# Dr Natalia Novikova > Gynaecologist and Endoscopic Surgeon ## Posts ### Navigating Women’s Health [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Dr Novikova on Expresso: Navigating Women’s Health Interview with Ewan Strydom of Expresso Show and Laura Johnston of Phytoceutics Ewan Strydom  Good morning. Right now, I want to ask all the lovely women out there to turn up your volume just a little bit, because today we are diving into a rather important conversation about women's health, something that affects every woman at different stages of life. And joining us in studio this morning are two incredible women leading the way in this space. Laura Johnston, we know her well, CEO of Phytoceutics, an integrative nutritional health coach, together with Dr. Natalia Novikova, a gynaecologist, aesthetic specialist, and endoscopic surgeon. Ladies, welcome. Thank you very much for joining us on the show this morning. We're talking about women's health and everything that goes along with it. Natalia, I want to start straight with you as a gynaecologist. What are some of the common concerns that you find women struggle with when they come and meet you? Natalia Novikova  There's plenty of concerns that women struggle with when they come to my office. In perimenopause, menopause stage of life, women quite often complain of hot flashes, brain fog, forgetfulness, mood swings, sleep disturbances, poor libido, vaginal dryness, painful intercourse. Sometimes they just say they just don't feel themselves anymore. And it's actually really common. So there will be a number of women who go through that stage of life feeling absolutely fine. But at least 50% of women will have serious disturbances that interfere with their day-to-day well-being.   Ewan Strydom  What do you say to someone like that?   Natalia Novikova  I start with just helping women to step out of their inner space into the outer space and look at what's going on with their bodies and their minds from outside and working out if there's anything they can optimize in terms of their lifestyle. So absolutely basics: eating, physical activity, sleep, stress management, connection, some joy, and that's the basics of it. And if they can optimize the basics and it's not enough, then we would look into optimizing hormonal health. And of course, hormonal health sometimes needs to be optimized first. Just because they cannot start exercising because they are just so fatigued. And that's because of hormonal issues or some other issues. It could be vitamin D deficiency or iron deficiency. So looking into lifestyle first, seeing a medical specialist to help them to work out what the issues are and what would be the best way addressing them would be my advice. Ewan Strydom  Very good advice. Laura?  Laura Johnston  I think often When women start off with perimenopause, they don't feel, like Natalia said themselves, and they don't quite know what's going on. I think it's important to address that and know that if you're not feeling normal, then go and see a specialist and pinpoint exactly what's going on. Do your blood test, find out, is it vitamin D deficiency? Is it potentially hormonal imbalances? What do you need help with? And then you can take steps to mitigate that. It's really to address these changes that women feel throughout their lives, the natural way. So we're all about natural supplementation, high bioavailability, also less is more, so fewer products that have more of an impact. And then we leave the hormonal support to the specialists.  Natalia Novikova  Yeah, and there is plenty to do in terms of supplement treatments for premenstrual tension disorders, such as mood disorder before the menstrual period, for polycystic ovarian syndrome, for even heavy menstrual bleeding. So there's a lot of supplementation that can be done before we introduce hormonal treatment for our patients.  Ewan Strydom  The hormonal treatment, is that the last thing that you look at?  Natalia Novikova  I think its approach is very much an individual, and it would very much depend on the particular patient, situation, condition, and their own desires, or how they are prepared to address whatever problem they have.  Ewan Strydom  And then supplementation. It plays such a big role. That's why we're here. That's why you guys are here. For women out there wanting to find a bit more info, everything is there. They can go look on the website, phytoceutics.com.  Laura Johnston  We do have a page on the website called Hormonal Balance or Women's Health. Ewan Strydom  I love that. Very, very encouraging to hear indeed. A big thank you once again to Laura and Dr. Natalia for joining us today and for shedding light on such an important topic. Be sure to visit Phytoceutics online and also check them out on their social media pages.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Everything You Need to Know About Vaginal Rejuvenation  [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" text_font="|300|||||||" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]In the quest for female intimate health, wellness and confidence, vaginal rejuvenation has emerged as an important solution for many women. Dr Natalia Novikova, a gynaecologist, offers important insights into sexual wellness treatments and other pelvic rejuvenation procedures. We want to demystify vaginal rejuvenation, exploring what feminine rejuvenation is and looking at the outcomes for many women. What is Vaginal Rejuvenation?   Vaginal rejuvenation is a procedure that includes enhancing vaginal muscle tone, strength, and control. The procedure seeks to revitalise the vagina for improved sexual wellness, vaginal aesthetics, and comfort. The umbrella term – Vaginal Rejuvenation – includes both surgical and non-surgical approaches to address concerns relating to ageing, childbirth, or hormonal changes. Why Do People Get Vaginal Rejuvenation?  People decide to get genital rejuvenation for many reasons. These include: Enhanced sexual satisfaction and intimacy. Restores vaginal tightness and elasticity that is lost when giving birth or getting older. Improves incontinence, specifically urinary incontinence. Boosts your self-confidence and overall body image. Addresses the overall view of your genitals, specifically when it comes to cosmetic or aesthetic concerns. What Are the Different Types of Vaginal Rejuvenation?  Surgical Vaginal Rejuvenation Options Surgical options like vaginoplasty (vaginal tightening), labiaplasty (reshaping the labia), and pelvic floor therapy are popular for their long-lasting results. These vaginal health procedures can help with functional and aesthetic concerns. Non-Surgical Vaginal Rejuvenation Options Non-surgical options include laser treatments, radiofrequency therapy, and hormonal treatments. These options offer less downtime and can often be effective for many vaginal issues (tightening, improving lubrication, and enhancing overall vaginal wellness). How is Surgical Vaginal Rejuvenation Done?  Surgical rejuvenation procedures are performed under anaesthesia. The techniques can vary  based on what you want to improve: Vaginoplasty involves the tightening of your vaginal canal and muscles. Allowing for vaginal restoration. Labiaplasty is used to reshape or reduce the size of both the labia minora and labia majora. Pelvic floor therapy helps strengthen your pelvic floor muscle through either exercise or surgical means. What Are the Good Things About Vaginal Rejuvenation?  The benefits include: Improved body image and self-esteem. Especially for vulvar rejuvenation and vaginal cosmetic procedures. Improved sexual satisfaction for both you and your partner. Improves urinary incontinence issues. Improved lubrication to reduce vaginal dryness. Are There Any Problems With Vaginal Rejuvenation?  As with many intimate rejuvenation procedures, there are risks involved. We look out for infection, sensation changes, and dissatisfaction with results.  When deciding which practitioner to go with, it is important to look for a qualified and experienced provider. This will reduce the overall risk of a vaginal rejuvenation.  How Long Does Vaginal Rejuvenation Last?  Many women report improvements in their sex life, confidence, and symptoms after a vaginal rejuvenation.  The effectiveness depends on your condition and the type of procedure you select.  When Should I See My Doctor?  It is important to consult with a healthcare provider if you are considering getting a vaginal rejuvenation. Your provider will be able to look at your needs and discuss options. This will help them develop a personalised treatment plan for you. Will My Medical Aid Pay for Vaginal Rejuvenation?  Many medical aid companies consider vaginal rejuvenation a vaginal cosmetic surgery. This means that they do not cover the costs involved in getting the treatment. However, many procedures addressing medical issues like urinary incontinence may be covered. How Much Does Vaginal Rejuvenation Cost?  The costs of vaginal rejuvenation depend greatly on the type of procedure, provider, and location. Genital aesthetic surgery options have higher upfront costs, while non-surgical treatments might require you to do multiple sessions. This influences the total cost involved. Vaginal rejuvenation offers you the means to renew your confidence and intimate wellness. By understanding the types, benefits and considerations, you can make an informed choice. Your health and well-being are the most important factors to consider. Dr Natalia Novikova is dedicated to providing the care you need. Her expert guidance allows you to explore these transformative vaginal wellness treatments and help you take control of your health.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Adventures in V land [et_pb_section admin_label="section"] [et_pb_row admin_label="row"] [et_pb_column type="4_4"][et_pb_text admin_label="Text"]   Download[/et_pb_text][/et_pb_column] [/et_pb_row] [/et_pb_section] ### Body odour, from under your arms to below [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"] 1. What is a normal vagina odour? Normal odour is generally subtle and not noticed. Vaginal odour is created by individuals' unique vaginal flora in particular healthy bacteria called Lactobacilli. There are many sweat glands in genital area which will add "sweating" odour which we experience during exercise and in hot weather. Body odour as well as "vaginal" odour is also influenced by hormonal changes, state of health, medications, clothes we wear, and even what we eat as it will all influence our bacterial balance. Normal smell is generally sour as Lactobacilli produce lactic acid, hydrogen peroxide and other other substances that make the vaginal environment unlivable for harmful bacteria. The normal pH in the vagina is on acidic side between 3.8-4.5 for non-menopausal women and 4.5-6 in menopausal women. 2. When will your vagina smell different? Just before your period? Peri-menopause, menopause. During Menstrual period women may experience metallic vaginal odour related to blood from menstruation and in particular iron in the blood. In menopausa due to depleted oestrogen levels vaginal pH becomes more alkaline which will lead to a different smell and also increase risk of infections in the vagina and bladder. Hence, vaginal topical oestrogen treatment is important in menopausal women. 3. When should you worry about your vagina smelling different? If your vaginal smell changes, first of all think of any changes that might have occurred in your life-style leading to this change, such as a new wash, a new sexual partner, a special diet, more stress etc. If. You cannot attribute this change in odour to any of lifestyle factors you can modify or if you are worried about an infection, you should see your doctor for an assessment. Fishy smell indicates a condition called Bacterial Vaginosis which is disbalance in vaginal bacteria and decrease in Lactobacilli and overgrowth of bacteria called Gardnerella. This condition is treated with either topical (vaginal)  or systemic (oral tablets) antibacterial preparations. Trichomoniasis is a sexually transmitted disease that can cause fishy vaginal odour and is usually associated with burning, itchiness and increased vaginal discharge. You should see a doctor if a change in vaginal odour is associated with burning, itchiness, irregular bleeding (outside your period or after sexual intercourse), fever, pain, genital rash, redness. I would like to emphasize that only water and NO soaps, NO intimate washes, NO essential oils should be used for washing of intimate area as all of these substances will interfere with your normal vaginal bacterial flora that creates a healthy environment not conducive to harmful bacteria.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Labiaplasty testimonial [Content is password protected] ### Endometriosis vs PCOS [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]Endometriosis vs PCOS Written by ROBYN MACLARTY These two conditions both affect women’s periods and fertility – but have different causes and treatments. Endometriosis and polycystic ovary syndrome (PCOS) are disorders that affect women of reproductive age. Endometriosis is often confused with polycystic ovarian syndrome because both are related to the womb and cause menstrual problems, which can lead to heavy bleeding. They can also make it difficult to fall pregnant. But these two conditions are not the same at all, and have different symptoms and treatments, so it’s important to get a proper diagnosis.   What is Endometriosis? What do Lena Dunham, Chrissey Tiegan and Amy Schumer have in common? They suffer from endometriosis, a condition caused by excess estrogen that can result in debilitating pain and that may need to be treated with surgery. “Prevalence of endometriosis in South Africa is about 1 in 10 women and the prevalence of PCOS is 1 in 5, which is similar to the prevalence of these conditions in other countries around the world,” says gynaecologist and endoscopic surgeon Dr Natalia Novikova, who has practices in both Cape Town and Johannesburg. Endometriosis gets its name from the tissue that lines a woman’s uterus – the endometrium. A woman’s body typically grows a new lining each menstrual cycle in preparation for a fertilised egg (the blood-like discharge during your period is a portion of this endometrium being discharged). Endometriosis occurs when this tissue grows where it shouldn’t – outside of the uterus – affecting the fallopian tubes, ovaries and potentially other organs like the bladder, cervix and even (rarely) the lungs. Complications can arise when this tissue stays in the body, instead of being discharged, and cysts form around the ovaries, eventually developing into scar tissue. “Symptoms of endometriosis can include painful menstrual periods, pelvic pain a few days before menstrual periods, pelvic pain during sexual intercourse, heavy and sometimes irregular menstrual periods, bloating, and difficulty falling pregnant,” says Dr Novikova “Endometriosis is also often associated with irritable bowel syndrome.” What is PCOS? While endometriosis is linked to excess estrogen, a female hormone, PCOS is caused by excess androgens, or male hormones. PCOS occurs when numerous (poly) cysts form in the ovaries. They do this when an excess of androgens interferes with regular ovulation (there are cases of PCOS, though, that do not include the formation of cysts). PCOS can be accompanied by pain, but isn’t usually. More often, “PCOS symptoms include irregular or missed menstrual periods, excess body hair, acne, and difficulty falling pregnant,” says Dr Novikova. Are you at risk? Risk factors for both conditions include a family history. Additional risk factors for PCOS include insulin resistance or being overweight. For endometriosis, heavy and/ or irregular periods, as well as beginning menstruation before the age of 11 can increase your risk. Getting Help If you’re concerned that you might be suffering from either of these conditions, Dr Novikova recommends seeing a specialist gynaecologist for a full assessment and discussion of the symptoms and exploration of treatment options. For both conditions taking medication like the contraceptive pill can help reduce oestrogen in endometriosis, or androgens in PCOS. Other treatment options for endometriosis includes pain relief, surgical removal of endometrial tissue and even hysterectomy. For PCOS you might be put on medication to reduce acne or hair growth and if medication doesn’t help, surgery to reduce androgen-releasing tissue in the ovaries. “A healthy lifestyle with a balanced diet, physical activity, good sleep and stress management is very important in keeping the symptoms under control of both conditions,” says Dr Novikova, “in addition to the diagnosis and treatment of the condition.” This article appeared on the Clicks ClubCard magazine, April 2023 issue - written by ROBYN MACLARTY[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Bartholin's Gland Abcess [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]Bartholin's Gland We’ve all been told to pick up a hand mirror and study our vagina, right? This way we can get to know it and understand ourselves more intimately. But a mirror won’t show you where and what the Bartholins glands do for you and your sex life. I was giggling-high on morphine on a hospital bed in Thailand, while a pleasant Thai man was speaking to me in broken English, and positioned between my openwide legs with a stern face and a scalpel in his hand. Let me just state, for the record, that he was a doctor and he was situated there for medical reasons, as for one solid week prior to this dubious circumstance I now found myself in, I had been walking with a hobble, sitting down on my left cheek only, and not having sex – not to mention enduring serious agony from an unknown cause. It was only the day before that I learned I had a Bartholins gland abscess. A million questions raced through my mind, but the first and foremost: ‘A Bartholin what?’ And then a close second: ‘… An abscess … like, in my vagina?’ What are Bartholins Glands? To answer the above questions is Cape Town gynaecologist and endoscopic surgeon Dr Natalia Novikova. ‘The Bartholin's glands are situated around the opening of the vagina, inside the small lips, and are ideally located to produce lubrication for sex,’ she says. Okay, so they aren’t in the vagina per se, but still… Many women do not know that Bartholin’s glands even exist in their bodies, let alone know their function. There is one on each side of the vaginal opening. They are approximately 2- to 2.5cm-long ducts, which open on the surface of the vulva, secreting relatively minute, but necessary amounts of fluid to moisten both the lips and the opening of the vagina. This ensures that any contact with the sensitive area is comfortable. ‘The opening of the vagina is the most narrow part of the whole organ. This is why lubrication for penetration is so important, and the glands assist with that naturally,’ says Natalia. I had noticed a hard lump to the right of my outer lips one day and made a mental note to keep an eye on it. I was living in Thailand at the time and access to medical care proved difficult, as well as pricey for my non-existent budget. I wasn’t too worried – that is, until after a few days the lump continued to grow in size and become increasingly hard. Eventually it became debilitating and particularly painful. Do I have an STD? Am I sick? Do I need to see a gynaecologist? What is this grape-sized lump in my most precious of places? When a Bartholin’s gland forms a blockage of fluid, it is possible for it to develop into a cyst. The cyst can form either in the gland itself or in the duct that drains the gland of its fluid. A cyst is usually between one and three centimetres in size and there is little to no pain associated with it. ‘A cyst forms due to an obstruction of the duct between the gland and the vagina. Much like a pimple, there are many causes for this type of blockage,’ says Natalia. A Bartholin’s abscess on the other hand is either an infection of the gland itself, or an infection of the cyst. Usually the abscess forms unilaterally, although it is not impossible for both to be infected at the same time. ‘An abscess is a collection of puss in a certain area, in this case within the cyst in the gland,’ says Natalia. ‘The size of a Bartholin’s abscess can vary dramatically. I have seen some as big as 10cm in diameter.’ The Bartholins gland abscess is associated with acute pain that only gets worse with time, high fever, inflammation and infection of the tissue surrounding the mass, as well as difficulty in walking and sitting, and in some cases lying down. Natalia says that, anatomically, the abscess is in an awkward position, explaining why women suffer when sitting and walking around. ‘The bigger it is, the more discomfort the woman will feel,’ she says. I don’t remember a time that I have been in more pain. It was physically exhausting and, mentally, I was on the edge. The thought of your womanhood fraught with something so invasive is traumatising. Worse still is that for the few days before I sought help, I did not know what it was. It made me realise that there was so much I didn’t know about my own body – and particularly my vagina. Was this normal? Did other women suffer from the same thing? Did I do something irresponsible that lead to this unfortunate situation? ‘Cysts are more common than abscesses, but as doctors we see more cases of the latter because they are more painful and that’s when people seek help,’ says Natalia Cysts and abscesses develop in sexually active women between the ages of 20 and 30, but Natalia has seen cases in women both older and younger than that. It was first believed in the 70s and 80s that Bartholin’s cysts and abscesses were caused by Neisseria gonorrhoeae and Chlamydia trachomatis, the pathogens responsible for STDs gonorrhea and chlamydia. ‘That’s something that we used to think back then, yes. But I have hardly ever seen a case associated with STDs,’ says Natalia. Instead there is the predominance of opportunistic bacteria found around the world such as staphylococcus, streptococcus, and especially Escherichia coli (E.coli) as common causes. A study was conducted between 2004 and 2013 that examined 267 women with the average age of 33. The results were published in the European Journal of Clinical Microbiology & Infectious Diseases in 2016 and showed that 57.7% of the abscess cases were caused by undetermined bacteria, 22% E.coli, and 10% streptococcus. Natalia was particularly passionate when we spoke about misinformation given on many Internet sites. Women will research their problem on the Internet before seeing a doctor and panic because the website they’re reading tells them they’re likely to have an STD. ‘Women who have had one sexual partner all their lives and are in faithful relationships can develop the infection. It is not because of STDs,’ she says. I asked Dr Elna Rudolph, sexologist and head of My Sexual Health clinic in Johannesburg what women can do to avoid the glands from developing into cysts, and ultimately abscesses: ‘There is not much you can actually do to prevent infection. The area cannot be kept sterile and so it is susceptible to bacteria getting in there.’ However, just being aware of the glands and their positioning will help. Safe sex and maintaining good hygiene habits will promote continued health of the glands, especially when considering they’re prone to infection from bacteria, which fester in unhygienic, moist, body-temperate conditions and climates. Often, a Bartholin’s cyst does not require medical treatment – but this does depend on its size and symptoms, and your discomfort level. However, should a cyst become infected, there are multiple treatment options, the most practised and effective being marsupialisation. ‘Marsupialisation comes from the word marsupial (kangaroo), an animal that has a pouch in which to carry their young,’ says Natalia. ‘We cut the abscess open, and stitch the lining of it to the outside skin of the vulva to keep it open, allowing the fluid to still lubricate the vaginal opening.’ The reason marsupialisation is more effective than simply draining the abscess is because the tissue deep within needs to heal from the infection. So keeping the wound open is key. And the treatment results are almost always effective. Unfortunately, my procedure was a little different – ‘oldfashioned’ Natalia informed me. Luckily, I had a friend come along for emotional support, and to endure my adrenalin-strong hand squeezes. The doctor injected me with morphine that completely calmed my manic state, and numbed the area for an incision to drain the pus inside. ‘The size of the hole that is left depends on how big the abscess was,’ says Natalia. Mine was large and to keep it open, instead of stitching me, the doctor stuffed the hole with three layers of saline-soaked medical gauze – I have never had children, but I am certain this pain was worse than natural childbirth without drugs. I left the clinic in an adult nappy, with two-weeks worth of strong antibiotics. Some women undergo major surgery to have the gland completely removed. This only happens if the same gland continues to become infected and marsupialisation ceases to work. But Natalia confirms that this isn’t common, nor ideal. ‘Removal of the gland can lead to pain during intercourse or failure to lubricate,’ she says. I ask her if my having had an abscess could be the reason I struggle to get as wet as I did before. ‘The gland could have been damaged and therefore doesn’t function at its optimum, but it’s unlikely.’ Photogra Ok then – it must be age. Feeling on the dry side? Here’s why you might be: It’s hormonal Oestrogen and testosterone are the two hormones responsible for keeping your vagina lubricated. An imbalance in either could mean uncomfortable dryness, both on a daily basis and when you want to get jiggy. Low levels of oestrogen, in particular, is associated with a lack of natural lubrication and it’s a condition that can be affected by menopause, childbirth and breast-feeding, medications, and some cancer treatments. Women who suffer from this can try a daily vaginal moisturiser. You’re stressed Anxiety can bug out your system, throwing your stress hormones into overdrive and prompting your body to put functions it considers unnecessary to your survival on the back burner for resources, including your digestive and reproductive systems. Sorry glands, no love for you there. You’ve been douching Your eyes and your vagina are the body’s only two self-cleaning organs – they don’t need soaps or scrubbing to do the job. When you introduce harsh chemicals in the form of soaps, bubble baths or sprays to the vaginal environment, you upset its delicate pH balance and host of happy flora that keeps everything lubing along nicely. It’s your medication Many medications, from birth control and antidepressants to blood pressure and cancer inputs, can affect your body’s capacity to selflubricate. Chat to your GP or gynae about the side effects you’re experiencing with your meds. Illness Diabetes, in particular, has been associated with vaginal dryness and the inability to orgasm. Impaired blood flow to the genital tissues, nerve damage and hormonal imbalances associated with the disease cause terrible discomfort, both physically and emotionally. Trauma, depression and a lack of attraction to your partner ‘Getting wet’ should never be solely associated with arousal. While there are many causes for a lack of easy lubrication, it’s important to acknowledge the role your emotional wellbeing and situation plays in your body’s sexual experience. Negative emotional responses specific to sex may also include pain and vaginismus (pain on vaginal penetration) during intercourse. FYI Dry sex is an act commonly practised in sub-Saharan Africa. Women remove natural lubrication through various and dangerous means such as wiping with household detergents, antiseptics and even placing dry leaves inside the vagina. What would make women go through such drastic measures to keep their vaginas painfully dry? Their men believe that a ‘wet’ woman is unchaste, and that a dry vagina means a ‘tighter’ one, increasing their pleasure during sex. The risks involved in this type of sex include increased vulnerability to STDs and HIV/AIDS: increased friction during dry sex causes lacerations in vaginal tissue prone to infection; wiping the vagina of its natural fluids removes natural antiseptic lactobacilli that help prevents STDs; and dry sex causes condoms to break. Written by: Jessica Sorensen for Marie Claire (August 2017)[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### 5 Ways to Look After Your Pelvic Floor Health [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" text_font="|300|||||||" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]5 Ways to Look After Your Pelvic Floor Health What are the signs that your pelvic floor is not what it is supposed to be? Pelvic floor muscles should be strong enough to support the bladder, bowel and uterus. Poor pelvic floor health can lead to forms of incontinence or pelvic organ prolapse. Some women experience a feeling of ‘looseness’ or something about to fall out, this can result in issues with bowel and/or bladder control. In more advanced cases, it may affect the way of life such as not being able to visit family or friends because you are scared you may leak When does your pelvic floor health usually deteriorate? Pregnancy and childbirth, weaken pelvic muscles as they stretch to accommodate the baby. The relaxing effect of progesterone on the vaginal wall also causes the weakening of the vaginal wall. For some women, the muscle can take a while to get back to its initial natural state, whether it be in the abdominal area or the vaginal muscles. Lower estrogen levels during menopause can make pelvic muscles thinner and less flexible. What other factors contribute to the weakening of your pelvic floor muscles? Other factors that deteriorate pelvic floor health include obesity or weight gain, smoking, chronic cough, having a hysterectomy, prostate cancer treatment, chronic constipation, heavy lifting and ageing. They can lead to the bladder pushing on the front wall of the vagina and the bowel pushing onto the back wall of the vagina. It is caused by the weakening of the muscles, ligaments, and fascia, which support the tissues that hold those organs in place and the correct positions. Just as with any other part of the body, incorrect form when exercising can cause injury. 5 Ways to look after your pelvic floor health Diet Foods rich in omega 3 such as salmon, to reduce inflammation. Foods with magnesium such as bananas, potatoes, wholegrains, beans and nuts. Magnesium improves muscle and nerve function, and can have a laxative effect, helping to ease constipation. Foods with low acidity to prevent irritation. Water to flush out toxins and vitamin D for muscle strength. Kegels Kegels are an effective pelvic floor exercise but many women find it difficult to keep track or make time for them. The correct way to do a Kegel is to tighten your pelvic floor muscles for 3-10 seconds at a time followed by a break which is as long as the contraction was. This is repeated 10-15 times a session and should be repeated 3-6 times a day. It is important to isolate your muscles and flex only the pelvic floor. Results become apparent from within a few weeks to a few months and it is advised that you make Kegel exercises a permanent part of your daily routine for sustained benefits. BTL Emsella Chair The Emsella chair is a non-invasive 'lunchtime' solution that uses electromagnetic energy to contract your pelvic floor muscles at a rate of 11 200 contractions per 28 minute session. This is equivalent to 11 200 Kegels done for you. A pessary (rubber) ring A pessary (rubber) ring can also be inserted in the vagina by a doctor to assist pelvic floor muscles in holding the organs that may have moved out of place. Good Posture Good posture prevents the squashing and potential shifting of vertebrae. Relaxing activities such as meditation, yoga and warm baths can relax overly-tensed muscles. Overall, a healthy lifestyle, good drinking habits, healthy vaginal skin, and healthy bladder wall are all essential. And how about Pelvic floor toners for at home use? The most appropriate way of doing pelvic floor exercises is by seeing a pelvic floor therapist or physiotherapist who would teach you to do it correctly. I usually give my patients an approach that describes how it’s done. Sources Stanford Health Care The Sun [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### 'Sex should not be painful after childbirth' [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]'Sex should not be painful after childbirth' Most new mothers are told to expect pain and discomfort when they first have sex postpartum. But, according to Cape Town-based gynaecologist and endoscopic surgeon Dr Natalia Novikova, sex should not be painful after childbirth and is often indicative of an underlying (and treatable) issue. "It's important to establish the cause of the pain and to treat it," she tells News24. Novikova cites vaginal or perineal tearing and scarring (in the case of vaginal birth) and thin vaginal skin and dryness resulting from low oestrogen levels (often exacerbated by breastfeeding) as two of the more common causes of painful sex after birth. Infections, like yeast infections, urinary tract infections (UTIs) or vaginal inflammation can also cause painful sex, as well as other reproductive issues (endometriosis, cysts or fibroids) or skin conditions (lichen sclerosis or eczema psoriasis). Urinary incontinence Besides painful sex, incontinence can also significantly impact the well-being of a new mother. Novikova defines incontinence as "the loss of pelvic organ control which can lead to the involuntary leakage of urine, wind or faeces during everyday activities such as coughing, sneezing, laughing and jumping". Because childbirth and pregnancy affect the bladder, women are twice as likely to experience urinary incontinence than men. According to Novikova, this is largely due to the relaxing effect of the hormone progesterone on the vaginal wall, which weakens the vaginal wall. Age is also a factor, with urinary incontinence developing in older women due to an oestrogen decrease and thinning skin. Birth trauma and vaginismus Some women experience pain during vaginal intercourse as a result of birth trauma. Novikova explains that vaginal delivery, in particular, may damage the vaginal canal, the perineum and the pelvic floor muscles. Some women tear up during birth or undergo an episiotomy and must deal with sutures post-birth. "This can form scars which can cause pain and discomfort during penetrative sex," says the gynaecologist. Novikova adds that the inherent fear of painful sex – due to infection, ageing or previous trauma (such as rape) – can also develop into vaginismus, which is the body's automatic and involuntary reaction to sex where the vaginal muscles tighten up, making comfortable, painless penetrative sex impossible. In her practice, Novikova treats vaginismus with a combination of botulinum toxin (botox) and vaginal dilators. 'Recreate a pleasurable intimate experience' Whatever the cause of a woman's intimate pain and discomfort, Novikova stresses that finding and treating that cause is crucial to ensuring that a woman has positive sexual experiences moving forward. "The goal is to re-create a pleasurable intimate experience. We know that sexual pleasure is created in our brain, so setting the mood is the start. Being rested, having enough sleep, and desiring intimacy is also a 'must', but I know this isn't easy to achieve," says the gynaecologist. For new mothers struggling to get their mojo back post-birth, having a lubricant on hand can be helpful to ensure that vaginal dryness does not interrupt the process. Novikova also suggests using a vibrator first to learn how penetration will feel post-birth. This will also help new mothers gain confidence and prevent tension and fear before getting back on the proverbial horse (when they're ready). Why 'doing your Kegels' isn't cutting it Ukraine-born Novikova is the doctor behind the popular @gynaetaboos account on Instagram, which offers women valuable tips and topical insight into sexual and reproductive health. She is also the founder of the Body + Skin Clinic, which offers pelvic/vaginal rejuvenation treatments and non-surgical options to improve pelvic floor laxity and incontinence. In Novikova's experience, most mothers she consults are seeking relief from recurring UTIs, debilitating urinary incontinence and painful sex – all of which significantly impact a woman's quality of life. These ailments also have one common denominator: the pelvic floor. But let's be honest, pelvic floor health is way down the priority list of any new mother if it even features. In an ideal world, however, it should form part of every woman's sexual health education because simply "doing your Kegels" is not cutting it anymore. "It is advised that you make Kegel exercises a permanent part of your daily routine for sustained benefits," says Novikova. She explains that proper Kegel exercises involve tightening your pelvic floor muscles for 3 to 10 seconds, followed by a break as long as the contraction. This should be repeated 10 to 15 sessions, 3 to 6 times daily. But the reality is that most women are not contracting their pelvic floor correctly, let alone keeping track of the requisite repetitions (or making time for them). High-end solutions "The Emsella chair is a non-invasive and non-surgical treatment that strengthens your pelvic floor." Photo: Supplied/Dr Natalia Novikova. The Body + Skin clinic invested in two high-end pelvic floor strengthening and rejuvenation solutions for the Cape Town and Johannesburg branches: the Emsella chair and the Ultrafemme 360. The Emsella chair is a non-invasive and non-surgical treatment that strengthens your pelvic floor and treats incontinence in under 30 minutes. It can also heighten sexual desire by encouraging blood flow to the pelvic area. This treatment employs electromagnetic energy to activate motor neurons in the pelvic floor and initiate 11 200 muscle contractions (as effective as doing many Kegel exercises). "You can sit on it, fully clothed, and receive the treatment within 28 minutes. Come in your lunch break, catch up on emails, scroll on your phone or read a magazine. It's that easy," says Novikova. A non-invasive alternative to labiaplasty The Ultra femme 360, also non-surgical, is a safe vaginal probe that uses radiofrequency and ultrasound technology to "gently heat up and shrink collagen fibres" in each 8-minute session. "It also normalises pH and treats vaginal atrophy and recurrent vaginal infections," says Novikova. Like the Emsella, the Ultrafemme combats incontinence but is also considered a vaginal rejuvenation tool that treats vaginal looseness, dryness and a loss of sensation. Moreover, it can change the appearance of your intimate area and, as a non-surgical solution, it rivals more invasive procedures like labia- or vaginoplasty. Low-cost pelvic floor care However, the reality is that most women will not be able to afford the high-end intimate treatments that the Body + Skin Clinic offers. For anyone looking for low-cost ways to start taking care of your vulva, vagina and pelvic floor (pre- and post-birth), Novikova posts educational information and pelvic floor exercise on her website and Instagram page. A pelvic floor physiotherapist in your area will also be able to help.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### 10 Facts To Know About Labiaplasty [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]10 Facts To Know About Labiaplasty A quick overview of the Labiaplasty procedure Labiaplasty is the surgical correction of labia minora (small lips on the side of the genital area) or labia majora (large lips that usually cover small lips). It is not medically necessary to get labiaplasty as all shapes and types of labia minora are normal (you can check labialibrary.org.au to see all the different shapes and types) However, if you are unhappy and distressed with the shape of your genitals it is advisable to see a specialist and get advice.Some of Some reasons for performing labiaplasty include functional issues, aesthetic (such as asymmetry with one of the labia larger than the other), psychosocial, congenital anomalies and sex change surgery. Girls who are younger than 18 years will be requested to see a psychologist before they can undergo the procedure and in most cases, the procedure is delayed until they turn 18. Psychological evaluation can also be requested for women who are older than 18 years. This is to ensure that the procedure is performed for the right reasons, that expectations are met and that sound psychological support is provided. Labiaplasty procedure is performed under local anaesthesia and you will be instructed to apply a special anaesthetic cream to numb the skin over the area and take a tablet that will allow you to relax before the procedure. Labiaplasty for inner lips - This procedure focuses on reducing the size or shape of the inner lips (labia minora), as well as the removal of dark skin tone tissues. These are the cause of discomfort for many women for reasons related to physical sensation in the area, psychological reasons such as lack of self-confidence, or sexual performance if a woman dislikes the appearance her vaginal lips. Labiaplasty for outer lips - This procedure aims to reduce the size and look of the exterior vaginal lips by removing the excess fat and tightening or lifting relaxed skin there. Labiaplasty can be done in many different ways. Common types of procedure are trim or curvilinear technique (or trim technique or “barbie” labiaplasty), V- labiaplasty or central wedge resection and de-epithelization techniques. The procedure takes one to two hours and once the anaesthetic wears off, usually one hour after the operation, you can go home. Dr Novikova has performed many labiaplasties and is skilled in various techniques of the labiaplasty procedure. She has participated in workshops and meetings on aesthetic gynaecology and is certified by the European Society of Aesthetic Gynaecology. She is a pelvic surgeon and endoscopic (minimally invasive) surgeon with many years of experience in the field. Each labiaplasty is different, as no one has the same anatomy and she adjusts her technique based on the patient’s desires, concerns and anatomy. She will share before and after photographs during the consultation. Dr Novikova’s team, which includes a practice nurse, scrub nurse and herself, are always available to answer your questions and provide pre-procedure and post-procedure support to make the recovery as easy as possible. For more information read the labiaplasty page.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Post Childbirth Rehabilitation [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Regaining body shape and sexual function after childbirth Edited Transcript from a Presentation “Postpartum Rehabilitation Sexual Dysfunction and Body Shaping” by Gynaecologist Dr Natalia Novikova to the Aesthetic Medicine Congress of South Africa in 2021 Dr Natalia Novikova is an internationally acknowledged gynaecologist who specialises in minimally invasive medical and cosmetic gynaecology, as well as non-invasive body contouring. She currently works in South Africa with two practices in Johannesburg and Cape Town. Dr Novikova has personal experience in postpartum rehabilitation. Having given birth to three children through natural birth. She understands the complexities of postpartum, because her kids are close in age, and it took an effort to get back into shape. Owing to her non-invasive treatment method, Dr Novikova has explored various energy devices in her practice to treat conditions in this area. She has chosen them based on their performance and the available research done on the devices. Her clinical experience comes mainly from BTL and Alma laser devices.  What Are The Issues Post Childbirth? Issues Relating to Sexual Dysfunction  Common post-partum issues related to sexual dysfunction are urinary or faecal incontinence, perineal tears, pain from the tears that women sustain during childbirth, vaginal laxity, or looseness of the vaginal canal, post vaginal delivery, and a decreased sexual desire. These may be related to various reasons or could be the consequence of atrophy or the thinning of vaginal skin due to a prolonged hypo-estrogenic state during the pregnancy and breastfeeding period. This quite often results in vaginismus or involuntary spasm of the general muscles leading to pain upon penetration. Issues Relating to Body Shaping Most women who have had babies struggle to lose weight, while some develop pectoral muscle separation, most have sagging skin, stretch marks, and cellulite that they would want to address soon after birth.> Incontinence Issues Post Childbirth The incontinence market is huge and there are billions spent worldwide. While an enormous number of women around the world suffer from this condition, they all too often take a very long time to seek help, 6.5 years on average. The unfortunate reality is that most women don't necessarily get helped when seeking help for incontinence. To emphasize the lack of proper assistance, Dr Novikova recalled an article written to advise women who are embarrassed to exercise because of stress urinary incontinence. She recounted how the article gave ineffective and impermanent methods for women suffering from stress urinary incontinence. The advice included wearing dark clothing,  choosing to swim instead of jumping and wearing a tampon when they are exercising. She criticized these methods while holding with certainty that better methods exist. The positive side is that more and more women are speaking out about this embarrassing topic. This includes Kate Winslet’s social media post where she admitted to “peeing herself” after having a baby. Urinary incontinence is very common and 25% to 55% of women may suffer from it. What are the Options for Women with Incontinence? It is best, to begin with, a thorough diagnostic process which includes history taking, clinical assessment, imaging, potentially urodynamic studies and urine analysis to find the problem, and then based on the type of incontinence found, various treatment options available will be discussed with the patient. The treatment could start with lifestyle modifications, a bladder diary, pelvic floor exercises, and progress to surgical or non-surgical methods of treatment depending on the type of incontinence a patient may have. Vaginal Rejuvenation Treatment Lifestyle modifications are a good place to start in treating mild urinary incontinence. On occasion, energy devices such as the BTL Ultrafemme 360 or Femilift can be used to treat the condition. They are also used for procedures such as vaginal rejuvenation for women who have none of the problems that have been mentioned but are interested in undergoing prophylactic vaginal rejuvenation post-childbirth as an elective procedure. There are several other devices available such as ablative carbon dioxide (CO2) lasers, non-ablative and ablative erbium lasers, combination lasers, radiofrequency and High-Intensity Frequency Electro-Magnetic energy HIFEM). There is a variation in the technology, depth of penetration and number of treatments necessary but they similarly work by increasing temperature in the tissue which leads to collagen degeneration, shrinking collagen fibres and producing new collagen using fibroblast stimulation. The depths of penetration range from lasers that come up to the dermal level to intense pulsed light lasers which are slightly deeper. Frequency and fractional lasers are the most superficial while HIFEM levels provide a very deep penetrating treatment. Choosing An Energy Device  When choosing an energy device for a practice it should be based on the following reasons: type of energy, type of effect, available evidence, potential side effects, the time it takes to perform the procedure and the number of the procedures required. Most of the devices require several procedures, on a weekly or monthly basis. Other factors include ease of administration, potential the device has of performing other extragenital procedures, size, downtime, available marketing, cost of the device, cost of the servicing agreement as well as the availability of technical support. CO2 lasers can only be administered by a medical practitioner and radiofrequency treatments can be administered by an Aesthetician or a nurse. HIFEM is a fantastic treatment for women who struggle to adhere to pelvic floor exercises which amount to about 80%. BTL Emsella Pelvic Floor Exerciser Chair Research has found the BTL Emsella chair to be an extremely powerful device that administers 11,200 pelvic floor muscle contractions in a 28-minute treatment session. It is a non-invasive procedure, so women can be fully dressed when they undergo the treatment and the key to its effectiveness is based on the focused electromagnetic energy and depth of penetration and stimulation of the entire pelvic floor area. A single session produces thousands of pelvic floor muscle contractions, which is extremely important for muscle education and contractions for patients living with incontinence. There are several approved positive reports of improvement in sexual function besides the treatment of stress and urge urinary incontinence. The recommended treatment plan is six sessions twice per week, for 28 minutes per session. It can be used for all types of incontinence, vaginal laxity and includes men struggling with an overactive bladder or who have undergone prostatectomies. Evidence Of The Efficiency Of Pelvic Floor Exercises  The use of pelvic floor muscle training for the prevention and treatment of urinary and faecal incontinence has been recommended for women for a very long period of time. The Cochrane Studies have shown that one-third of women who have urge incontinence and one in ten who have faecal incontinence after birth, improve after the use of pelvic floor muscle training, during their antenatal and postnatal phase. It is important to undergo the treatment during early and mid-pregnancy, primarily because it is not as effective for women who are at the last stage of their pregnancy even though the treatment affects the reduction of urge incontinence postpartum. The Cochrane Review includes 31 trials with close to 2000 women with a moderate risk of bias. The review found that women with stress urinary incontinence were eight times more likely to report that they have been cured after having undergone pelvic floor muscle training. Women with any type of urge incontinence were five times more likely to report “cured” in their treatment groups. The field has seven completed clinical trials on HIFEM, four completed in 2019 with over 300 study patients for all types of urinary incontinence. 