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Uzuri Gynaecological/Urological Centre, Nairobi (2025)

09/09/2025

Yes, *IUCD (Intrauterine Contraceptive Device)* is generally *safe and effective*.

*Benefits:*

- 99% effective in preventing pregnancy.

- Long-term (5–10 years depending on type).

- Hormonal (e.g. Mirena) and non-hormonal (Copper T) options available.

- Reversible—fertility returns quickly after removal.

*Possible side effects:*

- Heavier or more painful periods (mostly with Copper IUCD).

- Cramping or spotting after insertion.

- Small risk of expulsion or infection.

- Rarely, it may perforate the uterus during insertion.

*Conclusion:*
Safe for most women, but consult a healthcare provider to assess your individual suitability.

For enquires contact us through WhatsApp or calls 0781499210

09/09/2025

Brown sticky discharge can be caused by several things, most of which are not serious, but it's good you’re being cautious. Here's a breakdown:

*Possible causes:*
1. *Old blood:* If it's around your period, it could just be old blood exiting slowly.

2. *Hormonal imbalance:* Irregular cycles or use of birth control (e.g. pills, injections) can cause brown discharge.

3. *Infections:* Sometimes bacterial vaginosis or STIs (like chlamydia) can cause brown or abnormal discharge, often with odor or irritation.

4. *Pregnancy-related:* It can be early pregnancy spotting or a sign of complications like miscarriage.

5. *Cervical or uterine issues:* Polyps, fibroids, or even cervical irritation.

6. *Stress:* Can affect your hormones and cycle as well.

*What to do:*
- If it persists beyond a few days or has a bad smell, itching, or pain — *get checked*.

- You may need a pelvic exam, STI screening, or hormonal tests.

- Avoid self-medicating until you're sure of the cause.

For enquires contact us through WhatsApp or calls 0781499210

30/08/2025

Menstrual Disorders!

Menstrual health disorders can significantly impact mental health. Here are some common disorders and their effects:

*Common Menstrual Health Disorders:*

1. *Premenstrual Syndrome (PMS)*: Physical and emotional symptoms before menstruation.
2. *Premenstrual Dysphoric Disorder (PMDD)*: Severe emotional symptoms, such as depression and anxiety.
3. *Dysmenorrhea*: Painful menstruation.
4. *Menstrual Migraines*: Headaches triggered by hormonal changes.
5. *Polycystic O***y Syndrome (PCOS)*: Hormonal imbalance, irregular periods, and fertility issues.

*Mental Health Effects:*

1. *Mood Swings*: Irritability, anxiety, and depression.
2. *Anxiety and Stress*: Worry about symptoms, body image, and fertility.
3. *Depression*: Hormonal fluctuations can contribute to depressive episodes.
4. *Body Image Issues*: Self-consciousness about physical symptoms.
5. *Low Self-Esteem*: Feelings of shame or embarrassment.

*Coping Strategies:*

1. *Track Your Cycle*: Understand your symptoms and prepare.
2. *Exercise Regularly*: Reduces symptoms and improves mood.
3. *Healthy Diet*: Balanced nutrition supports hormonal balance.
4. *Stress Management*: Yoga, meditation, or therapy.
5. *Seek Support*: Talk to friends, family, or a healthcare provider.

*Importance of Support:*

1. *Healthcare Providers*: Discuss symptoms and treatment options.
2. *Mental Health Professionals*: Address emotional and psychological impacts.
3. *Support Groups*: Connect with others who understand.

For any enquiry contact us through WhatsApp or calls on 0781499210

11/07/2025

CANCER WARNING SIGNS!

*Persistent pain in these 5 areas could be early cancer warning signs*—not just muscle strain:

1. *Back Pain*
- Could signal: *Ovarian, pancreatic, or spinal cancers*
- Especially if it’s deep, persistent, and not relieved by rest or meds.

2. *Abdominal Pain*
- Could signal: *Colorectal, liver, pancreatic, or ovarian cancer*
- Look for bloating, changes in appetite, or weight loss.

3. *Pelvic Pain*
- Could signal: *Ovarian, uterine, or cervical cancer*
- Especially if it’s chronic, sharp, or radiating to the legs/back.

4. *Bone Pain (e.g., hips, legs, ribs)*
- Could signal: *Bone cancer or metastasis from breast/prostate cancer*
- Often worse at night and doesn’t improve with rest.

5. *Chest Pain*
- Could signal: *Lung cancer or esophageal cancer*
- Accompanied by coughing, shortness of breath, or hoarseness.

