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Vaginoplasty is a procedure that will tighten up a vagina that’s become loose from vaginal childbirth or aging. After the procedure you will have greater strength and control. Labiaplasty is a surgery on the labia (the lips surrounding the vagina) and is performed alone or with vaginoplasty. Surgery can be performed on labia majora or labia minora and will change the shape of the labia.  Both procedures are performed under general anaesthetic which means you will be asleep, and you will not feel any pain. Surgery is a day case, but you may be asked to stay overnight. Recovery time depend on your body but normally it takes up to 6 weeks. 

BEFORE THE PROCEDURE

1. You will attend face to face consultation where Mr Abouzeid will answer all your questions, perform examination and set full treatment plan.  Consultation appointmens are available at Alexandra,Highfield,Oakland and Pines Hospital.

2. We will agree the surgery date and pr- op date 

Pelvic pain is felt in a lower part of the tummy. 

 pelvic pain include:

• a sharp, stabbing or burning pain that happens suddenly
• a pain that comes on slowly but does not go away
• a dull or heavy ache, or feeling of pressure
• a twisted or knotted feeling
• a cramping or throbbing pain, which may come and go
• pain only when you’re doing something, like exercising, having sex, or peeing

Don't wait with booking your visit if you suffer from pelvic pain. 

 Heavy menstrual bleeding can happen because of different reasons.

tumours, (benign tumours such as fibroids),

 swelling inside the uterus (polyps), malignant tumours,

 infection, 

haematologic disorders,

irregular hormone production.

Common Management:

• Birth control. Birth control pills and hormonal IUDs may help balance hormones and manage periods.
• Over-the-counter pain medications. 
• Prescription medication.
• Surgery. Removing polyps or fibroids may help reduce bleeding and ease other painful period symptoms.
• Dilation and curettage (D & C). If other treatments aren’t successful,  doctor will remove the outermost layers of the lining of your uterus during a D&C procedure. This helps reduce bleeding and lighten periods. This procedure may need to be repeated.
• Hysterectomy. In some cases, removing your uterus entirely may be necessary. You’ll no longer have periods, and you will not be able to get pregnant after this procedure.

 They are common fluid-filled sacs that develops on an ovary and do not usually cause any symptoms.

Most ovarian cysts occur naturally and go away naturally without needing any treatment.

Symptoms

An ovarian cyst usually only causes symptoms if it splits, is large or blocks the blood supply to the ovaries. If this happens you can feel:

• Pelvic Pain–  this can range from a dull, heavy sensation to a sudden, severe and sharp      pain
• pain during sex (dyspareunia)
• difficulty emptying your bowels
• a frequent need to urinate
• heavy/irregular menstrual periods or lighter periods than normal
• bloating and a swollen tummy
• feeling very full 

Types of ovarian cyst

The 2 main types of ovarian cyst are:

• functional ovarian cysts – cysts that develop      as part of the menstrual cycle and are usually harmless and short-lived;      these are the most common type
• pathological ovarian cysts – cysts that form      as a result of abnormal cell growth; these are much less common

If ovarian cyst is suspected you'll probably be referred for an ultrasound scan, carried out by using a probe placed inside your vagina.

Treating ovarian cysts:

Whether an ovarian cyst needs to be treated will depend on:

• its size and appearance
• whether you have any symptoms
• whether you have been through the menopause

In most cases, the cyst often disappears after a few months. A follow-up ultrasound scan may be used to confirm this.

If you are postmenopausal, there is a slightly higher risk of ovarian cancer Regular ultrasound scans and blood tests are usually recommended over the course of a year to monitor the cyst.

Surgical treatment to remove the cysts may be needed if they're large, causing symptoms or potentially cancerous.

 If you don’t have your period for more than 3 cycles, it is called amenorrhea.  There are several possible causes of amenorrhea, including:

• Pregnancy.
• Ovulation      abnormality.
• Birth      defect, anatomical abnormality, or other medical condition. 
• Eating      disorder
• Overexercise      or strenuous exercise
• Thyroid      disorder
• Obesity

Diagnosis begins with a medical history and examination. A diagnosis of amenorrhea means that you miss at least 3 periods in a row, without being pregnant.

Treatment for amenorrhea may include:

• Hormone      treatment (progesterone supplements)
• Oral      birth control pills (prevents ovulation)
• Dietary      changes to include increased caloric and fat intake