95% of the patients were satisfied with a notably significant improvement in their quality of life. The results were confirmed by a six month follow up. Women with moderate to severe urinary incontinence will need different types of treatments such as surgical interventions for stress urinary incontinence and medical interventions for overactive bladder. Vaginoplasty / Vaginal Repair Vaginal laxity can be addressed with energy devices and pelvic floor exercises as well as lifestyle modifications. Women who have significant tears that were not repaired accordingly or did not heal well will need surgical intervention. Energy devices and pelvic floor exercises do not help with pain during intercourse. Patients should be counselled on all the options available to them and the appropriate treatment chosen for each patient individually   What Are the Causes and Treatments for Sexual Dysfunction? Sexual dysfunction is a complex problem and must be addressed from all aspects. To treat the condition, gynaecologists start with addressing the general wellbeing of women who have just had a baby. Sleep is a very important aspect and women who have interrupted sleep for months and years because of baby co-sleeping and breastfeeding and other factors report having a low sexual desire or changed sexual function. These women are not likely to be helped by medication or other treatments because their lifestyle must adjust to the new life and that would be the most important factor in improving their sexual function. To improve the lifestyle, patients need to address sleep stress, exercise, eating, body image and their relationship with their partner. Sexual education is also quite important because having a baby does not mean that women understand everything about sex or their bodies or what they respond to. Any type of underlying illnesses like depression, lichen sclerosis, hypertension diabetes can play a big role in changing sexual function. Chronic medication, supplements or illicit substances, also have an impact. Women who are breastfeeding, who experience vaginal dryness, or pain upon penetration develop vaginismus as a result and have to understand the treatment processes in place to address the issue one step at a time. Living arrangements are also quite important in working out sexual dysfunction problems. Vaginismus Vaginismus is not a common postpartum issue, but it can be related to traumatic childbirth.Most women have bad tears that don’t heal well, or experience pain during penetration or have painful scars. The condition can be related to the thinning in the vagina scheme, atrophy, relationship discordance, or the avoidance of sexual activity for various medical reasons during pregnancy and postpartum or for other reasons. It is very important to find the cause of vaginismus but the most important part of the treatment process is to ensure that the woman understands the condition and is getting appropriate counselling; psychological support and an understanding of how the treatment works. Treatment For Sexual Dysfunction For sexual dysfunction, Dr Novikova recommends a treatment program that first addresses lifestyle followed by examination for any type of desire issues which would then lead to hormonal testing and potentially hormonal supplementation such as testosterone or JHAS to improve desire. Vaginal atrophy can be treated with vaginal moisturizers, estrogen as well as energy device treatments, which are quite effective. Her trust in the efficacy of these devices stems from several randomized control trials proving their safety and efficiency. That is why she is confident that a combination of energy devices with local estrogen treatments are quite effective in the treatment of vaginal atrophy.Vagina laxity can be addressed with pelvic floor exercises, HIFEM treatments, laser radiofrequency treatments, or surgery if all device methods fail. Genital treatment known as the “O-Shot” was developed by Dr Charles Runnels from the USA to enhance sexual pleasure. It treats vaginal atrophy and works well for mild urinary incontinence. It often allows women to reset and feel better about themselves which enhances sexual pleasure.  Dr Novikova postulated that women would be more open to the O-shot as it is a great regenerating treatment for the tissue and works well for women seeking to enhance their sexual pleasure and function. Body Image Body image plays a huge role in sexual function. Sexual pleasure comes from our minds and not so much from the vagina. However, not being happy with the vagina creates a lot of problems in women's minds. For instance, Dr Novikova treated a patient who had saggy labia majora and darker, prominent elongated labia minora. She had no functional problems or anatomical issues, only cosmetic ones. To treat them she did a labia majora reduction, labia minora reductionlipo filling of the labia majora and skin lightening, which she was very satisfied with afterwards. The patient now comes in regularly for an O-Shot to enhance her sexual pleasure and it works really well for her. Plumping, tucking, lightening and tightening are all the available options for women and they are all quite useful in the postpartum period to improve body image and help women get their self-confidence back while improving sexual function. What is a Mommy Makeover?   Body Reshaping / Mommy Makeover Plastic surgeons will do a procedure called the mommy makeover, which involves breast augmentation/lift, liposuction of the stomach (tummy tuck), buttocks augmentation and vaginal rejuvenation. Dr Novikova is a big fan of non-invasive options for body reshaping, and that includes fat reduction with various devices. She is a great advocate for radiofrequency because it has a lot of advantages and is a more effective treatment for fat reduction. It can be used for skin tightening, fat reduction and muscle toning. Ultrasound devices are used to treat cellulite, producing beyond satisfactory results. BTL Emsculpt is the most popular treatment in her practice for women with normal BMI looking to tone, reduce a bit of fat, tighten their skin and get back into shape. Four sessions twice a week are recommended. During this treatment, muscle increases by 19% and fat decreases by 16%. The results remain in place for over a year. The treatments can be used to improve their muscles to get back into the gym so it is easier to start working out. HIFEM with muscle toning can be used for a bum lift and getting a six-pack. The BTL VanquishMe and BTL Exilis have a range of frequencies that give great results in shedding fat and reducing centimetres for women with a BMI of over 30. However, the treatments have to be combined with strict lifestyle measures such as exercise and healthy eating which are very important for their general wellbeing, mood, and definitely for maintaining the results of the body shaping treatments. All of the non-invasive body reshaping treatments available usually demand quite a bit of involvement and several sessions are required, approximately four to six to eight sessions every week. Surgical treatment remains an option but it is associated with a higher risk of complications, longer recovery periods, and more pain. Non-invasive options are safer and are subject to minimal external influence, especially in the current circumstances where elective surgeries all over the world tend to be interrupted from time to time. Risks of Home and Beauty Postpartum Remedies An Instagram image posted in 2019 depicted a girl promoting vaginal steaming. It got close to a million likes which may be attributable to the 25 million followers she has. This is unsettling as Dr Novikova has seen a 16-year-old girl with terrible burns from steaming. A 2019 academic paper discusses the risk of second-degree burns sustained after vaginal steaming. One must see an experienced and appropriately qualified professional before trying the home remedies that are available out there. Vaginal rejuvenation in a spa type of facility may be dangerous. Vaginal steaming should not be done anywhere and the image on Instagram clearly shows that the individual in that picture is at home. In the background among the furniture, there is something that seems like a baby’s crib which suggests that the steaming is a postpartum treatment. This home treatment method is strongly advised against. Seeking Post-Childbirth Rehabilitation? There are various non-invasive postpartum treatments available to treat a range of post-childbirth conditions provided by specialists like Dr Novikova. The treatment process depends on the severity of the condition. Each treatment should be tailored to your specific problem as a one size fit all approach can be disastrous. Dr Novikova has a depth of knowledge and ensures that her patients receive treatment specifically suited to them, delivering beyond satisfactory results. Click here to find out more about the post childbirth treatments she offers.   Watch presentation below:  [/et_pb_text][et_pb_video src="https://youtu.be/wbhwlXMEz-E" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section] ### Who is vaginoplasty for? [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Vaginoplasty procedure is a reconstructive surgery for the vagina, performed with the effect of strengthened vaginal muscles. The procedure can be undertaken as a medically required reconstructive surgery or an elective cosmetic surgery.  Who is the vaginoplasty procedure for? Reconstructive surgery is judged to be a medical necessity when the vaginal canal or its structures are damaged or absent. This is usually due to either a congenital cause such as vaginal atresia which is the condition of having a deformed, absent or non-functioning vagina or an acquired cause such as an illness (cancer) or physical trauma (injury). As an elective cosmetic surgery it provides women who experience discomfort or don’t feel as confident about their genitalia a safe and effective solution. Some women feel as though their vagina is too loose commonly following vaginal childbirth or as they get older. Some women feel that they have lost sensation in their vagina during intercourse due to vaginal laxity, and some women simply prefer a different appearance.  “Women complain of sexual discomfort, they may not be able to ride a bike, run or even wear tight clothing.In some rare cases the longer labia increase susceptibility to infections, itchiness and discharge. Even in the absence of functional reasons, some women are deeply distressed by their labia, affecting their sexual relationships and overall confidence” - Dr Natalia Novikova.   What is the vaginoplasty procedure? A full vaginoplasty procedure takes about one to two hours depending on the patient’s anatomy and specific concern. It is performed under general anesthesia and involves either pulling the pelvic floor muscles together to tighten the vaginal entry with sutures or tightening of the vaginal wall muscles along the back of the vagina. It can also involve removing any loose excess skin and scar tissue, as well as any combination of these or other aesthetic genital procedures.   What are the results for vaginoplasty? Postoperative care is important to achieving your desired results and will be explained to you in detail following your procedure. For 4 to 6 weeks, you cannot engage in vaginal intercourse or heavy exercise. Antibiotics may be prescribed to prevent infection. Painkillers will be prescribed for mild to moderate pain. It is imperative to prevent constipation and to wash with warm water, avoiding any soaps or other solutions in the genital area. There are three post-op check-ins at 2 weeks, 6 weeks and 3 months, at the end of which any existing medical conditions will be improved and you will have a tighter, restructured vagina that will ideally make you look and feel good. You should experience more friction and pleasure during sex, improving both you and your partner’s sexual gratification. Is a vaginoplasty for me? The vaginoplasty is just one of seven aesthetic gynaecology procedures offered by Dr Novikova. She will diagnose your personal condition and advise whether vaginoplasty is the appropriate procedure for you. She might prescribe a different procedure that provides similar results such as a labiaplasty or vaginal rejuvenation treatments.. Labiaplasty is a surgery that reshapes the labial lips of the vagina. Sometimes a vaginoplasty is combined with a labiaplasty. Vaginal rejuvenation treatments also improve vaginal laxity, dryness and feeling, however, a vaginoplasty provides longer lasting and more pronounced results in comparison to vaginal rejuvenation. Vaginoplasty can carry higher risk as it is a surgical procedure. Dr Novikova has performed many vaginoplasties as part of both medical and aesthetic procedures. She is a highly experienced and qualified medical gynaecologist, trained and certified by the European Society of Aesthetic Gynaecology and is president of the South African Aesthetic Gynaecology Society. To book a consultation or for more information regarding vaginoplasty, please see here.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Sexually Transmitted Infections (STIs) [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]Sexually Transmitted Infections STIs are spread predominantly by sexual contact, including vaginal, anal and oral sex. Some STIs canalso be spread through non-sexual means such as via blood or blood products. Many STIs—includingsyphilis, hepatitis, HIV, chlamydia, gonorrhoea, herpes, and HPV—can also be transmitted frommother to child during pregnancy and childbirth.A person can have an STI without having obvious symptoms of the disease. Common symptoms of STIsinclude vaginal discharge, urethral discharge or burning in men's urethra, genital ulcers, and abdominal pain.   STDs interview with Patricia Ntuli of SA FM   More than 30 different bacteria, viruses and parasites are known to be transmitted through sexual contact. Eight of these pathogens are linked to the greatest incidence of sexually transmitted disease. Of these 8 infections, 4 are currently curable: syphilis, gonorrhoea, chlamydia and trichomoniasis.The other 4 are viral infections that are incurable: hepatitis B, herpes simplex virus (HSV or herpes), HIV, and human papillomavirus (HPV). Symptoms or diseases due to incurable viral infections can be reduced or modified through treatment. Safe SexA definite way to prevent STIs is to abstain from having sex which is not feasible. Hence practising safe sex is very important: Always use condoms during sexual intercourse and remember that some STIs (HPV, HSV) can be transmitted Avoid sex if you or your partner have symptoms of STIs Monogamous relationship Understanding the STIs transmission, symptoms and prevention is very helpful in avoiding them. If you have a new partner be open and ask them about their history with STIs and their last STIs check. If you have sufficient intimacy to have sex you should have enough intimacy to discuss yourhealth. Once you have this conversation you will have more understanding of your risks. It is advisable to use condoms for the first 3 months of a new monogamous relationship and then have a STI screening for both of you. If it's all clear you can stop using condoms assuming you do not need it for contraception purposes. If you are in a polygamous relationship you should always use condoms and be aware of STIs that can be transmitted despite condom use. People who are most at risk of STIs are often from marginalized populations such as sex workers, men who have sex with men, people who inject drugs, prisoners, mobile populations and adolescents who often do not have access to adequate health services. Male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60% and provides some protection against other STIs, such as herpes and HPV. Vaccination: Safe and highly effective vaccines are available for 2 STIs: hepatitis B and HPV. These vaccines have represented major advances in STI prevention. The vaccine against hepatitis B is included in baby immunization programmes in 95% of countries and prevents millions of deaths from chronic liver disease and cancer every year. The HPV vaccination prevents cervical cancer and is indicated for children age 11 to 15 years. Ideally, the HPV vaccine should be given before sexual activity begins, however, we use it in sexually active adults too. In private schools, boys and girls are vaccinated. Public schools in South Africa vaccinate girls only as the most effective intervention. Pre-exposure prophylaxis (or PrEP) is a medication that is taken daily to prevent getting HIV. PrEP can stop HIV from taking hold and spreading throughout your body. When taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. PrEP is much less effective when it is not taken consistently. Post-exposure prophylaxis (PEP) is taking medication to prevent HIV after having contact (sexual or through blood) with an HIV positive person. PEP is commonly used by health workers, in needlestick injuries and in rape victims. Another PEP is used for Chlamydia, Gonorrhoea, Trichomoniasis. Diagnosis of STIsSome STDs are easily diagnosed when patients have particular symptoms. burning when passing urine, vaginal discharge are common symptoms irregular bleeding with Chlamydial infection painful genital lesions with herpes grey discharge, itchiness and burning with Trichomoniasis yellowing discharge and burning when passing urine with Gonorrhea Majority of people have no symptoms of STIs, hence, it is very important to have regular STI tests if you are having unprotected sex. The current STIs screening tests include Blood test for HIV, Syphilis, Hepatitis B and C PCR (vaginal swab or urine) test for Chlamydia and Gonorrhoea PCR test for HPV Trichomoniasis vaginal swab or urine in men PCR Herpes test - from lesions to check for current infection or blood antibody test forexposure Unfortunately, the full screen is expensive. It is useful to consult the specialist to determine what tests you require.You can see below the laboratory charges for STIs tests, the full screen will cost you around R4,500. Effective treatment is currently available for several STIs. Three bacterial STIs (chlamydia, gonorrhoea and syphilis) and one parasitic STI (trichomoniasis) are generally curable with existing, effective single-dose regimens of anxious. For herpes and HIV, the most effective medications available are antivirals that can modulate the course of the disease, though they cannot cure the disease. For Hepatitis B, antiviral medications can help to fight the virus and slow the damage to the liver. HPV does not have treatment. We observe changes in the cells of the cervix (or vagina or vulva) and treat the lesion. Genital warts are treated with creams or removal with laser. At times, low- and middle-income countries rely on identifying consistent, easily recognizable signs and symptoms to guide treatment, without the use of laboratory tests. This is called syndromic management. This approach, which relies on clinical algorithms, allows health workers to diagnose a specific infection on the basis of observed syndromes (e.g., vaginal discharge, urethral discharge, genital ulcers, abdominal pain).Syndromic management is simple, assures rapid same-day treatment, and avoids expensive or unavailable diagnostic tests for patients that present with symptoms. This approach can also result in overtreatment and or missed treatments as the majority of STIs are asymptomatic.To interrupt transmission of infection and prevent re-infection, treating sexual partners is an important component of STI case management. Key facts from the World Health Organisation More than 1 million sexually transmitted infections (STIs) are acquired every day worldwide Each year, there are an estimated 376 million new infections with 1 of 4 STIs: chlamydia, gonorrhoea, syphilis and trichomoniasis More than 500 million people are estimated to have genital infection with herpes simplex virus (HSV) More than 290 million women have a human papillomavirus (HPV) infection The majority of STIs have no symptoms or only mild symptoms that may not be recognized as an STI STIs such as HSV type 2 and syphilis can increase the risk of HIV acquisition 988 000 pregnant women were infected with syphilis in 2016, resulting in over 350 000 adverse birth outcomes including 200 000 stillbirths and newborn deaths In some cases, STIs can have serious reproductive health consequences beyond the immediate impact of the infection itself (e.g., infertility or mother-to-child transmission) STIs like herpes and syphilis can increase the risk of HIV acquisition three-fold or more. Mother-to-child transmission of STIs can result in stillbirth, neonatal death, low birth weight and prematurity, sepsis, pneumonia, neonatal conjunction, and congenital deformities. HPV infection causes 570 000 cases of cervical cancer and over 300 000 cervical cancer deaths each year (6). STIs such as gonorrhoea and chlamydia are major causes of pelvic inflammatory disease (PID) and infertility in women.   STD Informational Videos  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Patient Information: Painful Penetration - Vaginismus [Content is password protected] ### Labiaplasty and Clitoral Hood Surgery [Content is password protected] ### PRP Genital Injection - Patient Information [Content is password protected] ### EEVI Magazine video series [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Hysterectomies A hysterectomy procedure is a surgical operation performed to remove the uterus (or womb). The procedure is a very common surgery around the world and about one in five women will undergo a hysterectomy procedure by the age of 55. However, the number of hysterectomies are going down because of new treatments available to manage conditions that previously could only be cured with a hysterectomy. [/et_pb_text][et_pb_video src="https://youtu.be/Ni4nyMNtpL4" _builder_version="4.22.1" _module_preset="default" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" border_radii="on|30px|30px|30px|30px" sticky_enabled="0"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Vaginoplasty Dr Natalia Novikova chats about Vaginoplasty, which is a surgical procedure that involves tightening of the vaginal canal. The procedure would be for women who need tightening of the vagina after normal vaginal childbirth that was perhaps traumatic, where there was a particular tear that wasn’t repaired appropriately or didn’t heal well, or it could be the vagina was just too stretched during childbirth and did not return to its size prior to pregnancy and women feel unsatisfied with their sexual life.[/et_pb_text][et_pb_video src="https://drnovikova.co.za/wp-content/uploads/2021/07/y2mate.com-Vaginoplasty-The-tightening-of-the-vaginal-canal_360p.mp4" _builder_version="4.22.1" _module_preset="default" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" border_radii="on|30px|30px|30px|30px" sticky_enabled="0"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section] ### Considering a Labiaplasty? [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]  Considering a Labiaplasty Procedure?   Everything you should know about the Labiaplasty Procedure Labiaplasty is the surgical correction of labia minora (small lips on the side of the genital area) or labia majora (large lips that usually cover small lips). Some women simply do not like the look of their labia minora because they feel they are too long or one is longer or bigger than the other. In other cases, the lips can be uncomfortable during exercise or sexual intercourse or prevent the wearing of tight clothing or swimwear. A women's labia may have enlarged to an uncomfortable size through childbirth and ageing and losing collagen. Occasionally, they may be a cause of frequent infections, itchiness, and discharge.   Should I get a labiaplasty? All shapes and types of labia minora are normal. However, if you are unhappy, bothered and distressed with the shape of your genitals it is advisable to see a specialist and get advice. Girls who are younger than 18 will be requested to see a psychologist before they can undergo the procedure and in most cases, the procedure is delayed until they turn 18. In some cases, Dr Novikova may request a psychological evaluation for women who are older than 18. This is to ensure that the procedure is performed for the right reasons, that expectations are met and that sound psychological support is provided.   Labiaplasty for the inner vs outer lips The inner lips labiaplasty involves the reduction of the size or shape of the labia minora and the removal of dark skin tone tissues. These can be a cause of nuisance for many women for reasons related to physical sensation in the area, or psychological reasons such as lack of self-confidence or sexual performance if a woman dislikes the appearance of her vaginal lips. The outer lips labiaplasty involves reducing the size of or changing the look of the exterior vaginal lips by removing the excess fat and tightening or lifting any relaxed skin.   Different ways of performing the labiaplasty Dr Novikova performs labiaplasty procedures in both Cape Town and Johannesburg under local anaesthesia in the procedure room. You will be instructed to apply a special anaesthetic cream to numb the skin over the area and take a tablet that will allow you to relax before the procedure. A local anaesthetic is injected into the area to remove any discomfort during the procedure. This part of the procedure is the only pain/discomfort you would experience during the procedure and it only lasts a minute at most. Common types of the labiaplasty procedure are the trim or curvilinear technique (or trim technique or “barbie” labiaplasty), V- labiaplasty or central wedge resection and de-epithelization techniques. Trim or curvilinear labiaplasty is when the edges of the labia minora are removed. This technique reduces the size of the labia minora. Women who choose the trim technique usually desire to have the darkened skin of labia minora to be removed. The end of the labia minora is excised and the lips will look pink with this technique V-wedge labiaplasty is done when the V-shape area in the middle of the lips is cut off and they are re-shaped with sutures. The edges have a natural look as they are not cut off and there might be a tiny scar in the middle of the area which is not visible once you heal. It’s common for the clitoris to look bigger once the lips are reduced in size because of its proportional size. In such cases (which is 90% of labiaplasties) Dr Novikova will perform the clitoral hood reduction the time of labiaplasty.  At times women choose to remove excess skin, have fat filling or hyaluronic acid fillers injected into the big lips (labia majora) to improve the look. All of these procedures can be performed at the time of labiaplasty. A diathermy or laser beam is used to perform the labiaplasty. Dissolvable sutures are hidden under the skin.   Which type of labiaplasty is for me? The technique chosen is based on the patient’s preference on the final look they desire. Your anatomy, expectations are discussed in detail and you will study before and after photos from Dr Novikova’s previous surgeries to decide on your preferred technique of labiaplasty. Each labiaplasty is different as no one has the same anatomy and the technique is adjusted to suit the patient's desires, concerns and anatomy. The practice nurse, scrub nurse and doctor are always available to answer your questions and provide pre-procedure and post-procedure support to make the recovery as easy as possible. Dr Novikova is a gynaecologist and endoscopic (minimally invasive) surgeon with many years of experience in the field, she has performed many labiaplasties and is skilled in various techniques of the labiaplasty procedure. She has participated in workshops and meetings on aesthetic gynaecology and is certified by the European Society of Aesthetic Gynaecology. For more information on the labiaplasty procedure, please see  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Radio Interviews [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" width="75%" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Hysterectomy interview with Patricia Ntuli on SA FM radio Hysterectomy procedure is surgical operation performed to remove the uterus (or womb). Hysterectomy is very common surgery around the world and about one in five women will undergo a hysterectomy procedure by the age of 55. However, the number of hysterectomies are going down because of new treatments available to manage conditions that previously could only be cured with a hysterectomy[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_3_feb_closet_conversations_-_hysterectomy_high.mp3" title="Hysterectomy interview with Patricia Ntuli on SA FM radio" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" max_width="720%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Aesthetic Gynaecology interview with Patricia Ntuli on SA FM Radio Aesthetic Gynaecology is a highly specialized surgery, also known as “Cosmetic Vaginal Surgery”. It can have multiple benefits including: Tightening the vagina Improved appearance of the genitals Improved sensation from the vaginal area Removing genital pain or discomfort Altering the appearance of the vaginal lips Reducing the size of the clitoral hood G-spot enhancements for increased sexual sensation [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Abnormal Uterine Bleeding interview with Patricia Ntuli on SA FM radio Abnormal uterine bleeding, also known as dysfunctional uterine bleeding, is common for women of reproductive age. Bleeding in between menstrual periods is abnormal uterine bleeding. Menorrhagia or heavy menstrual bleeding is characterised by an increased amount of blood lost during the menstrual period. The normal menstrual period blood loss is around 80 to 120 millilitres, about five tablespoons. Excessive blood loss is, therefore, blood loss that requires a woman to change their pad every hour or less, as it gets soaked from the heavy flow[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Dyskaryosis interview with Maryam Mkwanda on Salaam Media Radio Precancerous changes of the outer (squamous) cells of the cervix have the potential to turn into cancer if left untreated. In the cervix, these precancerous changes are called ‘Cervical Intraepithelial Neoplasia’ or CIN for short. There are different grades of CIN according to how severe the changes are, from CIN1 minor change referred to as Low-Grade Squamous Intraepithelial Lesions (LSIL) to CIN 2 and CIN 3 referred to as High-Grade Squamous Intraepithelial Lesions (HSIL). The risk of CIN1 developing into cancer is very small, however, we know that CIN2 and CIN3 may develop into cancer in some cases if left untreated.[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/Dyskaryosis-pre-cancerous-cells-on-the-cervix.mp3" title="Dyskaryosis interview with Maryam Mkwanda on Salaam Media Radio" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" title_line_height="1em" max_width="720%" custom_padding="||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" max_width__hover_enabled="off|desktop" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Labiaplasty & Vaginoplasty interview with Patricia Ntuli on SA FM Radio Labiaplasty is the surgical correction of labia minora (small lips on the side of the genital area) or labia majora (large lips that usually cover small lips). Vaginoplasty is plastic surgery for the vagina, performed to strengthen the vaginal muscles.[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_22_apr_closet_conversations_what_is_vaginoplasty_and_labiaplasty_high.mp3" title="Labiaplasty & Vaginoplasty interview with Patricia Ntuli on SA FM Radio" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]The “Orgasm” shot interview with Patricia Ntuli on SA FM Radio The Genital injection, or the O Shot / “Orgasm shot”, is a non-surgical procedure that can stimulate the vagina in a way that positively impacts orgasms. Up to 25% of women have orgasmic dysfunction, and there are few products on the market that are designed to help. The O Shot procedure is performed in a doctor’s office by injecting the patient into the vaginal tissue. This then stimulates the growth of new cells in the injected areas, making those areas more sensitive to the touch.[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_22_apr_closet_conversations_what_is_vaginoplasty_and_labiaplasty_high.mp3" title="The “Orgasm” shot interview with Patricia Ntuli on SA FM Radio" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Routine check-ups for women interview with Patricia Ntuli on SA FM Radio Health is the most important part of our well-being and happiness. ⁣Prevention of illnesses is certainly easier than treatment. ⁣ Healthy women should⁣ Have 𝐏𝐚𝐩 𝐬𝐦𝐞𝐚𝐫 every year from the age of 25 of within 3-5 years of becoming sexually active, whatever comes first We also add 𝐇𝐏𝐕 𝐭𝐞𝐬𝐭 to Pap smear from the age of 30 as the presence of HPV has much higher sensitivity in the prediction of cervical cancer in comparison to pap smear⁣ 𝐬𝐞𝐱𝐮𝐚𝐥𝐥𝐲 𝐭𝐫𝐚𝐧𝐬𝐦𝐢𝐭𝐭𝐞𝐝 𝐢𝐧𝐟𝐞𝐜𝐭𝐢𝐨𝐧 screening annually 𝐛𝐥𝐨𝐨𝐝 𝐩𝐫𝐞𝐬𝐬𝐮𝐫𝐞 check ⁣𝐦𝐚𝐦𝐦𝐨𝐠𝐫𝐚𝐦𝐬 from the age of 40 every two years 𝐛𝐨𝐧𝐞 𝐝𝐞𝐧𝐬𝐢𝐭𝐲 from the age of 50 every five years⁣ 𝐚𝐧𝐧𝐮𝐚𝐥 𝐛𝐥𝐨𝐨𝐝 𝐭𝐞𝐬𝐭 to check lipids/cholesterol, glucose, vitamin D levels, thyroid function, full blood count ⁣ 𝐜𝐨𝐥𝐨𝐧𝐨𝐬𝐜𝐨𝐩𝐲 from the age of 50 every 5 years ⁣ body mass index skin check dental check⁣ eye exam⁣ immunisation⁣ [/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_13_may_closet_conversations_routine_check-ups_for_women_high-1.mp3" title="Routine check-ups for women interview with Patricia Ntuli on SA FM Radio" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Female reproduction interview with Sotho Meyer of Kaya FM[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/Female-Reproduction-Kaya-FM-1-Jun.mp3" title="Female reproduction interview with Sotho Meyer of Kaya FM" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]STDs interview with Patricia Ntuli of SA FM The term sexually transmitted disease (STD) is used to refer to a condition passed from one person to another through sexual contact.[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_2_jun_closet_conversations_sexually_transmitted_diseases_types_symptoms_diagnosis_high.mp3" title="STDs interview with Patricia Ntuli of SA FM" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Gynaecological Conditions interview with Patricia Ntuli of SA FM Our medical gynaecology service includes comprehensive and individualized management of a full range of women’s health issues including menstrual disturbances, cysts, endometriosis, fibroids, menopause, pelvic floor issues, incontinence, sexual dysfunction, pain, infections with a variety of effective, safe and evidence-based interventions. See all conditions treated here[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/late_night_conversation_10_jun_closet_conversations_gynaecological_conditions_high.mp3" title="Gynaecological Conditions interview with Patricia Ntuli of SA FM" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"]Fertility and causes of infertility[/et_pb_text][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/07/Closet-conversations_-Fertility-and-causes-of-infertility.mp3" title="Fertility and causes of infertility" _builder_version="4.22.1" _module_preset="default" title_level="h3" title_font_size="20px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_audio][/et_pb_column][/et_pb_row][/et_pb_section] ### The Orgasm Shot [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Treatment for vaginal sensitivity loss and enhancing sexual pleasureMany women notice changes in the appearance and function of their vagina with age childbirth. The decline in oestrogen levels results in the amount of hyaluronic acid in vaginal tissue diminishing, making the Once your appointment is booked, there are no pre-procedure preparations. At your consultation, Dr Novikova will ask you a few questions regarding the medical and sexual historyand the reasons why you seek to get the Orgasm Shot treatment done. She will then take you through how the procedure works and what you can expect.  The Orgasm Shot is performed in Dr Novikova’s office. A numbing cream will be applied to the area of injection (clitoris or vagina), which prevents any pain and only takes a few minutes to numb the area. Dr Novikova will draw blood from a vein in the patient’s arm and spin it through a centrifuge machine to remove red blood cells. This is then injected as growth factors into the vaginal wall, clitoris and any other indicated area of treatment around the G-spot. If injected into the clitoris, it stimulates an orgasm through increased sensitivity. If injected into the vaginal wall it can treat vaginal dryness. The growth factors help speed up the healing process of the tissue following the injection and restore the function to provide more enhanced sexual pleasure.   Who is the Orgasm Shot for? The Orgasm Shot is intended for women who experience a decrease in sexual sensitivity later in their life when they experience hormone and tissue changes. “Women who were able to experience vaginal orgasm easily, but now face difficulty with it are likely candidates for the treatment,” Dr Novikova.  The Orgasm Shot can also be used by anyone, both male and female, seeking to enhance their sexual pleasure. What does an Orgasm Shot cost? The cost of the procedure is from R8 000, depending on the number of injections administered. Dr Novikova is not linked to any medical aid, only cash payments are accepted. Dependent on your plan, you may claim back from your medical aid provider but this can only be cleared with them. Learn more about how female orgasms work from School of Squirt  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Sexually Transmitted Infections (STIs) [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]STIs are spread predominantly by sexual contact, including vaginal, anal and oral sex. Some STIs can also be spread through non-sexual means such as via blood or blood products. Many STIs—including syphilis, hepatitis, HIV, chlamydia, gonorrhoea, herpes, and HPV—can also be transmitted from mother to child during pregnancy and childbirth. A person can have an STI without having obvious symptoms of the disease. Common symptoms of STIs include vaginal discharge, urethral discharge or burning in men, genital ulcers, and abdominal pain.   STDs interview with Patricia Ntuli of SA FM More than 30 different bacteria, viruses and parasites are known to be transmitted through sexual contact. Eight of these pathogens are linked to the greatest incidence of sexually transmitted disease. Of these 8 infections, 4 are currently curable: syphilis, gonorrhoea, chlamydia and trichomoniasis.The other 4 are viral infections that are incurable: hepatitis B, herpes simplex virus (HSV or herpes), HIV, and human papillomavirus (HPV). Symptoms or diseases due to incurable viral infections can be reduced or modified through treatment.   Safe SexA definite way to prevent STIs is to abstain from having sex which is not feasible. Hence practising safe sex is very important: Always use condoms during sexual intercourse and remember that some STIs (HPV, HSV) can be transmitted Avoiding sex if you or your partner has symptoms of STIs Monogamous relationship Understanding the STI's transmission, symptoms and prevention is very helpful in avoiding them. If you have a new partner be open and ask them about the history of STIs and also their last STIs check. If you have sufficient intimacy to have sex you should have enough intimacy to discuss yourhealth. Once you have this conversation you will have more understanding of your risks. It is advisable to use condoms for the first 3 months of a new relationship and then have a STIs screen for both of you. If it's all clear you can stop using condoms assuming you do not need them for contraception purposes. I am referring to monogamous relationships. If you are in a polygamous relationship you should always use condoms and be aware of STIs that can be transmitted despite condoms use. People who are at most risk of contracting STIs are often from marginalized populations such as sex workers, men who have sex with men, people who inject drugs, prisoners, mobile populations and adolescents who often do not have access to adequate health services.   Male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60% and provides some protection against other STIs, such as herpes and HPV.   Vaccination: Safe and highly effective vaccines are available for 2 STIs: herpes B and HPV. These vaccines have represented major advances in STI prevention. The vaccine against herpes B is included in babies' immunization programmes in 95% of countries and prevents millions of deaths from chronic liver disease and cancer every year. The HPV vaccination prevents cervical cancer and is indicated for children aged 11 to 15 years. Ideally, the HPV vaccine should be given before sexual activity begins, however, we use it in sexually active adults too. In a private school, boys and girls are vaccinated. Public schools in South Africa vaccinate girls only as ofthe most effective intervention.   Pre-exposure prophylaxis (or PrEP) is a medication that is taken daily to prevent getting HIV. PrEP can stop HIV from taking hold and spreading throughout your body. When taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. PrEP is much less effective when it is not taken consistently. Post-exposure prophylaxis (PEP) is taking medication to prevent HIV after having contact (sexual or through the blood) with an HIV positive person. PEP is commonly used in health workers, people with needlestick injuries and rape victims. Another PEP is used for Chlamydia, Gonorrhoea, Trichomoniasis. Diagnosis of STIsSome STDs are easily diagnosed when patients have  particular symptoms, for example burning when passing urine, vaginal discharge, irregular bleeding are all symptoms of a Chlamydial infection painful genital lesions with herpes grey discharge, itchiness and burning with Trichomoniasis yellowing discharge and burning when passing urine with Gonorrhea The majority of people have no symptoms of STIs, hence, it is very important to have regular STI tests if you are having unprotected sex. The current STIs screening test include Blood test for HIV, Syphilis, Hepas B and C PCR (vaginal swab or urine) test for Chlamydia and Gonorrhoea PCR test for HPV Trichomoniasis vaginal swab or urine in men PCR Herpes test - from lesions to check for current infection or blood antibody test forexposure Unfortunately, the full screen is expensive. It is useful to consult the specialist to determine what tests you require.You can see below the laboratory charges for STIs tests, the full screen will cost you around R4,500.   Effective treatment is currently available for several STIs. Three bacterial STIs (chlamydia, gonorrhoea and syphilis) and one parasitic STI (trichomoniasis) are generally curable with existing, effective single-dose regimens of anxiety. For herpes and HIV, the most effective medications available are antivirals that can modulate the course of the disease, though they cannot cure the disease. For heaps B, antiviral medications can help to fight the virus and slow damage to the liver. HPV does not have treatment. We observe changes in the cells of the cervix (or vagina or vulva) and treat the lesion. At times low- and middle-income countries rely on identifying consistent, easily recognizable signs and symptoms to guide treatment, without the use of laboratory tests. This is called syndromic management. This approach, which relies on clinical algorithms, allows health workers to diagnose a specific infection based on observed syndromes (e.g., vaginal discharge, urethral discharge, genital ulcers, abdominal pain).Syndromic management is simple, assures rapid, same-day treatment, and avoids expensive or unavailable diagnostic tests for patients that present with symptoms. This approach results in overtreatment and missed treatment as the majority of STIs are asymptomatic.To interrupt transmission of infection and prevent re-infection, treating sexual partners is an important component of STI case management.   Key facts from the World Health Organisation More than 1 million sexually transmitted infections (STIs) are acquired every day worldwide Each year, there are an estimated 376 million new infections with 1 of 4 STIs: chlamydia, gonorrhoea, syphilis and trichomoniasis More than 500 million people are estimated to have genital infection with herpes simplex virus (HSV) More than 290 million women have a human papillomavirus (HPV) infection The majority of STIs have no symptoms or only mild symptoms that may not be recognized as an STI STIs such as HSV type 2 and syphilis can increase the risk of HIV acquisition 988 000 pregnant women were infected with syphilis in 2016, resulting in over 350 000 adverse birth outcomes including 200 000 stillbirths and newborn deaths In some cases, STIs can have serious reproductive health consequences beyond the immediate impact of the infection itself (e.g., infertility or mother-to-child transmission) STIs like herpes and syphilis can increase the risk of HIV acquisition three-fold or more. Mother-to-child transmission of STIs can result in stillbirth, neonatal death, low birth weight and prematurity, sepsis, pneumonia, neonatal conjunction, and congenital deformities. Approximately 1 million pregnant women were estimated to have active syphilis in 2016, resulting in over 350 000 adverse birth outcomes of which 200 000 occurred as stillbirth or neonatal death (5). HPV infection causes 570 000 cases of cervical cancer and over 300 000 cervical cancer deaths each year (6). STIs such as gonorrhoea and chlamydia are major causes of pelvic inflammatory disease (PID) and infertility in women.     STD Informational Videos [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" column_structure="1_3,1_3,1_3" hover_enabled="0" sticky_enabled="0"][et_pb_column _builder_version="4.22.1" _module_preset="default" type="1_3" theme_builder_area="post_content" module_class="grid grid-auto" hover_enabled="0" sticky_enabled="0"][et_pb_video src="https://youtu.be/5YaRt5zp0bs" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][et_pb_video src="https://youtu.be/0RaLg7hYp04" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][/et_pb_column][et_pb_column _builder_version="4.22.1" _module_preset="default" type="1_3" theme_builder_area="post_content" module_class="grid grid-auto" hover_enabled="0" sticky_enabled="0"][et_pb_video src="https://youtu.be/aWajxS6aDWA" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][et_pb_video src="https://youtu.be/yodJSGQH4Gk" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][/et_pb_column][et_pb_column _builder_version="4.22.1" _module_preset="default" type="1_3" theme_builder_area="post_content" module_class="grid grid-auto" hover_enabled="0" sticky_enabled="0"][et_pb_video src="https://youtu.be/0s_hTwP4DIg" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][et_pb_video src="https://youtu.be/NWZ6CjvuGNU" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" hover_enabled="0" sticky_enabled="0" border_radii="on|30px|30px|30px|30px"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section] ### Vaginal Candida Infection [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]The triggers of Candida infection are various and include stress, hot weather and humidity, occasionally a new sexual partner, and consumption of sugar. The reasons for recurrent vaginal candida infection (more than three episodes of infection a year) can be diabetes, conditions causing immune deficiency (such HIV, taking steroid medications, chemotherapy, chronic illnesses).Living in the gut Candida feeds on gut nutrients and sugar and wheat (pasta, pizza, bread) stimulate the growth of Candida.On occasions, women have symptoms of Candida infection at certain times of the menstrual cycle, or every time they have sexual intercourse or they find it difficult to find an actual trigger. Vaginal Candida Infection Candida infection is very common. Women can get it at any age. The majority of women will experience at least one Candida infection in their lifetime and about one to two women out of ten struggle with recurrent Candida infection.Candida is a fungus that lives in the gut and can easily move to the vagina and cause unpleasant symptoms.Women usually feel itchiness, lots of discharge, and burning. Discharge can be white, green or yellow, sometimes the discharge looks like cottage cheeseCandida infection is not sexually transmitted, and treatment of partners is not necessary. There are several types of treatment of Candida such as vaginal creams, vaginal tablets, oral tablets. The treatments are generally quite effective. It is important to limit sugar in food and drinks and keep stress under control to prevent Candida infection.Hygiene also plays a role in triggering Candida. Use only water to wash (no soaps or gels). Wear cotton underwear and loose clothing.It is acceptable to self-medicate with a vaginal cream or vaginal tablets as soon as the symptoms appear. However, if the symptoms have not cleared within a week it is necessary to see a doctor and confirm the diagnosis to manage it further.Sometimes women feel no symptoms of Candida infection, but it’s found on routine Pap smear testing. It is not necessary to treat Candida which causes no symptoms. Itchy / Burning VaginaThe commonest cause of itchiness and burning in the vagina is not sexually transmitted infection and not dangerous diseases though it does feel like that. Candida or Yeast infection is the usual reason for itchiness, burning, abnormal discharge and even pain during intercourse. The vaginal wall can be red and swollen and hurt terribly. The main reason for Candida infection (or yeast) is an overgrowth of Candida because of nutrients that they strive on, which is sugar and wheat. Eating sugar (pastries, sweets, chocolates, cereals with sugar, bread, pasta, pizza, alcohol) will inevitably lead to yeast infection. Other factors causing yeast infections are hot climate, tight synthetic clothing, stress, travel, intake of antibiotics, suppressed immune system. Some women experience a yeast infection at a certain time of their cycle usually before the period and this is related to hormonal changes in the cells and their susceptibility to yeast infection. Women who have suppressed immune systems due to chronic illness, or taking medications (for example, steroid drugs) can struggle from recurrent Candida.Women who took a course of antibiotics may develop Candida infection because antibiotics kill normal bacteria in the vagina and allow Candida growth.Rarely recurrent Candida infection is a sign of suppressed immune system so checking for Diabetes and HIV is part of the work-up of recurrent infection. Once yeast infection has been treated with antifungals – vaginal creams or vaginal or oral tablets it can still come back, sometimes. It happens because the initial trigger of infection is still in play. If you are still eating sugar and wheat, and are under a lot of stress, in an unusually hot environment, Candida, which normally lives in the bowel, has nutritious food and milieu. Usually during clinical (vaginal) examination doctors can see vaginal discharge very typical for Candida infection. Discharge can be white, yellow, greenish in colour, thick in consistency, and look like cottage cheese. In cases of severe infection, the vaginal wall can look red and swollen.Sometimes, there is no abnormal discharge, but we pick up Candida infection on tests such as Pap smear or vaginal swab. It is important to see a doctor if you treated Candida infection with over-the-counter medications and symptoms are still there and come back. Sometimes doing a culture of vaginal discharge we find a rare type of Candida (such as Candida Glabrata and Candida Krusei) that are not sensitive to the usual medications and need a special suppository or ointment to treat it. It is important to avoid any irritants for washing of genital area. I recommend women only use water to wash the genital area.To treat the first episode of Candida infection you need to use the vaginal cream or vaginal tablets or suppositories or a doctor can prescribe the tablets. If you have itchiness, irritation, even burning in the vagina and typical discharge you can safely get a cream (for example, clotrimazole cream) and use it for a week vaginally. You should feel the relief of your symptoms within 1-3 days. If you are not feeling better, see a doctor. Women who have frequent yeast infections are advised to adjust their diet and lifestyle and take antifungal medications for 6 months. You have to avoid sugar, wheat, and alcohol. In terms of vegetables, avoid potatoes, carrots, sweet potatoes, yams, beets, peas, parsnips.Include in your diet apple cider vinegar, sauerkraut, other fermented vegetables, green vegetables and green drinks, garlic, coconut oil, chia, flaxseeds, cranberry juice, cultured dairy (kefir), turmeric, cinnamon. A balanced diet rich in lean protein and vegetables is the way to go. Stay on a Candida dietfor a few months, once you feel like you are Candida free you can re-introduce some food, such as fruit, but still choose low in sugar options such as green apples, strawberries. A nutritionist is immensely helpful in guiding you in this process.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Vaginal Dryness [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]The standard treatment of vaginal atrophy is vaginal oestrogen preparations – creams, tablets and vaginal moisturizers. About twenty percent of women fail to respond to vaginal oestrogen. Some women have unpleasant side effects of vaginal oestrogen preparations.Although very little oestrogen is absorbed through the vagina and it is a generally safe option, some women prefer to avoid hormonal preparations.   