*Note:*
If pain lasts more than a few weeks, worsens over time, or is unusual for you—get checked. Early detection saves lives.

21/06/2025

What is anor**smia?

Anor**smia is when a person has difficulty or can’t or**sm even if they’re enjoying s*x and it feels good to them.

It also describes or**sms that aren’t as strong or don’t happen as frequently as you’d like.

It’s a form of s*xual dysfunction that affects all genders. It can take a toll on your mental health, causing distress and anxiety, and can even interfere your relationships. Anor**smia is also called or**smic dysfunction

Or***ms (also called s*xual climaxing) are feelings of pleasure or s*xual excitement that occur after being aroused.

It may feel like a release and involve bodily movements beyond your control.

They can vary in duration and intensity. Some people need more s*xual stimulation to have an or**sm, while others need less.

With anor**smia, you can still have a desire for s*x and feel pleasure.

However, you may feel anguish or emotional distress because you can’t have an or**sm.

Anor**smia in women.

Anor**smia in women (also called female or**smic disorder) is classified into four types:

Primary (or lifelong): You’ve never had an or**sm.
Secondary (or acquired):

You were once able to have an or**sm but can’t now. This is common with menopause.

Situational: You can only reach or**sm in specific situations like with ma********on (self-stimulation).

General: You don’t reach or**sm in any situation, even when you feel aroused or excited.

Problems with or**sm increase as you age, but it can affect people of any age. Up to 15% of women report never having an or**sm.

Anor**smia in men.

Healthcare providers often classify anor**smia in men as a type of s*xual dysfunction called delayed ej*******on or inhibited ej*******on.

This causes problems with s*xual performance and pleasure, often leading to anxiety and avoiding s*x. Anor**smia in men has two types:

Primary: You’ve never had an or**sm or ej******ed for as long as you can remember.

Secondary: You only or**sm or ej*****te under certain conditions.

Ej*******on is a complex process that involves hormones, nerves and organs, as well as your mental state.

A disruption in any part of this process can interfere with your ability to or**sm. Certain medical conditions can also impact or**sm.

Who does it affect?

Anor**smia can affect anyone. It’s most common after menopause in women.

Symptoms and Causes

What are the symptoms of anor**smia?

The main symptom of anor**smia is not reaching s*xual climax (or**sm). Other symptoms are delayed climaxing (it takes a long time to or**sm) or not feeling fulfillment from s*xual climax.

What causes anor**smia?

Many factors can make reaching or**sm difficult. These factors can be physical, mental, emotional or medical (related to a disease or condition).

In many cases, a combination of factors make or**sm difficult, and sometimes it’s hard to determine the root cause(s).

Medical and physical causes
👉Age (especially women in menopause).
👉Medical conditions like multiple sclerosis (MS).
👉Medications, especially selective serotonin reuptake inhibitors (SSRIs).
👉Surgeries on your ge****ls and organs near or connected to your reproductive system.
👉Complications from cancer or radiation therapy.
👉Pelvic floor dysfunction or pelvic trauma.
👉Reliance on ma********on (you find that more satisfying).
👉Hormonal conditions.
👉Congenital disorders (conditions you’re born with) of the va**na or p***s.

Psychological causes
👉Depression, stress or anxiety.
👉Previous s*xual abuse or assault.
👉Cultural or religious factors.
👉Being shy or unable to express yourself through s*x.
👉Lack of confidence.
👉Relationship, trust or intimacy issues with your partner.

Contact us through WhatsApp or calls on 0781499210

20/06/2025

H.Pylori(Hericobacter Pylori)

✅ H. pylori Management:

▶️ Indications for Testing

→ Peptic ulcer disease (gastric or duodenal)

→ Gastric MALT lymphoma

→ Unexplained iron deficiency anemia.

→ Dyspepsia: Testing is indicated for uncomplicated dyspepsia without alarm symptoms after a trial of PPI.

→ Family history of gastric cancer

▶️ Diagnostic Tests

→ Urea breath test (most accurate non-invasive)

→ Stool antigen test.

→ Endoscopic biopsy with rapid urease test (gold standard if endoscopy done)

→ Serology: NOT useful for confirming eradication.

→ PPI washout: Stop PPIs for 2 weeks before urea.
breath or stool antigen testing to avoid false results.

