At Home with Chris Jessen 2018 - 179

not be any visible signs on ultrasound,
CT or MRI scans. Often, symptoms are
ignored by patients and healthcare
professionals. Indeed, one study found
that 51% of patients felt their pain was
not taken seriously. Furthermore, on
average, women saw their GP a total
of 11 times and waited nine years for
a correct diagnosis to be made.
It is important that full consideration
is given to all symptoms and a careful
and holistic approach is used. There are
many options when it comes to possible
treatment, including surgery. Excisional
laparoscopic (keyhole) surgery is the
gold standard because it gives better
outcomes for pain reduction, improved
long-term results and a higher chance
of becoming pregnant naturally.
Consultant gynaecologist Mr Haider

CELLS SIMILAR TO
THOSE THAT LINE
THE WOMB GROW
OUTSIDE OF THE
WOMB AREA CAUSING
INFLAMMATION, PAIN
AND DIFFICULTY
GETTING PREGNANT
Jan and his team undertook the
research in the UK that proves this
technique, and were awarded the
Carlo Romanini international prize
for the research in 2014. Excisional
surgery now forms part of the new
UK national recommendations.
These techniques require a high
degree of precision and skill, plus
meticulous attention to detail.
Only a few UK gynaecologists have
the appropriate training for advanced
excisional endometriosis surgery, so
it's important to choose wisely.

Drug therapy

Sometimes, taking the pill can help
with the symptoms of endometriosis
by stopping the periods, but it does not
cure the condition. The Mirena coil is
also a good option for reducing pain,
and in extreme cases, a medicine called
Zoladex can be used. It switches off the
hormones temporarily, causing
shrinkage and regression of the
endometriosis tissue. However, it has
to be used very carefully because
of the side effects, including a decrease
in bone mineral density, which increases
the risk of developing osteoporosis.
Finally, there is a very effective
drug called Dienogest, which offers

many women great relief of their
symptoms. Currently, it is only available
in the UK privately and not on the NHS.

Patient reviews

'He was extremely professional
and the operation I had was a huge

MEET THE EXPERT
Mr Haider Jan, BSc,
MBBS, MRCOG,
is a consultant
gynaecologist,
specialising
in innovative
approaches to
gynaecological
conditions.
In 2014, Mr Jan was awarded the
Carlo Romanini international prize
as a co-author for his research on
excisional surgery for endometriosis.
He also specialises in pelvic pain,
adhesions, fibroids, fertility surgery,
heavy and abnormal bleeding, prolapse,
menopause and women with severe
premenstrual tension.
Mr Jan combines individualised
care with innovative minimally
invasive approaches.

success. I really could not have asked
for better care. I am extremely grateful
to have had him as my doctor and
surgeon and would highly recommend
him to everyone.' (19 February 2017)
'There are no words to describe
the care, professionalism and talent of Mr
Jan. I had surgery a week and a half ago
and I already feel almost back to normal.
I was in agony for a long time with my
endometriosis. If you need anything
done gynaecologically, have no doubts
- go to Mr Jan.' (26 June 2017)
'After seeing many gynaecologists,
Dr Jan was the first person who got
to the cause of my pain and issues. I
felt that he listened to my concerns and
was very thorough with tests and scans
before my operation.' (29 June 2017).

FOR MORE INFORMATION
Call 020 7022 8774
Visit migynaecology.com
Email pa@migynaecology.com


http://www.migynaecology.com

Table of Contents for the Digital Edition of At Home with Chris Jessen 2018

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