Vaginal dryness Vaginal dryness is a condition related to the thinning of vaginal skin (vaginal atrophy) due to low levels of the hormone oestrogen. Although this condition is very common in menopausal women, occasionally younger women may also suffer from it. Low oestrogen levels can be related to the use of hormonal birth control pills, heavy exercise, weight loss, chronic illnesses, ovarian failure of an unknown cause and of course, as an effect of ageing. At times vaginal atrophy becomes so severe that women develop vaginismus, a condition where vaginal muscles contract in anticipation of vaginal penetration. This condition makes sex extremely difficult for both parties. Vaginal atrophy also leads to frequent vaginal infections and bladder infections.   Other options for vaginal dryness include the following: Vaginal Laser Femilift Vaginal moisturiser with hyaluronic acid, vaginal moisturiser with probiotics Radiofrequency UltraFemme 360 AQ serum Vsculpt All of the above treatments have a similar effect. They have not been compared to be able to advise which one is the most beneficial and often the choice between them is made based on patient preference. Laser, though nonsurgical, is the more invasive option. Women normally experience spotting for a few days following treatment and are advised to avoid sexual intercourse for 3 days. The treatment is performed every 4-6 weeks and 3 sessions are recommended. The session can last around 15 minutes. Radiofrequency vaginal treatment has no downtime. It takes about 8 minutes and 3 treatments every 1-2 weeks are recommended. AQ serum contains growth factors produced in the lab. It is used in the home environment for 45 days and can be repeated when needed. Vsculpt is also for home-usage. The treatment is about 10 minutes every 2nd day for 45 days. Once I assess you during our consultation, I will be able to advise you on the treatment most beneficial to you. I have seen excellent results with all the above treatments. At times we have to try a few routes before we achieve the desired result.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Myomectomy or Removal of Fibroids (or Myomas) [fusion_builder_container admin_label="Slider & Contact form" hundred_percent="no" hundred_percent_height="no" hundred_percent_height_scroll="no" hundred_percent_height_center_content="yes" equal_height_columns="no" menu_anchor="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" status="published" publish_date="" class="section-width" id="" link_color="" link_hover_color="" border_color="" border_style="solid" margin_top="" margin_bottom="" padding_top="50" padding_right="" padding_bottom="" padding_left="" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="center center" background_repeat="no-repeat" 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border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="image" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="false" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" first="true" spacing_right="" type="3_5"][fusion_imageframe image_id="25485|full" max_width="" sticky_max_width="" style_type="" blur="" stylecolor="" hover_type="none" bordersize="" bordercolor="" borderradius="" align_medium="none" align_small="none" align="right" margin_top="" margin_right="" margin_bottom="" margin_left="" lightbox="no" gallery_id="" lightbox_image="" lightbox_image_id="" alt="" link="" linktarget="_self" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="abnormal-top-image" id="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0"]https://www.drnovikova.co.za/wp-content/uploads/2020/10/Myomectomy-or-Removal-of-Fibroids.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type="2_5" layout="1_3" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="esthetic-form" id="" background_image_id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" first="false" type="2_5"][fusion_text columns="" column_min_width="" column_spacing="" rule_style="default" rule_size="" rule_color="" content_alignment_medium="" content_alignment_small="" content_alignment="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="text-esthetic" id="" font_size="" fusion_font_family_text_font="" fusion_font_variant_text_font="" line_height="" letter_spacing="" text_color="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""] Myomectomy or Removal of Fibroids Myomectomy is a surgical procedure to remove uterine fibroids. This procedure is performed for women who have bothersome symptoms caused by fibroids such as heavy menstrual flow, irregular uterine bleeding, pelvic and back pain, difficulties falling pregnant, miscarriages, and asymptomatic women who have fibroids larger than 5 cm or grow in size fast. Myomectomy can be performed in 3 different ways depending on the size and location of fibroids and at times your previous surgical history through laparotomy - an open procedure with a cut that is transverse or in the midline (vertical) depending on the size of the fibroid laparoscopy of key-hole surgery hysteroscopically through the vagina [/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent="no" hundred_percent_height="no" hundred_percent_height_scroll="no" hundred_percent_height_center_content="yes" equal_height_columns="no" menu_anchor="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" status="published" publish_date="" class="section-width" id="" link_color="" link_hover_color="" border_color="" border_style="solid" margin_top="" margin_bottom="" padding_top="20" padding_right="" padding_bottom="" padding_left="" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="center center" background_repeat="no-repeat" fade="no" background_parallax="none" enable_mobile="no" parallax_speed="0.3" background_blend_mode="none" video_mp4="" video_webm="" video_ogv="" video_url="" video_aspect_ratio="16:9" video_loop="yes" video_mute="yes" video_preview_image="" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" type="legacy"][fusion_builder_row][fusion_builder_column type="1_1" layout="1_1" spacing="" center_content="yes" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" background_image_id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="0px" margin_bottom="0px" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" first="true" align_content="center" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" type="1_1"][fusion_separator style_type="single solid" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" sep_color="#2b969d" top_margin="30" bottom_margin="50" border_size="" icon="" icon_size="" icon_circle="" icon_circle_color="" width="" alignment="center" /][fusion_text columns="" column_min_width="" column_spacing="" rule_style="default" rule_size="" rule_color="" content_alignment_medium="" content_alignment_small="" content_alignment="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="text-esthetic" id="" font_size="" fusion_font_family_text_font="" fusion_font_variant_text_font="" line_height="" letter_spacing="" text_color="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""] At times a doctor would recommend performing hysterectomy - removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue - bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications - myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other procedures Please read our document preparing for surgery. Please read about laparoscopy here and hysteroscopy here. 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You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients. 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background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" first="true" align_content="center" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" type="1_1"][fusion_global id="14748"][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container] ### Lichen Sclerosus [fusion_builder_container admin_label="Slider & Contact form" hundred_percent="no" hundred_percent_height="no" hundred_percent_height_scroll="no" 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filter_blur_hover="0"]https://www.drnovikova.co.za/wp-content/uploads/2020/10/Lichen-Sclerosis.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type="2_5" layout="1_3" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="esthetic-form" id="" background_image_id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" first="false" type="2_5"][fusion_text columns="" column_min_width="" column_spacing="" rule_style="default" rule_size="" rule_color="" content_alignment_medium="" content_alignment_small="" content_alignment="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="text-esthetic" id="" font_size="" fusion_font_family_text_font="" fusion_font_variant_text_font="" line_height="" letter_spacing="" text_color="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""] Lichen Sclerosus Lichen Sclerosus is a skin condition. It is more common in menopausal women but can occur at any age. It is a condition where white patches of skin that appear thinner than normal occur on external genitals and at times the labia minora disappears completely and becomes fused.[/fusion_text][fusion_youtube id="https://youtu.be/BwuLDcMMn4M" alignment="" width="" height="" autoplay="false" api_params="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" css_id="" /][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent="no" hundred_percent_height="no" hundred_percent_height_scroll="no" hundred_percent_height_center_content="yes" equal_height_columns="no" menu_anchor="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" status="published" publish_date="" class="section-width" id="" link_color="" link_hover_color="" border_color="" border_style="solid" margin_top="" margin_bottom="" padding_top="20" padding_right="" padding_bottom="" padding_left="" gradient_start_color="" 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hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius="" box_shadow="no" dimension_box_shadow="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_image_id="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="false" first="true" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" spacing_right="" type="2_3"][fusion_accordion type="accordions" boxed_mode="no" border_size="0" border_color="" background_color="#83d4d8" hover_color="#83d4d8" divider_line="no" title_font_size="" icon_size="" icon_color="" icon_boxed_mode="no" icon_box_color="#83d4d8" icon_alignment="left" toggle_hover_accent_color="#83d4d8" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="accordian-conditions" id=""][fusion_toggle title="What are the symptoms of Lichen Sclerosus? " open="no" class="toggle-conditions" id=""] Women with Lichen sclerosis experience skin changes itchiness pain discomfort tearing, bleeding painful sex Lichen sclerosis patches can occur on other parts of the body and not only genitals. [/fusion_toggle][fusion_toggle title="What causes Lichen Sclerosus?" open="no" class="" id=""] the exact cause is unknown, possibles causes are an overactive immune system hormonal imbalance previous skin damage Lichen Sclerosis is not contagious. [/fusion_toggle][fusion_toggle title="How is Lichen Sclerosis diagnosed?" open="no" class="" id=""] Lichen sclerosus is commonly underdiagnosed and it is important to see a doctor if you have any symptoms. with physical examination and a biopsy Removal of a small piece of affected tissue under local anaesthesia for examination under a microscope [/fusion_toggle][fusion_toggle title="How is Lichen Sclerosis treated?" open="no" class="" id=""] looking after skin in general - avoiding soap, and using gentle moisturizers and barrier ointments corticosteroid creams / ointments (dermovate) protopic ointment vaseline / petroleum jelly If the traditional treatment does not produce the desired results we can use new treatments such as laser therapy to treat lichen sclerosus. It is associated with cancer and it is important to see a doctor every 6 months for the skin assessment. [/fusion_toggle][/fusion_accordion][/fusion_builder_column][fusion_builder_column type="1_3" layout="1_2" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius="" box_shadow="no" dimension_box_shadow="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_image_id="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" first="false" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" type="1_3"]Error: Contact form not found.[/fusion_builder_column][fusion_builder_column type="2_3" layout="1_2" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius="" box_shadow="no" dimension_box_shadow="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" 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border_sizes_left="0" border_sizes_right="0" spacing_right="" type="2_3"][/fusion_builder_column][fusion_builder_column type="1_3" layout="1_2" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius="" box_shadow="no" dimension_box_shadow="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_image_id="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" first="false" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" type="1_3"][/fusion_builder_column][fusion_builder_column type="1_1" layout="1_1" spacing="" center_content="yes" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" background_image_id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="0px" margin_bottom="0px" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" first="true" align_content="center" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" type="1_1"][fusion_global id="14748"][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container] ### Kegel exercises with a chair [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]The BTL Emsella™ is a non-invasive solution to incontinence and an advanced alternative to manual pelvic floor exercises, popularly known as Kegels. Each 28-minute session delivers intensive electromagnetic pulses which simulate up to 11 200 muscle contractions. You can start to feel results from just 4 to 6 sessions.  It is a 28-minute ‘lunchtime’ procedure that has no downtime and is suitable for almost all patients suffering from symptoms of incontinence such as urine leakage during daily activities or the feelings of looseness in your vagina. Most patients experience a noticeable improvement in the symptoms after the very first session on the Emsella chair, however a course of 2 treatment sessions a week is recommended over 3 weeks, therefore resulting in a total of 6 treatments. Patients can return to their normal daily activities immediately after the procedure Emsella works by stimulating the body’s regenerative processes using a high-intensity electromagnetic field. It activates motor neurons and tightens the cells of the vaginal wall to build strength to restore support for pelvic organs. No preparation is required and it is an effective solution for both women and men as it enhances sensation in the pelvic area and relieves the symptoms of incontinence without surgery or medication which means very little risk and no pain. Read more information here  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Mediclinic Feature on Aesthetic Gynaecology [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]The Mediclinic Hospital Network recently approached Dr Novikova for insight into the field of Aesthetic Gynaecology. 'For decades, many women with certain common gynaecological problems have suffered in silence. Dr Natalia Novikova, South Africa’s first certified aesthetic gynaecologist, is changing that.' Read the full article here. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Contraceptive: The IUD [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]The Intrauterine Device or IUD is either a small hormone-releasing device or a non-hormonal Copper device (Copper T or Pearls IUD) that is inserted into your uterus. It is usually made of copper or plastic and is a highly effective long-term option. The IUD is perfect if you’re looking for convenience or if you find it difficult to remember to take the pill daily. Copper IUDs work by altering how sperm cells move and preventing them from ever reaching an egg. They also create an immune response that halts the development of healthy eggs and destroys any eggs that do develop. Hormonal IUDs, release progestin to prevent pregnancy by thickening the mucus in the cervix, thus blocking and trapping the sperm, as well as by sometimes preventing the egg from leaving your ovaries. This makes it nearly impossible for the sperm to ever reach the egg. It is important to note that hormonal IUDs can take up to a week to start working, so it’s best to ask your doctor if you should be using a backup contraceptive method until the IUD becomes effective. The best part about the hormonal IUD is that it stops menstrual bleeding in about 70% of women. It’s a fantastic option for women with heavy or painful menstrual bleeding. How to get an IUD? Placement of the IUD into the uterus is a nonsurgical process conducted by a gynaecologist in an office setting. The procedure takes a few minutes and is easily reversible. An IUD can be inserted and used until it expires, or you have it removed; this is usually after 5-12 years depending on the type and brand of IUD. What are the side effects? Side effects can include pain and discomfort when the IUD is first put in, cramping or backaches for a few days after the procedure, spotting between periods and irregular periods. These issues usually disappear within 3 months of the IUD placement. How effective is the IUD and does it impact fertility? The IUD allows for very little human error and is therefore 99% effective. The remaining 1% is usually caused by misplacement. Check the position of your IUD on a monthly basis by feeling for the IUD thread. This may however not be an easy task as threads sometimes get tucked inside in the cervical canal. It is therefore important to listen to your body and see a gynaecologist if something feels unusual. If you decide you want to get pregnant, or you just don’t want your IUD anymore, your doctor can quickly and easily remove it. Fertility is restored almost immediately after the IUD is removed and you should be able to fall pregnant easily.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Contraceptive: The Pill [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]The pill is a popular form of oral contraceptive as it is safe, affordable and highly effective when used correctly. The pill is a hormonal tablet either containing progestin and oestrogen (the combined pill) or only progestin (progestin-only pill). The hormones in the combined pill stop ovulation—without ovulation, there is no egg for sperm to fertilise and pregnancy cannot occur. The progestin-only pill changes the cervical mucus making it difficult for sperm to reach the egg and changes the environment in the womb making it difficult for the embryo to attach. How to use the pill Using the pill is easy – just swallow a tiny pill every day. The challenge, however, is remembering to take it as close to the same time every day as possible. Most pills come in a 28-day, 24-day or 21-day pack. Take one pill for 28 days and then start a new pack on day 29. 28-day pill packs will have a hormone-free reminder or placebo pills for 7 days while 24-day pill packs will have placebo pills for 4 days which you would usually take during the week of your period. A 21-day pack requires more memory strength as it does not have the 7-day reminder pills, so you may want to set an alarm to remind you to start your new pack after 7 days of not taking any pills. Not all pills are the same, so it is important to follow the instructions that come with your pill pack. Missing pills or incorrectly taking pills can reduce its effectiveness and may result in pregnancy. If you are sexually active and have not been taking your pill diligently, it is best to take additional precautions such as using a condom or taking an emergency pill. What are the side effects? Most women experience side effects when starting the pill for the first time. These can include migraines, nausea, breast pain and spotting between periods. This usually dissipates within 2 to 3 months of using the pill, so if you’re still experiencing negative effects after 3 months of use, speak to your doctor. In some cases, the pill can have positive secondary effects such as reducing acne, eliminating heavy and painful periods as well as regulating your menstrual cycle. How effective is the pill and does it impact fertility? The pill is 99% effective however the same cannot be said for humans. In reality, the pill is reportedly 91% effective due to the human error in taking the pill. It is a common misconception that the pill can cause infertility. If you wish to get pregnant, just stop taking the pill. It’s possible to fall pregnant immediately after stopping, however, there may be a slight delay for fertility to return to normal. This is uncommon so you should be careful if you are not trying to fall pregnant as stopping the pill is likely to end in pregnancy.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### How your Breasts Change [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"] It's no secret that our bodies change as we age. Knowing what to expect of your body assists in your personal preventative health management. Here’s an idea of what to expect of your breasts as you age… • 20s- Expect a lot of change! Breast size may fluctuate as you settle into adult weight. With many women falling pregnant during this time, changes to nipple size, areola darkening, and overall breast swelling are common but usually reverts to normal after birth. Changes in the menstrual cycle during this phase may cause lumps in the breast tissue. This is usually nothing to worry about as it often occurs as a result of fibrocystic changes. • 30s- Change during this time is not significant though you can expect some stretching of the skin (often due to pregnancy). You may also start to notice sun damage, with age spots or freckles developing on the areas most often exposed. Remember to put sunscreen everywhere! • 40s- By your forties, your boobs should be feeling a little softer. Menopause causes a drop in oestrogen which results in involution (breast tissue replaced by fat). The outcome- they don’t feel as firm. Involution doesn’t happen uniformly, so you may develop lumps. A decline in elasticity and density of breasts is also expected, as the collagen starts to give way. Self-checks should be regular by this time. Make sure you know your boobs WELL and see a doctor if anything seems irregular.  [/et_pb_text][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2019/03/breast-change.png" _builder_version="4.22.1" _module_preset="default" theme_builder_area="post_content" alt="body change" title_text="breast-change" hover_enabled="0" sticky_enabled="0"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section] ### Menopause feature in Clicks Clubcard Magazine [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]‘Breeze through menopause’ Written by Delia du Toit for Clicks Clubcard Magazine January 2019 ‘Fed up with the mood swings, insomnia and hot flushes? We called in expert help!’- Read the full piece here. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Dr Natalia Novikova discusses Aesthetic Gynaecology on Cape Talk 567AM [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]Radio station Cape Talk 567AM contacted Dr Novikova requesting an interview with presenter Azania Mosaka during her daytime show. The segment was part of Cape Talk’s Healthy Lifestyle Feature. The interview began with a brief overview by Dr Novikova’s on her most popular procedures including the likes of Labiaplasty Vaginoplasty Vaginal Laser Hysterectomy Highlighting their differences as she went along. Dr Novikova then provided listeners with some of the many functional reasons that women undergo these procedures including pain during sexual intercourse, vaginal dryness, discomfort when wearing tight clothing, stress urinary incontinence and being unable to ride a bike. Dr Novikova also made mention of these functional difficulties being more prevalent in women who have experienced natural labour. She went on to state that patients who come to her for purely cosmetic reasons are a minority as most have concerns that actually impact the quality of their everyday life. The show’s host Azania Mosaka encouraged listeners to send through questions for Dr Novikova which was well received and covered various areas. Listeners of the show called in and sent SMS's through to query several issues. One listener wanted to know if steroids affect vaginal health in any way whilst another wanted to know if any of the home remedies or tightening creams are effective at reducing vaginal laxity by tightening the area. Dr Novikova provided feedback on these questions whilst elaborating further on the various invasive like hysterectomy and non-invasive treatments like uterine embolization that she offers. Dr Novikova went through the effect on patients after procedures have been conducted, with specific emphasis on heightened sexual health and newfound confidence often experienced by women who reacted positively to the procedure. To listen to the full interview from 30th November 2017 please see the link below: https://www.capetalk.co.za/articles/282790/labiaplasty-101-why-women-are-having-work-done-on-their-nether-regions[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Painful vaginal sex [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]In this article, I will discuss a new treatment modality for painful penetration of the vagina or pain at the vaginal opening related to a condition called vaginismus (vaginal muscle spasms). Vaginismus is a voluntary contraction of vaginal muscle on penetration. It is usually triggered by unpleasant sexual experience either due to forced sexual encounter or more commonly due to pain caused because of infection, vaginal dryness, a spasm or soreness in one of the vaginal muscles and glands or other medical conditions (for example, lichen sclerosis). Once women experience such pain, the mind and body develop a conditioned response to penetration.  The body learns to expect pain with vaginal penetration which causes the pelvic muscles to contract to protect against the potential pain.  It is something that happens automatically.  The problem is that tightening of these muscles actually causes more pain instead of protecting from pain. Even when the original cause of pain is no longer a present factor, a woman cannot help but contract their vaginal muscle on penetration. Some women develop vaginismus after having a bad yeast infection or bladder infection, others are too scared of intercourse because of potential pregnancy or other reasons. Read more about vaginal dryness  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Candida Infection [et_pb_section fb_built="1" admin_label="section" _builder_version="4.22.1" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]What is Candida infection? Candida or vaginal yeast infection is a common female condition where women experience itchiness, burning, abnormal discharge and even pain during intercourse. The vaginal wall can be red and swollen which can hurt terribly. What causes yeast or Candida infection? The main reason for Candida infection (also known as a yeast infection) is an overgrowth of Candida due to diets that include a lot of sugar and wheat. Eating sugar (pastries, sweets, chocolates, cereals with sugar, bread, pasta, pizza, and alcohol) will inevitably lead to yeast infection. Other factors causing yeast infections are hot climates, tight synthetic clothing, stress, travel, intake of antibiotics and a suppressed immune system. Some women experience a yeast infection at a certain time of their cycle usually before their period, this is related to hormonal changes in the cells and their susceptibility to yeast infection. Women who have suppressed immune systems due to chronic illness, or taking of medications (for example, steroid drugs) can struggle from recurrent Candida. Women who have taken a course of antibiotics may develop Candida infection because antibiotics kill normal bacteria in the vagina and allow Candida growth. Rarely recurrent Candida infection is a sign of suppressed immune system so checking for Diabetes and HIV is part of the check-up when recurrent infections are involved. What are the reasons for Candida infection to come back after treatment? Once the yeast infection has been treated with antifungals, (vaginal creams or oral tablets) it sometimes comes back. It happens because the initial trigger of infection is still in play. If you are still eating sugar and wheat, are under a lot of stress, in an unusually hot environment, Candida will most likely come back. How to identify Candida infection? Usually, during a clinical (vaginal) examination, the doctor can see vaginal discharge which is very typical for Candida infection. Discharge can be white, yellow, greenish in colour, thick in consistency and look like cottage cheese. In cases of severe infection, the vaginal wall can look red and swollen. Sometimes, there is no abnormal discharge, but we pick up Candida infection on tests such as Pap smear or vaginal swab. It is important to see a doctor if you treated Candida infection with over-the-counter medications and symptoms are still there and come back. Sometimes doing a culture of vaginal discharge we find a rare type of Candida (such as Candida Glabrata and Candida Krusei) that are not sensitive to the usual medications and need special suppositories or ointment to treat it. How to treat a yeast infection? It is important to avoid any irritants for washing of genital area. I recommend that my patients only use water to wash the genital area. To treat an episode of Candida infection you need to use vaginal cream, vaginal tablets, or suppositories which a doctor can prescribe. If you have itchiness, irritation, even burning in the vagina and typical discharge you can safely get a cream (for example, clotrimazole cream) and use it for a week vaginally. You should feel relief from your symptoms within 1-3 days. If you are not feeling better, see a doctor. How to stop infection coming back? Women who have frequent yeast infections are advised to adjust their diet and lifestyle and take antifungal medications for up to 6 months. How to avoid yeast / Candida infections? Treating your Candida means making some changes to your eating habits and lifestyle, you should avoid sugar, wheat, alcohol, potatoes, carrots, sweet potatoes, yams, beets, peas, and parsnips. Include apple cider vinegar, sauerkraut, (and other fermented vegetables) green vegetables, garlic, coconut oil, chia, flaxseeds, cranberry juice, cultured dairy (kefir), turmeric and cinnamon. A balanced diet rich in lean protein and vegetables is the way to go. Stay on the Candida diet for a few months, once you feel like you are Candida free you can re-introduce some food, such as fruit, but still choose low in sugar options such as green apples and strawberries.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Women’s health checklist with Mediclinic [et_pb_section fb_built="1" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Dr Natalia Novikova runs through the 5 health checks that women of all ages should keep top of mind. Breast cancer checks  In South Africa, breast cancer is the most common cancer in women of all races, according to the 2012 National Cancer Registry (NCR) but it has a high rate of survivorship owing to early detection and treatment. While most breast lumps are harmless, they should always be checked by a medical professional. If caught early enough, localised cancers can be removed without having to remove the entire breast. A mammogram is a special X-ray for detecting breast lumps. If symptom-free, women should have a mammogram done every second year after the age of 40. ‘Women with a strong family history of breast cancer should ideally see a geneticist to discuss BRCA1 and BRCA2 testing for breast cancer,’ says gynaecologist and endoscopic surgeon Dr Natalia Novikova of Mediclinic Cape Town. Ovarian cancer testing  There are various kinds of ovarian cancer, and all are fairly uncommon. ‘Risk factors for ovarian cancer include older age, having one or more relatives with ovarian cancer, having abnormalities in the BRCA1 or BRCA2 genes, being overweight, and never having been pregnant,’ says Dr Novikova. Unfortunately, most cancers that affect the ovaries are diagnosed in an advanced stage because there are no reliable early signs. Vague and subtle symptoms can include fatigue, abdominal swelling and pain, changes in bladder and bowel habits, and shortness of breath. ‘There are two tests available to screen for ovarian cancer: pelvic ultrasound and a blood test to check for a tumour marker called Ca125. Neither is 100% reliable,’ says Dr Novikova. She adds that the advantage of having the screening test is early detection, but the disadvantage is the chance of unnecessary surgery for something that is not actually cancer. She advises that women with a strong family history of ovarian or breast cancer should see a geneticist to discuss BRCA1/2 testing. The presence of these genetic abnormalities can cause breast or ovarian cancer. Read the full health checklist on Mediclinic here:   [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Dr Natalia Novikova talks Bartholin's glands with Marie Claire [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]We’ve all been told to pick up a hand mirror and study our vagina, right? This way we can get to know it and understand ourselves more intimately. But a mirror won’t show you where and what the Bartholin’s glands do for you and your sex life. ‘The Bartholin’s glands are situated around the opening of the vagina, inside the small lips, and are ideally located to produce lubrication for sex,’ says Dr Novikova. Many women do not know that Bartholin’s glands even exist in their bodies, let alone know their function. There is one on each side of the vaginal opening. They are approximately 2- to 2.5cm-long ducts, which open on the surface of the vulva, secreting relatively minute, but necessary amounts of fluid to moisten both the lips and the opening of the vagina. This ensures that any contact with the sensitive area is comfortable. ‘The opening of the vagina is the most narrow part of the whole organ. This is why lubrication for penetration is so important, and the glands assist with that naturally,’ says Natalia. Read the full article here: I didn’t know my vagina did that   [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### How normal is your period pain? [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Period pain can stem from a variety of conditions, from that time of the month to more severe medical conditions like Endometriosis or Uterine Fibroids The truth is 90% of women will experience menstrual pain but how much pain is too much? Mild cramping, bloating is the norm, but crippling cramps, heavy bleeding that drastically affect your quality of life should not be ignored. Conditions that are known to cause period pain: Endometriosis A gynaecological condition of which the tissue that is part of the lining of the womb grows outside of the womb in the tummy, on the ovaries, bladder, and other areas. The primary symptom of which is pelvic pain, often associated with period pain. Endometriosis is usually diagnosed through laparoscopy and treated with hormones or surgery. To find out more, please visit Endometriosis Treatment Uterine Fibroids with period pain Three out of four women will develop uterine fibroids, but many will not experience any symptoms. If, however, you experience heavy menstrual bleeding and severe pain this could be caused by uterine fibroids. They are growths in the uterus that are usually not cancerous and can be diagnosed upon examination, ultrasound, and hysteroscopy. To find out more, please click here Fibroids, polyps Pelvic Inflammatory Disease An infection in the female reproductive tract causes inflammation, scarring, painful menstruation and more drastically, infertility. If the pelvic pain is caused by PID and treated early enough, antibiotics can treat the infection. You may notice a change in your normal pattern of pain if your period pain is linked to one of the above conditions. To find out more, please click here Causes of Chronic Period Pain[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Pelvic Pain, Acute or Chronic [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Pelvic pain occurs mostly in the lower abdomen area and can come and go. Your discomfort may intensify after standing for long periods and can become so severe that you are unable to carry on with routine activities. The most common causes of acute pain are: an ovarian cyst appendicitis peritonitis acute pelvic inflammatory disease a urinary tract infection constipation  Pain that lasts longer than a few months is known as chronic pelvic pain. It is more intense than ordinary period pain and lasts longer. It affects around one in six women. The most common causes of chronic pain are: endometriosis chronic pelvic inflammatory disease irritable bowel syndrome Pelvic Pain in Women Women experiencing pelvic pain can be due to a medical condition involving the reproductive organs, urinary tract, lower gastrointestinal tract, or muscles of the abdominal wall. It’s important to tell your gynaecologist what kind of pain you’re having. Does it come on suddenly or is it constant? This will help the doctor make a proper diagnosis. Sharp pelvic pain may be a warning sign that you have an infection, a ruptured ovarian cyst, or a dangerous ectopic pregnancy (a pregnancy growing outside the uterus). More constant pain or a feeling of fullness in the abdomen are suggestive of uterine fibroids, which are non-cancerous tumours. Another potential source of regular pelvic pain is endometriosis, a common condition in which the lining of the uterus grows outside the organ. Figuring out what causes pelvic pain in women involves a process of elimination. Regular appointments with your gynaecologist and check-ups when pelvic pain disrupts your daily life is necessary. Pelvic Pain during Pregnancy As many as 80% of pregnant women experience pelvic pain during pregnancy. However, pinpointing the cause can be tough due to a wide range of possibilities. When to call the Gynaecologist? Pain that comes on suddenly for the first time is called acute pelvic pain and should be seen by your gynaecologist immediately. What will the doctor do for pelvic pain? First, your doctor is going to take your history and ask about the kind of pain you are experiencing, (is it sharp, dull, constant or, intermittent) where the pain is, check if there are any triggers of the pain, (certain foods, constipation, period, sexual intercourse) during what time in your cycle you experience pain (it’s normal to have some pain in the middle of the menstrual cycle due to ovulation or release of the egg) and find out if you have used any medications or treatments for this pain and whether they were helpful or not. A doctor will then do a detailed clinical examination including the internal examination (if you have had vaginal sexual intercourse in the past). A doctor will also conduct a pelvic ultrasound examination to assess the uterus and ovaries. The treatment will depend on the findings of the history, examination, previous treatments tried, desires for falling pregnant, your choice of potential treatment options and other factors.  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Podcast: Morning After Pill [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"] Name of the show: Emlanjeni the mid-morning showDate:27 March 2017 http://iono.fm/e/407043Interview time: 10h40Presenter: Kgomotso MoeketsiName of the station: Radio 2000 SABC JohannesburgTopic: Use and misuse of the contraceptive pill[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### They Really Do Care [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]They Really Do Care I am writing to record a note of appreciation for the good service that I received while and still attending Dr Novikova practice. Dr Novikova is a remarkable gynaecologist in Cape Town and she knows exactly what she is doing and offers a full explanation leaving you as the patient fully informed. She is precise, very time conscious, she’s FANTASTIC and I can say the same for her staff. Her explanation of a situation gives a clear idea of what is going on with you. She knows how best to solve and save the situation. I believe she is also blessed with healing hands...I felt safe and comfortable with her. I find that the service and the true concern for me as a patient motivated me to abandon plans on using a free or near-free service. The personal touch to solving minor issues is worth more than I can express. DR Novikova made me feel that I was in safe hands. “I have always been able to talk to her and get my problems resolved. Coming here is like dealing with trusted family and I would not consider changing doctors.” “They always treat me with tender loving care. Because they do care.” “I was truly impressed with your nice facility and the caring staff and friends can-do attitude and smiles. Thank you so much for providing such wonderful service! Thank you for being so compassionate! I even started recommending my friends, family and work colleagues to make an appointment and meet the good DOCTOR… YES, SHE IS FANTASTIC !!!!! Janise Jacobs [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Outstanding bedside manner [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" theme_builder_area="post_content" sticky_enabled="0"]Outstanding bedside manner Having just moved to Cape Town I found out I was pregnant and was concerned about finding a gynaecologist in Cape Town. I came across Dr Novikova after searching the net and from the first phone call, I felt very comfortable, especially with the very supportive and understanding assistant Judy. Dr Novikova has an outstanding bedside manner, she is very approachable and easy to talk to. Dr N made me feel super comfortable and free to ask the many questions I had about pregnancy. She made me feel safe and in the best hands possible. Although the doctor does not cover obstetrics I am very happy to have spent the first 26 weeks of pregnancy with her, as she was great support for both me and my husband. I would highly recommend Dr Novikova, especially to those who are new to Cape Town and need that extra support, she offers various gynaecological treatments and services M.A  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Testimonial: What a pleasant surprise! [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]What a pleasant Surprise I had symptoms of a pelvic organ prolapse and was advised by my daughter to consult Dr Novikova. What a pleasant surprise! I felt at home the moment I entered the rooms of Dr Novikova. She is a professional gynaecologist, kind and knows her subject very well. I was treated with respect during the examination. After the examination she gave me a few options, one was the option of a femme lift, which I considered. I went for the treatment and she did the procedure in a very professional way but also in a caring way. If I have to consider an operation in the future I will not hesitate in choosing Dr Novikova as the surgeon. I felt all the time that I could contact Dr Novikova any time if I had questions. I am also very happy with her right hand, Judy Sintenie. Judy is always very helpful, friendly and professional. I will recommend Dr Novikova any time. To me, it is very important to trust a doctor and I do trust Dr Novikova. Mrs Hannaleen Hough[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Why you need to know about FemiLift and what it can do for you [fusion_builder_container hundred_percent="no" hundred_percent_height="no" hundred_percent_height_scroll="no" hundred_percent_height_center_content="yes" equal_height_columns="no" menu_anchor="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" status="published" publish_date="" class="" id="" link_color="" link_hover_color="" border_color="" border_style="solid" margin_top="50" margin_bottom="" padding_top="" padding_right="" padding_bottom="" padding_left="" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="center center" background_repeat="no-repeat" fade="no" background_parallax="none" enable_mobile="no" parallax_speed="0.3" background_blend_mode="none" video_mp4="" video_webm="" video_ogv="" video_url="" video_aspect_ratio="16:9" video_loop="yes" video_mute="yes" video_preview_image="" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" type="legacy"][fusion_builder_row][fusion_builder_column type="3_5" layout="1_1" background_position="left top" background_color="" border_color="" border_style="solid" border_position="all" spacing="yes" background_image="" background_repeat="no-repeat" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="0px" margin_bottom="0px" class="" id="" animation_type="" animation_speed="0.3" animation_direction="left" hide_on_mobile="small-visibility,medium-visibility,large-visibility" center_content="no" last="false" min_height="" hover_type="none" link="" border_sizes_top="" border_sizes_bottom="" border_sizes_left="" border_sizes_right="" first="true" spacing_right="2.4%" type="3_5"][fusion_text columns="" column_min_width="" column_spacing="" rule_style="default" rule_size="" rule_color="" content_alignment_medium="" content_alignment_small="" content_alignment="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="" id="" font_size="" fusion_font_family_text_font="" fusion_font_variant_text_font="" line_height="" letter_spacing="" text_color="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""]Let’s face it, as women we don’t like to discuss certain matters concerning our womanly parts. Especially if we experience some issues in that regard… But the truth is, one out of every five women do have issues “down there” and a shocking 90% of us choose to ignore it rather than having it treated. The good news is various non-surgical gynaecological treatments exist. This article will look into the intricacies of FemiLift and what benefits it holds for a better lifestyle.What is FemiLift?FemiLift is the most advanced, non-invasive (here it comes!) vaginal rejuvenation technology currently available in Cape Town. It involves laser treatment (read: non-surgical) which can be done under 30 minutes and improves the functionality of the entire area. Sounds great, right?! Specific conditions that can be treated include urinary incontinence, dryness of the area, prolapse and vaginal laxity. FemiLift technology truly is revolutionary and a first for Cape Town ladies brought to you by the newly established Women’s Surgery Centre.[/fusion_text][fusion_separator style_type="default" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" sep_color="rgba(224,222,222,0)" top_margin="30" bottom_margin="" border_size="0" icon="" icon_size="" icon_circle="" icon_circle_color="" width="" alignment="center" /][fusion_text columns="" column_min_width="" column_spacing="" rule_style="default" rule_size="" rule_color="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""] What are the benefits of FemiLift? The benefits of FemiLift includes: Safe and simple procedures for common female health conditions Quick treatment sessions Minimum downtime with no bleeding or pain Easily integrated into feminine healthcare and lifestyle management Read more about Femilift Vaginal Rejuvenation here (View original article here) [/fusion_text][/fusion_builder_column][fusion_builder_column type="2_5" layout="2_5" spacing="" center_content="no" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="condition-treated-right-box" id="" background_image_id="" hover_type="none" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_color="" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" first="false" spacing_left="1.6%" type="2_5"][fusion_builder_row_inner][fusion_builder_column_inner type="1_1" layout="1_1" spacing="" center_content="no" hover_type="none" link="" target="_self" min_height="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" border_color="" border_style="solid" border_position="all" border_radius_top_left="" border_radius_top_right="" border_radius_bottom_right="" border_radius_bottom_left="" box_shadow="no" box_shadow_vertical="" box_shadow_horizontal="" box_shadow_blur="0" box_shadow_spread="0" box_shadow_color="" box_shadow_style="" padding_top="" padding_right="" padding_bottom="" padding_left="" margin_top="" margin_bottom="" background_type="single" background_color="rgba(45,128,132,0.83)" gradient_start_color="" gradient_end_color="" gradient_start_position="0" gradient_end_position="100" gradient_type="linear" radial_direction="center center" linear_angle="180" background_image="" background_position="left top" background_repeat="no-repeat" background_blend_mode="none" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset="" filter_type="regular" filter_hue="0" filter_saturation="100" filter_brightness="100" filter_contrast="100" filter_invert="0" filter_sepia="0" filter_opacity="100" filter_blur="0" filter_hue_hover="0" filter_saturation_hover="100" filter_brightness_hover="100" filter_contrast_hover="100" filter_invert_hover="0" filter_sepia_hover="0" filter_opacity_hover="100" filter_blur_hover="0" last="true" border_sizes_top="0" border_sizes_bottom="0" border_sizes_left="0" border_sizes_right="0" first="true" type="1_1"][fusion_button link="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" text_transform="uppercase" title="" target="_self" link_attributes="" alignment_medium="" alignment_small="" alignment="center" modal="" hide_on_mobile="small-visibility,medium-visibility,large-visibility" sticky_display="normal,sticky" class="condition-page-button button-general" id="" color="default" button_gradient_top_color="" button_gradient_bottom_color="" button_gradient_top_color_hover="" button_gradient_bottom_color_hover="" accent_color="" accent_hover_color="" type="" bevel_color="" border_width="" border_radius="" border_color="" border_hover_color="" size="" stretch="default" margin_top="" margin_right="" margin_bottom="" margin_left="" icon="" icon_position="left" icon_divider="no" animation_type="" animation_direction="left" animation_speed="0.3" animation_offset=""]ONLINE BOOKING[/fusion_button][/fusion_builder_column_inner][/fusion_builder_row_inner][fusion_separator style_type="single solid" hide_on_mobile="small-visibility,medium-visibility,large-visibility" class="" id="" sep_color="" top_margin="" bottom_margin="15px" border_size="" icon="" icon_size="" icon_circle="" icon_circle_color="" width="" alignment="center" /]Error: Contact form not found.[/fusion_builder_column][/fusion_builder_row][/fusion_builder_container] ### Can you Exercise during Pregnancy? [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]Provided there are no medical problems, you can exercise during pregnancy. Activities such as swimming, walking, spinning, a weight-bearing exercise that does not involve the tummy of the mom-to-be, are safe during pregnancy. Dr Novikova adds that you may continue the exercise you were doing before pregnancy, but some adjustments need to be considered:• Do not overstretch. The levels of progesterone are high during pregnancy, which makes tissues lax, so overstretching may lead to injuries.• Avoid intense exercise. This will cause body temperature to rise, and at any stage of pregnancy, high body temperature is dangerous for the baby.• Running, jumping and aerobic exercise may have a negative impact on the pelvic floor of the mom-to-be, try to avoid these exercises.• In the second half of your pregnancy, make sure your back is tilted when lying down. During pregnancy, your uterus compresses important vessels when you lie flat. Dr Novikova concludes that exercises are great for your mental health, for your body and even for the baby’s growth. It will help to prevent diabetes and high blood pressure. Exercise will also keep you fit for childbirth, which will help the process.  