▶️ Confirm Eradication
→ Urea breath test or stool antigen test ≥ 4 weeks after therapy, and ≥ 2 weeks off PPI
→ Not serology (remains positive long-term)

Contact us through WhatsApp or calls on 0781499210

09/06/2025

Pe**le Curving

A slight curve in the p***s is common and usually normal.

However, if the curve is sharp, painful, or recent, it may be due to *Peyronie’s disease*, which involves scar tissue buildup.

Other possible causes include ;

-Congenital curvature or past injury.
- Effects of Ma********on
-Underlying conditions
-History of pe**le shaft fracture
-Pe**le cancer
-Peyronie's disease

If it interferes with daily life or relationships, it might be worth talking to a healthcare provider or therapist.

09/06/2025

Irregular Periods.

Irregular or skipped periods can happen for many reasons.

It simply means your menstrual cycle isn’t following a predictable pattern—either coming too early, too late, or skipping entirely.

*Common Causes:*

1. *Hormonal Imbalance* – Especially with estrogen and progesterone, due to conditions like PCOS, thyroid disorders, or menopause.

2. *Stress* – Physical or emotional stress affects the hypothalamus, which controls your cycle.

3. *Weight Changes* – Sudden weight loss or gain, or being underweight or overweight can disrupt cycles.

4. *Excess Exercise* – Overtraining (common in athletes) can suppress ovulation.

5. *Birth Control* – Some methods like implants, pills, or IUDs may cause irregular bleeding.

6. *Pregnancy* – Skipping a period is often the first sign.

7. *Breastfeeding* – Can suppress periods for months.

8. *Medical Conditions* – PCOS, thyroid disorders, diabetes, or uterine issues like fibroids.

*When to See a Doctor:*

-More than one period in one month

- If you’ve missed 3+ periods in a row (not due to pregnancy)

-Periods for just one day.

-Very light periods.

- Periods are too heavy, painful, or more than 35 days apart

- You notice unusual discharge or symptoms

*Management:*
- Treat the root cause (e.g., PCOS, thyroid)

- Healthy lifestyle: balanced diet, regular exercise, stress management.

- Hormonal therapy if prescribed by a doctor

- A cycle that’s occasionally irregular isn’t always a sign of a serious issue—but regular changes should be checked.

09/06/2025

Peptic Ulcer Disease (Ulcers)

Peptic ulcer is a sore that forms on the lining of the stomach, the upper part of the small intestine (duodenum), or sometimes the esophagus.

Causes:

- *H. pylori infection* – a bacteria that damages the stomach lining.

- *Overuse of painkillers* – like ibuprofen or aspirin.

- *Excess stomach acid* – triggered by stress, spicy foods, smoking, or alcohol.

Symptoms:

- Burning stomach pain (often worse on an empty stomach)

- Bloating, heartburn, nausea

- Vomiting or black/dark stools (a sign of bleeding)

- Unexplained weight loss

Treatment:

- *Antibiotics* – to kill H. pylori bacteria

- *Acid reducers* – like omeprazole or ranitidine

- *Antacids* – to neutralize stomach acid

- *Diet/lifestyle changes* – avoid alcohol, smoking, spicy/acidic foods, and manage stress.

If symptoms persist or worsen, see a doctor for proper diagnosis and care.

Contact us through WhatsApp or calls on 0781499210

09/06/2025

PAINFUL PENENTRATIONS (dyspareunia,Painful s*x)

Painful pe*******on—also known as dyspareunia in women—can be physically and emotionally distressing for both partners.

Many people silently endure this pain out of fear, embarrassment, or lack of knowledge, yet it’s a common problem that can be managed or treated when properly understood.

*FOR WOMEN:*

Pain during pe*******on in women can range from sharp, burning pain at the entrance of the va**na to deep pelvic pain during or after intimacy.

It can occur occasionally or persistently. Here's a deeper look at the possible causes:

1. *Physical Causes:*

- *Vaginismus*: A condition where va**nal muscles involuntarily contract, making pe*******on extremely painful or impossible.

It’s often linked to anxiety, fear, past trauma, or even negative cultural attitudes about s£x.

- *Vaginal Dryness*: Especially common in women who are breastfeeding, on certain medications, or going through menopause.

Without enough natural lubrication, friction increases, causing pain.

- *Endometriosis*: When tissue similar to the uterine lining grows outside the uterus, it can cause deep, stabbing pelvic pain during s£x.

- *Infections (UTIs, yeast infections, or STIs)*: These irritate the va**nal or urinary tract, making pe*******on painful and inflaming surrounding tissues.

