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Lancashire Gynaecologist

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Lancashire Gynaecologist

Lancashire Gynaecologists are an obstetrician and gynaecology practices in Blackpool and Preston. For all links go to https://lancashiregynaecologist.co.uk

Led by Mr Eric Mutema MBCHB, MRCOG, specialist in urogynaecology.

08/06/2026

What are subserosal fibroids?

Subserosal fibroids are a type of uterine fibroid that grows on the outside surface of the uterus, projecting into the abdominal cavity. They form as benign muscle tissue (fibroids) and are typically separated from the inner lining of the uterus. Unlike some other fibroid types that can affect menstrual flow more directly, subserosal fibroids often grow outward and can become quite large before they cause noticeable symptoms. When they do cause issues, many people report pressure or discomfort in the lower abdomen or pelvis, and in some cases, they may press on surrounding organs like the bladder or bowel. It’s important to remember that fibroids are common and harmless for many people, but if you’re experiencing unusual symptoms such as heavy bleeding, persistent pelvic pain, or difficulty urinating, seeking medical advice is a good idea.

If you’d like more detailed information, Health.com offers an in-depth overview you can check out here: https://www.health.com/subserosal-fibroids-8550984

And if you’re looking for professional guidance or a consultation, Lancashire Gynaecologist can help. You can reach their team through their contact page here: https://lancashiregynaecologist.co.uk/contacts/

07/06/2026

How the HRT conversation is shifting

The conversation around hormone replacement therapy (HRT) is evolving in ways that go beyond what we see on social media. A thoughtful Forbes piece digs into the nuances, medical considerations and lived experiences that shape how people think about HRT in 2026. It isn’t about headlines or single-story anecdotes; it’s about personalised care, safety and informed decision-making.

What this article highlights is that the landscape is becoming more individualised, with decisions guided by medical history, risk assessment and personal goals rather than a one-size-fits-all approach. Social media often sensationalises outcomes or safety concerns, so trusted medical guidance and thorough conversations with healthcare providers are essential to understand the benefits, risks and alternatives.

Furthermore, real-world experiences can vary widely, underscoring the importance of listening to diverse perspectives and ensuring ongoing monitoring. If you’re considering HRT, this Forbes piece offers a balanced, evidence-informed perspective that can ground your conversations in nuance and care.

Read more: https://www.forbes.com/sites/meggenharris/2026/05/08/why-the-hrt-conversation-is-more-complicated-than-social-media-suggests/

04/06/2026

World Continence Week –15-21 June 2026

Did you know that millions experience urinary incontinence, and relief is possible with awareness, open conversation and proper care?

World Continence Week aims to shine a light on the condition offering education, support and resources to help people live confidently and learn about causes, treatments and practical ways to manage incontinence. However, if you’re experiencing symptoms, don’t hesitate to seek help from a healthcare professional.

For trusted resources, visit the World Continence Week overview at https://www.awarenessdays.com/awareness-days-calendar/world-continence-week/ and explore articles on urinary incontinence at https://lancashiregynaecologist.co.uk/articles/urinary-incontinence/

31/05/2026

What is colposuspension and how it can help with incontinence

If you’re dealing with bladder leakage or stress incontinence, colposuspension is a surgical option that aims to restore support to the bladder and urethra. The procedure attempts to tighten the tissues around the urethra and bladder neck to improve bladder control. It’s typically performed to treat stress urinary incontinence, often when symptoms persist despite conservative treatments.

Women with stress urinary incontinence due to weakened pelvic support, after childbirth or with menopause tend to be good candidates for the procedure but eligibility depends on individual health, anatomy, and surgeon assessment.

The process involves a pre-operative evaluation, the surgical procedure (usually under general anaesthesia), and a recovery period that may include a short hospital stay and a period of activity restrictions.

If you are interested in finding out more see our recent article
https://lancashiregynaecologist.co.uk/articles/colposuspension/

29/05/2026

The waiting time for a private coil fitting compared to NHS waiting times

If you’re considering a coil (IUD) fitting, NHS, wait times for GP referrals and specialist appointments can vary by region, clinic demand and whether you’re seeking a routine coil check or a first-time fitting. Some patients may experience longer waits for non-emergency appointments, while others can be booked relatively quickly depending on local services and urgent pathways.

The process typically involves a referral from a GP, an initial consultation and then the fitting appointment, with potential delays if there are complex medical considerations or if a local clinic is operating at capacity.

Private clinics such as the Lancashire Gynaecologist often offer shorter wait times, with same-day or next-available slots in many cases. Availability depends on location, clinician schedules, and whether a same-day fitting is medically appropriate for a patient. Costs are higher than NHS-funded care, but many people choose private options to minimise waiting and to gain access to flexible appointment times.

However, when choosing between NHS and private options, make sure your coil is fitted by a trained clinician. If you have medical history or specific concerns (e.g., abnormalities, prior surgeries, pregnancy plans), discuss these in advance to ensure the chosen path is appropriate.

See this BBC article overview on wait times and private options: https://www.bbc.co.uk/news/articles/ce8r4p0xl5ro

Or for private coil fitting guidance and patient experiences see: https://lancashiregynaecologist.co.uk/articles/coil-fitting/ #

28/05/2026

Focused ultrasound treatment for fibroids

If you are exploring fibroid treatment options, focused ultrasound (FUS) is a therapy that targets fibroids with focused sound waves.