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Q&A for Marie Claire [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]  Name 5 things women do that unwittingly negatively affect their periods/severity thereof/mess up their cycle, etc and why.The menstrual cycle depends on hormonal balance in a woman’s body. The egg is released every month and it is called ovulation. If a woman does not fall pregnant then hormonal levels drop towards the end of the months and the lining of the womb (uterus) called endometrium sheds. This is how the bleeding happens. Significant weight loss, stress, very heavy exercise can influence the menstrual period by stopping periods. On the other hand, having lot’s of fat tissue leads to increased levels of oestrogen (female hormones), which stimulate the growth of the lining of the womb and cause very heavy periods. Name 3-5 things that women can do to make their monthly visit easier- foods they can eat, activities, products they can use etc.A healthy diet and regular exercise (45 minutes about 5 times per week) assists with general wellbeing and helps to have normal periods. 2-3 Signs your period gives you that means you need to see a doctor?– very heavy periods – changing a pad every 1-2 hours– very painful periods – missing studies or work because of pain during the period– irregular period – more than 45 days between the periods, or irregular frequent bleeding 2-5 normal irregularities/occurrences that may freak the average woman out but are okay– missing one period can be okay and related to stress and travel or change in lifestyle. It is normal if it happens only once– having a pain in the middle of the cycle is normal and it’s usually related to ovulation (release of the egg)[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### What is Menopause, what are its symptoms, and how to treat it? [et_pb_section fb_built="1" _builder_version="4.16" global_colors_info="{}" theme_builder_area="post_content"][et_pb_row _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||" theme_builder_area="post_content"][et_pb_text _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}" theme_builder_area="post_content"]What is Menopause? Our very own leading Gynecologist in Cape Town, Dr Natalia Novikova helps you understand what Menopause means. Menopause is a stage of woman’s life when the ovaries gradually stop working. The level of female hormones produced by ovaries (oestrogen) fall and women stop having periods. Although the average age of menopause is 51 years, it can happen anytime from the thirties to sixties. Menopause usually occurs because of advanced age, but it may be caused by certain drugs (cancer medications, radiation to pelvis) or happen early in life because of some diseases and it is called premature ovarian failure. Women who smoke usually reach menopause earlier than non-smokers. Menopause signs Doctors call woman menopausal after she has not her periods for one year. The transitional stage between premenopause to menopause can go unnoticed for some women who have no problems related to the hormonal changes in their bodies. Other women may find this stage of their life difficult to go through due to various changes with their bodies which interfere with their regular daily activities. Menopause signs may involve hot flushes (suddenly feeling very hot for a few minutes), insomnia (difficulties falling asleep or waking up at night and inability to sleep which makes women feel very tired during the day), irregular bleeding. What do I do if I have Menopause? Change in a menstrual period pattern in women who are approaching menopause differs. Periods might become irregular, lighter, with a longer interval between periods or heavier with a shorter interval between them. Any change in period pattern has to be carefully assessed by a doctor to make sure these changes are not related to cancer of the uterus or other more common problems such as fibroids or polyps (benign growth in the uterus). A gynaecologist would usually examine the woman, take Pap smear and possibly a biopsy of the lining of the womb, do an ultrasound (scan) to check the uterus and ovaries and sometimes do a hysteroscopy (an assessment of the inside of the uterus with a special camera). There are various gynaecological treatments to help with bothersome bleeding during the transition to menopause. Such treatments include tablets to decrease the blood flow, hormonal IUD (loop) inserted inside of the uterus, endometrial ablation to destroy the bleeding lining of the womb. Treatment choice depends on each woman’s particular problem.   What are the symptoms of Menopause? Hot flushes are common during the transition to menopause and sometimes for many years during menopause. A Hot flush is a feeling of heat around the neck, head and sometimes chest, arms and back which last for several minutes (usually 30 seconds to 10 minutes) and may be associated with chills or sweating. Hot flushes may occur a few times a day or a week or only monthly. It is impossible for women to continue with their daily activities if they experience frequent hot flushes. The best treatment for hot flushes is HRT (hormone replacement therapy). Because HRT has serious side-effects its use has to be weighed against the severity of symptoms and should not be continued for more than 4-5 years. There is also a non-hormonal treatment for hot flushes, but they’re not as effective. Women who experience hot flushes should try to dress in lighter clothes (or have layers of clothes so they can easily take 1-2 layers off ), sleep under a lighter blanket, keep a bag of frozen peas under the pillow and turn the pillow around once they experience hot flush so they touch cold side. It helps to avoid spicy food and alcohol. Does Menopause affect my sex life? Sex problems related to menopause manifest because of vaginal dryness which leads to discomfort and pain during intercourse and loss of libido. The main reason behind vaginal dryness is low levels of oestrogen. Women with vaginal dryness can use lubricants or vaginal oestrogen cream to help with their symptoms. Loss of libido is usually the result of stress, sleep problems, irritability, medications. Exercise and lifestyle changes to reduce stress are very effective. Low oestrogen levels are also responsible for increased risk of heart disease, osteoporosis and dementia. It is important to have regular checkups of blood pressure, cholesterol, sugar levels, mammograms.  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ## Pages ### Virtual Consultations [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Virtual Consultations with Dr Novikova" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}" sticky_enabled="0"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Dr Novikova offers virtual consultations for patients who are unable to attend in person or prefer the convenience of a remote appointment. These consultations are ideal for discussing health concerns, reviewing results, or planning investigations and treatment — all from the comfort of your home. How It Works Virtual consultations are conducted via a secure video platform powered by Cliniko.com. A link to connect will be included in your appointment confirmation and reminder emails. Simply click the link at the time of your appointment to begin the consultation — no additional login or software needed. Before Your Appointment If you are a new patient, please ensure you: Complete the New Patient Form – the link is included in your appointment confirmation email. Email the practice to notify that the form has been submitted. If you are an existing patient and you have not seen Dr Novikova for over 12 months please complete an existing patient form. This allows Dr Novikova to review your medical history in advance and prepare any required referrals. Pre-Consultation Testing After reviewing your New Patient Form, Dr Novikova may email you referrals for relevant investigations to be completed before the consultation, such as: Blood tests tailored to your symptoms or risk factors Self-collected HPV test (an effective alternative to the Pap smear) Breast imaging – including mammogram and ultrasound annually from age 40, or earlier if risk factors are present Bone mass density (DEXA) scan – from age 50, every 5 years if previous results are normal Any additional tests relevant to your situation Having these results available allows for a more personalised and informed discussion during your virtual consultation. Booking a Virtual Appointment You can book your virtual consultation online by following this link https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#service What to expect after the consultation Dr Novikova will discuss recommendations during the consultation and email you a prescription for medications if necessary [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Thank You [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _dynamic_attributes="title" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_font_size="60px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" hover_enabled="0" title_font_size_tablet="60px" title_font_size_phone="40px" title_font_size_last_edited="on|phone" global_colors_info="{}" sticky_enabled="0"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" text_font="|300|||||||" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]Thank you for Contacting Us Thank you for reaching out to Dr Novikova’s practice. We will respond to your email within one working day. To book an appointment, you are welcome to Book Online[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Estrogen Therapy [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]FEMININE WELLNESS[/et_pb_text][et_pb_heading title="Estrogen Therapy" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/Vaginalestrogentherapy.png" alt="estrogen therapy" title_text="Vaginalestrogentherapy" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" header_3_font_size="20px" hover_enabled="0" header_2_font_size_tablet="" header_2_font_size_phone="" header_2_font_size_last_edited="on|phone" header_3_font_size_tablet="20px" header_3_font_size_phone="20px" header_3_font_size_last_edited="on|desktop" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is Intravaginal Estrogen Therapy? Estrogen therapy involves estrogen being applied directly to the vagina, where it works locally to improve the quality of the skin by normalizing its acidity and making it thicker and better lubricated. The advantage of using local therapy rather than systemic therapy (i.e. hormone tablets or patches, etc.) is that much lower doses of hormone can be used to achieve good effects in the vagina, while minimizing effects on other organs such as the breast or uterus. Vaginal estrogen comes in several forms such as vaginal tablet, creams or gel or in a ring pessary[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Why should I use vaginal estrogen?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Local estrogen is used to treat urogenital atrophic skin changes. This is a medical term that describes the skin changes that occur in the vagina, urethra (tube from the bladder) and vulva when the ovaries no longer produce estrogen after menopause. This can lead to changes in the acidity of the vagina leading to the skin becoming dry, thinned, sore, and less lubricated. Women who have vaginal atrophy can present with discomfort or pain with intercourse, increasing vaginal discharge and irritation, or a burning sensation. The aim of low dose vaginal estrogen is to relieve these symptoms. The skin changes that take place occur in the tube from the bladder (urethra) and in the base of the bladder (the trigone). These changes may result in symptoms of urinary frequency or urgency and discomfort passing urine. You may also be more prone to urinary tract infections. Local intravaginal estrogen can help to relieve these symptoms.[/et_pb_accordion_item][et_pb_accordion_item title="Is local estrogen therapy safe for me?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginal estrogen preparations act locally on the vaginal skin, and minimal, if any estrogen is absorbed into the bloodstream. They work in a similar way to hand or face cream. If you have had breast cancer and have persistent troublesome symptoms which aren’t improving with vaginal moisturizers and lubricants, local estrogen treatment may be a possibility. Your Urogynecologist will coordinate the use of vaginal estrogen with your Oncologist. Studies so far have not shown an increased risk of cancer recurrence in women using vaginal estrogen who are undergoing treatment of breast cancer or those with history of breast cancer.[/et_pb_accordion_item][et_pb_accordion_item title="Which preparation is best for me?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Your doctor will be able to advise you on this but most women tolerate all forms of topical estrogen. Studies have shown that all preparations are equally as effective in relieving symptoms.[/et_pb_accordion_item][et_pb_accordion_item title="If I am already on hormone replacement therapy (HRT) do I need local estrogen as well?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Not usually, but if you continue to have vaginal symptoms despite using HRT, your doctor may prescribe vaginal estrogen as well. This is especially common if you are on a very low dose of HRT. In this way you can improve your vaginal symptoms without the need for a higher dose of HRT. Vaginal lubricants may also be helpful if your main symptom is vaginal dryness during intercourse and vaginal moisturizers may help restore moisture and can be used every few days as needed.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Urinary Tract Infection [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]What is urinary tract infection? A urinary tract infection (UTI) is an infection that can occur anywhere along the urinary tract. Most UTIs are caused by bacteria, such as E.coli, that live in the colon (especially the rectum). Urinary tract infections have different names depending on what part of the tract is infected. Names given to urinary tract infections include cystitis, which is infection of the bladder, and urethritis, which affects the urethra (the tube that empties urine from the bladder to the outside). Infection of the kidneys leads to a more serious condition called pyelonephritis. Adult women are most commonly affected, as their urethra is shorter than men and opens nearer to the anus. This means it is easier for bacteria to enter the urinary system and cause an infection. About 40% of women get at least one attack of cystitis in their lifetime. It is more common in sexually active women, during pregnancy, after surgery and menopause. You may feel pressure in the lower pelvis or lower back ache. There may be stinging, painful, or frequent urination along with an urgent need to urinate often with little or no urine being passed. Often there is a need to urinate at night and the urine may also become cloudy or smell unpleasant. Blood in the urine and fever can also occur along with nausea, vomiting, and chills, indicating a severe infection. Your body has defenses to prevent infections. However, it is possible there may be a slight alteration in the ability of the body to resist bacteria getting into the bladder and causing infection. Bladder or kidney problems may increase the susceptibility to infections. Having sex increases the chance of cystitis in some women. The vagina, bladder, and urethra are under the influence of the hormone oestrogen. After menopause the levels of oestrogen in the body decrease and the tissues become thinner, weaker, and dryer, increasing the risk of recurrent cystitis. Infections are also more common during pregnancy because of changes in the urinary tract. In many causes there is no apparent cause.   A tube called a urinary catheter inserted into your urinary tract during or after surgery increases your risk of having UTI. Urinary retention is also common after surgery and can increase the likelihood of infection. Additional factors like old age, being female, and type of surgical procedure can also increase the chances of infection. Diabetes increases the risk, as do surgeries that are done on or near part of the urinary tract. Immobilization after surgery will also increase the risk.   Testing of the urine may reveal pus cells or red blood cells. A urine culture (clean catch) or catheterized urine specimen may be performed to determine the type of bacteria in the urine and the appropriate antibiotic for treatment. The specimen must be fresh. It is also important that the woman has separated her labia (lips) during urination to avoid bacteria from the skin and vagina contaminating the specimen. Further investigations may be required to check the urinary system, including the kidneys. If you suffer from recurrent urinary infection or if your urine shows more than 30 red blood cells you may be advised to have a cystoscopy in which the inside of your bladder is examined using a camera. You may need an ultrasound scan to check your kidneys, ureters, and bladder. Urinary tract infections in children are unusual and most doctors would recommend careful investigation in this case. The following can help reduce the risk of acquiring a urinary tract infection: Drink plenty of fluids – water is best – enough to pass clear dilute urine 4 to 6 times a day (about 8 classes). Do not let the bladder get too full. Pass urine regularly when you feel the need or have the urge. Don’t hold on too long. Cranberry juice and taking of Vitamin C increase the acid in your urine and help inhibit bacteria from growing. Avoid constipation. After using the toilet, always wipe from front to back. Cleanse your genital area daily but not too frequently or vigorously. Too much scrubbing and cleaning may slightly damage your genital skin. Bacteria thrive better on damaged skin. Avoid potential irritants such as perfumed bath oils and vaginal deodorants. Lubricate adequately during intercourse - it will decrease urethral irritation. If you have gone through the change (menopause), your doctor may consider topical vaginal estrogen therapy. Go to the bathroom before and as soon as possible after having sex. Your doctor may advise you to take a tablet of antibiotic immediately after sex if you get repeated infections. Wear cotton underwear and loose-fitting clothes so air can keep the area dry. If you have diabetes, keep your blood sugar under control. Some people take d-mannose, a natural sugar, which prevents the bacteria from sticking to the urinary tract and reduces the risk of developing a UTI. Vaccines have been developed and appear to be promising in the treatment of recurrent urinary tract infections. Consult your doctor for further details and availability in your region. When you have a urinary tract infection drink plenty of water so your urine is very diluted. Make your urine less acidic by mixing a teaspoon of bicarbonate of soda with half a pint of water; this will make it sting or burn less when you pass urine. Over-thecounter remedies containing sodium citrate or potassium citrate are also available in solutions or sachets from most pharmacies. For a simple bladder infection, your physician may prescribe antibiotics for 3-5 days. For a bladder infection with complications such as pregnancy or diabetes, or a mild kidney infection, you will usually take antibiotics for 7-14 days. It is important that you finish the full course of antibiotics, otherwise the infection could return and may be harder to treat. Ask the doctor for advice again if the symptoms don’t improve after 24 hours or get worse, if blood is present in the urine, or if symptoms are accompanied by fever, loin pain, or lower backache. If you are very sick and cannot take medicines by mouth or drink enough fluids, you may be admitted to the hospital for treatment and to prevent the spread of infection and damage to urinary and other organs. If you suffer from recurrent cystitis you may need a low dose of an antibiotic regularly for a few weeks. A urinary tract infection is uncomfortable, but treatment is usually successful. For more information, visit Your Pelvic Floor. Source of information: International Urogynecological Association[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Vaginal laser treatment [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Aesthetic Gynae[/et_pb_text][et_pb_heading title="Vaginal Laser Treatment" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Who should have vaginal laser treatment? Women with: vaginal relaxation (loose or too wide vagina) stress urinary incontinence (leaking urine when jumping, sneezing, coughing, running) dryness of vagina (or atrophic vaginitis) frequent vaginal infections have excellent results with the treatment [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" global_module="41159" theme_builder_area="post_content"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" saved_specialty_column_type="1_2" theme_builder_area="post_content"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" saved_specialty_column_type="1_2" theme_builder_area="post_content"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/co2-laser-scaled.jpg" alt="abnormal uterine bleeding" title_text="co2-laser" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Is the Vaginal Laser Treatment painful?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]No, the treatment is not painful. You may feel discomfort on insertion of vaginal probe especially if you have not been sexually active for a while. Dr Novikova uses oil over the vaginal probe to make insertion less uncomfortable. During the procedure you may feel warmness in the vagina. If you feel any discomfort or pain, Dr Novikova will adjust the laser settings to keep you comfortable.[/et_pb_accordion_item][et_pb_accordion_item title="Is the treatment done with anaesthesia?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, anaesthesia is not needed for this treatment as it is not painful.[/et_pb_accordion_item][et_pb_accordion_item title="How long does the treatment take?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment takes about 15 to 30 minutes.[/et_pb_accordion_item][et_pb_accordion_item title="Where is the treatment done?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment is done in Dr Novikova’s practice.[/et_pb_accordion_item][et_pb_accordion_item title="Can I have the procedure on the day of consultation?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Yes, if the treatment is indicated in your case, you can have it on the day of the consultation.[/et_pb_accordion_item][et_pb_accordion_item title="Do I have to take a day off work to have the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, you don’t have to take a day off work. You can do the treatment in your lunch break and return back to work.[/et_pb_accordion_item][et_pb_accordion_item title="Are there any situations when I should not have the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] Any active genital infection. Active genital herpes infection. If you have past history of genital herpes and do not have lesions, you may have laser treatment. Certain medical diseases (for example scleroderma, uncontrolled diabetes) Taking medications that thin blood. Genital bleeding. Pregnancy. Cancer. Pelvic organ prolapse (Stage 2 or more). Unrealistic expectations. [/et_pb_accordion_item][et_pb_accordion_item title="What does a pre-procedure assessment include?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] A pap smear should be done within the last 3 months before the procedure. General medical assessment, including breast check. Pelvic examination. Pelvic ultrasound. Dr Novikova will take a detailed history, will do medical check including breast check, pelvic examination, pelvic ultrasound and Pap smear before the laser vaginal treatment.[/et_pb_accordion_item][et_pb_accordion_item title="What precautions should be taken after the treatment?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] You should not have sexual intercourse for 3 days. You should not use tampons for 3 days. Please phone your doctor or the office if you have bleeding, fever or any other concerns regarding the procedure. It is very common to experience increased discharge (sometimes blood-stained) for several days after the treatment. Very rarely, women develop involuntary leaking of urine for 1-2 days after the treatment. This is very uncommon. [/et_pb_accordion_item][et_pb_accordion_item title="What type of vaginal laser does Dr Novikova use?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova uses CO² laser called Femilift. This laser is approved by the FDA. Alma Laser has been on the market for decades and the company is a leader in the laser industry. It’s the only pelvic laser that has a disposable probe to cover the handpiece which avoids transmission of any infection.[/et_pb_accordion_item][et_pb_accordion_item title="How does the Vaginal Laser work?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginal skin contains collagen fibers that give the skin flexibility and strength. Femilift vaginal laser gently heats vaginal skin. This heat contract existing fibers. The trauma (very minimal and superficial) caused by heat stimulates the growth of new collagen and healthy vaginal skin. This process improves normalizes the blood flow in vaginal skin, increases lubrication, restores strength and elasticity of vaginal wall.[/et_pb_accordion_item][et_pb_accordion_item title="When will I see the results of the surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You can expect to feel the full (maximum) results 3 months after your last (3rd) procedure. Some women (especially those suffering from dryness and recurrent infections) feel significant improvement of their symptoms after the 1st treatment. Women with stress urinary incontinence may feel some improvement after 2nd session, but the full effect is felt three months after the last treatment.[/et_pb_accordion_item][et_pb_accordion_item title="Can I have more than 3 treatments?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Generally, 3 treatments are enough to achieve the desired result. If the results were not achieved you may need an alternative treatment such as the sling procedure for stress urinary incontinence or vaginoplasty for tightening of the vaginal area.Occasionally doctors will choose to do more treatments (usually 4-6 treatments every 2 weeks) if a lower energy of laser has to be used during treatments.[/et_pb_accordion_item][et_pb_accordion_item title="What is the success rate of vaginal laser rejuvenation?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Depending on the problem, the laser treatment improves symptoms of atrophic vaginitis in the majority of women, and it works for mild to moderate stress incontinence in 4 out of 5 women. We do not know how well laser treatment works for vaginal tightening over the longer term as yet.[/et_pb_accordion_item][et_pb_accordion_item title="Will the vaginal laser treatment leave scars?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, vaginal laser treatment does not leave scars.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}" global_module="41209" theme_builder_area="post_content"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}" theme_builder_area="post_content"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}" theme_builder_area="post_content"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Femilift (CO2 Laser) [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Aesthetic Gynae[/et_pb_text][et_pb_heading title="Femilift (CO2 Laser)" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/Dr-N-Femilift-Laser-Rejuvenation-scaled.jpg" alt="abnormal uterine bleeding" title_text="Dr N Femilift Laser Rejuvenation" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" url_new_window="on" sticky_enabled="0"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Who should consider having vaginal rejuvenation? Women who have: vaginal relaxation (loose or too wide vagina) stress urinary incontinence (leaking urine when jumping, sneezing, coughing, running) dryness of the vagina (or atrophic vaginitis) frequent vaginal infections have excellent results with the treatment [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Femilift CO2 Laser for Vaginal Rejuvenation The Femilift laser gently heats the vaginal skin. This heat contracts the existing fibres and stimulates the growth of new collagen and healthy skin. This process improves and normalizes the blood flow in genital skin, increases lubrication, restores strength and elasticity of the vaginal wall. For Frequently Asked Questions on Femilift Vaginal Laser, please read below. Dr Novikova offers Femilift CO2 Laser as one of several treatments for Vaginal rejuvenation. To explore the other alternatives, please click here. [/et_pb_text][et_pb_video src="https://youtu.be/xGLzQFTayJk?si=GOX4RSHjgbLf6R7K" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_video src="https://youtu.be/VsXr61GfFV8" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Is the Femilift Vaginal Laser treatment painful?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]No, the treatment is not painful. You may feel discomfort on the insertion of the probe, especially if you have not been sexually active for a while. Dr Novikova uses oil over the probe to make insertion less uncomfortable. During the procedure, you may feel warmness in the pelvic area. If you feel any discomfort or pain, Dr Novikova will adjust the laser settings to keep you comfortable.[/et_pb_accordion_item][et_pb_accordion_item title="Is the treatment done with anaesthesia?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, anaesthesia is not needed for this treatment as it is not painful.[/et_pb_accordion_item][et_pb_accordion_item title="How long does the treatment take?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment takes about 15 to 30 minutes.[/et_pb_accordion_item][et_pb_accordion_item title="Where is the treatment done?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment is done in Dr Novikova’s practice.[/et_pb_accordion_item][et_pb_accordion_item title="Can I have the procedure on the day of consultation?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Yes, if the treatment is indicated in your case, you can have it on the day of the consultation.[/et_pb_accordion_item][et_pb_accordion_item title="Do I have to take a day off work to have the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, you don’t have to take a day off work. You can do the treatment in your lunch break and return back to work.[/et_pb_accordion_item][et_pb_accordion_item title="Are there any situations when I should not have the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] Any active genital infection. Active genital herpes infection. If you have past history of genital herpes and do not have lesions, you may have laser treatment. Certain medical diseases (for example scleroderma, uncontrolled diabetes) Taking medications that thin blood. Genital bleeding. Pregnancy. Cancer. Pelvic organ prolapse (Stage 2 or more). Unrealistic expectations. [/et_pb_accordion_item][et_pb_accordion_item title="What does a pre-procedure assessment include?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] A pap smear should be done within the last 3 months before the procedure. General medical assessment, including breast check. Pelvic examination. Pelvic ultrasound. [/et_pb_accordion_item][et_pb_accordion_item title="What precautions should be taken after the treatment?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] You should not have sexual intercourse for 3 days. You should not use tampons for 3 days. Please phone your doctor or the office if you have bleeding, fever or any other concerns regarding the procedure. It is very common to experience increased discharge (sometimes blood-stained) for several days after the treatment. Very rarely, women develop involuntary leaking of urine for 1-2 days after the treatment. This is very uncommon. [/et_pb_accordion_item][et_pb_accordion_item title="What type of laser does Dr Novikova use?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova uses CO² laser called Femilift. This laser is approved by the FDA. Alma Laser has been on the market for decades and the company is a leader in the laser industry. It’s the only pelvic laser that has a disposable probe to cover the handpiece which avoids transmission of any infection.[/et_pb_accordion_item][et_pb_accordion_item title="How does the Femilift laser work?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginal skin contains collagen fibers that give the skin flexibility and strength. The Femilift laser gently heats the skin. This heat contracts the existing fibers. The trauma (very minimal and superficial) caused by the heat, stimulates the growth of new collagen and healthy skin. This process improves and normalizes the blood flow in genital skin, increases lubrication, restores strength and elasticity of the vaginal wall.[/et_pb_accordion_item][et_pb_accordion_item title="When will I see the results of the surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You can expect to feel the full (maximum) results 3 months after your last (3rd) procedure. Some women (especially those suffering from dryness and recurrent infections) feel significant improvement of their symptoms after the 1st treatment. Women with stress urinary incontinence may feel some improvement after 2nd session, but the full effect is felt three months after the last treatment.[/et_pb_accordion_item][et_pb_accordion_item title="Can I have more than 3 treatments?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Generally, 3 treatments are enough to achieve the desired result. If the results were not achieved you may need an alternative treatment such as the sling procedure for stress urinary incontinence or vaginoplasty for tightening of the vaginal area.Occasionally doctors will choose to do more treatments (usually 4-6 treatments every 2 weeks) if a lower energy of laser has to be used during treatments.[/et_pb_accordion_item][et_pb_accordion_item title="What is the success rate of vaginal laser rejuvenation?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Depending on the problem, the laser treatment improves symptoms of atrophic vaginitis in the majority of women, and it works for mild to moderate stress incontinence in 4 out of 5 women. We do not know how well laser treatment works for vaginal tightening over the longer term as yet.[/et_pb_accordion_item][et_pb_accordion_item title="Will the treatment leave scars?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, the laser treatment does not leave scars.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}" button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" sticky_enabled="0"][/et_pb_button][et_pb_button button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Body Contouring Patient Form [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"]  Body Contouring Patient Information    [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Mommy Make Over [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" theme_builder_area="post_content"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_font_size="18px" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}" theme_builder_area="post_content" sticky_enabled="0"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Mommy Makeover" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}" theme_builder_area="post_content" sticky_enabled="0"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}" theme_builder_area="post_content"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" text_font="|300|||||||" sticky_enabled="0"]Are you looking for a non-surgical option to get your body in shape after giving birth? Dr Novikova has fantastic solutions to tighten pelvic floor muscles, rejuvenate vaginal skin, treat cellulite, stretch mark and tighten stretched skin. We have researched the options available and choose to offer the most effective safest treatments that meet our patients' expectations. Rejuvenating vaginal skin with either BTL Exilis or UltraFemma 360 or Femilift Tightening vaginal muscles with the BTL Emsella chair Tighten the skin on the tummy and thighs, treat cellulitis, reduce stretch marks and fat with BTL Exilis, Vanquish and X-wave The treatment will be adjusted according to your needs to address the areas of concern. Depending of the chosen package / treatment we will advise on a fee. On average 3-6 sessions are required depending on the treatment plan. For more information on Mommy Makeover, visit Body and Skin Clinic website.   ....OR ENQUIRE HERE  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Hysteroscopy [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Surgical Procedures[/et_pb_text][et_pb_heading title="Hysteroscopy" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}" sticky_enabled="0"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/hysteroscopy_1280.jpg" alt="hysteroscopy" title_text="hysteroscopy_1280" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Hysteroscopy Hysteroscopy is a procedure to look inside the uterus. This is done by inserting a thin telescope (called a hysteroscope) through the cervix and into your uterus. Saltwater (saline) is injected into the uterus once the hysteroscope is in place. This opens the uterine cavity and creates a clearpicture on the TV monitor. If we find a problem inside f the uterus (polyp, fibroid, septum, adhesions) we will remove them using hysteroscopic instruments. We will send removed tissue to the lab to check for cancer and other abnormalities.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_video src="https://youtu.be/WHi0omNWP_k" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_video src="https://drnovikova.co.za/wp-content/uploads/2025/04/Polypectomy-Video-1.mp4" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="When is it used?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]A hysteroscopy is performed to assess the uterine cavity in women suffering from abnormal uterine bleeding, irregular bleeding, heavy menstrual bleeding, postmenopausal bleeding, absent periods after gynaecological procedures, difficulty getting pregnant, recurrent miscarriages, fibroids or polyps found during an ultrasound examination.A hysteroscopy is performed to assess the uterine cavity and to treat certain conditions. Uterine submucous fibroids located in the uterine cavity, polyps, uterine septums, scar tissue will be removed during a hysteroscopy procedure. Endometrial ablation procedure follows hysteroscopy to treat women with heavy menstrual and abnormal uterine bleeding. Dilation and curettage (D&C) are performed in conjunction with hysteroscopy which allows a doctor to take a sample of tissue from the uterine lining to send to the pathology lab for an assessment of cancerous cells and other changes that might be causing postmenopausal or abnormal uterine bleeding.[/et_pb_accordion_item][et_pb_accordion_item title="What are the risks? " _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Hysteroscopy is a safe procedure. Problems such as injury to the cervix or the uterus, infection, heavy bleeding, perforation of the uterus, injury to bladder, bowel, vessels or side effects of medication occur in less than 1% of cases. If you experience sharp abdominal pain, fever, an increase in vaginal bleeding or a foul-smelling discharge, please contact the doctor immediately. Do not douche, use tampons or put anything into the vagina for at least one day after the procedure, or until the bleeding stops. It is OK to have sex after the bleeding stops.[/et_pb_accordion_item][et_pb_accordion_item title="What can I expect on the day of the procedure? " _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Hysteroscopy takes about 15 minutes. You will lie on an exam table with your knees bent, as you do for a pelvic exam. The hysteroscope is inserted through the vagina and into the uterus. This is used to see inside the uterus. Fluid (normal saline) may be injected into the uterus to expand it. You may have a watery discharge, menstrual-like cramps and bleeding for about 24 hours after the procedure. This is normal. You will be able to go home a short time after your procedure. You should not drive for 24 hours following the procedure.Patients are usually seen two weeks and six after the procedure for a check-up.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Bacterial Vaginosis (BV) [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Bacterial Vaginosis Bacterial Vaginosis is a disbalance in vaginal bacteria. BV is linked to an imbalance of “good” and“harmful” bacteria that are normally found in a woman’s vagina. It is a very common condition inwomen of reproductive age. It is not sexually transmitted.   We do not know the exact reason why some women develop BV, but we know that it is more common in sexually active women; Having a new sex partner or multiple sex partners; vaginal douching; having a female sexual partner.We also do not know how sex contributes to BV. There is no research to show that treating a sex partner affects whether or not a woman gets BV. Having BV can increase your chances of getting other STDs. BV rarely affects women who have never had sex. You cannot get BV from toilet seats, bedding, or swimming pools   The following basic prevention steps may help lower your risk of developing BV:● Not having sex;● Limiting your number of sex partners;● Not douching; and● Use latex condoms the right way every time you have sex. Many women with BV do not have symptoms. If you do have symptoms, you may notice:● A thin white or grey vaginal discharge;● Pain, itching, or burning in the vagina;● A strong fish-like odour, especially after sex;● Burning when urinating;● Itching around the outside of the vagina. Usually, BV can preliminarily be diagnosed during clinical examination by inspection of vaginal discharge and confirmed with laboratory tests. BV is treated with Metrogel or Dalacin cream (vaginal antibacterial gel or cream) and metronidazole (Flagyl) or clindamycin tablets. Treatment is effective. However, BV may recur and repeated courses of treatment may be prescribed to clear the infection and recurrences. BV can be associated with pelvic inflammatory disease it increases the risk of getting STI it leads to complications during pregnancy such as preterm birth [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Dyspareunia - Painful Sex [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"] FEMININE WELLNESS [/et_pb_text][et_pb_heading title="Dyspareunia – Painful Sex" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Dr-N-Vaginismus-with-patient-3-scaled.jpg" alt="dyspareunia" title_text="Dr N Vaginismus with patient 3" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" header_2_font_size="25px" header_3_font_size="20px" header_2_font_size_tablet="" header_2_font_size_phone="" header_2_font_size_last_edited="on|phone" header_3_font_size_tablet="20px" header_3_font_size_phone="20px" header_3_font_size_last_edited="on|desktop" global_colors_info="{}"]What is Dyspareunia? Dyspareunia, or female sexual pain, is a term used to describe pelvic and/or vaginal pain during intercourse. The duration of the pain can be limited to the duration of intercourse but may last for up to 24 hours after intercourse has finished. The duration of symptoms varies widely and sometimes can be traced back to a specific time or event. It is often difficult to diagnose the exact source of discomfort (muscular, vascular, foreign bodies, surgery, trauma, aging, emotional) as well as to implement the correct treatment options.[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="How common is dyspareunia?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Dyspareunia is common but probably under-reported. Women experiencing sexual pain are encouraged to discuss it with their healthcare provider.[/et_pb_accordion_item][et_pb_accordion_item title="What causes dyspareunia?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]There are many different origins and causes of female sexual pain including anatomic (body part) abnormalities, hormonal, as well as psychosomatic causes. Your healthcare provider will take a detailed history, assess your symptoms, and perform a detailed physical examination to reveal, if possible, the source or cause of the pain. Some of the conditions to consider are: Genitourinary syndrome of menopause (GSM). Changes in vaginal tissue due to lack of estrogen leading to tissue irritation, vaginal dryness and thinning can make intercourse quite uncomfortable and painful. It is important to note that up to 50% of women will experience some dyspareunia after menopause due to these tissue changes. They may experience a dry burning sensation due to lack of lubrication which may be associated with skin splitting, spotting or bleeding. Prolonged breastfeeding can produce similar changes and symptoms of vaginal dryness. Vulvodynia/Vestibulitis. This is a chronic localized pain syndrome of the vulva, labia, and vaginal opening. Causes include skin disorders that result in irritation (e.g. lichen sclerosus) and/or scarring of the vulvar tissue, trauma following surgery, childbirth, and more rarely, female circumcision or genital mutilation in some parts of the world. Radiation to the pelvic region can also cause nerve and tissue damage and lead to pain. Additionally, some women have intermittent discomfort which is difficult to reproduce. Bladder or urethral pain syndromes. There are several bladder pain syndromes which can cause chronic bladder and vaginal pain. These may not only cause dyspareunia, but also urgency, frequency of urination and pain with urination. These issues may start suddenly or occur gradually over a period of time and may be traced back to an event such as a previous infection. Additionally, certain disorders of the urethra (the tube through which urine is emptied from the bladder) can cause significant pain involving the vagina. Examples include urethritis (inflammation/pain in the urethra, sometimes caused by sexually transmitted diseases) and urethral diverticulum (a weakness in the wall of the urethra which forms a pocket in which urine can be trapped). Musculoskeletal issues. At times, women will describe a pain like being ‘stabbed in the vagina’ or chronic soreness. This can be related to increased tension of the pelvic floor musculature so that it cannot properly relax. This phenomenon (levator spasm) can cause constant or intermittent pain and is sometimes associated with other pain issues. This is seen sometimes in women with a history of sexual assault or rape. Additionally, some women have issues with rectal spasm and pain with inability to properly relax muscles to have bowel movements and/or have intercourse. Pelvic inflammatory disease (PID). Often caused by sexually transmitted diseases, PID can cause chronic pain and dyspareunia as well. Irritable or inflammatory bowel diseases can also exacerbate dyspareunia and pelvic pain. Other pelvic conditions. Sometimes the definitive source of pain on examination is unclear, but there are other signs such as pain with menstrual cycles that is in excess to normal cramping. Conditions such as endometriosis or adenomyosis should be considered in these cases. Endometriosis is a condition in which glands inside the uterus, designed to bleed with the menstrual cycle, are instead found outside of the uterus, causing chronic cyclic pain and sometimes scarring. Adenomyosis is an overgrowth of glands inside the uterus, associated with heavy and painful menses and cyclical pelvic pain. Previous surgery causing scarring, tissue or nerve damage can also be a cause of painful intercourse. Local vaginal causes. Scarring and tenderness following an episiotomy or tear during childbirth is a common cause of dyspareunia. Vaginal cyst, polyp, growth, foreign body, and sometimes relaxation of the pelvic organs which may cause a vaginal bulge (prolapse) may be the underlying cause of sexual discomfort. Vaginal surgery (with or without mesh) can also be a cause of pain. In rare cases, there may be an anatomic abnormality from birth such as a vaginal septum (piece of tissue dividing the vagina) which makes intercourse difficult or uncomfortable. [/et_pb_accordion_item][et_pb_accordion_item title="How is dyspareunia diagnosed?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]It is very important to give your physician a thorough and detailed description of the quality and timing of pain, the point during intercourse when pain begins, the duration of the pain, any change with the menstrual cycle (worsens or lessens), as well as all relevant childbirth, gynecology and bowel history. Any history of infections, whether pelvic, urinary, or vaginal is also important as well as addressing all previous surgeries. While some vaginal pain may be related to levator muscle spasm, skin problems, and generalized vulva pain conditions (as described above), it is still important to investigate the underlying cause of the pain. Determining if the tissue is painful because of a sexually transmitted disease or other infections is important. Your physician will do a detailed sensory and physical examination to pinpoint the source of the pain. Depending on the findings of this examination, other tests may be ordered. Examples of tests that may be required include: Test for infection – swabs (vagina, cervix, urethra), urine sample Pelvic ultrasound CT scan/MRI of the pelvis Camera tests looking inside the womb (hysteroscopy), belly (laparoscopy), bladder (cystoscopy) Biofeedback Electromyography (muscle testing – this is not common) [/et_pb_accordion_item][et_pb_accordion_item title="How is dyspareunia treated?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Treatment options vary widely based on the underlying cause(s) of the pain being experienced. Any infection, whether vaginal, pelvic, or urinary should be properly treated. Low-dose vaginal estrogen is very useful in treating vaginal menopausal symptoms (see leaflet on low-dose vaginal estrogen therapy). The vaginal estrogen can be combined with water-based lubricants to provide adequate lubrication as well as advise about foreplay. For vulvodynia and vestibulitis, the underlying cause must be determined. Dermatologic (skin) conditions leading to scarring and inflammation can often be treated with steroid or hormonal creams. Vulva lichen sclerosus is a common example of a skin condition that can be treated easily with steroid creams. Local cream applications, vaginal dilators and, in some instances, laser therapy, can help alleviate vulvar skin symptoms. Trigger point injections may also provide some relief as can biofeedback and physical therapy. Your doctor can also prescribe medications that help reduce nerve irritation and pain as well. When to use multiple treatments is a decision made by the individual healthcare provider. For bladder pain leading to dyspareunia, treatment generally begins with eliminating irritants such as caffeine and cigarettes from the diet (see leaflet on interstitial cystitis) and physical therapy. There are also a variety of medications that can be used, although not everyone responds to the same regimen. Instillations of a medication ‘cocktail’ in the bladder is also used as an adjunct to therapy. If the underlying issue is the urethra, treatment may be medication or surgery depending on if the underlying cause is infection or a physical defect with the urethra itself. Musculoskeletal issues with pelvic floor muscle spasm (levator spasm) may be treated with meditative techniques, physical therapy (including massage, heat, biofeedback with a therapist trained in pelvic floor problems), counseling, trigger point injections of anesthetic and/or steroids into the trouble spots or Botox injection to relax the muscle, as well as using vaginal dilators. Pain that is resistant to multiple treatments may be a different neurologic type of pain which requires a nerve block. Dyspareunia caused by pelvic pain due to endometriosis or adenomyosis can be initially suppressed with continuous hormone therapy as fluctuations in hormones can exacerbate pain. Examples of such hormonal treatment are taking the contraceptive pill continuously or the Mirena coil system. Hormone blocking injections are also an option but have some side effects which your doctor will explain to you. If still unsuccessful, removal of the ovaries (if endometriosis is the cause) or the uterus (if adenomyosis is the cause) may be the last resort. Removal is generally a last resort in the absence of other pathology. Your doctor may refer you to another specialist if he/she believes the pain is related to your bowel or other area. If found, local causes in the vagina, e.g. vaginal cyst, can be removed. Removal of vulva/vaginal scar tissue or a vaginal mesh sling if causing pain can be done by specialist doctors with experience in these procedures. In women with spasm of the muscles at the entrance to the vagina (perineal muscles) e.g. following childbirth trauma, sexual assault or rape, Botox injection into the muscle has been found to be very useful as it relaxes the muscle and makes intercourse less painful. Sexual discomfort due to pelvic organ prolapse (descent of the pelvic floor leading to a bulge in the vagina) should be evaluated by a urogynecology specialist and either corrected surgically or supported with a vaginal insert called a pessary (see leaflets on pelvic organ prolapse and vaginal pessary for pelvic organ prolapse). Finally, it is important to stress that dyspareunia can be a chronic and frustrating condition that may require multiple visits, and treatment involving various specialists in order to adequately manage it. Your doctor will advise you about this.