Private Consultant Gynaecologist in London – Mr Alak Pal
Mr Alak Pal is a senior Consultant Gynaecologist providing private gynaecological care for women in London and the surrounding areas. He provides assessment and treatment for a wide range of gynaecological and urogynaecological conditions, including menstrual problems, pelvic pain, fibroids, ovarian cysts, endometriosis, urinary symptoms and pelvic organ prolapse.
A private consultation provides an opportunity to discuss your symptoms in detail, understand the possible causes and consider appropriate investigations and treatment options.
General Gynaecology
Spotting and Endometrial polyp
An endometrial polyp is usually a benign (noncancerous) overgrowth of the lining of the womb, and often causes painful, heavy periods and spotting in between periods. It also increases the risk of miscarriage both after spontaneous conception and after IVF. An endometrial polyp can be removed by a surgical procedure called resection by using a hysteroscope.
Heavy and Prolonged Periods
Heavy periods or heavy menstrual bleeding (HMB) is when periods are extremely heavy or prolonged. Periods are described as heavy when the blood loss is more than average often with blood clots, the bleeding may last longer than seven days. Investigations are usually required, and treatment would depend on the underlying cause.
Menopause
Menopause is when a woman stops having periods, this being a natural part of ageing. Menopausal symptoms may include hot flushes, night sweats, inability to concentrate (brain fog) and treatment is by hormone replacement therapy (HRT); however not all women need treatment. Bleeding after menopause is not normal and should always be checked by a medical specialist.
Pelvic Pain
Pain experienced in the lower abdomen and within the pelvis is called pelvic pain and may arise from female reproductive organs or from the bowel or urinary bladder. Pelvic pain can also arise from muscles and ligaments of the pelvic floor. The pain may start suddenly (acute) or be chronic for a while. Management includes identifying and treating the cause.
Fibroid
Uterine fibroids are benign, non-cancerous growths in the muscles and tissues of the womb. These can become quite large and cause pain in the abdomen. The most common symptoms, however, are of heavy and painful periods, and discomfort and heaviness in the lower abdomen. Fibroids are a very common occurrence, and treatment may range from medical to surgical, depending on the size of the fibroids and the symptoms. It can consist of removing the fibroids from the muscles of the uterus ( myomectomy) or shaving the fibroid from inside the cavity ( resection of fibroid) or even a hysterectomy.
Pain and Endometriosis
Endometriosis is a condition where cells similar to the lining of the womb grow outside the uterus, commonly around the ovaries and behind the womb, causing inflammation and scarring. Symptoms may include severe period pain, pain in the lower abdomen or lower back, pain during sex and, in some women, difficulties with fertility. Mild endometriosis may be managed with medication, while more severe or persistent symptoms may require laparoscopic surgery to diagnose and treat the condition.
Urogynaecology
Prolapse
Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort. It can also be associated with urinary and bowel symptoms. Treatment includes pelvic floor exercises, vaginal support pessary and often surgery. Surgery involves repair of the bladder prolapse ( cystocele) or repair of the bowel prolapse ( rectocele) or repair of the prolapse of the womb.
Urinary problems
Urinary problems are common in women of all ages and can have different causes. Urinary frequency, when you need to pass urine more often than usual, may be caused by increased fluid intake, diabetes, an overactive bladder or a bladder infection (cystitis). Cystitis can cause lower abdominal discomfort, pain when passing urine and passing small amounts of dark or blood-stained urine. Bladder control problems include stress incontinence, when urine leaks during activities such as coughing or exercising, and urge incontinence, when there is a sudden strong urge to pass urine. Treatment depends on the cause and may include antibiotics, pelvic floor exercises, medication or other treatments.
Colposcopy
Abnormal Cervical Smear
HPV testing in a cervical smear is the basis of screening for cervical cancer. A cervical smear is taken by scraping superficial cells from the neck of the womb with a soft brush and then testing for high risk HPV strains. When the smear shows presence of high-risk HPV, it is deemed an abnormal smear, with an increase in the risk of cervical cancer and needs further investigations such as colposcopy.
Minimally Invasive Surgery
Pain and Endometriosis
Endometriosis is a condition where cells similar to the lining of the womb grow in and around the ovaries and behind the womb, causing scarring. Symptoms include pain in the lower abdomen, lower back, severe period pains and pain during sex. Treatment of mild endometriosis can be by medications, but often surgery may be required, which is usually performed as keyhole with a laparoscope.
Cyst in the Ovary
An ovarian cyst is a common growth that develops in the ovary. Most cysts are less than 4 cm, harmless, do not cause symptoms and go away without treatment. Larger fluid filled cysts, or cysts containing endometriosis and cysts with developmental tissues persist and can cause pain and bloating. These are detected on ultrasound examination and usually need surgical treatment.
Hysteroscopy
A hysteroscope is a telescope with a camera introduced into the cavity of the uterus (womb) through the vagina and cervix to look for any abnormality. The equipment may be used to visualise the cavity of the uterus (diagnostic hysteroscopy) and is usually combined with a biopsy of the lining. It may also be used to insert surgical instruments to operate within the uterine cavity, called operative hysteroscopy. There is no cut on the abdomen.
General Gynaecology
Spotting and Endometrial polyp
An endometrial polyp is usually a benign (noncancerous) overgrowth of the lining of the womb, and often causes painful, heavy periods and spotting in between periods. It also increases the risk of miscarriage both after spontaneous conception and after IVF. An endometrial polyp can be removed by a surgical procedure called resection by using a hysteroscope.
