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Obstetrics & Gynecology

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From Caring comes Courage

An appointment with a specialist gynecologist in Dubai can be intimidating, and some women avoid going to these doctors altogether. It is very important for women to visit an OB-GYN because the physician understands the many problems that they face. A gynecologist specializes in the female reproductive system which includes the cervix, fallopian tubes, ovaries, uterus, and genital region.

Dr. Fathi Emara Medical polyclinic offers all gynecology services. Our team of dedicated gynaecologists in Dubai provides best possible care for the patient during pregnancy and delivery. Book an appointment with our gynecologist in Dubai anytime.

When you come to the Dr Fathi Emara Polyclinic Department of Obstetrics and Gynecology, you will find support on your lifelong journey from childbearing age to menopause and beyond. Its team-based approach includes you as a partner in care, healing, hope and solutions to complex problems.

 

Services Include:

Acute and Chronic Pelvic infection treatments.

Antenatal & Postnatal Care

Cosmetic Vaginal Management (Vaginal tightness and Stress incontinence Management)

Ultrasound ( Sonography)

Family planning counseling

Hormonal dysfunctions treatments

HPV / PAP smear Immunization

Infertility diagnosis and treatment

Menstrual disorders treatments

Polycystic Ovarian treatments

Pre-marriage counseling for women

Treatment of Superficial Venous Disorders

Pre-menopause and post-menopause counseling.

 

Antenatal & Postnatal Care

Antenatal care

Antenatal care is the care you receive from our team of specialists during the course of your pregnancy. You will be given appointments with obstetricians for them to check you and your baby’s health, give you all the information you need during this special time and arrange for screening tests to ensure a healthy pregnancy and delivery. They will also be there throughout the duration of your pregnancy to help answer any questions you may have.

Starting antenatal care

You can begin your antenatal care as soon as you know that you’re pregnant by making an appointment with your physician.
It is best to see us as early as possible to obtain the information you need to have a healthy pregnancy from the beginning.
Let your doctor know if you have a disability or special needs that need attention for your antenatal appointments.

Antenatal care

During your antenatal care process, you will be given information regarding your pregnancy about topics such as nutrition, diet, and lifestyle. You will also be asked about you and your spouse’s medical history, as well as having pre-antenatal tests done, such as screening for sickle-cell disease and thalassemia.

Your first antenatal visit should happen when you are 6-8 weeks pregnant. It will take place at the polyclinic. You will be given information about:

How your baby develops during pregnancy

Diet and nutrition

Exercise

Screening tests

Your pre-scheduled appointments with our doctor

Antenatal classes

Planning your delivery

On your antenatal visit when you are 24 weeks pregnant, your doctor will:

Ask for your urine, blood pressure and weight check up

Check your abdomen

Measure the baby’s growth

Your doctor will give you information about:

Your birth plan

Preparing for delivery and labor

How to tell when your labor begins

Post-delivery

Feeding your baby

Tests for your new baby

How to take care of yourself and your new baby

Postnatal Care

The postnatal period is the 6 weeks following birth, during which various changes that occurred to your body during pregnancy revert to the normal state. This includes various physiological changes to your body. During your postnatal care:

 

You will be offered information to help you to efficiently maintain you’re own and your baby’s health and well-being and to identify and remedy any possible complications.

You will be encouraged to breastfeed your child and be given helpful and informative resources on the process.

At each postnatal session, the doctor will ask you about your emotional state, your support system and your daily management strategies for all day-to-day matters.

Your doctor will encourage you and your spouse to share information about your changes in mood, emotions and behavior that seem out of the ordinary.

Your baby will be scheduled to see one of our Pediatricians and you and your spouse will be given information regarding your baby’s general health and instructions on how to correctly assess your baby’s health, and identify any common health problems in babies.

Over the duration of your postnatal care, you will be encouraged to ask any questions you may have, and to contact your doctor.

 

FAMILY PLANNING COUNSELLING

What is this session?

It is important to help women and their partners to gain increased control over their reproductive health. One of the main ways you can do this is through counseling on family planning methods during late pregnancy, the postpartum and the post-abortion periods.

What skills will I develop?

  • Providing information that builds on existing knowledge
  • Facilitating shared problem-solving and decision-making
  • Tailoring to specific family planning needs.

What I’m going to learn :

By the end of this session you should be able to:

  1. Assess the family planning needs of individual women
  2. Communicate information on the importance of birth spacing and on family planning method use.
  3. Communicate information on the importance of family planning in the postpartum and post-abortion periods.