[/et_pb_accordion_item][/et_pb_accordion][et_pb_text _builder_version="4.22.1" _module_preset="default" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Source: Your Pelvic Floor The International Urogynecological Association (IUGA)[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Safety Precautions [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Routine Check-ups for Women: Interview with Patricia Ntuli on SA FM Radio.   IF YOUR APPOINTMENT IS NOT URGENT WE ADVISE YOU TO RE-SCHEDULE IF you were overseas in the past two weeks you were in contact with anyone infected with COVID-19 you are experiencing flu-like symptoms or fever you are older than 70 years you have underlying chronic medical conditions   IF YOUR APPOINTMENT IS URGENT AND ANY OF THE ABOVE APPLIES TO YOU, PLEASE DO NOTIFY US OF YOUR SITUATION PRIOR TO YOUR VISIT SO WE CAN PREPARE ACCORDINGLY.   WE STRIVE TO KEEP OUR PATIENTS SAFE AND FOLLOW VERY STRICT DISINFECTION PROCEDURES AND SOCIAL DISTANCING. we adhere to the infection control protocols. we introduced hand sanitizing for all patients/visitors on arrival to the practice. we disinfect all surfaces several times a day in our waiting and reception area. we disinfect all surfaces after each patient in our examination/consultation rooms. we space our patient's appointments to minimise patient contact in the waiting area. we offer video/phone consultations via Cliniko and WhatsApp. we follow NCID guidelines for our staff in terms of self-quarantine and isolation in case of flu symptoms or contact with known COVID-19 case or flu symptoms of anyone in the household of the staff member. we perform a temperature check at the start of the shift of all staff. all patients and staff are to wear masks at all times at the practice. all patients are asked to follow screening guidelines that we sent before their visit. all patients and staff to practice distancing - keeping away from another person at 1.8 m. we have several waiting areas and we separate patients who are waiting. Dr Novikova has always provided disposable gowns for her patients this continues during the pandemic.   CONTACT US  [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Healthy Lifestyle Advice [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]We are looking forward to assisting you in your journey to a healthier body!   The treatments we provide assist with slimming, fat reduction, skin tightening, treatment of cellulitis and muscle toning. A healthy lifestyle is paramount to reaching your goals and achieving maximum results This information is general and not directed to any individual. When looking into eating and exercise routines, different approaches and tools, dietary regimes and exercises will work for different individuals. Trial and error, as well as advice from health practitioners, nutritionist, life coaches, personal trainers, will assist in finding a lifestyle that is sustainable long-term and gives you maximal results in terms of losing or maintaining your weight and staying healthy. Excess weight does not only influence our body image and confidence but also leads to high blood pressure, heart disease, diabetes, stroke, sexual dysfunction, metabolic syndrome, heavy menstrual bleeding, increased risks of various cancers, and sleep disturbances. On the other hand, eating healthy will combat these risks. General Rules for Healthy Eating Please see our guide below. Should you require individual advice, please contact our nutritionist Hannah Kaye for a detailed consultation. – hannahkaye.co.za Mediterranean countries have the longest life expectancy, therefore adopting their eating habits, staying active and getting enough sleep is proven to be greatly beneficial to our general wellbeing.   An adapted food pyramid Unlimited vegetables (broccoli, cauliflower, spinach, peppers, tomatoes, cucumbers, kale, onions, garlic, avocado, carrots, cabbage) 3-5 servings of fat (olive oil, other vegetables and nut oils, avocado, cheese, eggs, yoghurt) 4-6 Oz of protein (fish, seafood, chicken), ½ cup of starch veggies (sweet potato, zucchini, eggplant, pumpkin), ½ cup of fruit (watermelon, pineapple, apple, pear, berries, banana), ½-1 cup of grains, unlimited herbs and spices and A moderate amount of alcohol (avoid if you are trying to lose weight).   A Mediterranean weight loss meal plan • Breakfast: – 1 hardboiled egg – Chocolate banana smoothie (1 banana, ½ cup unsweetened almond mil, ½ cup crushed ice, 1.5 Tbsp cocoa, 1.5 tbsp honey) • Lunch: – Greek salad – 85g deli turkey • Dinner: – Pan-roasted fish w/ Gremolata (lemon zest, garlic, parsley) – Broccoli w/ ginger and garlic – ¼ cup cooked brown rice • Snacks: – 24 almonds – 2 Tbsp hummus w/ chopped veggies 24 hours fast once a month or once a week 16-18 hour fast weekly 12 hour fast overnight The easiest and most common method is fasting for 16-18 hours and eating for 6-8 hours. It will work for weight loss if one does not overeat in these 8 hours and sticks to healthy eating during this period. Combining keto diet with intermittent fasting provides further health benefits and speeds up weight loss.   A Keto diet meal plan Breakfast:  Avocado and eggs Snack:  Spinach blueberry smoothie Lunch:  Cauliflower-cheddar soup Snack:  Nutty shortbread cookies Dinner:  Baked coconut hake, brussels sprouts casserole (approx. 77% fat, 19% protein, 4% carb)   When restricting calorie intake remember that you are not receiving enough nutrients and vitamins and supplements necessary to function optimally. Taking into consideration your general health, stage of life, chronic illnesses, previous medical history, lifestyle factors and exercise routine is very important in setting up a long-term healthy eating plan for life. Crash diets generally do not work because they are temporary and weight creeps back in once the diet is over. Changing your eating habits is more sustainable for a lifetime and especially important for your health, youthfulness, and general wellbeing. To change a habit, you must adhere to a new one consistently without a break for 3 weeks. Exercise and physical activity are also necessary for our wellbeing. To get into an exercise routine that you are more likely to commit to, choose an activity that you like, consider doing it with a friend or in a group and find the right time. My advice is to exercise first thing in the morning before you do anything else. This will kick start your day and boost your energy levels significantly. It is also a good idea to start with exercising every day for 3 weeks without a break. If your muscles are overtired, opt for a lighter workout routine. By committing to exercising every day you will not have to think whether today is a good day or bad day for exercise, you won’t have to assess your levels of tiredness for an exercise routine and you won’t have to think of other commitments on that day. If you stick to it for 3 weeks straight you won’t be able to live without exercise.   Exercise For easy exercise routines (you can do them from the comfort of your home or hotel room if you are on the road) check out the YouTube channel Group HIIT. Being active and exercising regularly will help you feel younger, happier, healthier and even boost your sexual function. If embarking on a journey of body contouring to achieve impressive results, we suggest addressing other parts of your lifestyle such as healthy eating and physical activity. In brief, starting your day with physical activity, undertaking at least 45 minutes of exercise five times a week, eating healthy, drinking sufficient amounts of water, avoiding alcohol and smoking will give you amazing results in conjunction with our treatments Body contouring treatments is a very clever tool to achieve the results quicker, to address the stubborn areas of your body that exercise and healthy eating cannot help with. Please do not hesitate to contact us for more insights and information. We invite you to browse our website and follow us on Instagram as well. View our full list of all BTL body contouring fees. Call our office or email to book  an appointment at our Johannesburg practice. Meet the only certified aesthetic gynaecologist in South Africa, Dr Natalia Novikova.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Urinary Incontinence Treatment Incontinence is the loss of bladder control and can involve leakage of urine, wind or faeces. Urinary incontinence is a very distressing condition that women generally develop later in life though it can occur at any age. Giving birth by natural labour can increase the chances of developing urinary incontinence. There are several types of urinary incontinence – stress urinary incontinence, urge urinary incontinence or overactive bladder and mixed urinary incontinence. Different Types of Urinary Incontinence Stress urinary incontinence occurs due to poor closure of the bladder or leaking urine when coughing or laughing. It may require surgery such as a sling procedure. Though non-invasive treatment is possible and is usually quite effective for treating stress urinary incontinence. Urge incontinence takes place due to an overactive bladder or leaking urine accidentally when experiencing a strong urge to pass urine, this condition is usually treated with tablets. Overflow incontinence ensues due to poor bladder contraction or blockage of the urethra Functional incontinence happens when medications or health problems make it difficult to reach the bathroom Stress urinary incontinence can be described as a leakage of urine when you run, cough, sneeze or jump. It is important to establish that it is not a urinary infection (UTI or bladder infection) that is the cause of stress urinary incontinence especially if you started leaking urine recently. A simple urine test can diagnose this urinary infection. The other causes of stress urinary incontinence include: Weight gain and being overweight. Chronic cough (having the flu and coughing will almost certainly make stress urinary incontinence worse, some medications prescribed for high blood pressure cause cough and may lead to stress urinary incontinence. Ageing can cause stress urinary incontinence because the vaginal wall supporting the urethra loses collagen and becomes weaker, the low oestrogen level in menopause leads to vaginal dryness and it can also result in urinary incontinence. Pregnancy and childbirth can also lead to stress urinary incontinence because of the relaxing effect of the progesterone hormone on the vaginal wall that ultimately weakens the vaginal wall. The treatment of stress urinary incontinence includes a pelvic floor exercise (or Kegel exercise). Patients who take up pilates also find improvement in stress urinary incontinence. A new, revolutionary and non-invasive treatment is now available with Dr Novikova. The pelvic floor trainer, Emsella Chair uses a high-intensity electromagnetic field to activate motor neurons located in the pelvic floor. A single 28-minute session results in 11,200 pelvic floor muscle contractions which have the effect of performing the same number of Kegel exercises! To find out more about the Emsella click here. The surgical method available to patients who require a more invasive treatment is the sling procedure (performed under anaesthesia) which treats urinary incontinence. You can read about the sling procedure here Vaginal laser treatment is a non-surgical procedure performed in the doctor’s office without any anaesthesia that works very well for mild to moderate stress urinary incontinence. Laser is also very effective in the treatment of vaginal dryness (called atrophic vaginitis) that women develop in menopause. More information about the vaginal laser procedure can be found here. Urge urinary incontinence or overactive bladder is a problem when women have an urge to pass urine and leak urine before getting to the toilet or have to pass urine very frequently even at night. This condition is treated with tablets. If you have a combination of stress and urge urinary incontinence the doctor will assess your situation and will suggest treatment options for you. If urinary incontinence affects your daily activities, don't hesitate to come in and see us. ### Publications [et_pb_section fb_built="1" admin_label="section" _builder_version="4.16" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.16" background_size="initial" background_position="top_left" background_repeat="repeat" global_colors_info="{}"] Below is a list of publications and articles by Dr Novikova: Novikova N, Cluver C. Interventions for treating of genital chlamydial infection in pregnancy. Cochrane Review in progress. Cochrane Database of Systematic Reviews. Novikova N, Woolcock JG. Topical treatments for vaginal candidiasis (thrush) in pregnancy. Cochrane Protocol in progress. Cochrane Database of Systematic Reviews. Mkontwana N, Novikova N. Oral analgesia for relieving post-caesarean pain. Cochrane Review. Cochrane Database of Systematic Reviews 2015, Issue 3, CD 010450. Novikova N, Cluver C, Koopmans C. Induction of labour versus expectant management for hypertensive disorders from 34 weeks gestation to term. Cochrane Database of Systematic reviews 2011, Issue 8, CD009273. (Protocol). Hofmeyr J, Gulmezoglu M, Novikova N. Postpartum misoprostol for preventing maternal mortality and morbidity. Cochrane database of Systematic Reviews 2013 Jul 15;7:CD008982. Novikova N, Hofmeyr GJ, Essilfie-Appiah G. Prophylactic versus therapeutic amnioinfusion for olygohydreamniosis in labour. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD000176. DOI: 10.1002/14651858.CD000176.pub2. Hofmeyr GJ, Gülmezoglu AM, Novikova N, Lawrie TA. Postpartum misoprostol for preventing maternal mortality and morbidity. Cochrane Database of Systematic Reviews 2011, Issue 2. Art. No.: CD008982. DOI: 10.1002/14651858.CD008982. Hofmeyr GJ, Novikova N. Perineal dilators for facilitating the second stage of labour. Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD010197. DOI: 10.1002/14651858.CD010197. Novikova N, Cluver C. Local anaesthetic nerve blocks for pain management in labour. Cochrane Database Syst Rev. 2012 Apr 18;4:CD009200. Hofmeyr J, Novikova N. Management of reported decreased fetal movements for improving pregnancy outcomes. Cochrane Database Syst Rev. 2012 Apr 18;4:CD009148. Li Y, Novikova N. Pulmonary artery flow catheters for treating pre-eclampsia. Cochrane Database Syst Rev 2012 Jun 13;6:CD008882. Novikova N, Hofmeyr GJ. Tranexamic acid for reducing blood loss in the third stage of labour. Cochrane Review Database Syst Rev 2010 Jul 7;7:CD007872. Cluver C, Novikova N, Hofmeyr GJ, Hall DR. Maternal position for Caesarean section. Cochrane Database Syst Rev. 2013 Mar 28;3:CD007623. Hofmeyr GJ, Gülmezoglu AM, Novikova N. Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. Cochrane Database of Systematic Reviews 2002, Issue 1. Art. No.: CD000134. DOI: 10.1002/14651858.CD000134. Hofmeyr GJ, Gülmezoglu AM, Novikova N, Linder V, Ferreira S, Piaggio G. Misoprostol for preventing and treating postpartum haemorrhage: a systematic review of maternal mortality and dose-related effects. Bull World Health Organ. 2009 Sep;87(9):666-77. Review. Hofmeyr GJ, Novikova N, Mathai M, Shah AN. Surgical techniques for Caesarean Section. Am J Obstet Gynecol 2009; Nov: 431-444. Reply Am J Obstet Gynecol. 2010 Apr 22. Novikova N, Weisberg E, Fraser IS. Does readily available emergency contraception increase women’s awareness and use? European Journal of Contraception and Reproductive Health Care 2009; 14:39-45. Hofmeyr GJ, Mathai M, Shah AN, Novikova N. Techniques for Caesarean Section. Cochrane Review. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD004662. Novikova N, Weisberg E, Stanczyk F, Croxatto HB, Fraser IS. Effectiveness of levonorgestrel emergency contraception given before and after ovulation – a pilot study. Contraception 2007; 75: 112-8. Mårdh P-A, Sziller I, Tolbert V, Novikova N, Kristof K, Rodrigues AG, Pina-Vaz C, Martinez-de-Oliveira J. Candida glabrata with special reference to European epidemiology. Review and presentation of new data. Int J Gynaecol Obstet 2005, 17: 73-80. Novikova N, Yassievich E, Mårdh P-A. Microscopy of stained smears of vaginal secretion in the diagnosis of recurrent vulvovaginal candidosis. Int J STD AIDS 2002; 13:318-22. Novikova N, Rodrigues A, Mårdh P-A. Can the diagnosis of recurrent vulvovaginal candidosis be improved by use of vaginal lavage samples and cultures on chromogenic agar? Inf Dis Obstet Gynecol 2002; 10: 89-92. Novikova N, Mårdh P-A. Characterisation of women assumed to suffer from recurrent vulvovaginal candidosis. Acta Scand Obstet Gynecol 2002; 81:1047-52. Mårdh P-A, Novikova N, Stukalova E. Colonization by Candida of extragenital sites in cases of recurrent vulvovaginal candidosis. Br J Obstet Gynaecol, 2003, 110: 934-7. Mårdh P-A, Novikova N, Niklasson N, Bekassy Z, Skude G. Leukocyte esterase activity in vaginal fluid of pregnant and non-pregnant women with vaginitis/vaginosis and in controls. Inf Dis Obstet Gynecol, 2003, 11: 19-26. Mårdh P-A, Novikova N, Witkin SS, Korneeva I, Rodriques AR. Detection of candida by polymerase chain reaction vs microscopy and culture in women diagnosed as recurrent vulvovaginal cases. Int J STD AIDS 2003, 14: 753-6. Novikova N, Rudenko A, Kruglikov V. Urogenital infections as the main cause of prematuraty. Pediatrics, Obstetrics, Gynecology 2000; 6:105-7. Новікова Н Урогенитальные инфекции и преждевременные роды 2000; 6:105-7. Golota V, Stukalova E, Novikova N. Candibene in the therapy of genital candidosis in pregnant women. Woman’s health 2000; 6:21-23. Кандибене для лечения генитального кандидиаза у беременныхю Женское здоровье 2001; 6: 21-23. Новікова НВ. Внутрішньоутробне інфікування плоду та невиношування вагітності. Актуальные вопросы биологии и медицины 2000; 2: 193-200. Novikova N. Congenital infection and spontaneous late abortions. Actual Subjects of Biology and Medicine 2000; 2: 193-200. Mårdh P-A, Novikova N. Impact of Chlamydia infections on pregnancy outcome, perinatal health and long-term sequelae of offsprings – a review of novel studies and reappraisal of earlier data. It J Gynaecol Obstet 2000; 4:145-53. Mårdh P-A, Novikova N. Chlamydia trachomatis infections – a major concern for reproductive health. Where do we stand regarding epidemiology, pathogenesis, diagnosis and therapy? Eur J Contraceptive Reprod Health Care 2001; 6:115-26. Mårdh P-A, Rodrigues A, Genc M, Novikova N, Martinez-de-Oliviera J, Guashino S. Facts and myths on recurrent vulvovaginal candidosis - a review of epidemiology, pathogenesis, diagnosis and therapy. Int J STD AIDS. 2002; 13:522-3 Case Reports Novikova N, Chitnis M, Linder V, Hofmeyr GJ. Atypical antipsychotic (clozapine) self-poisoning in late pregnancy presenting with absent fetal heart rate variability without acidosis and delayed peristalsis in the newborn baby: a case report. Aust N Z J Obstet Gynaecol. 2009 Aug; 49(4):442-4. Leyva WR, Nigussie ET, Nonkwelo R, Novikova N, Hofmeyr J. Advanced abdominal pregnancy in HIV-infected women: A case series. SAJOG 2011, 17(3): 80-81. Conference Papers - Oral Presentations N Novikova, J Hofmeyr. Tranexamic acid for preventing postpartum haemorrhage. SASOG, Cape Town, South Africa 2014. N Novikova, N Mshweshwe, X Williams, P Moloi, M Singata, J Hofmeyr. A new method of controlled fundal pressure during the second stage of labour: Randomized pilot study. FIGO, Cape town, South Africa, October 2009. Novikova N, Weisberg E, Fraser IS. Is the levonorgestrel emergency contraceptive pill effective when taken post-ovulation? The British International Congress of Obstetrics and Gynaecology. 4-6 July 2007. London, UK. Abstract. Novikova N, Weisberg, Fraser IS. Mechanism of action of emergency contraception pill Postinor. RANZCOG combined NSW/QLD annual scientific meeting. 11-12 June 2005, Sydney. Mårdh P-A, Novikova N, Herbst A, Christiansen G.Prevalence of Mycoplasma hominis, Mycoplasma genitalium, Ureaplasma urealyticum in women in the 2nd and the 3rd trimesters of pregnancy. 14th International Congress of the International Organization for Mycoplasmology. July 7-12, 2002, Vienna. Abstract. Novikova N, Stukalova E, Slonova D, Mardh P-A. Differentiation of assumed recurrent vulvovaginal candidosis being and not being confirmed by culture. 8th Congress of European Confederation of Medical Mycology. 25-27 August 2002, Budapest. Abstract. Mycoses 2002; 45 (Suppl. 2), p.44. Novikova N, Yassievich E, Stukalova E, Niklasson O, Mårdh P-A. How correlates detection of Candida by culture studies with findings at microscopy of introital and vaginal samples of women with recurrent vulvovaginal candidosis? 8th Congress of European Confederation of Medical Mycology. 25-27 August 2002, Budapest. Mycoses 2002; 45 (Suppl. 2), p.44. Abstract. Mårdh P-A, Novikova N, Dykes A-K, Herbst A. Prevalence of Candida in relation to vaginal flora changes during the latter part of pregnancy. 8th Congress of European Confederation of Medical Mycology. 25-27 August 2002, Budapest. Mycoses 2002; 45 (Suppl. 2), p.38. Abstract. Mårdh P-A, Novikova N. Recurrent vulvovaginal candidiasis – a syndrome with more than one etiology. Int Inf Dis Soc for Obstet Gynecol USA, 5th Annual Meeting, Chicago, Illinois April 27-29, 2001. Abstract, p. 27-8. Novikova N, Stukalova E, Genc M, Mårdh P-A. Lack of evidence of impact of behaviour factors that have been proposed to trigger attacks of RVVC in a cohort with a history of this condition. Int Inf Dis Soc for Obstet Gynecol USA, 5th Annual Meeting, Chicago, Illinois April 27-29, 2001. Abstract, p. 29-30. Novikova N, Yassievich E, Mårdh P-A. Epidemiology of recurrent vulvovaginal candidosis differs by geographic location and the diagnosis. VIII Baltic Sea Conf of Obst Gyn, May 25-27, 2001. Abstract, p.68. Novikova N, Rodrigues A, Pina-Vaz D, Mårdh P-A. Is improvement of the laboratory diagnosis of RVVC possible by studying introital, perianal, vaginal flushing samples and by use of CHROMagar? VIII Baltic Sea Conf of Obst Gyn, May 25-27, 2001. Abstract, p.113. Novikova N, Rodrigues A, Pina-Vaz D, Mårdh P-A. What are the signs and the symptoms in women with RVVC caused by Candida albicans and non-albicans strains and do they differ from Candida culture-negative cases with a history suggestive of RVVC? Mycoses 2001; 44 (Suppl 1):47 Abstract. Mårdh P-A, Novikova N. Who are the women that present with a history suggestive of RVVC and with current symptoms mimicking an attack of the condition, but who remain unproven as genital carriers of Candida by culture? Int J STD AIDS 2001; 12 (Suppl 2): 55. Abstract. Novikova N, Mårdh P-A. Colonization by Candida of extragenital sites in cases with recurrent vulvovaginal candidosis (RVVC). Reservoirs for recolonization of genital tract before and after therapy. Int J STD AIDS 2001; 12 (Suppl 2):55 Abstract. Golota V, Stukalova O, Novikova N. Role of urogenital infection in prematurity. II International Congress Urgent Issues of Infectology in Obstetrics and Gynecology, Ukrainian committee of ESIDOG, 1-2 June 2000. In Abstract book, p.63-64. Novikova N. Intrauterine infection in women with premature labor. III International Congress Urgent Issues of Infectology in Obstetrics and Gynecology, Ukrainian committee of ESIDOG, 1-2 June 2000. In Abstract book, p.102. Novikova N, Golota V, Rudenko A. Chlamydial and other fetal infections in miscarriage. In Abstract book of South Baltic Sea Conf June 16-20th, 2000, HTT Centre, Simrishamn, p.12. Rudenko AV, Kruglicov VT, Polischuk VE, Novikova NV. The role of Chlamydia trachomatis in the etiology of female infertility and prematurity. Bulletin of the Institute of Agricultural Microbiology 2000; 7:73. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Referring Specialist Services [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_font_size="18px" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Referring Specialist Services" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row use_custom_gutter="on" admin_label="Row" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" text_font_size="18px" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" custom_margin="20px||||false|false" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}"]Dr. Natalia Novikova offers a comprehensive range of gynecological services to patients in Cape Town and the surrounding areas. She is happy to accept referrals from other specialists for the following services Laparoscopic surgery for endometriosis, fibroids, and other gynecological conditions Hysteroscopic surgery for the diagnosis and treatment of uterine conditions Management of abnormal uterine bleeding Management of pelvic pain Management of endometriosis Management of fibroids Management of polycystic ovary syndrome (PCOS) Contraception advice and management Menopause management Well-woman check-ups Dr. Novikova is committed to providing her patients with the highest quality of care. She is happy to work with other specialists to ensure that her patients receive the best possible treatment.If you are a specialist who would like to refer a patient to Dr. Novikova, please contact her office using the information below:Tel: +27 76 242 0027Email: cpt@drnovikova.co.za[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" custom_margin="||||false|false" custom_padding="0px||0px||true|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Your First Visit [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Your First Visit" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What to Expect Visiting a gynaecologist is often a worrisome experience. We do our best to make women feel relaxed during the visit. Dr Novikova’s consultation is around 30 minutes. You will be able to discuss your complaints, any treatment you have received so far, your medical, gynaecological, surgical and obstetric history. We will do an examination and ultrasound. Other tests and investigations would depend on your diagnosis.During the first visit, a management plan will be made in close discussion with you, which may include further tests, a particular treatment or a surgical procedure. Surgery is performed at the Mediclinic in Cape Town, or Renaissance Surgical Clinic or Intercare Sandton depending on the procedure required. Watch Dr Novikova’s video “How a Pap smear is performed” on Instagram. With follow-up visits, we will discuss the results and any other new issues.[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/P_IT9EhJHK8?si=R2ewH1dC1zBb6zeH" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]What to Bring Please fill in the Registration Form – the link is in your appointment booking confirmation and reminder emails Any test results and referral letter Payment for your visit [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Vaginismus [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="||||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]FEMININE WELLNESS[/et_pb_text][et_pb_heading title="Vaginismus for Painful Penetration" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" header_2_font_size_tablet="" header_2_font_size_phone="" header_2_font_size_last_edited="on|phone" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is Vaginismus? Vaginismus is an involuntary contraction of the vaginal muscle on penetration. It is usually triggered by an unpleasant sexual experience either due to a forced sexual encounter or, more commonly, due to pain caused by infection, vaginal dryness, a spasm or soreness in one of the vaginal muscles and glands or other medical conditions. Traditionally, Vaginismus treatment was cognitive, which involves psychological therapy. Vaginal dilators often accompanied this. A procedure involving separating the growth factors from a patient’s own blood cells (used in cosmetic facial applications commonly known as 8o|ox) has proven highly effective for Vaginismus.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/dr-n-home-page-images_11.jpg" alt="vaginismus" title_text="dr-n--home-page-images_11" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/P1xuiUcOPcU?si=ewD80uDbD3qzuQEp" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/6YswLZdRFaI?si=jrmSJpVasa3W-QKx" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What are the causes of Painful Penetration?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]The cause of vaginismus is not fully understood but is often developed due to the association of vaginal pain following yeast or bladder infection, whilst for some women it can be a fear of potential pregnancy. Painful penetration usually triggered by unpleasant sexual experience. It can be related to sexual abuse, at times it is experience in doctors office and other times the cause is very strict religious upbringing.  The aftermath of a painful experience causes the brain to send a signal to the vaginal muscle to contract, which causes more pain on penetration, setting a vicious cycle into play. Even when the original cause of pain is no longer a present factor, the contraction of the vaginal muscle on penetration occurs automatically.[/et_pb_accordion_item][et_pb_accordion_item title="Treatment for Painful Penetration" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Traditionally, Vaginismus treatment was cognitive which involves psychological therapy. This was often accompanied by vaginal dilators. A procedure involving separating the growth factors from a patients own blood cells (used in cosmetic facial applications commonly known as 8o|ox) has proven highly effective for Vaginismus. Dr Novikova has experienced very high success rates when injecting the growth factors into the vaginal muscles. The injection stops the vagina from contracting and breaks the vicious cycle of Vaginismus. The pain reducing effects can be felt around 2 weeks after the first treatment. Effects do not wear off when treating Vaginismus as it does when used in other aesthetic medicine.[/et_pb_accordion_item][et_pb_accordion_item title="What Is required after the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova will provide you with guidance on care. There are certain exercises that you will have to do yourself and then with your partner following the procedure.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Contraception [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_font_size="18px" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Medical Gynaecology[/et_pb_text][et_pb_heading title="Contraception" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/Contraception.jpg" alt="contraception " title_text="Contraception" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is the best contraceptive? It all depends on your needs: Are you still planning to have a baby and if yes, when? Would you like to use something short-term – a few months to a year or long-term? Do you have any medical problems such as diabetes, high blood pressure, immunodeficiency, epilepsy, heart disease, depression, anxiety etc.? Do you take chronic medications? Have you used contraceptives before and have you had any side effects? How are your periods, are they regular, light or heavy, painful? Do you suffer from migraines? Do you have bad pre-menstrual syndrome (PMS)? Do you suffer from acne and excess hair growth? Do you smoke? – Stop now! How old are you? We all look different and have different hormonal sets so there is no one size fit all in contraception For some women, their first contraceptive choice will work perfectly with minimal or no side effects and others need to go through a few different contraceptives before they find the right one.  We are fortunate to have so many choices nowadays… Types of Contraception Available: IUDs or Contraceptive Loops Click here to download Dr Novikova’s Information Sheet on IUDs Mirena IUD (hormonal intrauterine device) If you have heavy painful periods and you are not planning to have a baby any time soon I would say the Mirena IUD (intrauterine device)is your best option. It’s a small loop inserted into your uterus by a gynaecologist or a skilled GP in the office (or under anaesthesia if you wish so). It will last you for 5 years. You are likely to stop having periods altogether in a few months after having Mirena IUD inserted. Mirena IUD contains a small amount of levonorgestrel (progesterone type of hormone). Only a very small amount is absorbed into circulation so systemic side-effects are very uncommon. It is a very safe and effective contraceptive and has the advantage of controlling period pain, decreasing blood loss during periods. Women with endometriosis and fibroids find Mirena effective in managing their condition. The procedure to insert it is not painful but may be uncomfortable. The main side-effect in about 10% of women is irregular bleeding or spotting. Click here to download more information on the Mirena IUD. Kyleena IUD (hormonal intrauterine device) Another choice of hormonal IUD is the Kyleena, which is a smaller Mirena that contains a lesser amount of progesterone (levonorgestrel). Click here to download the patient brochure on the Kyleena IUD.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Types of Contraception (cont'd)   Copper T If you do not like to have any hormones in your body, your periods are not heavy or painful then Copper T  is your only choice. It is also inserted into the uterus, but your periods will be unchanged or slightly heavier. It also lasts for 5 to 8 years. Click here to download more information on the Copper T  Pearls, Intrauterine balls It is a copper loop, that that is less painful to insert than the Copper T and thanks to its structure it sheets into the shape of the uterus when inserted. Click here to download more information on Pearls or IUB Balls All loops can be easily removed by a doctor. If you prefer taking tablets, there is a huge choice and you can get advice during your consultation on what you shall try. Take your pill at night to avoid nausea. Be careful and use protection if you fall sick and have diarrhoea or vomiting or you forget to take the pill or you use antibiotics as the efficacy of the pill may be altered. Click here for more specific advice in IUDs from Dr Novikova   Implanon There is another long-acting progesterone-only device available, which is Implanon. It’s a small rod, which is inserted into the arm. It’s a super easy procedure. It lasts 3 years. The most common issue is irregular bleeding.   Vaginal Ring (NuvaRing) A vaginal ring (NuvaRing) is also convenient contraception. It’s a plastic ring that you insert into your vagina yourself (just like a tampon) and it stays there for 3 weeks. You remove the ring for 1 week and have your period and insert a new one a week later for another 3 weeks. The ring contains hormones like pill oestrogen and progesterone but is safer in terms of systemic effects on the body because hormones are absorbed in the vagina and they do not have to go through the liver and their levels in the blood are smaller than from the pill.   Evra Patch Evra Patch is another option – it’s a patch you have to apply weekly for 3 weeks with also a week free interval when you get your period. All hormonal contraceptives such as pills, rings, patches are likely to make periods less painful and less heavy. Other Methods Condoms, female condoms, calendar methods are all methods used by women, but they are not as effective as the above-mentioned methods of contraception. If you want permanent contraception (such as tubal ligation or tying/cutting the tubes or Essure procedure to block the tubes) keep in mind that it’s irreversible. If you decide you would like to have a baby in the future your options will be IVF. Reversal of tubal ligation has a very poor success rate. Tubal ligation has also a failure rate of about 1 in 300. If you are using a contraceptive now, it works for you, you have no side-effects and you are able to take it as prescribed without forgetting to keep using it. If you have side-effects from your contraceptive, consult the gynaecologist to find a better choice for you. [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/IDcvaQ8l8uk" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_video src="https://youtu.be/ViZc_QUOUgo" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/vIxJ7bbZhAM" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_video src="https://youtu.be/G3Os1KPKCIs" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][et_pb_accordion_item title="Do contraceptive hormones make you fat?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Your lifestyle, diet, exercise, and sleep play the most substantial role in your weight. Taking hormonal contraceptives may influence fluid retention or your appetite, but so do hormonal changes during your menstrual cycle or pregnancy. Some of us eat more, retain more fluid, feel bloated in a week preceding our period due to high levels of progesterone. Some pills can have similar effects on some, but not all women. However, if you live a healthy lifestyle, exercise daily, sleep well, and eat healthy these changes are likely to be mild and not relevant for your weight. Copper T is a non-hormonal contraceptive and will have no influence whatsoever on your weight, but if you suffer from bad period pain and very heavy periods it is not a good choice for you.[/et_pb_accordion_item][et_pb_accordion_item title="Do contraceptive hormones cause stroke and blood clots?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The use of pill increases the risk of clots four times, but the pregnancy increases this risk 20 times! However, this risk is very small, in non-users of pill it’s about 1 to 2 in10,000, in pill users 4 in 10,000 and in pregnancy, it is 20 in 10,000. The oestrogen component of the pill (ethynyl oestradiol) is responsible for the increased risk of clots. Different types of progestins are used in pills and they have different impacts on clotting. The newer generation of oestrogen (oestradiol valerate and 17-beta oestradiol) have no or only minimal effect on clotting. Talk to your doctor about what pill to choose if you are worried about this complication or rather choose IUD or implant as they do not increase such risk.[/et_pb_accordion_item][et_pb_accordion_item title="Does contraceptives cause cancer?" open="on" _builder_version="4.22.1" _module_preset="default" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]A recently published large study, which compared 23,000 women using contraceptive pills since 1968 and 1969 to non-users of the contraceptive pills, found no difference in the incidence of any type of cancer, colon / rectal cancer, breast cancer. Cancer risk increased with age and smoking in both users and non-users of pills. Current or recent users (less than 5 years) were at increased risk of cancer in general, breast cancer, cervical cancer, but this increased risk was not found in users of the pill for more than 5 years. This study also confirmed the decreased risk of uterine cancer and ovarian cancer in short and long term users of the pill, and the protective effect lasted for more than 35 years.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" 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visit?[/et_pb_text][et_pb_heading title="Ask Us a Question " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_level="h2" title_font="|800||on|||||" title_text_align="center" title_text_color="#FFFFFF" title_font_size="60px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" title_text_color_tablet="#FFFFFF" title_text_color_phone="#FFFFFF" title_text_color_last_edited="on|phone" title_font_size_tablet="60px" title_font_size_phone="40px" title_font_size_last_edited="on|desktop" global_colors_info="{}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/logo-blue.png" title_text="logo-blue" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_code _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"] Where did you hear about us?InstagramFacebookGoogle SearchYouTubeWord of Mouth Which location is closest to youCape TownJohannesburg Is this your first-time or follow-up consultation?First-time consultationFollow-up consultation [/et_pb_code][/et_pb_column][/et_pb_row][/et_pb_section] ### Vaginoplasty [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Vaginoplasty" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}" sticky_enabled="0"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Vaginoplasty.jpg" title_text="Vaginoplasty" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2025/02/late_night_conversation_22_apr_closet_conversations_what_is_vaginoplasty_and_labiaplasty_high.mp3" title="Labiaplasty & Vaginoplasty. Interview with Patricia Ntuli on SA FM Radio." _builder_version="4.22.1" _module_preset="default" title_font_size="19px" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_audio][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" header_font_tablet="" header_font_phone="" header_font_last_edited="on|phone" header_font_size_tablet="" header_font_size_phone="" header_font_size_last_edited="on|phone" global_colors_info="{}" sticky_enabled="0" header_2_font_size="25px"]What is Vaginoplasty? Vaginoplasty is a surgical procedure for the vagina, performed to strengthen the vaginal muscles. The procedure can be undertaken as a medically required reconstructive surgery or an elective cosmetic surgery. Reconstructive surgery is judged to be a medical necessity if the vaginal canal or its structures are damaged or absent. This is usually due to either a congenital cause such as vaginal atresia (having a deformed, absent or non-functioning vagina) or an acquired cause such as an illness (cancer) or physical trauma (injury). Sometimes vaginoplasty is combined with labiaplasty – a surgery to reshape the lips. A full vaginoplasty procedure takes about one to two hours. The surgery usually involves either pulling the pelvic floor muscles closer together, removing any loose excess skin and scar tissue, or a combination of the two. The result is a tighter, restructured vagina that will ideally provide more friction and better pleasure during sex.[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/Pc86KyviQ9Q?si=xvCQlBcrUUFhIhqi" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/QuqO9ufEMMU?si=UhSlhHIeGUN3o-0b" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font_size_tablet="" text_font_size_phone="18px" text_font_size_last_edited="on|phone" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Who would choose to have vaginoplasty?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="on"]Women who feel that their vagina is too loose, commonly following a vaginal childbirth or as they get older. Women who feel that they have less feeling during vaginal intercourse due to vaginal laxity request vaginoplasty.[/et_pb_accordion_item][et_pb_accordion_item title="How is it performed?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginoplasty is a surgical procedure performed under general anesthesia by a gynaecologist. It can involve either tightening of the muscle at the vaginal entry with sutures or tightening of the tissue (muscle) along the posterior (back) vaginal wall. Vaginoplasty can be done as a day procedure and can be combined with other aesthetic genital procedures.[/et_pb_accordion_item][et_pb_accordion_item title="How does it differ from vaginal laser or vaginal tightening?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginoplasty provides more long-lasting and more pronounced results in comparison to vaginal laser treatment for vaginal tightening. However, it is associated with a higher risk of complications. Dr Novikova will diagnose your personal condition and advise whether vaginoplasty is the appropriate procedure for you. For more information on vaginal laser rejuvenation, please click here.[/et_pb_accordion_item][et_pb_accordion_item title="How long does the procedure take?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginoplasty takes about one to two hours depending on the woman’s anatomy and the particular problem.[/et_pb_accordion_item][et_pb_accordion_item title="What is the postoperative care following vaginoplasty?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Postoperative care is similar to other genital surgeries with no vaginal intercourse for 4-6 weeks, no heavy physical exercise for 4-6 weeks. Dr Novikova may prescribe antibiotics to prevent infection. Pain is usually mild to moderate after this type of surgery and Dr Novikova will prescribe pain killers. It is important to avoid constipation with an appropriate diet high in vegetables, fibre and water. If you have not opened your bowel within 3 days after the operation, laxatives should be taken (for example, movicol or glycerine suppositories). It is advisable to take sick leave for a minimum of two weeks to allow recovery from the procedure. Driving should be avoided while you are in pain or under the influence of pain killers that have a sedative effect. You should wash in a shower with warm water and avoid any soap or any other solutions in the genital area. Light exercise such as walking is permitted. Dr Novikova will see you for follow-up 2 weeks, 6 weeks and 3 months after the operation and at any other time you have issues or questions.[/et_pb_accordion_item][et_pb_accordion_item title="What is Dr Novikova's experience in performing vaginoplasty?" open="off" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Vaginoplasty procedures are carried out by a gynaecologist. Dr Novikova has performed many vaginoplasties as part of both medical and aesthetic procedures. She is a highly experienced and qualified medical gynaecologist and has been trained and certified by the European Society of Aesthetic Gynaecology.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41209" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Hysterectomy [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]SURGICAL PROCEDURES[/et_pb_text][et_pb_heading title="Hysterectomy" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/Hysterectomy.jpg" alt="Hysterectomy" title_text="Hysterectomy" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]A hysterectomy procedure is a surgical operation performed to remove the uterus (or womb). The procedure is a very common surgery around the world and about one in five women will undergo a hysterectomy procedure by the age of 55. However, the number of hysterectomies are going down because of new treatments available to manage conditions that previously could only be cured with a hysterectomy.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_audio audio="https://drnovikova.co.za/wp-content/uploads/2024/07/late_night_conversation_3_feb_closet_conversations_-_hysterectomy_high.mp3" title="Hysterectomy interview with Patricia Ntuli on SA FM radio." _builder_version="4.22.1" _module_preset="default" title_font_size="19px" background_color="gcid-094a7784-8332-40f9-8ec4-4630675d7fa4" border_radii="on|30px|30px|30px|30px" global_colors_info="{%22gcid-094a7784-8332-40f9-8ec4-4630675d7fa4%22:%91%22background_color%22%93}"][/et_pb_audio][et_pb_video src="https://youtu.be/Ni4nyMNtpL4?si=sNko-HsqeePectHg" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What are the conditions that may require a hysterectomy?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"] Cancer of the womb or ovaries or cervix will almost certainly need a hysterectomy Abnormal uterine bleeding such as irregular bleeding or very heavy menstrual bleeding that we fail to cure with other methods such as tablets, ablation. Adenomyosis or endometriosis of the womb when the cells from the lining of the womb (endometrium) grow inside of the tummy and cause enormous pains during the menstrual periods as well as very heavy bleeding Large uterine fibroids (more than 12 weeks) or fibroids that cause pain and bleeding. Fibroids are growth usually non-cancerous on the uterus. They are very common and in a majority of women do not cause any symptoms, but when women start experiencing pain or bleeding Dr Novikova will suggest treatment. Usually, she can remove fibroids and the hysterectomy is unnecessary. A hysterectomy may be the safest option for women who do not plan to have more children and have very large fibroids. After assessing each case the doctor will discuss all the options available and recommend the most appropriate one in my opinion. [/et_pb_accordion_item][et_pb_accordion_item title="How is the procedure conducted?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]There are three approaches to performing a hysterectomy procedure such as an abdominal (Caesarean type, up and down cut on the tummy), laparoscopic (or keyhole surgery involving a 1 cm cut in the belly button and three 0.5 cm cuts on the sides of the tummy) or vaginal (when there is no cut on the tummy at all and the whole operation is done through the vagina). The choice of hysterectomy procedures (abdominal, laparoscopic or vaginal) depends on the actual problem, size of the uterus, ability to move the uterus, other conditions that the woman may have and her medical condition overall. Dr Novikova can only advise on the type of procedure that is possible in your case after examining you and reviewing all the relevant tests results. Laparoscopic and vaginal hysterectomies do have the advantage of a quicker recovery.[/et_pb_accordion_item][et_pb_accordion_item title="Are the ovaries removed during hysterectomy?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, usually ovaries are not removed unless they have abnormalities. Nowadays, removing the tubes during the procedure is a common practice as it prevents ovarian cancer in the future and it does not have any negative implications.[/et_pb_accordion_item][et_pb_accordion_item title="What are the risks of hysterectomy?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]As with any surgical procedure, a hysterectomy can be complicated by infection, fever, bleeding during and after surgery, injury to bladder, ureter, bowel and large vessels, blood clots in legs and lungs, breathing, heart problems related to anaesthesia and even death. Your risk of hysterectomy depends on the reason for the procedure, your other medical problems, your previous surgery as well as your weight.[/et_pb_accordion_item][et_pb_accordion_item title="What are the measures to prevent the complications of a hysterectomy?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Every woman undergoing this procedure receives an antibiotic. Just the cut is made to prevent infection, has compression stocking and calf compressors as well as a medication to thin the blood after surgery to prevent clots. Women are monitored closely during and after surgery. Any individual risk is discussed before the surgery and dealt with appropriately.[/et_pb_accordion_item][et_pb_accordion_item title="What are the long-term consequences of a hysterectomy procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]After the hysterectomy procedure has been conducted you will not have periods and you will not be able to fall pregnant.[/et_pb_accordion_item][et_pb_accordion_item title="What is important during the recovery period?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You should rest initially and increase your physical activity gradually. You can walk the following day after a hysterectomy procedure, but should avoid heavy lifting and heavy physical activity for 4-6 weeks. You should also avoid having sex and inserting anything in the vagina for 6 weeks after the hysterectomy procedure.