lining of the abdominal cavity. The presence of fluid in this space can be a normal physiological occurrence or a sign of a pathological condition. Experienced women’s health expert and consultant gynaecologist, Mr Mahantesh Karoshi explains everything you need to know.

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