Birth spacing and postpartum family planning:

Family planning is about deciding how many children you choose to have and when you want to have them (timing of pregnancies and birth spacing). The recommended interval before attempting the next pregnancy is at least 24 months in order to reduce risks to the mother and infant. A woman can become pregnant within several weeks after birth if she has sexual relations and if she is not breastfeeding exclusively. It is important that as a health worker you discuss the importance of family planning and birth spacing, and help couples in choosing the contraceptive method that is right for them.

The role of family planning counseling is to support a woman and her partner in choosing the method of family planning that best suits them and to support them in solving any problems that may arise with the selected method. During late pregnancy, after giving birth and after an abortion, it is important that the woman or the couple receives and discusses correct and appropriate information so that they can choose a method which best meets their needs. If a woman, preferably with her partner, is able to make an informed choice, she is more likely to be satisfied with the method chosen and continue its use.

THE HEALTH BENEFITS OF BIRTH SPACING AND FAMILY PLANNING

  • Delaying having children can give people the opportunity to complete education or further studies
  • Waiting to become pregnant at least 24 months after birth can lead to health benefits for the mother and baby.
  • Spacing births allows the mother to recover physically and emotionally before she gets pregnant again, and faces the demands of pregnancy, birth and breastfeeding.
  • Limiting the number of children in a family means more resources for each child and more time for the parents to dedicate to each child.
  • Family planning can also help couples in a sexual relationship not to be worried about the woman getting pregnant.
  • STIs including HIV/AIDS can also be prevented with correct and consistent use of condoms.
  • Younger women (adolescents) can delay pregnancy until their bodies are mature and they are ready in terms of their life course.
  • Older women (over 35) can prevent unwanted pregnancies that are often risky for their health and can lead to complications for both mothers and infants.

 

Menopause, Perimenopause and Postmenopause

Menopause, perimenopause and postmenopause are stages in a woman’s life when her monthly period stops. This is the end of a woman’s reproductive years. Perimenopause is the first stage in this process and can start eight to 10 years before menopause. Menopause is the point when a woman no longer has menstrual periods. Postmenopause is the stage after menopause.

 

What is menopause?

Menopause is a stage in life when a woman stops having her monthly period. It is a normal part of aging and marks the end of a woman’s reproductive years. Menopause typically occurs in a woman’s late 40s to early 50s. However, women who have their ovaries surgically removed undergo “sudden” menopause.

What are the hormonal changes during menopause?

The traditional changes we think of as “menopause” happen when the ovaries no longer produce high levels of hormones. The ovaries are the reproductive glands that store eggs and release them into the fallopian tubes. They also produce the female hormones estrogen and progesterone as well as testosterone. Together, estrogen and progesterone control menstruation. Estrogen also influences how the body uses calcium and maintains cholesterol levels in the blood.

As menopause nears, the ovaries no longer release eggs into the fallopian tubes, and the woman has her last menstrual cycle.

How does natural menopause occur?

Natural menopause is the permanent ending of menstruation that is not brought on by any type of medical treatment. For women undergoing natural menopause, the process is gradual and is described in three stages:

  • Perimenopause or “menopause transition.” Perimenopause can begin eight to 10 years before menopause, when the ovaries gradually produce less estrogen. It usually starts in a woman’s 40s, but can start in the 30s as well. Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. In the last one to two years of perimenopause, the drop in estrogen accelerates. At this stage, many women can experience menopause symptoms. Women are still having menstrual cycles during this time, and can get pregnant.
  • Menopause. Menopause is the point when a woman no longer has menstrual periods. At this stage, the ovaries have stopped releasing eggs and producing most of their estrogen. Menopause is diagnosed when a woman has gone without a period for 12 consecutive months.
  • Postmenopause. These are the years after menopause. During this stage, menopausal symptoms, such as hot flashes, can ease for many women. But, as a result of a lower level of estrogen, postmenopausal women are at increased risk for a number of health conditions, such as osteoporosis and heart disease. Medication, such as hormone therapy and/or healthy lifestyle changes, may reduce the risk of some of these conditions. Since every woman’s risk is different, talk to your doctor to learn what steps you can take to reduce your individual risk.

How long does perimenopause last?

The average length of perimenopause is four years, but for some women this stage may last only a few months. Perimenopause ends when a woman has gone 12 months without having her period.

What is premature menopause?