[/et_pb_accordion_item][et_pb_accordion_item title="Do women develop menopause after having hysterectomy?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, this procedure does not lead to menopause unless the ovaries are removed[/et_pb_accordion_item][et_pb_accordion_item title="Does sexual satisfaction change following this procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Women do not need a uterus to experience an orgasm so sexual satisfaction generally does not change. Some women may find more pleasure in sex because their symptoms of pain or bleeding are gone, others may develop problems because of vaginal dryness especially if the ovaries are removed. Whatever the issue is, I will discuss it with you prior to the operation and we can manage it afterwards.[/et_pb_accordion_item][et_pb_accordion_item title="What are the alternatives to hysterectomy?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]There are a number of alternatives to this procedure depending on what the reason for the hysterectomy is. For example, abnormal uterine bleeding and adenomyosis can be treated with hormonal tablets (pill or other hormonal tablets), or tablets that decrease blood flow or endometrial ablation (destruction of the lining of the womb with high temperature). Uterine fibroids can also be treated with all the above and an embolization procedure. Cancer generally requires hysterectomy with minimal alternatives.[/et_pb_accordion_item][et_pb_accordion_item title="How long will you be in hospital after the procedure?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You usually come to the hospital on the day of surgery and go home the following day after a laparoscopic or vaginal hysterectomy procedure and in 2-3 days after an abdominal hysterectomy procedure.[/et_pb_accordion_item][et_pb_accordion_item title="How long is the recovery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]It usually takes up to 6 weeks to fully recover from surgery, however, the recovery is much quicker after laparoscopic and vaginal hysterectomy. Women usually experience some pain, which is controlled with tablets. Constipation is common. Some women have difficulties passing urine, which is usually a temporary concern after a hysterectomy procedure.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Abnormal Uterine Bleeding [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Gynaecological Illnesses[/et_pb_text][et_pb_heading title="Abnormal Uterine Bleeding" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/abnormal-uterine-bleeding.jpg" alt="abnormal uterine bleeding" title_text="abnormal-uterine-bleeding" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is Abnormal Uterine Bleeding? Abnormal uterine bleeding, also known as dysfunctional uterine bleeding, is common for women of reproductive age. Bleeding in between menstrual periods is abnormal uterine bleeding. Menorrhagia, or heavy menstrual bleeding, is characterised by an increased amount of blood lost during the menstrual period. The normal menstrual period blood loss is around 80 to 120 millilitres, about five tablespoons. Excessive blood loss is, therefore, blood loss that requires a woman to change their pad every hour or less, as it gets soaked from the heavy flow. If the amount of blood lost interferes with your lifestyle, it is abnormal, and you should seek help.[/et_pb_text][et_pb_audio title="Dr Novikova Interview on Abnormal Uterine Bleeding with Patricia Ntuli on SA FM radio." _builder_version="4.22.1" _module_preset="default" title_font_size="18px" link_option_url="https://drnovikova.co.za/wp-content/uploads/2021/03/late_night_conversation_3_mar_closet_conversations_-_abnormal_uterine_bleeding_high.mp3" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_audio][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://www.youtube.com/watch?v=zDDYZo-K8Fg" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="21px" header_4_line_height="1.3em" background_color="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885" width="100%" custom_padding="30px|40px|30px|40px|true|true" custom_padding_tablet="30px|40px|30px|40px|true|true" custom_padding_phone="20px|30px|20px|30px|true|true" custom_padding_last_edited="on|desktop" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|desktop" border_radii="on|10px|10px|10px|10px" border_width_all="4px" border_color_all="gcid-d29bbfd9-9930-40a6-925f-6111275a62b4" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22,%22text_text_color%22%93,%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color%22%93,%22gcid-d29bbfd9-9930-40a6-925f-6111275a62b4%22:%91%22border_color_all%22%93}"]See attached information for possible surgical procedures, depending on the gynaecologist’s diagnosis of the cause of the bleeding: Hysteroscopy Hysterectomy Endometrial Ablation[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What are the causes?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Abnormal uterine bleeding unrelated to pregnancy may be caused by a number of conditions, and the causes differ with women’s age. Bleeding that occurs in very young girls before their first menstrual period is always abnormal. This type of bleeding is usually caused by trauma or foreign bodies such as toys, coins, a bit of toilet paper, or some kind of irritation to the genital areas. It could also be caused by the use of soap or lotions, bubble baths, or sometimes just scratching from common things such as yeast infection. For adolescent girls who have started having menstrual periods, abnormal uterine bleeding can be heavy menstrual periods related to blood disorders or hormonal dysfunction. If the abnormal uterine bleeding persists for longer than a few months after the first menstrual period, further evaluation is necessary. In women of reproductive age, causes of abnormal uterine bleeding may be: uterine fibroids uterine adenomyosis or endometriosis polyps in the uterus thickened endometrial lining hormonal changes cancer of the cervix or uterus or sometimes even the ovaries infection or inflammation in the cervix or the uterus due to sexually transmitted infections such as chlamydia bleeding disorders hormonal birth control Medical illnesses that can cause abnormal uterine bleeding: Thyroid-dysfunction Liver disease Blood-thinning disorders Rarely, blood disorders such as Von Willebrand disease or any other condition with similar symptoms may cause very heavy uterine bleeding, usually in adolescents. In women who are in menopausal transition, abnormal uterine bleeding can be commonly caused by thinning of vaginal skin and fragility of the vaginal skin, called vaginal atrophy, the genito-urinary syndrome of menopause. Cancer is something that we worry about in post-menopausal women; hence, we always investigate this bleeding. Other less sinister causes of post-menopausal bleeding are polyps, fibroids, infections and blood-thinning issues.[/et_pb_accordion_item][et_pb_accordion_item title="What are the symptoms?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Possible symptoms include: You get your period more often than every 21 days Your period lasts longer than 7 days Your bleeding is heavier than normal, as discussed above You bleed in between your periods [/et_pb_accordion_item][et_pb_accordion_item title="Medical treatments for Abnormal Uterine Bleeding" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment for uterine bleeding depends on the cause. The cause is identified through a patient’s medical history, clinical assessment, pelvic ultrasound, sometimes a hysteroscopy, STD tests, and endometrial biopsy to exclude cancer and diagnose any other abnormal cell changes in the uterine lining. These tests will help your gynaecologist check for other causes of your symptoms and allow them to decide on the best treatment. If someone has a medical condition such as thyroid dysfunction, liver disease or a blood-thinning disorder, we would treat this particular condition to assist with the management of the abnormal uterine bleeding. We can use medications to decrease the amount of blood loss during the menstrual period (brufen), but this treatment will not treat the cause of bleeding. If someone has fibroids, the gynaecologist would treat the fibroids. If the bleeding is related to adenomyosis or endometriosis of the uterus, we would treat that condition, and the treatment will differ from woman to woman. Bleeding caused by chlamydia or other infections will be treated with antibiotics.[/et_pb_accordion_item][et_pb_accordion_item title="Hormonal Treatments" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Hormonal treatments include the contraceptive pill, the patch, the ring, the intrauterine device, injections and the implant. Generally, hormonal contraceptive pills/devices decrease the amount of blood loss during menstruation. Taking the contraceptive pill or applying a patch continuously without using placebo pills or taking a break will stop you from having menstrual periods altogether. Many women ask if it is healthy to not have a period at all, there’s nothing unhealthy about it. A hundred years ago, women only had a few menstrual periods in their lifetime because they were either pregnant or breastfeeding. Nowadays, we have a period every month, but this is only because we are not pregnant. Our bodies are designed to carry the pregnancy and breastfeed the babies. Menstrual cycle changes are part of the process necessary to conception. When we experience a menstrual period, it’s only because the pregnancy has not occurred. So I don’t think there is anything wrong with not having a period at reproductive age. Once you decide that you want to have a baby, you can change the use of your hormonal treatments to go back to having periods and trying to get pregnant. Mirena intrauterine devices can be another treatment option for heavy or irregular uterine bleeding. Mirena contains Levonorgestrel, a progesterone. It’s a little device that can be inserted into the uterus in the doctor’s office. The procedure does not require any preparation, and the best time to insert the intrauterine device is during the menstrual period, as the cervix is slightly open during that time. Mirena intrauterine device is used to treat both heavy menstrual bleeding and abnormal uterine bleeding. The device can be used for up to five years, and the procedure to insert Mirena is quick. I pass the speculum in the vagina (in the same way for Pap smear). I use the antiseptic solution to clean the cervix. I inject a tiny needle numbing solution into the cervix to prevent pain during Mirena insertion. Then, I insert a Mirena device. I check the ultrasound to ensure the inserted device’s positioning is correct. It is extremely unlikely for an intrauterine device to move from the uterus into the tummy. It can be placed incorrectly, but we would pick that up during the ultrasound performed immediately after the insertion. There is a very remote possibility of the Mirena device falling out, which could be due to structural abnormalities or just the shape of the uterus. If that happens, we will try to insert another one. I usually do not recommend two repetitive Mirena insertions if the device has been inserted twice and both intrauterine devices have fallen out. On rare occasions, I would perform the Mirena insertion in the operating room under general anaesthesia. Usually for girls who have never been sexually active or if a woman chooses to have it done in the operating room. After the insertion, women may experience a menstrual-type pain immediately following the procedure, which may continue for a couple of days. Spotting and irregular bleeding are common for up to six weeks. If that continues beyond three months, we will investigate and manage it accordingly. But what is most likely is that this device is not suitable for this particular woman, and we would have to remove it. This is done quite easily in the office as well. The Mirena contraceptive intrauterine device stops menstrual bleeding in 70% of women completely. 20% of women have periods similar to or slightly lighter than before, and 10% of women may have irregular bleeding using the Mirena IUD, and we would consider removing it and using other treatments for such cases.[/et_pb_accordion_item][et_pb_accordion_item title="Surgical Treatments" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] Hysteroscopy and D&C (dilatation and curettage) Endometrial Ablation Resection of uterine fibroids or polyps hysteroscopically Removal of uterine fibroids (myomectomy) via laparoscopy (keyhole surgery) or laparotomy Hysterectomy via laparoscopy (keyhole surgery) or laparotomy or vaginally [/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Aesthetic Gynaecology [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="Aesthetic Gynaecology Services, Conditions and Procedures" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Aesthetic Gynaecology is a highly specialized surgery, also known as “Cosmetic Vaginal Surgery”. It can have multiple benefits including tightening the vagina, improving appearance of the genitals and sensation from the vaginal area, removing genital pain or discomfort, altering the appearance of the vaginal lips, reducing the size of the clitoral hood and g-spot enhancements for increased sexual sensation.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/vaginal-rejuvenation/" button_text="Vaginal Rejuvenation" button_alignment="center" 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button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/genital-skin-lightening/" button_text="Genital Skin Lightening " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/clitoral-hood-reduction/" button_text="Clitoral Hood Reduction" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}" sticky_enabled="0"][/et_pb_button][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Pap Smear Abnormalities [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]FEMININE WELLNESS[/et_pb_text][et_pb_heading title="Abnormal Pap Smear " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/Pap-Smear-Abnormalities-Tool-scaled.jpg" alt="abnormal pap smear tool" title_text="Pap-Smear-Abnormalities-Tool" force_fullwidth="on" src_tablet="https://drnovikova.co.za/wp-content/uploads/2025/01/Pap-Smear-Abnormalities-Tool-scaled.jpg" src_phone="https://drnovikova.co.za/wp-content/uploads/2025/01/Pap-Smear-Abnormalities-Tool-scaled.jpg" src_last_edited="on|phone" admin_label="Image" _builder_version="4.22.1" _module_preset="default" custom_margin="-1px||||false|false" custom_margin_tablet="80px||||false|false" custom_margin_phone="0px||||false|false" custom_margin_last_edited="on|phone" custom_padding="0px|||||" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" width="100%" custom_margin="20px|10px|||false|false" hover_enabled="0" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" header_4_font_size_tablet="30px" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}" header_2_font_size="25px" sticky_enabled="0"]When is further testing needed? There is a rare abnormality called ‘Cervical Glandular Intraepithelial Neoplasia,’ which is the same sort of precancerous change involving the inner glandular cells of the cervix. ASCUS (Atypical Squamous Cells of Undetermined Significance) is the diagnosis made when the doctor is unable to distinguish on a Pap smear how abnormal the cells are. The abnormal cells may have features of CIN 1, 2 or 3, or an infection in the vagina may cause them, but these features are not specific enough to make a particular diagnosis. In such cases, further testing, such as colposcopy, is indicated.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is Pap Smear Abnormalities? Precancerous changes of the outer (squamous) cells of the cervix have the potential to turn into cancer if left untreated. In the cervix, these precancerous changes are called ‘Cervical Intraepithelial Neoplasia’ or CIN for short. There are different grades of CIN according to how severe the changes are, from CIN1 minor change referred to as Low-Grade Squamous Intraepithelial Lesions (LSIL) to CIN 2 and CIN 3 referred to as High-Grade Squamous Intraepithelial Lesions (HSIL). The risk of CIN1 developing into cancer is very small; however, we know that CIN2 and CIN3 may develop into cancer in some cases if left untreated.[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" custom_margin="35px||||false|false" custom_padding="||0px||false|false" global_colors_info="{}"]Watch for more Info[/et_pb_text][et_pb_video src="https://youtu.be/IKPJaGr85K0" _builder_version="4.22.1" _module_preset="default" width="100%" custom_margin="||||false|false" custom_padding="||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" gutter_width="1" admin_label="Row" _builder_version="4.22.1" _module_preset="default" custom_padding="||||false|false" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" custom_padding="|10px||10px|false|false" global_colors_info="{}"][et_pb_video src="https://youtu.be/Op5TK-b-cuw?si=ST-8yXHV5nFqCTpZ" _builder_version="4.22.1" _module_preset="default" custom_margin="25px||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" admin_label="Column" _builder_version="4.22.1" _module_preset="default" custom_padding="|10px||10px|false|false" global_colors_info="{}"][et_pb_video src="https://youtu.be/bUM9_O8mmGE?si=ZivYgnDXD_tPj4b_" _builder_version="4.22.1" _module_preset="default" width="100%" custom_margin="25px||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" custom_margin="||||false|false" custom_padding="30px||20px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What are different of abnormal cells " open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Women who have a high-risk of HPV shall have a colposcopy examination to assess changes in the cells of the cervix more closely. Pap smear only tests superficial cells of the cervix and misses about 30% of abnormal cells. Colposcope will highlight the abnormal cells, which will be taken for biopsy and tested for precancerous changes.Women with CIN 1 or Low-Grade Intraepithelial Lesions (LSIL) will be observed every six months with Pap smear and possibly colposcopy. CIN 1 or LSIL changes are considered to be minor. The vast majority of CIN 1 (LSIL) lesions disappear without any treatment within 18 to 24 months. However, occasionally (in about 5%) of cases they may progress to CIN2 or CIN3 or High-Grade IntraepithelialLesions (HSIL) and 1% of CIN 1 lesions progress to cancer.Women with CIN 2 or 3 or HSIL require a procedure to remove these abnormal cells. The procedure is called LLETZ. It is a minor procedure performed in the operating room under general or local anaesthesia. Please refer to the patients’ information on LLETZ for details. 5% of CIN 2 and 12% of CIN3 lesions progress into cervical cancer within 5 to 20 years. Smoking andimmune deficiency is strongly associated with such progression.[/et_pb_accordion_item][et_pb_accordion_item title="Do I have cancer?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]No, you don’t have cancer. CIN lesions are precancerous changes. A screening program for cervical cancer with Pap smear aims at identifying precancerous cells and treating them before cancer develops.[/et_pb_accordion_item][et_pb_accordion_item title="Do I have an STI?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Yes, HPV is STI. However, Eighty percent of sexually active people will acquire HPV sometime in their life, more commonly at a younger age when they become sexually active. The immune system clears HPV.[/et_pb_accordion_item][et_pb_accordion_item title="Do I have to tell my sexual partner I have HPV?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You don’t have to tell your partner about HPV as there are no interventions or treatment needed for your partner. Condoms do not protect against HPV virus because it is transmitted through skin-to-skin contact, hence, it is so common.[/et_pb_accordion_item][et_pb_accordion_item title="Can I do anything to prevent the HPV virus?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Nowadays, girls (and in some countries boys) are being vaccinated against the HPV virus. The vaccine has the most advantage when it’s been given before any sexual activity. The vaccine can be used for people who have already had sex. When the vaccine is given to sexually active individuals, it will have no impact on HPV infection they have already acquired, but it will protect against HPV infection they may get from future sexual partners. In South Africa, we currently use vaccine (Gardasil) against 4 HPV viruses, which are responsible for 80% of cervical cancer. Therefore, the vaccine does not protect against all HPV types and regular screening with pap smears / HPV test remains particularly important. Healthy lifestyle and strong immune system are paramount for prevention of progression of HPV infection. People with a weak immune system due to chronic illness, HIV, on medications suppressing immune system are at particular risk to quick progression of precancerous changes in the cells of the cervix to cervical cancer.Smoking increases the risk of HPV infection and cervical cancer. So, if you are a smoker, seek help to stop smoking immediately. This is the best thing you can do for yourself.[/et_pb_accordion_item][et_pb_accordion_item title="Can men develop any problems from HPV?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Yes, men can develop anal cancer, penile cancer or throat cancer. Cancers caused by HPV virus are 10 times less common in men than in women. That is the reason why there is no screening program for men.[/et_pb_accordion_item][et_pb_accordion_item title="Further reading on abnormal pap smears " _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Please click here for further information on colposcopy, and LLETZ or LEEP procedures.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Colposcopy [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]SURGICAL PROCEDURES[/et_pb_text][et_pb_heading title="Colposcopy" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/Colposcopy.jpg" alt="colposcopy" title_text="Colposcopy" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Before the examination, Dr Novikova will discuss your pap smear results again and you will have the opportunity to ask questions. The colposcope remains outside the body whilst the examination takes place. Only the speculum is inserted, which is the same instrument used during a pap smear. Dr Novikova uses the latest equipment during the procedure and it is even possible to view the entire process on a screen, should you wish to do so. Images are taken for your personal medical records. Visualizing the area will help you gain a better understanding of the condition of the treatment and why you need it and Dr Novikova will discuss her findings as she goes along. During the examination, Dr Novikova will inspect your cervix and apply two liquid solutions that help highlight any abnormal cells. A very small biopsy (a piece of tissue) may be taken for further testing at the laboratory. Most women do not feel the tissue removal at all, while others feel a small pinch. The examination takes around ten minutes.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is a Colposcopy? A colposcopy is an examination usually carried out in a clinic by a medical professional who is a trained or accredited ‘colposcopist’. It involves the use of a specialist magnifying instrument called a colposcope which is used to look at the cervix (neck of the womb) and determine the presence of any pre-cancerous cell abnormalities. It is often performed after an abnormal pap smear result.[/et_pb_text][et_pb_video src="https://youtu.be/13FS2WfdQ8s?si=qpsjXi5MpeZnSVfo" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Can my IUD remain inserted?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Dr Novikova will generally not need to remove your IUD or coil in order to carry out a colposcopy examination.[/et_pb_accordion_item][et_pb_accordion_item title="Post colposcopy" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]We advise that you wear a panty liner as you may have a brown discharge from the iodine solution used or spotting from the biopsy. We also advise that you refrain from using tampons for a week after. You should abstain from having vaginal sexual intercourse for a week after the procedure. If you develop heavy bleeding or foul-smelling discharge after the procedure please contact Dr Novikova.[/et_pb_accordion_item][et_pb_accordion_item title="What is an abnormal pap smear result?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Pre-cancerous changes of the outer (squamous) cells of the cervix have the potential to turn into cancer if left untreated. In the cervix, these changes are called ‘Cervical Intraepithelial Neoplasia’ or CIN for short. There are different grades of CIN according to how severe the changes are, from CIN1 minor change referred to as Low-Grade Squamous Intraepithelial Lesions (LSIL) to CIN 2&3 referred to as High-Grade Squamous Intraepithelial Lesions (HSIL). The risk of CIN1 developing into cancer is very small, however, we know that CIN2 and CIN3 may develop into cancer in some cases if left untreated. There is a rare abnormality called ‘Cervical Glandular Intraepithelial Neoplasia’ or cGIN and this is the same sort of pre-cancerous change involving the inner glandular cells of the cervix. Treatment of cGIN is usually the same as CIN.[/et_pb_accordion_item][et_pb_accordion_item title="What causes abnormal changes?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Humanpapilloma (HPV) viruses are a group of viruses that infect skin and mucosal cells, as found in the cervix.  HPV infections can cause changes in cervical tissue and are associated with a diagnosis of cervical carcinoma. Most HPV infections do not cause any symptoms, HPV is a very common sexually transmitted infection that is found in 95% of the sexually active population. Most women are able to clear the infection without treatment and with no lasting effects. There are over 100 types of HPV and around 5% of women with an HPV infection will have abnormal pap smears. Around 1-2% develop pre-cancerous cells (CIN). 80% of cervical cancer is caused by HPV strands 16 & 18 whilst the other 20% is caused by other types of HPV. The test for HPV is recommended for women with low-grade pap smear abnormalities. This will determine whether a follow-up colposcope will be required[/et_pb_accordion_item][et_pb_accordion_item title="What are the different types of abnormal cells?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Women who have high-risk Humanpapilloma (HPV) should have a colposcope to better assess changes in the cells of the cervix as pap smears only test superficial cells in the cervix. A colposcope will highlight the abnormal cells, which will be taken for biopsy and tested for pre-cancerous changes. ‘Cervical Intraepithelial Neoplasia 1’ (CIN 1) or Low-Grade Squamous Intraepithelial Lesions (LSIL) changes are considered to be minor. Women with CIN 1 or LSIL will be observed every six months with a pap smear and possibly a colposcopy. The vast majority of CIN 1 lesions disappear within 18 to 24 months without any treatment. In about 5% of cases, however, they may progress to CIN2/3 or High-Grade Intraepithelial Lesions (HSIL). Women with CIN 2/3 require a procedure to remove these abnormal cells. The procedure is called LLETZ (Large Loop Excision of the Transformation Zone or Loop Diathermy). It is a minor procedure performed in the operating room under general or local anaesthesia. Please refer to the patients’ information on LLETZ for details. CIN 2/3 develops into cervical cancer in about 20% of cases and usually takes around 5 to 10 years. The screening program for pre-cancerous cells of the cervix now includes an HPV test and Dr Novikova may offer it to you during your routine visit.[/et_pb_accordion_item][et_pb_accordion_item title="Alternatives to a colposcopy " _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]There are no recommended alternatives. If you have an abnormal cervical cytology result and are advised to have colposcopy then it is the only effective way to investigate the abnormality further. Approximately 60% of CIN 1 lesions disappear without treatment and less than 1% progress to cancer. About 5% of CIN 2 and 12% of CIN 3 cases will progress to cancer if untreated. It takes 10 to 20 years for CIN to progress to cancer, and it is generally more common in women who smoke or suffer from immunodeficiency.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Aesthetic Procedure Fees [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Aesthetic Procedure Fees " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row use_custom_gutter="on" admin_label="Row" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_4_font="||||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" header_5_font_size="20px" custom_margin="20px||||false|false" hover_enabled="0" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" header_4_font_tablet="||||||||" header_4_font_phone="||||||||" header_4_font_last_edited="on|desktop" header_4_font_size_tablet="30px" header_4_font_size_phone="" header_4_font_size_last_edited="on|desktop" header_5_font_tablet="" header_5_font_phone="" header_5_font_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}" sticky_enabled="0"]Non-Surgical Procedures Performed in doctor’s office without anesthesia Emsella Chair 1 Emsella Chair Treatment – R840 6 Emsella Chair Treatment Package –R4490 Book through Body + Skin Clinic by clicking here. Vaginal Rejuvenation With Femilift Laser, carried out by Dr Novikova – R7500 per session Radiofrequency with Ultrafemme 360 (carried out by therapists) – R3670 (Book through Body + Skin Clinic by clicking here.) Intimate Brightening Treatment of Hyper-Pigmented (darkened) Area Peel and mask once-off (Dermalan Intimate once-off treatment) – R12100 (Book through Body + Skin Clinic by clicking here.) CO2 laser (peel or laser treatment requires from 3 to 6 sessions to achieve the result depending on the skin color) – R5000 (carried out by Dr Novikova) 'Orgasm’ Shot (PRP Treatment)  R9500 Fillers for Labia Majora including Filler 2ml – R9600 4ml – R14000 Surgical Procedures The fee includes the following: Hospital and operating theatre fee Post-procedure follow-ups Procedure under Local Anaesthesia Labiaplasty +/- Clitoral Hood Reduction Labia Minora – R41000 Labia Minora + Majora – R51000 Procedure under General Anaesthesia Vaginoplasty  Without medical aid cover – R70000 With medical aid cover (usual excess above medical aid payment) – R36000 Vaginoplasty and Labiaplasty(Minora) R60000 Vaginoplasty and Labiaplasty( Minora and Majora) R66000 + Hospital anaesthetist –R38000 [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" sticky_enabled="0"]Virtual Consultation: New Patient (20 minutes) R2160 Existing Patient (10 minutes) R1100 Existing Patient within 6 weeks of previous consultation (10 minutes) R550 or (5 minutes) R275 Existing Patient post-procedure follow-up within 6 weeks of the procedure - no charge [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Please Note: A quotation will be provided prior to each procedure. This must be settled before the procedure.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Labia Fillers [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Labia Fillers" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/Labia-Fillers.jpg" title_text="Labia-Fillers" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" custom_margin="||||false|false" hover_enabled="0" text_font_size_tablet="18px" text_font_size_phone="18px" text_font_size_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}" sticky_enabled="0"]Labia Fillers Labial fillers are used to increase the volume of the labia majora – the bigger, outer genital lips. Loss of volume in the outer vaginal lips is a common issue in women as they age especially after childbirth, menopause, and extreme weight loss. The labia may change shape and become more floppy, lax and less full or deflated and they can become more noticeable, especially if they’re darker or hang down past the edges of the labia majora. Aside from appearance, the labia majora acts as a kind of cushion during sexual intercourse. The loss of tone and firmness can cause discomfort during sex because they are unable to protect you from excessive friction and impact. There may also be a loss of sensation during intercourse as the vaginal skin is drier.[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" header_4_font_tablet="" header_4_font_phone="" header_4_font_last_edited="on|phone" global_colors_info="{}"]Who may need labial fillers? Women who desire their labia majora to be fuller, more toned and firmer opt to have labial fillers. Who performs labial fillers? Labial fillers are a relatively new aesthetic medical procedure and are best performed by a specialist who has been trained to perform them, is a skilled surgeon and performs such procedures regularly. Dr Novikova is a gynaecologist with a special interest in aesthetic gynaecology. She is also an advanced minimally invasive gynaecological surgeon. Dr Novikova is also the first and so far the only gynaecologist in South Africa certified by the European Society of Aesthetic Gynaecology. She has experience in carrying out many successful labial filler procedures.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_video src="https://youtu.be/9taseWEAbm4?si=ETEPPMDIOqgCvPH2" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Who is a suitable candidate for labia fillers? Women who are in good health and have realistic expectations about the results are typically suitable candidates for labia fillers. It is essential to discuss your medical history and aesthetic goals with Dr. Novikova during a consultation to determine if this treatment is right for you. Benefits of Labia Fillers Increased volume and plumpness of the labia majora Improved symmetry and contour Reduced appearance of wrinkles and sagging skin Enhanced sexual satisfaction Boosted self-confidence What to expect during the procedure: The procedure is performed in the office and typically takes less than 30 minutes. A topical numbing cream is applied to the area to minimize discomfort. The filler is then injected into the labia majora using a fine needle. The results are visible immediately and can last for up to a year or longer, depending on the type of filler used. Aftercare: Following the procedure, you may experience some mild swelling and bruising, which typically subsides within a few days. Dr. Novikova will provide specific aftercare instructions to ensure optimal healing and results. If you are considering labia fillers, schedule a consultation with Dr. Novikova to discuss your options and achieve your desired aesthetic goals.[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" custom_margin="||||false|false" custom_padding="30px||20px||false|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" header_font_size_tablet="" header_font_size_phone="" header_font_size_last_edited="on|phone" global_colors_info="{}"]FAQS[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22,%22open_toggle_text_color%22,%22toggle_text_color%22%93}"][et_pb_accordion_item title="What is used for labial fillers?" open="on" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF"]There are several options for regaining the volume to the labia majora.  Fat filler is done with the patients own fat, which is usually taken from the inner thigh. Fat filler is natural and will not produce an allergic reaction. About 60% of fat will be re-absorbed, the other 40% will give a long-lasting result. Hyaluronic acid is a substance, which is naturally present in the human body. It has a very special ability to bind water hence it makes the tissue moist, smooth and assists with movement (joint and muscles). Hyaluronic acid is present in all cells. As we get older cells lose the ability to produce hyaluronic acid and cells lose the ability to hold water, therefore, tissue loses its elasticity, smooth and plump appearance. The injection of hyaluronic acid acts as a space filler by binding to water, it increases moisture and decreases dryness. The injection of hyaluronic acid into the labia gives the labia the desired volume and improves the appearance and also increases sensation during sex. [/et_pb_accordion_item][et_pb_accordion_item title="What is the difference between different fillers?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]Your gynaecologist will usually have a preference for a particular hyaluronic acid filler based on its current availability and quality of filler. To use fat for filling, it has to be taken from the patients' inner thighs. Usually, about 80-120 cc of fat is obtained.[/et_pb_accordion_item][et_pb_accordion_item title="How much filler is injected?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]The amount of filling will be discussed in each case and will depend on the size of the labia, degree of sagginess and patients’ wishes. If the fat is used in filling some of it will be reabsorbed after injections.[/et_pb_accordion_item][et_pb_accordion_item title="Is the procedure painful?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]No, your gynaecologist will use local anaesthetic injections for this procedure and will ask you to apply a numbing cream to the labia before the procedure.[/et_pb_accordion_item][et_pb_accordion_item title="How long do the effects last for?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]You’ll see results immediately, with minimal to no swelling following the injections.  The effects last for 12 to 24 months. There is no recovery time needed. You’ll be able to return to everyday activities right away.[/et_pb_accordion_item][et_pb_accordion_item title="How long does the procedure take?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]The procedure will take about 15 minutes if hyaluronic acid is used and about 30-45 minutes if fat is used.[/et_pb_accordion_item][et_pb_accordion_item title="What are the side effects of the procedure?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]It is a safe procedure and side effects are rare. The chemicals used are produced by our bodies and thus the risk is small. Swelling, redness, pain, itching, discolourations may occur. Hyaluronic acid filler very rarely may migrate from the injection site and give an undesirable appearance. Rarely there may be a reaction to the hyaluronic acid filler.[/et_pb_accordion_item][et_pb_accordion_item title="What is Dr Novikova's experience in performing the procedure?" open_toggle_text_color="#FFFFFF" closed_toggle_text_color="#FFFFFF" _builder_version="4.22.1" _module_preset="default" body_text_color="#FFFFFF" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}" toggle_text_color="#FFFFFF" open="off"]Labial fillers are a relatively new aesthetic medical procedure and are best performed by a specialist who has been trained to perform them, is a skilled surgeon and performs such procedures regularly. Dr Novikova is an advanced minimally invasive gynaecologic surgeon. She is also the first gynaecologist in South Africa certified by European Society of Aesthetic Gynaecology. She has the experience of carrying out many successful labial filler procedures.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41209" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Clitoral Hood Reduction [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Clitoral Hood Reduction" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/Clitoral-Hood-Reduction.jpg" title_text="Clitoral-Hood-Reduction" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]A clitoral hood reduction (also known as hoodectomy and clitoropexy), is an aesthetic procedure that reduces the length and size of your clitoral hood. It is limited to the removal of excess skin covering the clitoris and is often combined with a labiaplasty or other genital cosmetic procedures. We only reduce your clitoral hood to the point where it appears less prominent. It should also be more proportionate with the rest of your labia and vulva contours. Occasionally patients may have improved clitoral sensation, but this is not a common outcome and should not be aimed for. Very rarely do women request the procedure because of frequent infections and unpleasant smells because of excess skin in this area, which will be corrected with this surgery. This operation does not involve surgery on the clitoris itself, but only on the skin covering the area. It is important to note that the technique used by Dr Novikova results in no nerve damage and thus the sensation of the clitoris will not be altered at all.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" header_4_font_size_tablet="" header_4_font_size_phone="" header_4_font_size_last_edited="on|desktop" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Clitoral Hood Reduction Clitoral hood reduction is an aesthetic procedure that is often performed in combination with a labiaplasty or other genital cosmetic procedures. The clitoral hood is the fold of skin around the clitoris. It is comparable to the foreskin for men. It serves an important purpose which is to protect the clitoris from being constantly rubbed. Constant friction could lead to overstimulation, desensitization and even pain. It also helps to keep the area moist and completes the appearance. However, sometimes it can be too large or lengthy, or not retract during intimacy. This may be caused by genetics, trauma or childbirth.[/et_pb_text][et_pb_video src="https://youtu.be/AXMHGH8MFTM?si=Cs4-TUokBeY-lRjI" _builder_version="4.22.1" _module_preset="default" width="78%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font_size_tablet="" text_font_size_phone="18px" text_font_size_last_edited="on|phone" header_5_font_size_tablet="" header_5_font_size_phone="" header_5_font_size_last_edited="on|desktop" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="How is clitoral hood reduction performed?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="on"]The procedure is usually performed in combination with labiaplasty with one of the two techniques depending on patients’ anatomy. Skin will be removed either parallel to the clitoris (on the sides) or on the top (half-moon like a cut). This procedure is generally performed under anaesthetic and rarely under local anaesthetic.[/et_pb_accordion_item][et_pb_accordion_item title="How long does it take and what can I expect?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The procedure may take about 30 minutes on its own, but it is usually part of a labiaplasty and the patient can go home an hour after the procedure, once they passed urine and feel comfortable.[/et_pb_accordion_item][et_pb_accordion_item title="What are possible complications?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]As with any surgical procedure, this operation carries anaesthetic risks as well as surgical risks. The chance of a complication is small and it includes infection, bleeding, scarring and decreased sensation. For this reason, as with all gynaecological procedures we recommend, it is carried out by a fully qualified gynaecologist.[/et_pb_accordion_item][et_pb_accordion_item title="What is post-procedure care?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Postoperative care is similar to that of labiaplasty. Avoid sexual intercourse for 4-6 weeks. Keep the area of surgery clean by washing with water in a shower. Dr Novikova sometimes prescribes antibiotics and antibacterial ointment to prevent infection and advises her patients to avoid heavy physical exercises, bathing, public pools and saunas for 4 weeks.[/et_pb_accordion_item][et_pb_accordion_item title="What operations are carried out on the clitoris itself?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]In some separate cases, the following operations are carried out: clitoropexy to retract or suspend the clitoris, clitoral reduction to reduce the size, which is done in cases of various congenital diseases associated with a large clitoris, clitoral lysis of adhesions resulting from lichen sclerosis (white patchy skin).[/et_pb_accordion_item][et_pb_accordion_item title="What is Dr Novikova's experience in performing the procedure?" open="off" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Dr Novikova has performed many Clitoral Hood Reductions and is skilled in all aspects of gynaecological surgery. She is a highly experienced and qualified gynaecologist and has been trained and certified by the European Society of Aesthetic Gynaecology.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41209" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Urinary incontinence treatment [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_font_size="18px" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PELVIC FLOOR CONDITIONS[/et_pb_text][et_pb_heading title="Urinary Incontinence Treatment" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is Urinary Incontinence? Incontinence is the loss of bladder control and can involve leakage of urine, wind or faeces. It is a common and uncomfortable problem. As little as a cough or sneeze can trigger the need to urinate, causing embarrassment for those who suffer from it.[/et_pb_text][et_pb_video src="https://youtu.be/Afhna8XZzmQ?si=dT9yJ-YjIV2gaUD6" _builder_version="4.22.1" _module_preset="default" width="88%" module_alignment="left" module_alignment_tablet="center" module_alignment_phone="center" module_alignment_last_edited="on|tablet" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/Incontinence-Treatment.jpg" alt="urinary incontinence" title_text="Incontinence-Treatment" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text admin_label="Text" module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="#108b96" header_4_font="|700|||||||" header_4_text_color="#108b96" header_4_font_size="21px" header_4_line_height="1.3em" background_color="#e7f3f4" width="100%" custom_padding="30px|40px|30px|40px|true|true" custom_padding_tablet="30px|40px|30px|40px|true|true" custom_padding_phone="20px|30px|20px|30px|true|true" custom_padding_last_edited="on|desktop" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|desktop" border_radii="on|10px|10px|10px|10px" border_width_all="4px" border_color_all="#e1e9ea" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22,%22header_4_text_color%22,%22text_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93,%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color%22%93,%22gcid-d29bbfd9-9930-40a6-925f-6111275a62b4%22:%91%22border_color_all%22%93}"]Download further reading on Incontinence Treatment… Botulinum Toxin Sacral Neuromodulation Mid Urethral Slings Non-Surgical Approaches to Managing Bladder Problems Low-Dose Vaginal Estrogen Therapy Continence Pads and Perineal Care Bladder Training Overactive Bladder Pelvic Floor Exercises Bladder Diary Urodynamics [/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What is urinary incontinence?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Urinary incontinence is a very distressing condition that women generally develop later in life though it can occur at any age. Giving birth by natural labour can increase the chances of developing urinary incontinence. There are several types of urinary incontinence – stress urinary incontinence, urge urinary incontinence or overactive bladder and mixed urinary incontinence[/et_pb_accordion_item][et_pb_accordion_item title="What causes urinary incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Urine is made by the kidneys and stored in the bladder. The bladder muscles tighten when you need to urinate. Urine is then forced out of the bladder through the urethra. While this occurs the sphincter muscles around the urethra relax to allow the urine to be released. Incontinence occurs when the bladder muscles tighten on their own or/and the sphincter muscles cannot hold the urethra shut. The strong urge to urinate cannot be controlled. It’s sometimes a small amount of urine that leaks or a lot of urine can be released all at once. Twice as many women than men experience urine incontinence. Things such as childbirth, pregnancy and menopause can affect the bladder, making women more susceptible to the condition. Urinary incontinence can develop in a woman of any age and it is more common as you get older.[/et_pb_accordion_item][et_pb_accordion_item title="Different Types of urinary incontinence" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Stress urinary incontinence. This occurs when pressure is exerted on the bladder often caused by sneezing, coughing, laughing, lifting something heavy or sometimes just standing up. This is the most common type of incontinence in younger women.Urge incontinence occurs due to an overactive bladder. Leaking urine accidentally when there is a strong urge to pass urine. This is usually treated with tablets.Overflow incontinence takes place due to either poor bladder contraction or blockage of the urethraFunctional incontinence is a consequence of medications or health problems that makes it difficult to reach the bathroom[/et_pb_accordion_item][et_pb_accordion_item title="What is Stress Urinary Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Stress urinary incontinence occurs if you leak urine when you run, cough, sneeze, jump. Stress urinary incontinence causes an increase in intra-abdominal pressure (with cough/laugh/ increased weight etc) and weakened pelvic floor muscle, bladder muscle, urethral sphincter.[/et_pb_accordion_item][et_pb_accordion_item title="What are the causes of Stress Urinary Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] A urinary infection (UTI or bladder infection) especially if you started leaking urine recently. A simple urine test can diagnose urinary infections. Weight gain and being overweight Chronic cough (having the flu and coughing will almost certainly make stress urinary incontinence worse, some medications prescribed for high blood pressure cause cough and may lead to stress urinary incontinence Ageing can cause stress urinary incontinence because the vaginal wall supporting the urethra loses collagen and becomes weaker, the low oestrogen level in menopause leads to vaginal dryness and it can also result in urinary incontinence Pregnancy and childbirth can also lead to stress urinary incontinence becomes of relaxing effect of progesterone on the vaginal wall, weakening of the vaginal wall [/et_pb_accordion_item][et_pb_accordion_item title="What is the treatment for Stress Urinary Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] The treatment of stress urinary incontinence includes pelvic floor exercise (or Kegel exercise). Patients who take up pilates also find improvement in stress urinary incontinence. Studies have shown that pelvic floor exercises are effective in the treatment of incontinence but only if performed under the supervision of a physiotherapist. It is very difficult to perform pelvic floor exercises regularly and maintain the correct intensity. A new, revolutionary pelvic floor trainer, the Emsella Chair uses a high-intensity electromagnetic field to activate motor neurons located in the pelvic floor. A single 28-minute session results in 11,200 pelvic floor muscle contractions which have the effect of performing the same number of Kegel exercises! Emsella results in supramaximal muscle contraction. One cannot achieve such contraction doing Kegel exercises as Emsella stimulates contractions which are stronger and last longer. The Emsella chair treats all types of incontinence. It helps women with mild and moderate incontinence and lessens the symptoms of severe incontinence. To find out more about the Emsella click here. The surgical method available to patients who require a more invasive treatment is the sling procedure (performed under anaesthesia) which treats urinary incontinence. Vaginal laser treatment or vaginal radiofrequency is a non-surgical procedure performed in the doctor’s office without any anaesthesia that works very well for mild and moderate stress urinary incontinence. Laser and radiofrequency are also very effective in the treatment of vaginal dryness (called atrophic vaginitis) that women develop in menopause. [/et_pb_accordion_item][et_pb_accordion_item title="What is Urge Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Urge incontinence is sometimes called an overactive bladder. Generally, urine leakage happens after a strong sudden urge to urinate but before you can make it to the bathroom. Women who experience this sometimes make it to the toilet on time but feel the urge to urinate more than eight times a day.