Heavy and Prolonged Periods
Heavy periods or heavy menstrual bleeding (HMB) is when periods are extremely heavy or prolonged. Periods are described as heavy when the blood loss is more than average often with blood clots, the bleeding may last longer than seven days. Investigations are usually required, and treatment would depend on the underlying cause.
Menopause
Menopause is when a woman stops having periods, this being a natural part of ageing. Menopausal symptoms may include hot flushes, night sweats, inability to concentrate (brain fog) and treatment is by hormone replacement therapy (HRT); however not all women need treatment. Bleeding after menopause is not normal and should always be checked by a medical specialist.
Pelvic Pain
Pain experienced in the lower abdomen and within the pelvis is called pelvic pain and may arise from female reproductive organs or from the bowel or urinary bladder. Pelvic pain can also arise from muscles and ligaments of the pelvic floor. The pain may start suddenly (acute) or be chronic for a while. Management includes identifying and treating the cause.
Fibroid
Uterine fibroids are benign, non-cancerous growths in the muscles and tissues of the womb. These can become quite large and cause pain in the abdomen. The most common symptoms, however, are of heavy and painful periods, and discomfort and heaviness in the lower abdomen. Fibroids are a very common occurrence, and treatment may range from medical to surgical, depending on the size of the fibroids and the symptoms. It can consist of removing the fibroids from the muscles of the uterus ( myomectomy) or shaving the fibroid from inside the cavity ( resection of fibroid) or even a hysterectomy.
Pain and Endometriosis
Endometriosis is a condition where cells similar to the lining of the womb grow outside the uterus, commonly around the ovaries and behind the womb, causing inflammation and scarring. Symptoms may include severe period pain, pain in the lower abdomen or lower back, pain during sex and, in some women, difficulties with fertility. Mild endometriosis may be managed with medication, while more severe or persistent symptoms may require laparoscopic surgery to diagnose and treat the condition.
Urogynaecology
Prolapse
Pelvic organ prolapse is when one or more of the organs in the pelvis slip down from their normal position and bulge into the vagina. It can be the womb (uterus), bowel, bladder or top of the vagina. A prolapse is not life threatening, but it can cause pain and discomfort. It can also be associated with urinary and bowel symptoms. Treatment includes pelvic floor exercises, vaginal support pessary and often surgery. Surgery involves repair of the bladder prolapse ( cystocele) or repair of the bowel prolapse ( rectocele) or repair of the prolapse of the womb.
Urinary problems
Urinary problems are common in women of all ages and can have different causes. Urinary frequency, when you need to pass urine more often than usual, may be caused by increased fluid intake, diabetes, an overactive bladder or a bladder infection (cystitis). Cystitis can cause lower abdominal discomfort, pain when passing urine and passing small amounts of dark or blood-stained urine. Bladder control problems include stress incontinence, when urine leaks during activities such as coughing or exercising, and urge incontinence, when there is a sudden strong urge to pass urine. Treatment depends on the cause and may include antibiotics, pelvic floor exercises, medication or other treatments.
Colposcopy
Abnormal Cervical Smear
HPV testing in a cervical smear is the basis of screening for cervical cancer. A cervical smear is taken by scraping superficial cells from the neck of the womb with a soft brush and then testing for high risk HPV strains. When the smear shows presence of high-risk HPV, it is deemed an abnormal smear, with an increase in the risk of cervical cancer and needs further investigations such as colposcopy.
Minimally Invasive Surgery
Pain and Endometriosis
Endometriosis is a condition where cells similar to the lining of the womb grow in and around the ovaries and behind the womb, causing scarring. Symptoms include pain in the lower abdomen, lower back, severe period pains and pain during sex. Treatment of mild endometriosis can be by medications, but often surgery may be required, which is usually performed as keyhole with a laparoscope.
Cyst in the Ovary
An ovarian cyst is a common growth that develops in the ovary. Most cysts are less than 4 cm, harmless, do not cause symptoms and go away without treatment. Larger fluid filled cysts, or cysts containing endometriosis and cysts with developmental tissues persist and can cause pain and bloating. These are detected on ultrasound examination and usually need surgical treatment.
Hysteroscopy
A hysteroscope is a telescope with a camera introduced into the cavity of the uterus (womb) through the vagina and cervix to look for any abnormality. The equipment may be used to visualise the cavity of the uterus (diagnostic hysteroscopy) and is usually combined with a biopsy of the lining. It may also be used to insert surgical instruments to operate within the uterine cavity, called operative hysteroscopy. There is no cut on the abdomen.
Why Choose Mr Alak Pal?
Mr Alak Pal provides advice and treatment of various gynaecological problems including heavy periods, pelvic pain, urinary urgency and incontinence, uterovaginal prolapse, abnormal cervical smears, uterine fibroid and ovarian cyst. Mr Alak Pal understands how busy life can be and that it may be difficult to make an appointment with the GP for a gynaecology related problem.
You do not need a GP’s referral to book an appointment with Mr Alak Pal. You can self -fund or use your private health insurance. Women intending to use their private health insurance should obtain a pre-authorisation for the appointment. Mr Alak Pal is ‘fee-assured’ for all health insurance providers.
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You Don’t Have to Live With Symptoms
Get expert advice from an experienced Consultant Gynaecologist.
If something doesn’t feel right, you deserve answers. Whether you are concerned about heavy periods, pelvic pain, endometriosis, fibroids, ovarian cysts, menopause, urinary symptoms or an abnormal cervical smear, Mr Alak Pal offers discreet, personalised private gynaecology care.
No GP referral is required. Simply book a private consultation and take the first step towards understanding your symptoms and your treatment options.
Private care. Expert advice. A clear plan forward.
Self-funding and private health insurance patients welcome.
Consultations available in Harrow, Wexham and Windsor.