Menopause, when it occurs between the ages of 45 and 55, is considered “natural” and is a normal part of aging. But, some women can experience menopause early, either as a result of a surgical intervention (such as removal of the ovaries) or damage to the ovaries (such as from chemotherapy). Menopause that occurs before the age of 45, regardless of the cause, is called early menopause. Menopause that occurs at 40 or younger is considered premature menopause.

What are the symptoms of menopause?

You may be transitioning into menopause if you begin experiencing some or all of the following symptoms:

  • Hot flashes (a sudden feeling of warmth that spreads over the body)
  • Night sweats and/or cold flashes
  • Vaginal dryness; discomfort during sex
  • Urinary urgency (a pressing need to urinate more frequently)
  • Difficulty sleeping (insomnia)
  • Emotional changes (irritability, mood swings, mild depression)
  • Dry skin, dry eyes or dry mouth

Women who are still in the menopause transition (perimenopause) may also experience:

  • Breast tenderness
  • Worsening of premenstrual syndrome (PMS)
  • Irregular periods or skipping periods
  • Periods that are heavier or lighter than usual

Some women might also experience:

  • Racing heart
  • Headaches
  • Joint and muscle aches and pains
  • Changes in libido (sex drive)
  • Difficulty concentrating, memory lapses (often temporary)
  • Weight gain
  • Hair loss or thinning

These symptoms can be a sign that the ovaries are producing less estrogen. Not all women get all of these symptoms. However, women affected with new symptoms of racing heart, urinary changes, headaches, or other new medical problems should see a doctor to make sure there is no other cause for these symptoms.

Diagnostic and Test:

How will I know when I am postmenopausal?

A woman is considered to be postmenopausal when she has not had her period for an entire year (assuming she is not on medications that can stop periods). Measuring through a blood test called the follicle stimulating hormone (FSH) level is another way to determine if you are postmenopausal. FSH is a hormone produced by the pituitary gland (located at the base of the brain). However, the routine use of the FSH test is not needed to help the vast majority of women. Sometimes, the levels can be misleading since the levels go up and down during the transition into menopause.

Sexual Hormone Disorders: Treatment

Contact our doctor at Dr Fathi Emara polyclinic

Most sex hormone problems are diagnosed by blood tests. Additional testing which may be required include CT

 

 

Polycystic Ovary Syndrome (PCOS)

Women with polycystic ovary syndrome (PCOS) have a hormonal imbalance that usually begins at puberty. The condition interferes with normal reproduction. Symptoms include irregular periods, abnormal hair growth, and obesity.

Overview:

What is polycystic ovary syndrome?

 

Women with polycystic ovary syndrome (PCOS) have a hormonal imbalance that interferes with normal reproductive processes. PCOS usually starts at puberty and is associated with irregular periods and other hormone-related symptoms.

The most concerning issues with PCOS are the increase of infertility, the risk of developing diabetes and cardiovascular disease, and the higher risk of developing endometrial (uterine) cancer at an early age.

What causes polycystic ovary syndrome?

Research is ongoing to uncover a cause for PCOS. There is evidence that shows a link between certain forms of PCOS and family history, suggesting a genetic basis for the condition.

What are the symptoms of polycystic ovary syndrome?

Irregular menstrual periods, or no menstrual periods at all

Decreased frequency or complete lack of ovulation, resulting in problems with infertility

Obesity, often specifically characterized by weight gain in the upper body and abdomen

Oily skin and hair and persistent acne into adulthood

Abnormal hair growth, in a masculine distribution (facial hair, heavy hair growth on arms, chest, and abdomen)

Tendency to develop type 2 diabetes

Diagnostic and test:

How is polycystic ovary syndrome diagnosed?

Most cases can be diagnosed with a thorough evaluation of your medical history and symptoms. A blood test may be required to measure the levels of various hormones. In some cases, an ultrasound of the ovaries may help with diagnosis.

 

HPV (Human Papilloma Virus): Resources

Overview:

More than 30 strains of the human papilloma virus (HPV) can affect the genitals. Of those, approximately 13 are considered “high risk” because they can lead to cervical cancer. Find out how HPV can be prevented and treated

What is human papillpoma virus (HPV)?

HPV stands for human papilloma virus. It is a very common virus. There are about 100 types of HPV that affect different parts of the body. About 30 types of HPV can affect the genitals — including the vulva, vagina, cervix, penis and scrotum — as well as the rectum and anus. Of those, about 14 types are considered “high risk,” for leading to cervical cancer.

How common is HPV?

HPV that affects the genitals is very common. Approximately 79 million Americans are currently infected with HPV, with roughly 14 million people becoming newly infected each year. Most men and women — about 80 percent of sexually active people — are infected with HPV at some point in their lives, but most people never know they have the virus.