[/et_pb_accordion_item][et_pb_accordion_item title="What are the causes of Urge Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Urge incontinence or overactive bladder are caused by bladder muscle contracting all the time. Urge incontinence also occurs in menopausal women. It is caused by the thinning of the vaginal skin and bladder lining resulting in irritation in the highlighted areas.[/et_pb_accordion_item][et_pb_accordion_item title="What is the treatment for Urge Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Traditional treatment of urge incontinence includes the use of various tablets that relax the bladder wall. If tablets do not provide relief, we can inject botulinum toxin into the bladder wall (usually performed in an operating room under anaesthesia). Unfortunately, the effects of botulinum toxin only last for 4 months and treatment must be repeated. The Emsella chair and vaginal laser and radiofrequency are also helpful in the treatment of urge incontinence.[/et_pb_accordion_item][et_pb_accordion_item title="What is Overflow Incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Overflow incontinence is when your bladder doesn’t completely empty itself when you urinate you experience constant dribbling of urine. This is caused by a blockage or weak bladder muscles that do not allow the bladder to be fully empty or from informing it that it is full.[/et_pb_accordion_item][et_pb_accordion_item title="What is Functional incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Functional Incontinence often occurs when a person is not aware that they need to urinate because of mental or physical impairments. Maybe they cannot make it to the bathroom in time or they cannot unbutton their pants in time due to some illness such as severe arthritis. It can be caused by neurological conditions and even diabetes because it impairs nerve supply to the bladder and as a result normal bladder contractions/function. The treatment of this type of incontinence is directed at its cause.[/et_pb_accordion_item][et_pb_accordion_item title="When should I consult a gynaecologist for incontinence?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]If you have a combination of types of incontinence a doctor will assess your situation and will suggest treatment options for you. When urine incontinence starts affecting your way of living such as not being able to visit family or friends because you are scared you may leak; it is time to consult a doctor who specialises in the treatment of incontinence (urogynecologist, urologist, gynaecologist). There are ways for you to help treat incontinence. Overall, a healthy lifestyle, good drinking habits,  healthy vaginal skin, strong pelvic floor muscles and healthy bladder wall are all essential ways to manage incontinence throughout your life. Your treatment options will depend on the type and severity of incontinence and whatever area you need to address. If you have any questions, you may book a consultation with Dr Novikova for advice.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Menstrual Disorders [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"] FEMININE WELLNESS [/et_pb_text][et_pb_heading title="Menstrual Disorders" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0" header_3_font_size="23px"]Menstrual Disorders These are disorders that affect a woman’s menstrual cycle. They include disorders with the cycle length such as irregular periods, infrequent periods or absent periods due to polycystic ovarian syndrome, very heavy exercise and stress. Disorders involving flow such as very heavy periods due to fibroids, polyps; dysmenorrhoea or painful menstruation can be due to endometriosis or infection. There is cause for concern when periods come in less than 21 days or more than 3 months apart. Symptoms include: Irregular periods – cycle length shorter or longer than normal Infrequent periods – menstrual periods that occur more than 3 months apart are a cause for concern. Painful menstruation – also known as primary dysmenorrhea, secondary dysmenorrhea can be triggered by endometriosis or fibroids. Heavy bleeding [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/Menstrual-Disorders.jpg" alt="menstrual disorders" title_text="Menstrual-Disorders" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_video src="https://youtu.be/goDeST9Mmp4" _builder_version="4.22.1" _module_preset="default" width="75%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section] ### Medical Resources [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Medical Resources " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/female-gynecologist-in-cape-town-meet-dr-novikova-2a.jpg" title_text="female-gynecologist-in-cape-town-meet-dr-novikova-2a" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/female-gynecologist-in-cape-town-meet-dr-novikova-1a.jpg" title_text="female-gynecologist-in-cape-town-meet-dr-novikova-1a" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/female-gynecologist-in-cape-town-meet-dr-novikova-3a.jpg" title_text="female-gynecologist-in-cape-town-meet-dr-novikova-3a" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Some beneficial medical resources for our patients: Egg Freezing, refer to capefertility.co.za – a current success rate of conception is around 27% (2018). The ideal time to freeze eggs is in the twenties, but no later than 37. Royal College of Obstetricians and Gynaecologists – patient information on various gynaecological problems Uptodate – excellent regularly updated source for information for patients Fibroid Care SA – service of the treatment of fibroids by embolisation of the uterine artery Royal Australian and New Zealand College of Obstetricians and Gynecologists (RANZCOG)– various patient education pamphlets International Urogynaecological Association (IUGA) – informative patients information about different treatment options of prolapse and incontinence Health Professions Council of South Africa (HPCSA) Pelvic Pain Foundation of Australia Nutritionist - Hannah Kaye - hannahkaye.co.za Breast Surgeon - Dr Britta Dedekind  www.brittadedekind.comGeneticist - www.capetowngc.com Intercare Sandton Day Hospital -www.intercare.co.za Cosmetic Surgery Institute - www.rensurg.co.za Best Health Apps Natural Cycles, contraception with an app – Study of 15,000 women using the app showed that 1.8% of women fell pregnant in 8 months of use when using correctly and 6.5% fell pregnant because of incorrect use. Menstruation and ovulation calendar – useful for women trying to conceive Clue – period tracker – to track periods / menstrual cycle Doc’s Diet Diary – to monitor pain in relation to diet Bladder diary Urotoday – for women with urinary incontinence Calcium Intake calculator Informational Videos Dr Novikova's YouTube channel Video on breast check – Youtube TED  talk on girls sexuality – TED Information and photos about what normal labia and female genitals look like. – Labia Library  [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Pelvic Organ Prolapse [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PELVIC FLOOR CONDITIONS[/et_pb_text][et_pb_heading title="Pelvic Organ Prolapse" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Pelvic-Organ-Prolapse.jpg" alt="Pelvic Organ Prolapse" title_text="Pelvic-Organ-Prolapse" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Pelvic Organ Prolapse Pelvic organ prolapse is a condition in which our pelvic organs such as the uterus, vagina, bowel or bladder start bulging or falling out of the vagina. The bladder pushes on the front wall of the vagina and the bowel pushes onto the back wall of the vagina. It is caused by the weakening of the muscles, ligaments, and fascia, which support the tissues that hold those organs in place and in the correct positions. The causes of prolapse are listed here. Also, some women may have inherited the risk of prolapse because of their collagen structure.[/et_pb_text][et_pb_text admin_label="Text" module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="21px" header_4_line_height="1.3em" background_color="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885" width="100%" custom_padding="30px|40px|30px|40px|true|true" custom_padding_tablet="30px|40px|30px|40px|true|true" custom_padding_phone="20px|30px|20px|30px|true|true" custom_padding_last_edited="on|desktop" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|desktop" border_radii="on|10px|10px|10px|10px" border_width_all="4px" border_color_all="gcid-d29bbfd9-9930-40a6-925f-6111275a62b4" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22,%22text_text_color%22%93,%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color%22%93,%22gcid-d29bbfd9-9930-40a6-925f-6111275a62b4%22:%91%22border_color_all%22%93}" locked="off"]For more information on prolapse read here… Posterior vaginal wall-and perineal body repair Anterior vaginal wall repair SacrospinousFixation Sacrocolpopexy Vaginal hysterectomy for pelvic organ-prolapse [/et_pb_text][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Symptoms Pressure against the vaginal wall A fullness feeling or “a ball” feeling in the stomach area Backache A pull or stretch feeling in your groin area Painful intercourse Problems passing urine Constipation [/et_pb_text][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Causes Childbirth Obesity or weight gain Smoking Menopause Chronic cough Having a hysterectomy Chronic constipation Heavy lifting or straining Ageing [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/PZV4VhHGmoo?si=jHFtuP2lOF9BFToI" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" custom_margin="|||20px|false|false" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Surgical treatment of Pelvic Organ Prolapse " open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Surgery for pelvic organ prolapse is performed to restore their anatomy and would include different types of procedures depending on the type of prolapse and the stage of prolapse that the patient is experiencing.  Pre-procedure preparation for the surgery would include: not eating for six hours before the surgery, arriving on the day of the operation to the hospital where you will get admitted to the ward and have an anaesthetic assessment.  We do not perform surgery on the same day of the consultation as we have to book the procedure into our operating rooms. Surgery is usually performed under general anaesthesia and occasionally under spinal anaesthesia. Surgery may take anything between an hour to two hours. There is no pain during the operation as the patient is asleep. After the procedure, the woman usually stays in the hospital for about two to three days, and we suggest four weeks off of work. Pain levels are moderate and controlled with various intravenous medications that we use immediately afterwards, for about 24 hours and tablets thereafter.  Most of the surgery does not leave scars as we perform it through the vagina, so it will be only one scar on the top of the vagina that you cannot see and cannot feel. On occasions, we perform pelvic organ prolapse surgery through a keyhole surgery or laparoscopy. That would leave small scars on the tummy.  Recovery is about four to six weeks and you will know whether the treatment worked or not once you have recovered. The success rate of vaginal pelvic floor repair is about 70 – 80 and laparoscopic is about 80%. There is a possibility of the symptoms returning in 5-10 years time. The surgery cost will depend on the operation. This is something that will be covered by medical aid, especially a hospital fee. You may, however, have outstanding fees for the surgeons and an anaesthetist fee; depending on your level of medical aid cover. [/et_pb_accordion_item][et_pb_accordion_item title="Non-surgical treatments of Pelvic Organ Prolapse" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]While there is a different way of treating organ prolapse, we normally start with non-surgical treatments such as pelvic floor exercises.  Pelvic floor exercises can be an effective treatment for women with a mild prolapse.  Pelvic floor exercises will not fix severe prolapse, but they’re important in maintaining strength in the pelvic floor. The most appropriate way of doing pelvic floor exercises is by seeing a pelvic floor therapist or physiotherapist who would teach you to do it correctly. I usually give my patients an approach that describes how it’s done.  Elderly women may not be good candidates for surgeries because of their age and their comorbidities and they are often happy to use a pessary for the treatment of pelvic floor prolapse. The pessary is a rubber ring that is inserted in the vagina by a doctor and it holds the organs that have fallen out of place.  It’s a very nice treatment for my elderly women and women who would like to have surgery, but have to wait for whatever reason. The inconvenience of using a pessary is an increased amount of vaginal discharge and having to see me every three months to change the pessary. However, the pessary can be done on the day of the consultation as it is a quick procedure to insert it and it doesn’t require anaesthesia. We just have to choose the correct size of the pessary and once it is in place, we have to make sure that the patient is able to pass urine afterwards. [/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Iron Infusion with Ferinject [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]MEDICAL GYNAE[/et_pb_text][et_pb_heading title="Iron Infusion with Ferinject" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/blood-disease.jpg" title_text="blood-disease" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Iron Infusion with Ferinject Iron deficiency is common among women, especially during pregnancy, menstruation, or post-surgical recovery. Dr. Novikova offers Ferinject iron infusions administered by a clinical associate — a quick, safe, and highly effective way to restore iron levels.[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Why Choose Ferinject? Ferinject (Ferric Carboxymaltose) is an advanced iron formulation that offers significant advantages over other iron preparations: Fast Administration: A single infusion takes just 15-30 minutes, making it much quicker compared to other intravenous iron options. High-Dose Delivery: Up to 1000 mg of iron can be administered in one session, reducing the need for multiple infusions. Fewer Gastrointestinal Side Effects: Unlike oral iron supplements, Ferinject does not cause nausea, constipation, or other gastrointestinal issues. Safe and Well-Tolerated: Clinical studies have shown Ferinject has a low risk of severe side effects compared to older IV iron formulations. Rapid Improvement in Symptoms: Many patients report feeling better within 1-2 weeks of treatment. [/et_pb_text][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/iron-in-image-1200x1353-1.png" title_text="iron-in-image-1200x1353" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What to Expect During the Procedure Consultation: A personalized assessment to confirm the need for an iron infusion. Procedure: Duration: 15-30 minutes Method: Intravenous infusion in a relaxed and comfortable environment. Aftercare: Minimal downtime. Most patients can resume normal activities immediately after the infusion. [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Benefits of Ferinject Versus Other Iron Preparations Feature Ferinject Iron Sucrose Oral Iron Supplements Administration Time 15-30 minutes 60+ minutes Daily dosing for weeks/months Doses Needed 1-2 infusions Multiple infusions Continuous use Side Effects Low incidence Moderate risk Gastrointestinal issues Max Dose Per Session 1000 mg 200-300 mg Limited absorption Effectiveness Rapid symptom improvement Slower improvement Slow and inconsistent[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Evidence Supporting Ferinject Several studies demonstrate the efficacy and safety of Ferinject compared to other iron preparations: Efficacy and Safety: Study: A systematic review published in the Journal of Obstetrics and Gynaecology found that Ferinject led to faster and higher hemoglobin levels than oral iron supplements and older IV preparations. In conclusion, Ferinject provides a rapid and sustained correction of iron deficiency with minimal adverse effects. Fewer Infusions Required: A randomized trial published in the British Journal of Haematology showed that Ferinject, due to its high-dose capacity, often requires only one or two infusions, compared to multiple sessions needed for Iron Sucrose. TolerabilityStudy: Research in the International Journal of Clinical Practice indicates that Ferinject has a lower incidence of infusion reactions compared to older formulations like Iron Dextran. Pregnancy Safety: Guidelines: According to the Royal College of Obstetricians and Gynaecologists (RCOG), Ferinject is recommended for treating iron deficiency anemia during pregnancy due to its efficacy and safety profile. [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Who needs an Iron Infusion? Ferinject is recommended for individuals who: • Have chronic iron deficiency anemia. • Experience heavy menstrual bleeding. • Are pregnant and have low iron levels. • Require rapid iron replenishment due to surgery or post-partum recovery. • Cannot tolerate or do not respond to oral iron supplements.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" sticky_enabled="0"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_text="MAKE AN ENQUIRY" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" button_url="https://drnovikova.co.za/contact/" sticky_enabled="0"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Is Ferinject Safe During Pregnancy?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Yes, studies support its safety for treating iron deficiency anemia in pregnancy.[/et_pb_accordion_item][et_pb_accordion_item title="How soon will I feel better?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Most patients experience an improvement in symptoms within 1-2 weeks.[/et_pb_accordion_item][et_pb_accordion_item title="Are they any side effects?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Side effects are rare but can include mild headaches or dizziness.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Medical Gynae Fees [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PATIENT INFO[/et_pb_text][et_pb_heading title="Medical Gynae Procedure Fees " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row use_custom_gutter="on" admin_label="Row" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_4_font="||||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" header_5_font_size="20px" custom_margin="20px||||false|false" hover_enabled="0" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" header_4_font_tablet="||||||||" header_4_font_phone="||||||||" header_4_font_last_edited="on|desktop" header_4_font_size_tablet="30px" header_4_font_size_phone="" header_4_font_size_last_edited="on|desktop" header_5_font_tablet="" header_5_font_phone="" header_5_font_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}" sticky_enabled="0"]A quotation will be provided before each procedure. This practice is not contracted to any medical aid, and we don’t submit on your behalf.Dr. Novikova does NOT practice obstetrics and does NOT deliver babies. The accounts are settled on a day of the consultation or a week before the surgical procedures to secure the theatre booking. Patients are able to submit their account statement to their medical aid following the consultation or procedure. All laboratory tests are charged separately by the laboratory.Please click here for pricing of Aesthetic Gynaecology procedures Dr Novikova's In-Room Fees Please contact us for a quotation/ information for surgeries / in-hospital procedures. Follow Up Consultation with Ultrasound –R3100 Emsella Chair 1 Emsella Chair Treatment – R840 6 Emsella Chair Treatment Package – R4490 Book through Body + Skin Clinic by clicking here Insertion of Intrauterine Contraceptive (IUCD) or Loop – R5400 Cost of actual IUCD device available at the practice: Hormonal Mirena or Kyleena UIDs – R4300 Non-hormonal Copper T–R880 Non-hormonal Pearls IUB –R3000 Insertion/Removal Implanon (contraceptive implant device for the arm) The Device needs to be purchased separately from the pharmacy and is not included in our fee: Implanon – R2200 Insertion – R3620 Removal – R4400 Colposcopy & biopsy – R5400 LLETZ procedure to remove abnormal cells on the cervix (in-rooms) – R10400 Drainage or Marsupialisation of Bartholins Cysts / Abscess Including consultation – R7700 Vulvar Biopsy Including consultation – R5100 Repeat Script – R220 Phone consult Within 6 weeks of face-to-face consultation – R550 Existing patient – R1100 New Patient – R2160 [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Virtual Consultation: New Patient (20 minutes) R2160 Existing Patient (10 minutes) R1100 Existing Patient within 6 weeks of previous consultation (10 minutes) R550 or (5 minutes) R275 Existing Patient post-procedure follow-up within 6 weeks of the procedure - no charge [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" custom_margin="||||false|false" custom_padding="0px||0px||true|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]We use SAPath for our laboratory tests. It is a small independent lab that was started by the first black (and female) biochemist in South Africa Dr Vuoylethu Keti. SAPath provides high-quality individualized service. Your laboratory tests will be claimed from the medical aid. If your medical aid does not cover out of hospital tests, the fee. for Pap smear (liquid-based cytology LBC) is R280, HPV test 1100. STDs screening costs are broken down on the STDs page here. We refer patients for breast imaging and bone density scans to Dr Leora Sweidan at  “Well Women Bone and Breast Care” at Checkers Centre in Sea Point and Dr Sumi Padayachee at Arya Stana Bone and Breast Care in Constantia.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Medical Gynaecology and Conditions Treated [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="Medical Gynaecology Services, Conditions and Procedures" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Our medical gynaecology service includes comprehensive and individualised management of a full range of women’s health issues including menstrual disturbances, cysts, endometriosis, fibroids, menopause, pelvic floor issues, incontinence, sexual dysfunction, pain and infections with a variety of effective, safe and evidence-based interventions. We use modern technology, the latest research as well as great levels of care to help women make treatment choices suitable for their needs. We treat the following medical conditions with the range of treatments and procedures below:[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" global_colors_info="{}"]Feminine Wellness[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/pap-smear-abnormalities/" button_text="Abnormal Pap Smear" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/menopause-treatment/" button_text="Menopause " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" background_layout="dark" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/menstrual-disorders/" button_text="Menstrual Disorders" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/painful-sex-or-penetration/" button_text="Painful Penetration - Dyspareunia" button_alignment="center" admin_label="Button" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjQwNDUxIn19@" button_text="Painful Penetration - Estrogen Therapy" button_alignment="center" _builder_version="4.22.1" _dynamic_attributes="button_url" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/vaginismus/" button_text="Painful Penetration - Vaginismus " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/premenstrual-syndrome-pms/" button_text="Premenstrual syndrome (PMS)" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/vaginal-sensitivity-2/" button_text="Vaginal Sensitivity " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="gcid-3170d912-cbbc-4905-9acf-f133643c7385" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93,%22gcid-3170d912-cbbc-4905-9acf-f133643c7385%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" custom_padding="20px||||false|false" global_colors_info="{}"]Gynaecological Illnesses[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/abnormal-uterine-bleeding/" button_text="Abnormal Uterine Bleeding " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/bartholins-cyst/" button_text="Bartholins Cyst" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/endometriosis/" button_text="Endometriosis" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/fibroids/" button_text="Fibroids and Polyps" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/ovarian-cysts/" button_text="Ovarian Cysts" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/pelvic-pain/" button_text="Pelvic Pain" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/polycystic-ovarian-syndrome/" button_text="Polycystic Ovarian Syndrome" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/lichen-sclerosus/" button_text="Lichen Sclerosis" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-13161fa5-d4ca-43b6-9dfd-1d1d0ddb9835%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" custom_padding="25px||||false|false" global_colors_info="{}"] Contraception[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/contraception/" button_text="Contraception" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/iud-coil-or-loop/" button_text="IUD, Coil or Loop" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27%22:%91%22button_bg_color%22%93}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" global_colors_info="{}"]Surgical Procedures[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/colposcopy-2/" button_text="Colposcopy" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/endometrial-ablation/" button_text="Endometrial Ablation " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/hysterectomy/" button_text="Hysterectomy" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/hysteroscopy/" button_text="Hysteroscopy" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/laparoscopy-or-keyhole-surgery/" button_text="Laparoscopy " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/lletz/" button_text="LLETZ Procedure " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/myomectomy/" button_text="Myomectomy " button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" custom_padding="25px||||false|false" global_colors_info="{}"]Infections[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/bacterial-vaginosis/" button_text="Bacterial Vaginosis" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/bladder-or-urinary-tract-infection/" button_text="Bladder or Urinary Tract Infection" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/stds/" button_text="STDs" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/thrush-or-candida/" button_text="Thrush or Candida" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" custom_padding="25px||||false|false" global_colors_info="{}"]Pelvic Floor Conditions[/et_pb_text][et_pb_button button_url="https://drnovikova.co.za/emsella-chair/" button_text="Emsella Pelvic Floor Chair" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27" button_bg_color="gcid-3188ec86-42f4-49f3-8dc8-0d512df99432" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_bg_color%22%93,%22gcid-3188ec86-42f4-49f3-8dc8-0d512df99432%22:%91%22button_bg_color%22%93,%22gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27%22:%91%22button_text_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/incontinence-treatment/" button_text="Incontinence" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27" button_bg_color="gcid-3188ec86-42f4-49f3-8dc8-0d512df99432" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_bg_color%22%93,%22gcid-3188ec86-42f4-49f3-8dc8-0d512df99432%22:%91%22button_bg_color%22%93,%22gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27%22:%91%22button_text_color%22%93}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/pelvic-organ-prolapse/" button_text="Pelvic Organ Prolapse" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27" button_bg_color="gcid-3188ec86-42f4-49f3-8dc8-0d512df99432" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="width:100%" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22%93,%22gcid-3188ec86-42f4-49f3-8dc8-0d512df99432%22:%91%22button_bg_color%22%93,%22gcid-c65a8e0a-0d70-4bf5-835f-dda07eab3d27%22:%91%22button_text_color%22%93}"][/et_pb_button][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Femilift [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_font_size="18px" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" text_font_size_tablet="18px" text_font_size_phone="13px" text_font_size_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Aesthetic Gynae[/et_pb_text][et_pb_heading title="@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _dynamic_attributes="title" _module_preset="default" title_level="h2" title_font="|800|||||||" title_text_align="center" title_font_size="60px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" title_font_size_tablet="60px" title_font_size_phone="40px" title_font_size_last_edited="on|phone" global_colors_info="{}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_3,1_3" use_custom_gutter="on" admin_label="Row" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="2_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" text_font_size="18px" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" custom_margin="20px||||false|false" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}"]What is Femilift (CO2 Laser)? The Femilift laser gently heats the vaginal skin. This heat contracts the existing fibres and stimulates the growth of new collagen and healthy skin. This process improves and normalises the blood flow in genital skin, increases lubrication, and restores strength and elasticity of the vaginal wall. Dr Novikova offers Femilift CO2 Laser as one of several treatments for Vaginal rejuvenation. To explore the other alternatives, please click here.[/et_pb_text][et_pb_button button_text="BOOK ONLINE" admin_label="Button" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-004a73ff-7274-48e2-92b8-943b0f393cb6" global_colors_info="{%22gcid-004a73ff-7274-48e2-92b8-943b0f393cb6%22:%91%22button_bg_color%22%93}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" admin_label="Column" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/abnormal-uterine-bleeding.jpg" title_text="abnormal-uterine-bleeding" force_fullwidth="on" admin_label="Image" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" custom_margin="||||false|false" custom_padding="0px||0px||true|false" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" text_font_size="18px" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="21px" header_4_line_height="1.3em" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|phone" header_4_font_tablet="|700|||||||" header_4_font_phone="|700|||||||" header_4_font_last_edited="on|phone" header_4_font_size_tablet="21px" header_4_font_size_phone="18px" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}"]Who should consider having vaginal rejuvenation? Women who have: vaginal relaxation (loose or too wide vagina) stress urinary incontinence (leaking urine when jumping, sneezing, coughing, running) dryness of the vagina (or atrophic vaginitis) frequent vaginal infections have excellent results with the treatment Is the Femilift Vaginal Laser treatment painful? No, the treatment is not painful. You may feel discomfort on the insertion of the probe, especially if you have not been sexually active for a while. Dr Novikova uses oil over the probe to make insertion less uncomfortable. During the procedure, you may feel warmness in the pelvic area. Dr Novikova will adjust the laser settings to keep you comfortable if you feel any discomfort or pain. Is the treatment done with anaesthesia? No, anaesthesia is not needed for this treatment as it is not painful. How long does the treatment take? The treatment takes about 15 to 30 minutes. Where is the treatment done? The treatment is done in Dr Novikova’s practice. Can I have the procedure on the day of the consultation? Yes, if the treatment is indicated in your case, you can have it on the day of the consultation. Do I have to take a day off work to have the procedure? No, you don’t have to take a day off work. You can do the treatment during your lunch break and then return to work. Are there any situations when I should not have the procedure? Any active genital infection. Active genital herpes infection. If you have a past history of genital herpes and do not have lesions, you may have laser treatment. Certain medical diseases (for example, scleroderma, uncontrolled diabetes) Taking medications that thin blood. Genital bleeding. Pregnancy. Cancer. Pelvic organ prolapse (Stage 2 or more). Unrealistic expectations. What does a pre-procedure assessment include? A pap smear should be done within the last 3 months before the procedure. General medical assessment, including breast check. Pelvic examination. Pelvic ultrasound. What precautions should be taken after the treatment? You should not have sexual intercourse for 3 days. You should not use tampons for 3 days. Please phone your doctor or the office if you have bleeding, fever or any other concerns regarding the procedure. It is very common to experience increased discharge (sometimes blood-stained) for several days after the treatment. Very rarely, women develop involuntary leaking of urine for 1-2 days after the treatment. This is very uncommon. What type of laser does Dr Novikova use? Dr Novikova uses CO² laser called Femilift, which is approved by the FDA. Alma Laser has been on the market for decades and is a leader in the laser industry. It’s the only pelvic laser with a disposable probe to cover the handpiece, which avoids transmission of any infection. How does the Femilift laser work? Vaginal skin contains collagen fibres that give the skin flexibility and strength. The Femilift laser gently heats the skin. This heat contracts the existing fibres. The trauma (very minimal and superficial) caused by the heat stimulates the growth of new collagen and healthy skin. This process improves and normalises the blood flow in genital skin, increases lubrication, and restores the strength and elasticity of the vaginal wall. When will I see the results of the surgery? You can expect to feel the full (maximum) results 3 months after your last (3rd) procedure. Some women (especially those suffering from dryness and recurrent infections) feel significant improvement in their symptoms after the 1st treatment. Women with stress urinary incontinence may feel some improvement after 2nd session, but the full effect is felt three months after the last treatment. Can I have more than 3 treatments? Generally, 3 treatments are enough to achieve the desired result. If the results were not achieved, you may need an alternative treatment, such as the sling procedure for stress urinary incontinence or vaginoplasty for tightening of the vaginal area. Occasionally, doctors will choose to do more treatments (usually 4-6 treatments every 2 weeks) if a lower-energy laser has to be used during treatments. What is the success rate of vaginal laser rejuvenation? Depending on the problem, the laser treatment improves symptoms of atrophic vaginitis in the majority of women, and it works for mild to moderate stress incontinence in 4 out of 5 women. We do not know how well laser treatment works for vaginal tightening over the longer term as yet. Will the treatment leave scars?  No, the laser treatment does not leave scars.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Ultrafemme 360 [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Ultrafemme 360" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is Ultrafemme 360? Ultrafemme 360 uses radiofrequency and ultrasound technology to gently heat up and shrink collagen fibres. This stimulates the production of new collagen in the vaginal tissue. Each treatment session is 8 minutes long and involves the insertion of a vaginal probe into the vaginal canal, as well as passing the probe along the outer lips of the vagina. The probe has different form-fitting applicator tips to account for each unique vaginal canal size and shape so the treatment is not painful at all, although the probe might feel surprisingly warm. The temperature will be adjusted to suit your heat tolerance. The heat is distributed evenly across the probe which minimises any discomfort. The treatments are carried out once a week for a recommended 3 to 6 sessions and there is no downtime. Patients can return to their normal daily activities immediately after the procedure as any redness or mild swelling will disappear after a few hours. No preparation is required, and the treatment is great for menopausal women, women who have relatively recently given birth, and women who live with stress urinary incontinence. The results include improved skin texture, tightness, and sensation. Although improvements can be noticeable from the first treatment session, full results can be felt and seen approximately three months after your final treatment. Dr Novikova offers Ultrafemme 360 as one of several treatments for Vaginal rejuvenation. To explore the other alternatives, please click here. Ultrafemme 360 can be administered by a trained therapist through Dr Novikova’s sister practice in Cape Town and Johannesburg, Body and Skin Clinic. For more information and to book an appointment through Body and Skin Clinic.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://body-and-skin-clinic.au2.cliniko.com/bookings#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/IMG_1412-copy.png" alt="incontinence" title_text="incontinence" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Vaginal Rejuvenation with BTL Ultrafemme 360 (or ‘Radiofrequency’) Vaginal rejuvenation can be extremely beneficial for women who have: Vaginal relaxation (loose or too wide vagina) Stress Urinary Incontinence (leaking urine when jumping, sneezing, coughing, running) Dryness of the vagina (or atrophic vaginitis) Frequent Vaginal Infections have excellent results with the treatment [/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/VsXr61GfFV8" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/FEdD3gcHrS4" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### IUD, Coil or Loop [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]contraception[/et_pb_text][et_pb_heading title="IUD, Coil, or Loop" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/IUD-Coil-Loop-Contraception-scaled.jpg" title_text="IUD, Coil, Loop Contraception" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]IUD, Coil, or Loop Over the years IUDs have evolved and improved. Currently, in South Africa, we have the following types of IUDs: – Non-hormonal Copper T and Pearls balls – Hormonal Mirena and Kyleena IUDs[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Hormonal IUDs are the only reliable effective contraceptive without hormones and are suitable for women with light to moderate and not painful periods because it often makes menstrual bleeding heavier and more painful. Copper IUDs have been around for decades and millions of women around the world have enjoyed their effects. Click here for more information on the Copper IUD. Pearls balls have come out recently claiming that insertion is easier and less painful because of its size and it’s better suited as balls placed into the uterus spread according to particular uterine shape. Click here to download more information on Pearl Balls. Pearls balls are about 4 times more expensive than traditional Copper T IUD. The Mirena IUD is hormonal containing progesterone levonorgestrel. If you have heavy painful periods and you are not planning to have a baby any time soon the Mirena IUD (intrauterine device) is an excellent contraceptive option. It’s a small loop inserted into your uterus by a gynaecologist or a skilled GP in the office (or under anaesthesia if you wish so). It will last you for 5 years.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You are likely to stop having periods altogether a few months after having a Mirena IUD inserted. The Mirena IUD contains a small amount of levonorgestrel (progesterone type of hormone). Only a very small amount is absorbed into circulation so systemic side-effects are very uncommon. It is a very safe and effective contraceptive and has the advantages of controlling period pain and decreasing blood loss during periods. Women with endometriosis and fibroids find the Mirena effective in managing their condition. The procedure to insert it is not painful but may be uncomfortable. The main side-effect in about 10% of women is irregular bleeding or spotting. Click here to download more information on the Mirena IUD. The Kyleena IUD is smaller in size than the Mirena and contains a smaller amount of levonorgestrel and claims to have similar side-effects profile to Mirena. Click here to download more information on the Kyleena IUD. The insertion procedure of an IUD is quick. A speculum (just like for a Pap smear) is inserted into the vagina. The Cervix is cleaned with an antiseptic solution. Dr Novikova would usually inject a local anaesthetic into the cervix to make the process less painful. She would then measure the length of the uterine cavity with a special instrument and insert the IUD. Then cut the strings and confirm with an ultrasound the correct location of the device. Pain is usually felt for a few seconds when the IUD passes through the cervix. Women often have mild period-like cramps after the insertion which subside within a few minutes, but sometimes last for a few days. Risks of IUD insertion such as infection, or uterine perforation (making a hole in the uterus during the insertion or placing the device outside the uterus) are extremely rare. She believes it is an excellent contraceptive choice because it is long-term, easily reversible at any time a woman decides to have a baby, reliable, effective with minimal side effects. Dr Novikova is on her second Mirena IUD. IUDs can be easily removed by a doctor in an office. About 10% of women will not like the Mirena or Kyleena because of irregular bleeding or because of other very rare side effects.[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]Click here for more general advice on types of contraception from Dr Novikova[/et_pb_text][et_pb_video src="https://youtu.be/vIxJ7bbZhAM?si=SoeMpBo55vPVtTzL" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_video src="https://youtu.be/G3Os1KPKCIs?si=k9K6Jd7kcjPAs0i3" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section] ### Home [et_pb_section fb_built="1" fullwidth="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_fullwidth_image src="https://drnovikova.co.za/wp-content/uploads/2025/04/Dr-Novikova-Gynaecologist-in-Cape-Town-Johannesburg.png" alt="Dr Novikova Gynaecologist in Cape Town & Johannesburg" title_text="Dr Novikova Gynaecologist in Cape Town & Johannesburg" _builder_version="4.22.1" _module_preset="default" background_enable_image="off" background_blend="overlay" global_colors_info="{}"][/et_pb_fullwidth_image][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row admin_label="Row" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]about[/et_pb_text][et_pb_heading title="Dr. Natalia Novikova" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" admin_label="Row" _builder_version="4.22.1" _module_preset="default" width="73%" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/dr-n-home-page-images_05.jpg" title_text="dr-n--home-page-images_05" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][/et_pb_image][et_pb_button button_url="https://drnovikova.co.za/meet-dr-natalia-novikova/" button_text="READ MORE " button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" custom_padding="||||true|false" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" text_line_height="1.8em" global_colors_info="{%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}"]Dr Natalia Novikova is a highly skilled female Gynaecologist and Endoscopic Surgeon practising in both Cape Town and Johannesburg. Dr Novikova is passionate about the provision of high-level, evidence-based care to women with gynaecological problems. She specialises in pelvic floor surgery, minimally invasive surgery and aesthetic gynaecology. Natalia became a doctor over 20 years ago graduating from the National Medical University in Kiev, Ukraine where she grew up. She holds a PhD from National Medical University for her research on Infection and Preterm Birth and a Masters Degree from the University of Sydney for her research on the mechanism of action of the morning-after-pill. Dr Novikova undertook specialist training in Obstetrics and Gynaecology at the Centre of Excellence in Australia, Royal Prince Alfred Hospital in Sydney. Natalia spent some time during her specialist training in Eastern Cape (Cecilia Makiwane Hospital) and fell in love with South Africa. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" use_background_color_gradient="on" background_color_gradient_stops="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885 0%|#ffffff 100%" custom_margin="||0px||false|false" custom_padding="||2px|||" global_colors_info="{%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color_gradient_stops%22%93,%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93,%22gcid-d29bbfd9-9930-40a6-925f-6111275a62b4%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" background_color="#FFFFFF" custom_padding="||50px||false|false" border_radii="on|20px|20px|20px|20px" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/dr-n-home-page-images_09.jpg" title_text="dr-n--home-page-images_09" _builder_version="4.22.1" _module_preset="default" custom_padding="20px|20px|20px|20px|true|true" border_radii="on|20px|20px|20px|20px" global_colors_info="{}"][/et_pb_image][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/gynae-med.png" title_text="gynae-med" show_bottom_space="off" align="center" _builder_version="4.22.1" _module_preset="default" height="210px" custom_margin="-120px||||false|false" global_colors_info="{}"][/et_pb_image][et_pb_heading title="MEDICAL PROCEDURES" _builder_version="4.22.1" _module_preset="default" title_level="h2" title_font="|600|||||||" title_text_align="center" title_font_size="26px" global_colors_info="{}"][/et_pb_heading][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/medical-gynaecology-and-conditions-treated/" button_text="LEARN MORE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" background_color="#FFFFFF" custom_padding="||50px||false|false" border_radii="on|20px|20px|20px|20px" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/01/dr-n-home-page-images_11.jpg" title_text="dr-n--home-page-images_11" _builder_version="4.22.1" _module_preset="default" custom_padding="20px|20px|20px|20px|true|true" border_radii="on|20px|20px|20px|20px" global_colors_info="{}"][/et_pb_image][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/gynea-aes.png" title_text="gynea-aes" show_bottom_space="off" align="center" _builder_version="4.22.1" _module_preset="default" height="210px" custom_margin="-120px||||false|false" global_colors_info="{}"][/et_pb_image][et_pb_heading title="AESTHETIC PROCEDURES" _builder_version="4.22.1" _module_preset="default" title_level="h2" title_font="|600|||||||" title_text_align="center" title_font_size="26px" global_colors_info="{}"][/et_pb_heading][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][et_pb_button button_url="https://drnovikova.co.za/aesthetic-gynaecology/" button_text="LEARN MORE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-0e9d9f82-358f-45e1-a33a-52437d2be076" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{%22gcid-0e9d9f82-358f-45e1-a33a-52437d2be076%22:%91%22button_bg_color%22%93}"][/et_pb_button][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" background_color="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885" global_colors_info="{%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color%22%93}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" header_text_align="left" global_colors_info="{}"]Connect [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]  @drnatalianovikova  @gynaetaboos  @drnatalianovikova  @gynae_taboos [/et_pb_text][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/goDeST9Mmp4?si=PWX4_B0-oZVVv7AQ" _builder_version="4.22.1" _module_preset="default" width="88%" custom_margin="60px||||false|false" border_radii="on|20px|20px|20px|20px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="Patient Feedback " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_code _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"] Dr Natalia Novikova, Gynaecologist & Endoscopic Surgeon in Cape Town4.1Based on 61 reviewspowered by Googlereview us onDante Duke11:16 28 Feb 25Couldn’t recommend enough! Such a comfortable space, in and out of there with absolutely no complaints. Efficient, informative and the front desk is LOVELY, the best possible people to manage the spaceNatalie Bossenger14:24 19 Feb 25Natalia is the most amazing Dr. So knowledgable and the best bedside manner. I am super thrilled with my results!! Have a 21 year old vagina at 50 😅worth every cent . # vaginal rejuvenation # better orgasmsKarrin11:40 04 Feb 25Dr Novikova is an excellent Gynecologist and a world class surgeon. I was very happy with my surgery and aftercare. I flew in from Palm Beach, USA just to have her do my surgery. I feel great and can highly recommend her to anyone.Shel van der Merwe09:37 10 Dec 24Dr Novikova is the most knowledgeable compassionate, and professional gynaecologist I have ever seen, whether it be in the US, UK, Switzerland, JHB or Cape Town. Most gynaecologists (male or female), know very little about treating women who have survived sexual violence. Even worse, they make it impossible to raise uncomfortable issues of any origin, by being patronizing and in my experience, even misogynistic. I highly recommend Dr Novikova to women of any age.Chandra B07:49 07 Oct 24Dr Novikova is amazing!! Honest, kind, knowledgeable and quite frankly, the best gynecologists that I have ever been to!Leighviii12:01 11 Sep 24So far I’ve had nothing but great experiences at Dr Novikovas practice, she is great at explaining and understanding any concerns you may have and I’ve always left feeling happy and comfortable. All the staff members are also great, Thanks so much again Dr [/et_pb_code][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_5,1_5,1_5,1_5,1_5" use_custom_gutter="on" gutter_width="4" _builder_version="4.22.1" _module_preset="default" width="75%" width_tablet="75%" width_phone="40%" width_last_edited="on|phone" custom_padding="25px||25px||true|false" global_colors_info="{}"][et_pb_column type="1_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/07/DRN-Web-Debug-Icons-05-1.png" title_text="DRN Web Debug Icons-05" align="center" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/07/DRN-Web-Debug-Icons-01-1-scaled.png" alt="IUGA" title_text="DRN Web Debug Icons-01" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="55px||||false|false" custom_margin_tablet="55px||||false|false" custom_margin_phone="45px||||false|false" custom_margin_last_edited="on|phone" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/07/DRN-Web-Debug-Icons-02-1-scaled.png" title_text="DRN Web Debug Icons-02" _builder_version="4.22.1" _module_preset="default" width="100%" module_alignment="center" min_height="16.4px" custom_margin="45px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/07/DRN-Web-Debug-Icons-03-1-scaled.png" title_text="DRN Web Debug Icons-03" _builder_version="4.22.1" _module_preset="default" custom_margin="45px||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/07/DRN-Web-Debug-Icons-04-1.png" alt="european society of aesthetic gynecology" title_text="DRN Web Debug Icons-04" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section] ### Genital Bleaching [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Genital Skin Lightening" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is genital skin lightening or bleaching or depigmentation treatment? It is a procedure that aims to lighten darkened skin in the genital area – labia majora, internal thighs, perianal area. Who requests genital bleaching? Women develop darkened skin during pregnancies and as they age. Some women do not like the appearance and request procedures to lighten the skin. It is purely a cosmetic procedure to improve appearance. For more information go to the Body and Skin website and book an appointment for the procedure.