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

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.

22/04/2026

Understanding free fluid in the pelvis: what you need to know

Free fluid refers to any fluid found within spaces of the pelvic cavity that isn’t contained within organs. In many cases, small amounts of fluid can be normal, influenced by factors like the menstrual cycle, ovulation or recent activity. Larger or persistent amounts, however, may warrant medical evaluation to rule out conditions such as infection, inflammation, or other pelvic issues.

If you are worried about the condition, make an appointment and talk to your GP about the size and location of the fluid, whether it is persistent or intermittent, and any associated symptoms like pain, fever, unusual discharge, or bleeding. Your medical history and any recent procedures or pregnancies are also important to share.

For a detailed overview of free fluid in the pelvis, you can read this article:
https://www.topdoctors.co.uk/medical-articles/what-is-free-fluid-in-the-pelvis/

Or to book an appointment to go: https://lancashiregynaecologist.co.uk/contacts/

14/04/2026

Considering L***a Fillers: Could it be a good option for intimate health?

If you’ve been exploring ways to improve comfort, confidence, or aesthetics in intimate areas, l***a fillers are a non-surgical option worth understanding.

L***a fillers is a cosmetic procedure where fillers are used to add volume and shape to the l***a majora or minora, often with targeted, natural-looking results.

People opt for them for reasons of personal comfort, symmetry, restoring volume after ageing, hormonal changes or childbirth.

Benefits often reported are enhanced confidence, improved comfort in certain activities, and a more proportional appearance.

However, like any cosmetic procedure, there are risks (swelling, bruising, infection, asymmetry). A thorough consultation is essential to weigh benefits against risks.

For a detailed overview, you might find this resource helpful: Understanding L***a Fillers: The Non-Surgical Option https://lancashiregynaecologist.co.uk/understanding-l***a-fillers-the-non-surgical-option/
***areduction ***aplasty ***afillers

08/04/2026

The importance of pelvic health after a caesarean

Giving birth by caesarean is a life-changing experience for many families, and pelvic health plays a crucial role in recovery and long-term wellbeing. Caesarean Awareness month helps raise awareness about how to care for your pelvic floor and abdomen after a C-section, support healing and know when to seek guidance.

Pelvic health matters after a caesarean as it supports core strength, helps with bladder and bowel function and can reduce discomfort during recovery. Post-C-section recovery basics includes gentle movement, gradual return to activity and listening to your body. Proper support and rest can also make a big difference.

If you are considering an exercise regime to support your pelvic floor after a caesarean always start with physician-approved exercises, focus on core and pelvic floor activation, and progress gradually.

If however there is persistent pain, heavy bleeding, signs of infection, or unusual urinary symptoms seek medical advice promptly. Don’t rush back into high-impact activities; progression should be guided by your body.

For further reading see:
https://www.mkuh.nhs.uk/patient-information-leaflet/advice-and-exercises-following-caesarean-section

You can also perhaps consider the Emsella Chair treatment which many women find effective https://lancashiregynaecologist.co.uk/articles/emsella-chair/

07/04/2026

The different types of cystitis: what you need to know

Cystitis isn’t one-size-fits-all. There are several types, each with unique causes, symptoms and treatment considerations. Understanding the differences can help you seek the right care sooner.

Cystitis is a bladder inflammation that can stem from infections, irritation or medical conditions.

The most common type is acute bacterial cystitis: typically caused by a urinary tract infection. Symptoms often include a burning sensation during urination, frequent urge to go and cloudy or strong-smelling urine.

Interstitial cystitis (Painful bladder syndrome) is a non-infectious condition causing chronic pelvic pain and pressure in the bladder area, whilst radiation cystitis is often related to radiation therapy to the pelvis, which can irritate the bladder lining.

Chemical cystitis can be a result of irritants like certain soaps, spermicides, or medications.

Last but not least there is also haemorrhagic cystitis – a bleeding within the bladder, sometimes linked to infections or certain treatments.

If you have persistent pain, fever, back discomfort, or blood in the urine, consult a healthcare professional promptly.

For general information and symptoms check see:
https://www.mayoclinic.org/diseases-conditions/cystitis/symptoms-causes/syc-20371306

06/04/2026

Combatting perineal trauma in childbirth

Lancashire Gynaecology consultant Eric Mutema calls for improved training for midwives in the management of perineal tears.

While efforts to reduce complications from perineal trauma in childbirth have often focused on doctors, midwives deliver the majority of babies. That’s why access to high-quality, targeted training for midwives is essential to improve outcomes for women and birthing people.

Read the research and Eric’s insights here:
https://www.researchgate.net/publication/272470706_%27A_tale_of_two_cities%27_auditing_midwifery_practice_and_perineal_trauma

03/04/2026

Heavy Menstrual bleeding – the causes

Heavy menstrual bleeding is the term for a period with prolonged or unusually heavy bleeding. This is a common problem, and this video sets out to answer some everyday questions patients have such as symptoms, causes and treatment.
https://lancashiregynaecologist.co.uk/articles/heavy-menstrual-bleeding/

01/04/2026

Nocturia: symptoms to watch for and simple ways to deal with it

Nocturia can be described as frequent awakenings at night to urinate. You might wake up 2+ times or more, often with a strong urge to p*e which is difficult to hold. Unfortunately, disrupted sleep patterns can equal daytime fatigue, including grogginess, difficulty concentrating and mood changes.

