Gynaecareuk

Gynaecareuk Mr David Ogutu MRCOG
Specialist in IVF, Key-hole surgery & Cosmetic Gynaecology. Clinics in Hertfordshire & London. DM for further details. gynaecare.uk.com

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AI view on Doctify of Dr David Ogutu
31/08/2026

AI view on Doctify of Dr David Ogutu

What is a missed miscarriage?A missed miscarriage (also known as a silent miscarriage) is a type of miscarriage where an...
30/08/2026

What is a missed miscarriage?

A missed miscarriage (also known as a silent miscarriage) is a type of miscarriage where an early pregnancy stops developing, but the body does not immediately show the usual miscarriage signs, such as heavy bleeding and strong cramping. Many people only find out after a scan or follow-up appointment.

In a missed miscarriage, the pregnancy may stop growing, but the uterus may not expel the pregnancy tissue right away. Healthcare professionals usually identify this through ultrasound and careful clinical assessment. Sometimes blood tests may also be used depending on your individual situation, alongside decisions about follow-up timing.

With a missed miscarriage, symptoms can be mild, absent, or different from what you might expect. Some people have light spotting or notice that pregnancy symptoms begin to improve. Others may have very little discomfort at all initially. However, it’s important to know that symptoms can vary widely, and the presence or absence of symptoms doesn’t always predict what’s happening, this is why scans and medical review are so important.

A clinician typically confirms a missed miscarriage using ultrasound and comparison with expected development for the gestational age. If there is uncertainty, a repeat scan may be recommended after a short interval to gather clearer information.

Hysteroscopy: what you need to knowA hysteroscopy is a procedure where a thin, lighted camera is passed through the va**...
30/08/2026

Hysteroscopy: what you need to know

A hysteroscopy is a procedure where a thin, lighted camera is passed through the va**na and cervix into the uterus. This allows the doctor to directly see the inside lining of the womb (endometrium). Depending on your situation, the procedure may be done for diagnosis only or for diagnosis and treatment during the same visit.

Hysteroscopy is often recommended when symptoms or scan results suggest something may be going on inside the uterine cavity. Common reasons include abnormal uterine bleeding, suspected polyps in the uterine lining, certain types of fibroids that grow into the uterine cavity, a thickened endometrium or other abnormal findings on imaging, and investigations related to fertility or repeated miscarriage.

Your appointment typically starts with a discussion of your symptoms and medical history. Your clinician will review any medications you take and advise whether anything needs to be paused. Pain relief and anaesthesia options are discussed in advance, since hysteroscopy may be performed under local anaesthetic, sedation, or general anaesthetic depending on the case and your comfort. Your team may also suggest timing the procedure to make the examination more informative.

The procedure is usually short and you’ll be monitored throughout. If required, the cervix is gently prepared, and then the hysteroscope is passed into the uterus. Fluid or gas may be used to gently expand the uterine cavity to provide a clear view. Your clinician carefully inspects the uterine lining and cavity. If treatment is planned, small surgical instruments may be used to remove or treat the problem, such as a polyp, or tissue may be taken for testing.

Navigating diabetes while pregnantIf you’re pregnant and living with diabetes, you deserve clear guidance, steady suppor...
28/08/2026

Navigating diabetes while pregnant

If you’re pregnant and living with diabetes, you deserve clear guidance, steady support, and the confidence to get through every stage. With the right care plan, many people have healthy pregnancies and babies.

Here are a few things to keep in mind: get a proactive pregnancy care plan with your diabetes and maternity teams, monitor blood sugar closely and follow any targets your clinician gives you, attend regular appointments to track you and your baby’s progress, ask questions early - small adjustments can make a big difference, and reach out for support if anything feels off or uncertain.

For trusted information and updates, you can also read: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/diabetes-during-pregnancy

Want to speak to a specialist team? https://gynaecare.uk.com/contact/

Infections that can affect pregnancyPregnancy can change the immune system, which means certain infections may be more l...
26/08/2026

Infections that can affect pregnancy

Pregnancy can change the immune system, which means certain infections may be more likely and, in some cases, can affect pregnancy outcomes. Many risks can be reduced with routine screening, recommended vaccines, good food safety and early treatment.

Common concerns include UTIs (especially if they spread to the kidneys), STIs such as chlamydia, gonorrhoea, syphilis, HIV, and herpes (which can affect the pregnancy and sometimes pass to the baby at birth if untreated), and va**nal infections like bacterial vaginosis (sometimes linked with complications) and yeast (usually treatable, mainly causes discomfort).