- *Pelvic inflammatory disease (PID)*: A complication often from untreated STIs, which causes inflammation and tenderness.

- *Childbirth injuries or surgery scars*: After delivery or procedures, some women experience prolonged healing or scarring that leads to discomfort during intimacy.

2. *Emotional and Psychological Causes:*
- Past trauma, such as s£xual assault or abuse.
- Relationship issues or communication gaps.
- Anxiety or depression can also manifest physically during intimacy.

*Example*: A woman who was never properly educated about s£x may unknowingly develop fear or anxiety toward intimacy.
This fear can lead to vaginismus, making her dread pe*******on and feel guilty for not satisfying her partner.

*What Helps*:
- Gentle, open communication with a partner.
- Foreplay and lubrication.
- Medical evaluation by a gynecologist.
- Pelvic floor therapy and counseling.

*FOR MEN:*

Pain during s£x in men is less talked about, but it’s equally important to address.

It may show up as pain in the p***s, testicles, or pelvis during or after intimacy.

1. *Common Physical Causes*:
- *Peyronie’s Disease*: Scar tissue causes the p***s to curve, leading to painful erections.

- *Phimosis*: When the fo****in is too tight to retract, causing tearing or pain during s£x.

- *Infections or STIs*: Burning, itching, or pain during ej*******on can be signs of infections.

- *Prostatitis*: Inflammation of the prostate gland can make ej*******on painful.

- *Friction injuries*: Aggressive s£x or ma********on can lead to skin irritation or soreness.

2. *Emotional/Psychological Causes*:

- Anxiety (especially performance anxiety) can lead to muscle tension and discomfort.

- Guilt or shame associated with s£x can affect arousal and physical response.

- Lack of attraction or unresolved conflict with a partner can translate into discomfort during intimacy.

*Example*: A man may suffer silently with pain from a curved p***s, avoiding intimacy and straining his relationship because he’s afraid to explain his condition.

*What Helps*:
- Seeing a urologist to rule out medical causes.
- Treating infections promptly.
- Using proper lubrication.
- Counseling or s£x therapy if psychological factors are involved.

*IN SUMMARY*:
Painful s£x is not just a physical issue—it often has emotional, psychological, and relational dimensions.

It’s crucial to remove shame from the conversation. Seeking medical help, opening up to your partner, and addressing underlying causes can restore confidence and pleasure in intimacy.

Both men and women should remember: S£x is meant to be mutual, safe, and enjoyable. If pain is present, it’s the body’s way of saying something isn’t right—and there’s help available.

Contact us through WhatsApp or calls on 0781499210

07/06/2025

Prevention and Monitoring:

While cord entanglement can't be entirely prevented, regular prenatal check-ups and monitoring can help detect potential issues. Healthcare providers may use:

1. Ultrasounds: To monitor fetal movement and cord positioning.

2. Fetal heart rate monitoring: To detect any signs of fetal distress.

3. Close monitoring during labor: To ensure prompt intervention if complications arise.

What to Expect:

If cord entanglement is detected, healthcare providers will closely monitor the situation and develop a plan for a safe delivery. In some cases, this may involve:

1. Cesarean section: If the entanglement poses a significant risk to the baby's health.

2. Assisted delivery: Healthcare providers may use instruments or techniques to carefully manage the cord during delivery.

07/06/2025

Umbilical Cord Entanglement

Cord entanglement, also known as nuchal cord when it wraps around the neck, occurs when the umbilical cord wraps around the fetus's body, neck, or limbs.

This phenomenon is relatively common and can pose risks to the baby's health.

Causes of Cord Entanglement:

1. Fetal movement: Babies move and stretch in the womb, which can cause the cord to wrap around them.

2. Long umbilical cord: Longer cords may be more prone to entanglement.

3. Multiple pregnancy: Twins or other multiples may have a higher risk due to crowded space.

4. Placental location: The position of the placenta can influence cord positioning.

Risks Associated with Cord Entanglement:

1. Reduced oxygen supply: Compression of the cord can restrict blood flow and oxygen to the baby.

2. Fetal distress: Cord entanglement can cause stress and discomfort for the baby.

3. Complications during delivery: In some cases, cord entanglement may require medical intervention during delivery.

Contact us through WhatsApp or calls on 0781499210

Uzuri Gynaecological/Urological Centre

09/09/2025

09/09/2025

30/08/2025

11/07/2025

21/06/2025

20/06/2025

09/06/2025

09/06/2025

09/06/2025

09/06/2025

07/06/2025

07/06/2025

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