The good news is that there are a few lifestyle changes you could test to help alleviate the problem. Try limiting fluids in the evening and finish drinking liquids a couple of hours before bedtime. Reducing caffeine and alcohol is also advised, as they can increase urine production. Be sure to check your medications as some diuretics or other drugs can also affect nighttime urination.

Bladder training can also be useful. Try gradually extending the time between bathroom visits during the day to help your bladder hold more at night. Elevate your legs during the day if you notice leg swelling, as oedema can contribute to nocturia. Maintain a healthy weight and manage underlying conditions such as high blood pressure, diabetes and sleep apnea as they can all influence nocturia.
Learn more about nocturia here: https://www.topdoctors.co.uk/medical-articles/all-about-nocturia/

If nocturia is affecting your sleep or daily life, consider speaking with a healthcare professional for a tailored plan.: https://lancashiregynaecologist.co.uk/contacts/

25/03/2026

Is pelvic floor dysfunction connected to back pain?

If you’ve ever dealt with persistent lower back pain, you’re not alone. There’s a strong and often overlooked link between pelvic floor health and back health. The pelvic floor supports your organs, spine and hips, so when it’s not functioning optimally, you might notice tension, weakness, or coordination issues that reverberate through your lower back.

Muscle balance and posture play a big role. Tight or weak pelvic floor muscles can affect how you sit, stand and move, which in turn influences how your back feels during daily activities or exercise. Hormonal changes, pregnancy, childbirth, ageing and certain medical conditions can all impact the pelvic floor, making back discomfort more pronounced or persistent.

If you’re experiencing both pelvic floor symptoms (like pelvic pressure, incontinence, or unusual pelvic pain) and back pain, a coordinated approach can help. Healthcare specialists can assess both areas to identify how they interact and tailor a plan that might include pelvic floor specific exercises, physical therapy, core strengthening and mindful movement strategies.

Our Emsella Chair treatment is also an effective treatment which many women have found to be of benefit.

For more information on the Emsella Chair and how it relates to pelvic floor care: check out: https://lancashiregynaecologist.co.uk/articles/emsella-chair/

24/03/2026

Why dermatology clinics are seeing more perimenopausal women

Perimenopause is increasingly visible in dermatology clinics. There are several reasons for this increase: hormonal shifts tend to show up on the skin causing dryness, thinning skin, sensitivity, acne and more pronounced lines. This often leads to targeted skincare discussions and non-hormonal options. Hot flashes and sleep disruption can also worsen skin health, prompting hydration and protection.

As part of their menopausal journey, more women seek guidance on sun protection, routines and treatments suited to hormonal changes.

This has led to more dermatologists working with gynaecologists and primary care to coordinate care.

This article in the Times delves into the subject in more detail: https://www.dermatologytimes.com/view/perimenopause-is-in-my-derm-rooms-now-and-it-matters

You can also find plenty of information on our website menopause page here https://lancashiregynaecologist.co.uk/articles/menopause-consultation/

20/03/2026

Recurrent urinary tract infections: what you need to know

Recurrent urinary tract infections (UTIs) are a common concern for many women. If you find yourself getting UTIs repeatedly, you’re not alone. This article explains what recurring UTIs are, why they happen, how they’re diagnosed, practical steps you can take at home and when to seek care. The article also covers what to expect from medical treatments, including lifestyle changes, preventive strategies and available therapies.
https://lancashiregynaecologist.co.uk/recurrent-urinary-tract-infections-utis-in-women/

17/03/2026

What is deeply infiltrative endometriosis?

Deeply infiltrative endometriosis is a form of endometriosis where endometrial-like tissue grows beyond the surface of the pelvic organs and can invade nearby tissues, ligaments and sometimes even organs. This means symptoms can be more intense and persistent, often including chronic pelvic pain, painful periods, discomfort during s*x and urinary or bowel symptoms. Because DIE can involve multiple pelvic structures, its impact is not just physical - it can affect sleep, daily activities and emotional wellbeing as well.

If you’re living with symptoms or have concerns about endometriosis, it’s important to seek care from a gynaecologist who is experienced with this condition. They can discuss a tailored plan that may include imaging tests to map the disease, medical treatments to manage pain and symptoms and, in some cases, surgical options to remove or reduce the affected tissue. Early diagnosis and a multidisciplinary approach can make a meaningful difference in quality of life.

Reliable information and guidance can help you navigate conversations with healthcare providers. You may find helpful details here:
Deeply infiltrative endometriosis overview: https://www.medicalnewstoday.com/articles/what-to-know-about-deeply-infiltrative-endometriosis -it-is

16/03/2026

The Reasons for Having a L***a Majora Plasty

A L***a Majora Plasty involves reshaping or enlarging the l***a majora, the outer lips of the v***a, to address concerns such as asymmetry, excess tissue, or discomfort that can occur with certain activities or clothing. While not everyone will need or want this surgery, for those who do, it can offer improved comfort, confidence and a sense of normalcy in daily life or intimate moments.

It’s important to have a thorough discussion with a qualified gynaecologist or cosmetic surgeon to understand what the procedure can and cannot do, what the recovery looks like and any potential risks. A professional can help determine if this surgery is appropriate based on medical history, anatomy, and personal goals.

If you’re seeking reliable information, please read our:
L***a majora plasty article: https://lancashiregynaecologist.co.uk/articles/l***a-majora-plasty/
***aplasty ***amajora

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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