Viral infections such as flu can be more serious in pregnancy, while others like hepatitis B, chickenpox (varicella), parvovirus B19, and CMV can affect the foetus depending on timing and exposure. Food/soil-related infections are also important, especially listeria and toxoplasmosis.

Some infections may not cause symptoms but still matter, such as Group B Strep (GBS), which many people are screened for late in pregnancy and can be treated at delivery if positive.

Get urgent advice if you have fever, severe/worsening flu-like symptoms, burning when urinating, back/flank pain, significant bleeding or severe abdominal pain, a rash with possible chickenpox exposure, or any serious concern about you or your baby.

Dietary intervention for PCOS managementIf you or someone you know is dealing with PCOS, diet can be a powerful place to...
22/08/2026

Dietary intervention for PCOS management

If you or someone you know is dealing with PCOS, diet can be a powerful place to start, especially when it’s done the right way. A new article in Frontiers in Endocrinology highlights how dietary interventions may support PCOS management and overall metabolic health.

Read more from the study here:
https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2026.1713408/full

However if you are looking for personalised guidance our team at Gynaecare is here to help. Contact us here: https://gynaecare.uk.com/contact/

Ovarian health myths and misconceptionsOvaries play a big role in your overall health but there’s a lot of confusion out...
20/08/2026

Ovarian health myths and misconceptions

Ovaries play a big role in your overall health but there’s a lot of confusion out there. Some myths can delay care, increase fear and stop you from getting the right support. Let’s clear up a few common misunderstandings.

One myth is that ovarian problems only happen in older women, this isn’t true. Ovarian health issues can affect people at different ages, so symptoms shouldn’t be ignored at any stage.

Another myth is that if you don’t have pain, everything is fine. Many ovarian concerns can be subtle. Symptoms may come and go or feel like something else.

Some people believe screening is simple and always available, but access to testing and what’s appropriate can vary, so getting the right guidance matters.

Another misconception is that only family history means you should worry. Risk can involve more than family history, and being informed helps you make better decisions.

Finally, there’s the myth that testing is unnecessary unless you already feel very sick. But, early conversations and appropriate testing can help you stay proactive, not reactive.

If you’d like to learn more about ovarian health myths or explore options for testing and support, you can check out:
https://www.theflowspace.com/reproductive-health/ovarian/ovarian-health-myths-2938830/

Loss of Libido in PregnancyPregnancy can change everything, your body, energy levels, emotions, sleep and even how comfo...
18/08/2026

Loss of Libido in Pregnancy

Pregnancy can change everything, your body, energy levels, emotions, sleep and even how comfortable you feel day to day. So it makes sense that libido can shift too. If you’ve noticed less desire (or a completely different kind of desire), that doesn’t mean anything is “wrong” with you. It’s a common experience, influenced by a mix of physical and psychological factors.

Some people notice this change more during certain weeks of pregnancy, while others see it gradually. Often, it’s related to things like fatigue and stress, hormone changes, discomfort, body-image concerns, anxiety or mood changes, or simply not feeling like yourself. Sometimes desire drops because s*x feels less comfortable, and sometimes it’s tied to how your mind and emotions are coping with pregnancy.

The important part is that intimacy isn’t only about s*x. Intimacy can also be closeness, affection, reassurance, quality time, and finding what feels good in that season of life. And if you want answers or support, having a conversation with a healthcare provider can help you feel more informed and less alone.

To read more research on this topic see:
https://www.sciencedirect.com/science/article/abs/pii/S0018506X20301495

Pregnancy and v***ar varicosities Pregnancy can bring a lot of unexpected changes v***ar varicosities (swollen, bluish o...
12/08/2026

Pregnancy and v***ar varicosities

Pregnancy can bring a lot of unexpected changes v***ar varicosities (swollen, bluish or rope-like veins on the v***a) can happen for several common reasons.

One major factor is increased blood volume. During pregnancy, your body produces more blood to support your growing baby, which increases circulation to the pelvic area. That extra flow can put added pressure on the delicate veins in the v***a.

Another reason is pressure from the growing uterus. As the uterus expands, it can partially slow the return of blood from the lower body back toward the heart. When blood can’t flow back as efficiently, it may pool in nearby veins, making them more visible and swollen.

Finally, hormonal changes also play a role. Pregnancy hormones can relax blood vessel walls and affect vein tone, making veins more likely to stretch and become varicose.

For more detailed information, please read here: https://my.clevelandclinic.org/health/diseases/22127-v***ar-varicosities

If you notice significant pain, rapidly worsening swelling, bleeding, or anything that feels concerning, it’s a good idea to check in with your GP for guidance.

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Circle Cavell Hospital Cavell Drive, Uplands Park Rd, Enfield
London
EN27PR

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+441992661410

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