FUS is a non-invasive therapy that uses targeted ultrasound energy to heat and destroy fibroid tissue while sparing surrounding healthy tissue. It is a suitable treatment for many women with symptomatic fibroids, but eligibility depends on fibroid size, number, location and the patients’ overall health. A healthcare provider can evaluate options and determine if FUS is right for you.

During treatment a physician uses imaging guidance (often MRI) to precisely target fibroids. Most sessions are done on an outpatient basis and may take a few hours.

This procedure aims to relieve abdominal pain and cramping, heavy menstrual bleeding, anaemia, distended stomachs and constipation, which are caused by fibroids. Fibroid volume may also shrink as a result of the therapy.

However, long-term benefits may vary per individual, and the procedure is not recommended for women who still want children.

To find out if you are eligible for this treatment discuss your fertility goals, pregnancy plans and pain management with your GP or gynaecologist.

To learn more see http://www.britishfibroidtrust.org.uk/MRI_FUS.php

24/05/2026

Is a l***aplasty right for you? Get your free consultation

Labiaplasty, or l***al reduction, is a surgical option that some people consider to address concerns about the size or shape of the l***a for comfort, confidence, or for personal reasons. A free consultation can help you explore whether this procedure is appropriate for you, discuss expectations and review any potential risks and recovery considerations.

During your consultation we will discuss your goals, any physical discomfort and how l***aplasty might help (if at all). We will also review your medical history, anatomy and any relevant health factors and provide you with more information about the procedure and the techniques used and which might be the best choice for you.

We will also be clear on risks, recovery time, and realistic outcomes.

For a free consultation for l***al reduction: Lancashire Gynaecologist
https://lancashiregynaecologist.co.uk/articles/free-consultation-for-l***al-reduction/
***aplasty

21/05/2026

What is the Emsella /Ultra Tesla Chair and what can it do for you?

You may have heard about the Emsella or Ultra Tesla chair, you may be wondering how this treatment works and whether it could help you. Both devices use high-intensity focused electromagnetic (HIFEM) technology to stimulate pelvic floor muscles without you having to perform exercises. In short, it’s a non-surgical option designed to improve pelvic floor strength, function, and comfort.

You sit fully clothed on the chair for a series of short sessions. The device delivers targeted electromagnetic energy that causes rapid contractions of the pelvic floor muscles. These contractions mimic a high-effort workout for the pelvic floor, helping to strengthen the muscles and improve control, coordination, and endurance over time.

Potential benefits includes improved bladder control and reduced leakage with activities like coughing, sneezing, or lifting, better pelvic floor support, which can reduce vaginal pressure and support core function, enhanced s*xual comfort and potentially more satisfying pelvic floor coordination.

A typical treatment course consists of multiple sessions over several weeks. Each session is comfortable and requires minimal downtime.

Our video helps explain more: https://lancashiregynaecologist.co.uk/articles/emsella-chair/

If you live in the north-west of England we have a local clinic where you can trial the chair. You can book an appointment here- https://lancashiregynaecologist.co.uk/product/chair-trial-treatment/

20/05/2026

PCOS to PMOS: Why the name has changed.

You may have recently read in the press that Polycystic O***y Syndrome (PCOS) has officially shifted to PMOS (Polycystic, Multifactorial, Ovarian, Syndrome) in practice, to better reflect its broad hormonal, metabolic and cardiovascular implications, not just ovarian cysts.

This change will mean that many clinicians will now incorporate PMOS into records alongside or instead of PCOS, recognising a wider range of symptoms and presentations beyond ovarian findings.

A PMOS approach will now likely support more holistic management addressing issues like metabolic health, insulin resistance, weight management, cardiovascular risk, mental health and lifestyle factors in addition to reproductive symptoms.

The broader name also helps validate diverse experiences and reduces the stigma associated with a diagnosis focused solely on the ovaries.

This report in the Guardian helps explain the reasons behind this significant change: https://www.theguardian.com/society/ng-interactive/2026/may/12/polycystic-ovary-syndrome-pcos-new-name-polyendocrine-metabolic-ovarian-syndrome-pmos

15/05/2026

What is a hypertonic pelvic floor?

A hypertonic pelvic floor means that the muscles in the pelvic floor are overly tight or tense most of the time. This can make everyday activities and s*x uncomfortable or painful and it may contribute to urinary or bowel issues. It’s not about strength, it's about muscles staying contracted too much, rather than relaxing when they should.

Chronic pelvic, lower back, or hip pain, pain during in*******se or vaginal pressure, a frequent urge to urinate or difficulty fully emptying the bladder and sensitivity or discomfort when sitting for long periods can be signs to watch for.

If you’re experiencing these symptoms, you’re not alone, and help is available. Treatment often focuses on relearning how to relax and coordinate the pelvic floor muscles, improving posture and addressing any contributing factors. A healthcare professional can tailor a plan that may include physical therapy, breathing techniques and education about pelvic health.

The Perifit Care+ device can be a helpful complementary option as part of pelvic health care. It supports guided exercises and feedback to help you strengthen and coordinate the pelvic floor. We are currently offering the device at a discounted price which you can see here: https://lancashiregynaecologist.co.uk/product/perifit-care/

Other helpful resources include this Cleveland Clinic review: https://my.clevelandclinic.org/health/diseases/22870-hypertonic-pelvic-floor

Address

Fulwood Hall Hospital, Midgery Lane
Preston
PR29SZ

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm

Telephone

+447835487700

Website

https://lancashiregynaecologist.co.uk/

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