Can men get HPV?

Yes. In men, genital warts most often appear on the penis, on the scrotum, in or around the anus, or on the groin. For men, HPV infection — including those that can cause cellular changes — cause no symptoms, so diagnosing HPV in men is difficult. The diagnosis of HPV in men is made when external genital warts are seen.

Since there is no treatment for HPV that has no symptoms, most men with the infection are not treated. Sometimes, a healthcare provider can see small warts that might have otherwise gone unnoticed. In general, HPV infection does not place a man at a much higher risk for health problems. However, HPV prevention is still important for men, as the virus has been linked to uncommon cancers such as penile, anal, and head and neck.

How is HPV related to cervical cancer?

Certain strains of HPV can cause changes in the cells of the cervix, a condition called cervical dysplasia. If it is not treated, dysplasia can advance to cervical cancer. HPV is almost always the cause of cervical cancer. However, just because a woman has HPV or cervical dysplasia does not necessarily mean she will get cervical cancer.

Regular Pap tests are the best protection against cervical cancer. The test detects pre-cancerous changes and cervical cancer. Cervical cancer is almost always preventable or cured if pre-cancerous changes are detected and treated early, before cancer develops.

Before age 30, HPV infection is usually transient (gets better on its own). By age 30, finding HPV during Pap screening can help determine how often to be screened. The absence of high-risk HPV types usually means that a woman is at low risk for developing cervical changes related to the risk of cervical cancer. In this case, the period between Pap test screenings is usually five years for most women.

If a woman tests positive for high-risk HPV types, her healthcare provider will perform more frequent Pap tests to check for any cell changes that might be pre-cancerous or that need to be treated .

What is cervical cancer?

Cervical cancer is a condition in which the cells in the lining of the cervix — the narrow, outer end of the uterus — change and grow very fast, producing a grouping of cells called a tumor. This condition usually develops over time. It can affect women of any age, but it is most common in women in their mid-40s. A type of virus, called HPV, is the cause of most cases of cervical cancer.

How do you get human papilloma virus (HPV)?

Genital HPV is spread through contact with (touching) the skin of someone who has an HPV infection. Contact includes vaginal, anal, and oral sex. Some types of HPV cause genital warts, which are hard, rough lumps that grow on the skin. Anyone who is sexually active can get HPV and genital warts.

In women, genital warts most often appear in the following areas of the body:

On the vulva (the outer female genital area)

In or around the vagina

In or around the anus

On the groin (where the genital area meets the inner thigh)

On the cervix

What are the symptoms of HPV?

In many cases, HPV causes no symptoms. When they do occur, the most common symptom is warts in the genital area. Signs of infection can appear weeks, months, or even years after the person has been infected with the virus.

Diagnostic and Test:

How is human papilloma virus (HPV) diagnosed?

There are no blood tests for HPV, but some tests can help your healthcare provider diagnose the infection:

Pap test: During this test, the healthcare provider removes a sample of cells from the cervix. The cells are then examined under a microscope to look for any changes in the cells, even if the patient does not have genital warts.

Colposcopy: For this test, a healthcare provider uses an instrument — called a colposcope — that shines a light and enlarges the view of the cervix. A vinegar solution is placed on the cervix. The solution turns abnormal cells that are infected with HPV white, so they can be seen more easily.

HPV DNA test: This test looks directly for the genetic material (DNA) of the HPV within a sample of cells. The test can detect the type of HPV connected to cervical cancer. The sample used for this test is generally collected at the same time as a Pap test.

 

Vaginal rejuvenation

 

What is vaginal rejuvenation?

Vaginal rejuvenation is a broad term that covers several vaginal corrective procedures. These procedures are meant to correct problems that can occur after giving birth or during the aging process. Conditions can include:

Laxity (lack of tightness) of the vagina

Stress urinary incontinence

Lack of lubrication

Who gets this treatment?

The two main groups of women who get this treatment are:

Postmenopausal women

Postpartum women

What are the different types of energy-based treatments for vaginal rejuvenation?

There are two types of energy-based treatments for vaginal rejuvenation. Both treatments use heat.

Radiofrequency (RF) treatments

CO2 laser treatment

What are other treatments for vaginal rejuvenation?

Other treatment options for vaginal rejuvenation can include:

  • Kegel and pelvic floor exercises: These exercises are meant to strengthen the muscles in and around the vagina.
  • Vaginoplasty: This surgical procedure tightens the vagina.

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