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Genital-Skin-Lightening-600x429-1.jpg" title_text="Genital-Skin-Lightening-600x429" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_section] ### Vaginal Rejuvenation [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Vaginal Rejuvenation" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _dynamic_attributes="link_option_url" _module_preset="default" text_font="|300|||||||" header_2_font_size="25px" link_option_url="@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjQwNDUyIn19@" global_colors_info="{}"]What is Vaginal Rejuvenation? Vaginal rejuvenation is a concept of making vaginal tissue younger and healthier. Various treatments are being advertised as vaginal rejuvenation. We have new modalities entering the field of vaginal rejuvenation, and even in Dr Novikova’s practice, new treatments have been introduced over the past few years. Dr Novikova offers four treatments for vaginal or pelvic tightening or rejuvenation: BTL Ultrafemme 360 – a ‘radiofrequency’ treatment that a trained therapist can administer Femilift – a ‘CO2 laser’ treatment, is carried out by Dr Novikova in Cape Town only Emsella Chair – a 30-minute session sitting fully clothed on a chair that exercises the pelvic floor muscles Vaginoplasty – a surgical procedure for more serious conditions [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="http://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/abnormal-uterine-bleeding.jpg" title_text="abnormal-uterine-bleeding" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_2_font_size="25px" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="21px" header_4_line_height="1.3em" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|phone" header_4_font_tablet="|700|||||||" header_4_font_phone="|700|||||||" header_4_font_last_edited="on|phone" header_4_font_size_tablet="21px" header_4_font_size_phone="18px" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}"]Who should consider having vaginal rejuvenation? Women who have: vaginal relaxation (loose or too wide vagina) stress urinary incontinence (leaking urine when jumping, sneezing, coughing, running) dryness of the vagina (or atrophic vaginitis) frequent vaginal infections have excellent results with the treatment The field of vaginal rejuvenation is old and new at the same time. Women knew about the tightening qualities of hot stones inserted into the vagina from ancient times. It is not the treatment that women should be trying nowadays as the results are unlikely to be consistent, and the risks of harmful side effects are significant. New technologies such as laser, radiofrequency and various serums and medications are all advertised widely but have not been studied sufficiently. Good quality research takes years of planning and significant funding. The gold standard studies are randomised, controlled and double-blinded trials where the risk of bias is minimal. There are no randomised, controlled trials that have been conducted on the various modalities of vaginal tightening. What Dr Novikova offers to her patients is based on her patients’ needs and her expert opinion. Both Ultrafemme 360 and Emsella Chair are available through Dr Novikova’s sister practice, Body and Skin Clinic. Vaginoplasty and Femilift Laser are carried out by Dr Novikova. Please book a consultation with Dr Novikova for an assessment of your needs, or read the pages for the treatments above for further information.  [/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Labiaplasty [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]AESTHETIC GYNAE[/et_pb_text][et_pb_heading title="Labiaplasty" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" custom_margin="-60px||-60px||false|false" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"] What is Labiaplasty? Labiaplasty is a surgical procedure for the correction of labia minora (small lips on the side of the genital area) or labia majora (large lips that usually cover small lips). Dr. Novikova has extensive experience of performing Labiaplasty procedures in Cape Town and Johannesburg. Why have labiaplasty? Some women simply do not like the look of their labia minora because they are too long or asymmetrical (one longer or bigger than the other one). The lips can be uncomfortable during exercise or sexual intercourse The lips can (rarely) be a cause of frequent infections, itchiness, and discharge [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Labiaplasty.jpg" title_text="Labiaplasty" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Consultation with a doctor for labiaplasty Girls younger than 18 will be requested to see a psychologist before they can undergo the procedure. In some cases, Dr Novikova may request a psychological evaluation for women older than 18 to ensure that the procedure is performed for the right reasons, that expectations are met, and that sound psychological support is provided.[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/TIR0G9lhHG4?feature=shared" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/mLK3nGxQD2Y?feature=shared" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/3AH-MNuBb-Q?feature=shared" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="How painful is labiaplasty?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]The only pain during labiaplasty is the injection of local anaesthetic, which may burn for a few seconds. The anaesthetic starts working almost immediately and lasts for about 2 hours. After surgery, the doctor will inject another local anaesthetic, which will keep the pain away for about 8 hours. You will be given anti-inflammatories and painkillers to take home if any pain continues.[/et_pb_accordion_item][et_pb_accordion_item title="Labiaplasty side effects" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The only labiaplasty side effects are some swelling and bruising for the first week or two. You may also see some fluid around the wound. You will be given directions on how to apply an ice pack in the first few days. The stitches take about 3-6 weeks to dissolve. You should avoid strenuous exercise for 4 weeks and intercourse for 6 weeks..[/et_pb_accordion_item][et_pb_accordion_item title="Does labiaplasty make you tighter?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Labiaplasty is a procedure to alter the size of the labia outside the vagina; it is not meant to make the vagina tighter. However, some types of labiaplasty might add a tightness feeling. Procedures for aiming at vaginal tightening or vaginal rejuvenation treatments are offered in Cape Town and Johannesburg, including the Emsella Pelvic Strengthening Chair, Ultrafemme 360 Rejuvenation, Femilift Laser Tightening and Vaginoplasty.[/et_pb_accordion_item][et_pb_accordion_item title="How much does Labiaplasty cost in South Africa?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You can have labiaplasty in Cape Town or Johannesburg, South Africa, for a fraction of the cost in most countries. Dr Novikova is an internationally trained specialist in aesthetic gynaecology who has performed hundreds of labiaplasties. Please see here for labiaplasty costs.[/et_pb_accordion_item][et_pb_accordion_item title="What are the risks of labiaplasty?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Labiaplasty is a surgical procedure that is associated with risks. The immediate risks are infection, bleeding, bruising, and swelling. Dr Novikova takes several measures to prevent these risks and advises on post-operative care for patients. Rare long-term risks of reduced sensitivity during sexual intercourse and painful intercourse have been described. Such risks are remote in the hands of experienced surgeons. Asymmetry, dissatisfaction with the final result, and change in the direction of the urine stream are also possible, rarely.[/et_pb_accordion_item][et_pb_accordion_item title="Is Labiaplasty a good idea?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Labia are very different shapes and sizes between women. All labia are normal, just as all breast shapes and sizes, noses, eyes, etc., are normal and make us look special and different. Look at labialibrary.org.au, and you will see a very wide range of normal labia. If you are unhappy with the shape of your labia or they are uncomfortable, you should see a gynaecologist who is an expert in this area.[/et_pb_accordion_item][et_pb_accordion_item title="Labiaplasty for the inner lips" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]This procedure focuses on reducing the size or shape of the inner lips (labia minora), as well as the removal of dark skin tone tissues. These are the cause of discomfort for many women for reasons related to physical sensation in the area, psychological reasons such as lack of self-confidence, or sexual performance if a woman dislikes the appearance of her vaginal lips.[/et_pb_accordion_item][et_pb_accordion_item title="Labiaplasty for outer lips" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]This procedure aims to reduce the size and look of the exterior vaginal lips by removing the excess fat and tightening or lifting relaxed skin there.[/et_pb_accordion_item][et_pb_accordion_item title="What are the different ways of performing Labiaplasty?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova performs labiaplasty procedures under local anaesthesia in the procedure room in Cape Town or Johannesburg. You will be instructed to apply a special anaesthetic cream to numb the skin over the area and take a tablet to relax before the procedure. She will then inject a local anaesthetic into the area to remove any discomfort during the procedure. Labiaplasty can be done in many different ways. Common procedures are trim or curvilinear technique (or trim technique or “Barbie” labiaplasty), V-labiaplasty or central wedge resection, and de-epithelization techniques. Trim or curvilinear labiaplasty removes the edges of the labia minora, reducing its size. Because the end of the labia minora is excised, the area loses its natural look. Women who choose the trim technique usually desire to have the darkened skin of the labia minora removed. With this technique, the lips will look pink. V-wedge labiaplasty is done when the V-shape area is cut off in the middle of the lips and reshaped with sutures. Although the edges have a natural look, as they are not cut off, there will be a tiny scar in the middle of the area, which is not visible once you heal. It’s common for the clitoris to look bigger once the lips are reduced in size because of its proportional size. In such cases (which is 90% of labiaplasties in this practice), Dr Novikova will perform the clitoral hood reduction at the time of labiaplasty. At times, women choose to remove excess skin of the labia major (or outer lips) or have fat-filling or hyaluronic acid fillers injected into the outer lips to improve the look. All of these procedures can be performed at the time of the labiaplasty. Dr Novikova performs labiaplasty using a diathermy or laser beam. She uses dissolvable sutures hidden under the skin during the procedure and chooses the technique based on the patient’s preference and final look. Your anatomy and expectations are discussed in detail, and you will study before-and-after photos of Dr Novikova’s cases to decide on your preferred technique.[/et_pb_accordion_item][et_pb_accordion_item title="What happens before labiaplasty surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova will send you a prescription to collect from your usual pharmacy. You should bring all the medications to the hospital with you. Check in with the receptionist, who will show you to your bed. You can have a friend or relative accompany you. You will meet one of the nurses, who will show you around the ward. You may not see Dr Novikova immediately, as she will be operating. Directions will be communicated to the nursing staff as to when you need to take your oral pre-med and apply the anaesthetic cream.[/et_pb_accordion_item][et_pb_accordion_item title="What happens during the labiaplasty surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Your operation will take place in an operating theatre. You will lie on an operating bed with your knees in stirrups and will be made comfy and warm by the theatre nurses. Dr Novikova will inject a local anaesthetic so that you do not feel discomfort whilst she performs the surgery. You may experience a burning sensation during the injection. At the end of the surgery an ice pack will be applied to the area of surgery to help minimise swelling, and you will be taken back to the ward in your bed. You will be required to leave the ice pack in place whilst in hospital – it will be beneficial to your recovery and healing process if you apply an ice pack overnight whilst at home for the first night.[/et_pb_accordion_item][et_pb_accordion_item title="What happens after the labiaplasty surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]You will have a short stay in the clinic until you feel up to going home, you can expect to feel sleepy, and you will rest in bed until the pre-med has worn off. You are unlikely to feel any pain at this stage as local anaesthetic injected into the area of surgery only wears off in about 8 hours or longer. It’s normal to have a small amount of bleeding for a few days. Use your ice pack to help with swelling. We advise you to use a thin pad on your underwear. Apply an ice pack and another underwear so the ice pack sits in between. Ice packs are very helpful in the first 48 hours after the surgery. We advise using them at all times. They decrease/prevent swelling, bruising, and bleeding and help with pain. Please note the area of the procedure will look swollen and bruised, you may see some fluid in the wound area. It is normal and part of healing. Your final cosmetic result is in 3 months following surgery. Wear loose-fitting clothes and cotton underwear. You will need to keep the area clean. If passing urine stings, you can pour clean water over your vagina whilst urinating. Do not rub the delicate healing tissue, do not stretch it. It is important to keep the area clean and dry. Do not apply any creams, soaps or detergents. In the first week after surgery, you may use salt water (put a spoon of salt into a sports bottle) or Normal Saline solution to wash the genital area after you pass urine or have bowel motion. It is important that you don’t become constipated, especially as you won’t be as active as usual and take pain medications. You can take recommended over-the-counter medication if required. It is normal to have bruising, swelling and minor oozing from the wounds in the first week or two. If you have any concerns or questions, please contact Dr Novikova. The sutures used are dissolvable and should take 6 weeks to dissolve. You should avoid strenuous exercise for 4 weeks and sexual intercourse for 6 weeks. Dr Novikova usually sees her patients postoperatively two weeks and six weeks after your operation for a check-up. How long does the labiaplasty procedure take, and when can I go home? The procedure takes one to two hours, and once the anaesthetic wears off, usually one hour after the operation, you can go home.[/et_pb_accordion_item][et_pb_accordion_item title="What is Dr Novikova’s experience in performing labiaplasty?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova has performed many labiaplasties and is skilled in various techniques of the labiaplasty procedure. She has participated in workshops and meetings on aesthetic gynaecology and is certified by the European Society of Aesthetic Gynaecology. She is a pelvic surgeon and endoscopic (minimally invasive) surgeon with many years of experience in the field. Each labiaplasty is different, as no one has the same anatomy, and she adjusts her technique based on the patient’s desires, concerns and anatomy. She will share before and after photographs during the consultation. Dr Novikova’s team, which includes a practice nurse, scrub nurse and herself, are always available to answer your questions and provide pre-procedure and post-procedure support to make the recovery as easy as possible.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41209" saved_tabs="all" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Pelvic Pain [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]GYNAECOLOGICAL ILLNESSES[/et_pb_text][et_pb_heading title="Pelvic Pain " admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is Pelvic Pain? Pelvic pain occurs in the lower abdominal area. It may intensify after standing for long periods and become so severe that you are unable to carry on with routine activities. The pain can be due to many different medical conditions such as endometriosis, an infection, prolapse, fibroids, tumours, cysts on ovaries, pelvic inflammatory disease, irritable bowel syndrome, other problems with bowel, bladder, nerves and diseases of the urinary tract as well as hernias, slipped discs, drug abuse, fibromyalgia. The most common causes of this pain are endometriosis and irritable bowel syndrome.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/Iy3ookDEO8M" _builder_version="4.22.1" _module_preset="default" width="100%" max_width="100%" module_alignment="center" hover_enabled="0" border_radii="on|30px|30px|30px|30px" global_colors_info="{}" sticky_enabled="0"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What are the symptoms of Pelvic Pain and how is the diagnosis performed?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Symptoms of pelvic pain can occur along with other symptoms, depending on the exact cause. Associated symptoms can include lower back pain, vaginal or urethral bleeding or discharge, fever, and pain during sex. Finding the cause of this pain involves a process of elimination, the ease of which depends on what the cause is. Some causes of pelvic pain are quite evident and easy to diagnose. For example, if a woman has an ovarian cyst, ovarian tumour, ectopic pregnancy, fibroid or endometriosis, we can usually make the diagnosis quite easily. However, if a clinical examination and/or a pelvic ultrasound do not elicit any abnormalities that cause pelvic pain, then it could be quite difficult to find. Pelvic pain can be acute or chronic. It is acute when the pain is occurring for the first time which could be due to an injury, illness, or infection. Chronic pelvic pain means that the pain has been a problem for a long time and is often associated with a chronic disorder or underlying condition, it lasts longer than a few months and is more intense than ordinary period pain. It affects around one in six women. The most common causes of acute pain are an ovarian cyst, appendicitis, peritonitis, acute pelvic inflammatory disease, a urinary tract infection and constipation. The most common causes of chronic pain are endometriosis, chronic pelvic inflammatory disease and irritable bowel syndrome.[/et_pb_accordion_item][et_pb_accordion_item title="How is Pelvic Pain treated?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Depending on the diagnosis, your gynaecologist may prescribe medication, therapy or surgery. Dr Novikova is highly experienced in treating all conditions associated with pelvic pain and specialises in minimally invasive laparoscopic or keyhole surgery. Read more about laparoscopy here. This surgery investigates the pain to possibly diagnose or exclude endometriosis or to look for any other causes. Laparoscopic surgery is a keyhole surgery as the cut is made in the belly button, which is one centimetre long and half a centimetre in the lower abdomen. We insert a telescope inside of the tummy and blow out the tummy with CO2 gas which helps us visualise the pelvis and abdomen and all the organs quite clearly. The telescope enlarges things so we can see even the smallest lesions quite well. Another type of surgery that can treat this type of pain is a laparotomy which involves a bigger cut on the tummy. It is usually done for big pelvic tumours that cannot be removed through laparoscopic surgery.[/et_pb_accordion_item][et_pb_accordion_item title="What else do you need to know about Pelvic Pain?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Over time, especially after childbirth, vaginal tissue can overstretch, creating a feeling of looseness (laxity) and lowered sensation. Decreased satisfaction during sexual intercourse can impact the quality of life of people suffering from this condition. The vaginal laser rejuvenation tones the vaginal walls, enhances sensitivity and contracts tissue, increasing tightness and improving sexual satisfaction.[/et_pb_accordion_item][et_pb_accordion_item title="Learn more about Pelvic Pain" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Pre-existing conditions that would exclude someone from having laparoscopic surgery would be severe lung disease which makes administering anaesthesia quite difficult. Having had multiple operations in the past will also exclude you from laparoscopic surgery because previous surgeries could prevent the entry of the telescope into the abdominal area. Other exclusionary conditions are big tumours and tumours suspected to be cancerous that cannot be treated with laparoscopy. Pre-surgery preparation would include not eating or drinking for six hours before the operation. We would also recommend bowel preparation in some cases, but that would be discussed on a case-by-case basis. The surgery itself is performed under general anaesthesia. The patient is usually admitted to the hospital in the morning, assessed by an anaesthetist before the procedure, and then taken into the operating room. In 99% of cases, we use general anaesthesia for laparoscopy. It is not painful because the patient is asleep and doesn’t feel anything. The patient will also have very little memory of the procedure afterwards. The length of the surgery is dependent on the pathology, but it can usually be predicted using my clinical assessment and imaging before the operation.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][et_pb_text admin_label="Text" module_class="service-content" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="21px" header_4_line_height="1.3em" background_color="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885" width="100%" custom_padding="30px|40px|30px|40px|true|true" custom_padding_tablet="30px|40px|30px|40px|true|true" custom_padding_phone="20px|30px|20px|30px|true|true" custom_padding_last_edited="on|desktop" text_font_size_tablet="18px" text_font_size_phone="16px" text_font_size_last_edited="on|desktop" border_radii="on|10px|10px|10px|10px" border_width_all="4px" border_color_all="gcid-d29bbfd9-9930-40a6-925f-6111275a62b4" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22,%22text_text_color%22%93,%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22background_color%22%93,%22gcid-d29bbfd9-9930-40a6-925f-6111275a62b4%22:%91%22border_color_all%22%93}"]Read more on chronic Pelvic Pain here…[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" disabled_on="on|on|on" _builder_version="4.22.1" _module_preset="default" background_color="RGBA(255,255,255,0)" use_background_color_gradient="on" background_color_gradient_stops="rgba(16,139,150,0.95) 0%|gcid-23fa7e97-48d1-4060-b19b-ed204620eb39 16%" background_color_gradient_overlays_image="on" transform_translate_linked="off" custom_margin="||||false|false" custom_padding="251px||251px||false|false" disabled="on" global_module="374" saved_tabs="all" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color_gradient_stops%22%93}"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]At times a doctor would recommend performing hysterectomy – removing the uterus (together with fibroids). I recommend hysterectomy for women who suffer from fibroids if they completed the family and do not desire to fall pregnant again. The advantage of doing hysterectomy versus myomectomy is fibroids won’t return, later on, the procedure is associated with less blood loss during surgery and periods will not return. A hysterectomy will also take away the potential risk of uterine or cervical abnormalities or cancer later in life. I usually keep the ovaries and remove only the uterus to avoid surgical menopause. So women still have normal hormone levels. Myomectomy has low complication rates. The risks of the procedure are excessive bleeding during the operation and needing a blood transfusion. I do take precautionary steps during surgery to avoid such bleeding (I inject medication around fibroids to cause blood vessels to clamp down and use a special wire around the uterus to stop the blood supply to the fibroids during the procedure) scar tissue – bands of scar tissue may develop after the surgery between the uterus and bowel. I use special powder or special material at the end of surgery to prevent adhesions pregnancy and childbirth complications – myomectomy can increase certain risks during pregnancy. If the cut through the uterus to remove fibroids reaches the uterine cavity or goes deeper you will be advised to have a cesarean section to deliver your baby very rarely the bleeding during myomectomy is so heavy and impossible to control and the surgeon has to remove the uterus to control it (perform hysterectomy) Although fibroids are rarely cancerous (chances are 1 in 400) it is possible to mistake cancerous tumours for fibroid and spread the cancerous cells inside the tummy when removing fibroid. The risk of it increases in women in menopause and fast-growing fibroids The preparations for surgery are similar to other proceduresPlease read our document preparing for surgery.Please read about laparoscopy here and hysteroscopy here.[/et_pb_text][et_pb_video src="https://youtu.be/RsLCFE7koIo?si=283-Cf7bFJ7b_7Bn" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]You should not eat or drink for 6 hours before the procedure. You will be given antibiotics to prevent infection in the theatre. The procedure is performed under general anaesthesia. You may be given medication to prevent clots in your legs and lungs after the surgery. After a hysteroscopy, you will go home the same day. After laparoscopy, you will stay overnight and after laparotomy (open surgery) you will be staying in the hospital for 2 nights. You will have pain medications and compressions stocking on your legs while you are in the hospital. You can eat your normal diet after the surgery. Some people have nausea and vomiting after anaesthesia and in such cases, we treat with medications. You will be looked after by a highly skilled and caring team of health workers who strive to provide the best care to their patients.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][/et_pb_section] ### Ovarian Cysts [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Gynaecological Illnesses[/et_pb_text][et_pb_heading title="Ovarian Cysts Treatment" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What are Ovarian Cysts? Ovarian cysts are solid or fluid-filled pockets (cysts) within or on the surface of the ovaries. Ovarian cysts are common, especially during reproductive ages. They are usually non-cancerous, diagnosed with examination and ultrasound, and most of them disappear without any treatment, whilst others need surgery. Most women will experience a cyst on their ovaries at least once in their lifetime. They generally cause no pain or symptoms and are discovered during a pelvic exam. As the cyst grows, women may experience pain, nausea, bloating, painful bowel movements or pain during sex. They are usually non-cancerous but can sometimes cause serious problems, so it’s best to have them checked by a doctor. Some of them disappear without any treatment, and others need surgery.[/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Types of Ovarian Cysts Follicle cyst – If the follicle doesn’t break open, the fluid inside the follicle can form a cyst on the ovary. Dermoid cysts – sac-like growths on the ovaries that can contain hair, fat, and other tissue. Cystadenomas – non-cancerous growths that can develop on the outer surface of the ovaries. Endometriomas (chocolate cysts) – tissues that normally grow inside the uterus can develop outside the uterus and attach to the ovaries, resulting in a cyst. [/et_pb_text][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What is the Treatment for Ovarian Cysts? If we observe the cyst and it is small and simple, there will be no further management, meaning that only the sack will build up fluid and it is less than five centimetres. We would consider it to be a physiological or follicular cyst that develops as part of the normal function of the ovaries. This is usually between five and seven centimetres and we will usually recheck with a pelvic ultrasound in about three months. We would recommend surgery for a large cyst. Surgical treatment would also be recommended for smaller cysts that are not simple. For example, endometriomas or dermoid cysts will be treated surgically. Surgery may be recommended if you have a large cyst, cysts in both ovaries or other characteristics that may suggest ovarian cancer. Ovarian cancer can occur in women of all ages, but the incidence increases after menopause.[/et_pb_text][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Ovarian-Cysts.jpg" alt="ovarian cysts treatment" title_text="Ovarian-Cysts" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/tmEZiuKzgTI" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="When do you need to have surgery for Ovarian Cysts?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Surgery is used to confirm the diagnosis of an ovarian cyst, remove a cyst that is causing symptoms, and rule out ovarian cancer. Surgery for an ovarian cyst or growth may be advised in the following situations: Ovarian growths (masses) are present in both ovaries. An ovarian cyst is larger than 7 cm. An ovarian cyst that is being watched does not get smaller or go away in 3 months. An ultrasound exam suggests that a cyst is not a simple, functional cyst. You have ovarian growth, and you: Have never had a menstrual period (for example, a young girl). Have been through menopause Use birth control pills (unless you are using low-dose progestin-only pills or have missed a pill, which would make an ovulation-related functional cyst more likely). Your doctor is concerned that ovarian cancer may be present. In this case, it is also advised that you see a gynecologic oncologist. [/et_pb_accordion_item][et_pb_accordion_item title="What to expect from surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The type of surgery would depend on the size and type of the cyst, but it would either be a laparotomy, also known as open surgery, or a laparoscopy, also known as keyhole surgery. The size and type of the cyst and the patient’s previous surgical history will determine the type of incision. Either type of surgery can be used to diagnose problems such as ovarian cysts, adhesions, fibroids, and pelvic infections. The decision on the type of procedure to be performed is based on the type of pathology, the risk of the pathology being cancerous, and the size of the lump. But if there is any concern about cancer or you have a very large cyst, you may have a laparotomy. At times, the decision is made to perform the surgery through a bigger cut because of the risk of spillage of the cyst’s content into the abdominal cavity. During surgery, a noncancerous cyst that is causing symptoms can be removed (cystectomy), leaving the ovary intact. In some cases, the entire ovary or both ovaries are removed, particularly when cancer is found or when women are in menopause. Laparoscopy is a surgical technique in which a lighted viewing instrument (laparoscope) is inserted into the lower abdomen through a small incision, usually made through the belly button. The abdomen is inflated with CO2 gas, which pushes the wall of the abdomen away from the organs so the doctor can see them more clearly. Laparoscopy, in comparison to laparotomy or open surgery, leaves smaller scars, is often less risky, and usually requires a shorter recovery period. During surgery, a noncancerous cyst that is causing symptoms can be removed (cystectomy), leaving the ovary intact. In some cases, the entire ovary or both ovaries are removed, particularly when cancer is found. In some cases, in menopausal women removing ovaries is the safest.[/et_pb_accordion_item][et_pb_accordion_item title="What to expect after surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]General anaesthesia is usually used during surgery. After a laparoscopy, you will be in the hospital for a day or possibly overnight. You can resume normal activities within a day. But you should avoid strenuous activity or exercise for about one to two weeks.[/et_pb_accordion_item][et_pb_accordion_item title="How much risk is involved in Ovarian Cyst Treatment?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]An ovarian cyst can be removed from an ovary (cystectomy), preserving the ovary and your fertility. However, it is possible for a new cyst to form on the same or opposite ovary after a cystectomy. New cysts can only be completely prevented by removing the ovaries (oophorectomy). Risks of ovarian surgery include the following: Ovarian cysts may come back after a cystectomy. Pain may not be controlled. Scar tissue (adhesions) may form at the surgical site, on the ovaries or fallopian tubes, or in the pelvis. Infection may develop. Bleeding can complicate surgery. The bowel or bladder may be damaged during surgery. Overall, it is a low-risk surgery in most cases.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Menopause Treatment [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" hover_enabled="0" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}" sticky_enabled="0"] FEMININE WELLNESS [/et_pb_text][et_pb_heading title="Menopause Treatment" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is Menopause? Menopause, also known as the climacteric, is a time in women’s lives when their menstrual periods stop permanently. The average age of menopause is 51, and it varies between 45 and 58. Transition to menopause can take anything from 1-2 to 5-7 years. During the early transition to menopause, the levels of oestrogen and progesterone often rise, which causes breast tenderness, bloating, fluid retention, mood swings and sleep problems.[/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" saved_tabs="all" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_video src="https://youtu.be/mlC2EBimyAc?si=h-fg7wM_H6BjRuLD" _builder_version="4.22.1" _module_preset="default" width="80%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" header_4_font_size="22px" global_colors_info="{}"]FAQs[/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Symptoms of Menopause" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Symptoms can include hot flushes, mood changes, difficulties sleeping, vaginal dryness, painful sexual intercourse and osteoporosis. Some women notice changes in their hair and skin as they get to menopause. A new term ‘genitourinary syndrome of menopause (GSM) describes well the various symptoms of menopause-related to the genital area  (vaginal dryness, burning, and irritation), and sexual symptoms (lack of lubrication, discomfort or pain, and sexual dysfunction, and bladder symptoms (urgency, dysuria, and recurrent bladder infections). The previously used term of vaginal atrophy and atrophic vaginitis did not describe all symptoms and did not imply that the symptoms are caused by a decreased estrogen level in menopause. Although irregular bleeding can be one of the “normal” signs of transition to menopause, it is necessary to contact your gynaecologist if you bleed more often than every 21 days, if your bleeding is very heavy, if your bleeding lasts for more than 8 days, or  if your bleeding occurs after 6 months without any bleeding. Such types of bleeding will require full doctors examination, gynaecological examination and pelvic ultrasound to exclude sinister causes of bleeding.[/et_pb_accordion_item][et_pb_accordion_item title="Treatments for the symptoms of menopause" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova is a highly experienced gynaecologist who can provide you with various Menopause Treatment options to combat specific symptoms or to advise on how to improve the overall quality of life when experiencing menopause. There are a number of interventions available to prevent and treat menopausal symptoms. Menopause treatment may simply consist of adopting a healthy lifestyle through the reduction of stress factors, the practice of mindfulness, avoiding smoking and limiting alcohol (particularly avoiding red wine) and physical exercise. These are very important and work well in preventing and diminishing menopausal symptoms. Aside from menopause treatment, it is important to have regular general check-ups including blood sugar, blood pressure, cholesterol, mammogram, bone density, cervical (Pap) smear. The doctor will also be able to make sure that the symptoms you are experiencing are related to menopause and not caused by any sinister illnesses. Dietary changes suggested for reduction of menopausal symptoms include avoidance of processed food, refined sugars, red meat, increasing fibre, complex carbohydrates, vegetables. Supplementation with essential fatty acids, vitamin E and selenium for hot flushes, vitamin C for hot flushes, calcium, vitamin D, magnesium for bone health, vitamin B for dry skin and hair. Hot flushes are usually caused by fluctuation of oestrogen levels. Some women experience no hot flushes at all, others may have a few, and some women experience hot flushes even through to their 80s or 90s. Hot flushes are only treated if they interfere with the quality of life and daily activities. The best treatment of hot flushes is the supplementation of oestrogen in the form of HRT (hormone replacement therapy). If you still have your uterus, oestrogen and progesterone will be prescribed together. If you don’t have a uterus, you can take oestrogen alone. Hormone therapy isn’t for everyone. Don’t take it if you’ve ever had breast cancer, uterine or “endometrial” cancer, blood clots, liver disease, or a stroke. There are other ways of treating hot flushes for women who cannot take hormonal treatment, but unfortunately, they are not as effective as oestrogen supplementation. Other ways of treating hot flushes include antidepressant medication or medication usually used to treat high blood pressure. Dietary changes may be helpful for some women. Mood changes and sleep disturbances are also caused by changes in levels of hormones and the above-mentioned treatment for hot flushes will also work for mood swings. Osteoporosis or thinning of bones is related to low oestrogen levels and the rate increases once women get to menopause. Taking calcium and doing weight-bearing exercises prevents osteoporosis. Vaginal dryness, pain during sexual intercourse and frequent urinary and vaginal infection due to thinning of vaginal skin are all caused by low oestrogen levels. The treatment is the use of lubrication during intercourse, use of oestrogen cream vaginally.[/et_pb_accordion_item][et_pb_accordion_item title="What is Vaginal Dryness?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Vaginal dryness is related to vaginal atrophy or thinning of vaginal skin due to low oestrogen levels. Although this condition is very common in menopausal women younger women also suffer from it occasionally. Low oestrogen levels can be related to the use of the contraceptive pill, heavy exercise, weight loss, chronic illnesses, ovarian failure of unknown cause and of course ageing. At times vaginal atrophy becomes so severe that women end up developing vaginismus, a condition where vaginal muscles contract at the fear of vaginal penetration. Vaginal atrophy leads to frequent vaginal infections and bladder infections.[/et_pb_accordion_item][et_pb_accordion_item title="Treatments of Vaginal Dryness" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The standard treatment for vaginal atrophy is vaginal oestrogen preparations – creams, tablets, vaginal moisturizers. About twenty per cent of women fail to respond to vaginal oestrogen. Some women have unpleasant side effects from vaginal oestrogen preparations. Although very little oestrogen is absorbed vaginally and is mostly safe to use, some women prefer to avoid hormonal preparations. A new, very effective treatment for vaginal dryness is now available. Dr Novikova offers vaginal laser and vaginal radiofrequency treatment for vaginal dryness, painful intercourse and frequent infections. You can find the details of Femilift vaginal laser treatment on Dr Novikova’s website.  Other options for vaginal dryness are following –   Vaginal laser Femilift –   Radiofrequency UltraFemma 360 –   Genital treatment –   AQ serum –   Vsculpt All of the treatments have similar effects. They have not been compared to be able to advise which one is beneficial. The choice could be based on the patient’s preference. Vaginal Laser Femilift is more invasive, women who normally have spotting for a few days following treatment are advised to stay away from sexual intercourse for 3 days. The treatment is performed every 4-6 weeks and 3 sessions are recommended. The session can last around 15 minutes. Radiofrequency UltraFemma 360 vaginal treatment has no downtime. It takes about 8 minutes. Three treatments every 1-2 weeks are recommended. Genital treatment involves taking blood, spinning it to separate growth factors and injection into the vaginal wall and clitoris. There is no downtime. The effect lasts for 8-12 months. AQ serum contains growth factors produced in the lab. It is used in home environments for 45 days. It can be repeated when needed. Vsculpt is also a home used device, the treatment is about 10 minutes every 2nd for 45 days. Once Dr Novikova assesses you. She will be able to give you advice on the treatment most beneficial to you. She has excellent results with all the above treatments. At times she has to try a few before she achieves the desired result.[/et_pb_accordion_item][et_pb_accordion_item title="Bioidentical Vs Hormonal Treatment of Menopausal Symptoms" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Dr Novikova will discuss your symptoms, medical history, previous treatments and address your expectations from treatment when choosing menopausal hormonal treatment to suit your needs. Bioidentical Hormones are made from plant estrogens such as an extract from soy and yams. They are body identical as they resemble hormones produced by the body. Traditional menopausal hormonal treatment preparations are produced from the urine of pregnant horses and other synthetic hormones. Bioidentical hormones are not approved by FDA, not tested, not regulated, not monitored, may have inaccurate dosage and have insufficient scientific evidence to support their safety or efficacy. Traditional Hormones are approved by FDA, tested, monitored, have accurate dosage and have sufficient scientific evidence to support their usage.[/et_pb_accordion_item][et_pb_accordion_item title="What is the safest and the most effective hormone treatment for menopausal symptoms?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The transdermal route of delivery of medication is the safest as it avoids liver metabolism. Hence, either transdermal patches or cream. Progesterone does not absorb in cream form and it’s prescribed either in tablet, vaginal suppository or intrauterine device (Kyleena IUD) form. Women who still have uterus combinations of oestrogen and progesterone are indicated, for example, a patch containing both of these, or oestrogen gel in combination with progesterone tablet, suppository or intrauterine device. Women who have undergone a hysterectomy in the past can use oestrogen in patch or gel form without progesterone. Testosterone is often supplemented to improve energy levels and libido in women with testosterone deficiency. Testosterone is used in cream or implant form and levels are checked regularly in blood to monitor the correct dosage.[/et_pb_accordion_item][et_pb_accordion_item title="What are the alternatives to non-hormonal treatment of menopausal symptoms?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Several medications have been studied and have shown to have modest effects on improvement in hot flushes and mood swings. Blood pressure tablets, SSRI antidepressants are prescribed, but unfortunately are not as effective as hormonal treatment.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" saved_tabs="all" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Laparoscopy or Keyhole Surgery [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Surgical Procedures[/et_pb_text][et_pb_heading title="Laparoscopy or Keyhole Surgery" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Laparoscopy Diagnostic laparoscopy is an operation to see inside the abdomen (tummy) without making large incisions on the skin. It is also known as keyhole surgery. A small tube called a laparoscope is inserted into the abdomen usually through the belly button. If you have had surgeries before the doctor may decide to insert the tube higher up in your tummy under the left ribs. The tube has a light and a camera showing images of inside the abdomen. [/et_pb_text][et_pb_video src="https://youtu.be/A9uBZ9sxkGc?si=c48BPxEhmi3An5jf" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/PNG-image-e1632915401314-600x432-1.png" alt="laparoscopy" title_text="PNG-image-e1632915401314-600x432" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What are the reasons to perform laparoscopy? Diagnostic laparoscopies are used to identify a cause for your symptoms and plan treatment. The operation will help to find out if you have any of the following conditions: • Endometriosis ( cells lining the womb are found elsewhere in the body) • Pelvic infection • Scar tissue, for example from previous surgery • Damaged fallopian tubes • Ovarian cysts •Removal of fibroids •Removal of the uterus or hysterectomy Commonly, we do not find any abnormalities during a diagnostic laparoscopy. If minor problems are found such as small areas of endometriosis or minor scar tissue, these can be treated during your operation. If more complex problems are found then they may need to be treated with another operation on another day. The advantages of keyhole surgery include: • Faster recovery and shorter hospital stay • Less pain and bleeding • Reduced scarring[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What happens before the operation?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]You may require a pre-operative assessment. You may need blood tests, chest X-ray or an ECG (if you have underlying chronic conditions or you are older than 60). The doctor may ask you to stop certain medications – see more information on preparation for surgery here You will be asked not to eat or drink anything for 6 hours before your operation.[/et_pb_accordion_item][et_pb_accordion_item title="What does the operation involve?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]For this operation, you will need to have a general anaesthetic. The anaesthetist will talk to you in detail about this on the day of the procedure. Once you are asleep, your abdomen and vagina will be cleaned with pink or brown cleaning fluid. Your bladder may be emptied with a small tube (catheter) but this will not be present when you wake up. The surgeon will examine your vagina and abdomen to assess how big your womb is. Often a small instrument is placed on the cervix (neck of the womb) to help move the womb during the operation. This will be removed before you wake up and may sometimes cause vaginal spotting. A small cut will be made on your belly button. The laparoscope is inserted through this cut and the abdominal cavity is filled with gas (carbon dioxide). A further small cut is made, so a ‘port’ can be inserted into your abdomen. A port is a small plastic tube that allows the instruments required for the operation to be inserted into the abdomen. Sometimes more than one port is needed. Your doctor will perform the discussed procedure – diagnostic laparoscopy to assess your tummy or removal of endometriosis, or cysts, or fibroids, or womb  After the procedure, the gas is released from your abdomen and stitches are used to close the incisions. Dressings are usually placed over these wounds. The operation normally lasts 30-120 minutes.[/et_pb_accordion_item][et_pb_accordion_item title="What complications can happen?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] A laparoscopy is a commonly performed procedure and serious complications are rare. Minor complications occur in approximately 1 -2 out of every 100 cases following laparoscopy. They include: • Wound infection or gaping. • Urinary infection. • Minor bleeding and bruising around the incision. • Shoulder-tip pain (caused by the gas used to inflate the abdomen). • Feeling sick and vomiting. Serious complications occur in about 2 women in every 1,000 (uncommon). They include: • Damage to the bowel, bladder, uterus or major blood vessels which would require immediate repair. The repair may involve needing a bigger incision on the tummy. However, up to 15% (15 out of every 100) of bowel injuries might not be diagnosed at the time of laparoscopy. • Failure to gain entry to the abdominal cavity and to complete intended procedure • Hernia at the site of entry • Serious allergic reaction to the general anaesthetic • A blood clot developing in a vein, usually in one of the legs (deep vein thrombosis or DVT), which can break off and block the blood flow in one of the blood vessels in the lungs (pulmonary embolism). • Death; 3-8 women in every 100,000 undergoing laparoscopy die as a result of complications (very rare). [/et_pb_accordion_item][et_pb_accordion_item title="What can I do to minimize complications?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Stopping smoking several weeks before your operation will reduce the risk of complications and the recovery time. If you are overweight, you have a higher rate of complications, particularly infection and clots in the lungs and legs. Your risk of complications (bowel and bladder injuries, failure to enter the abdomen) is higher if you have had previous abdominal surgery You can reduce your risk of wound infection by bathing or showering either the day before or on the day of your operation. It is advised that you don’t shave or wax the area where a cut is likely to be made.[/et_pb_accordion_item][et_pb_accordion_item title="Recovery" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]After your laparoscopy, you may feel groggy and nauseated. These are common side effects of the general anaesthetic and will pass quickly. A nurse will monitor you for a few hours. When you are up and about, eating and drinking and able to pass urine you will be able to go home. Most people go home on the same day. Some people stay in the hospital overnight especially if you had an operative laparoscopy. You must not drive for 24 hours after diagnostic laparoscopy and at least 2 weeks after operative laparoscopy. Please arrange for someone to take you home and be with you for 24 hours after surgery. It is common to experience bloating and pain in your abdomen for a few days after your operation. Sometimes the pain may also affect your shoulder. This is a common side effect of the gas used in laparoscopy. Simple painkillers such as paracetamol and ibuprofen can be taken for this. You can shower within 24 hours of your laparoscopy and remove your dressings in a week. More dressings are not needed; simply keep the wounds clean and dry. You should feel ready to return to normal day to day activities within 5 days. It is advisable to take a minimum of 5 days off work after diagnostic laparoscopy and 2 weeks after operative laparoscopy.[/et_pb_accordion_item][et_pb_accordion_item title="When to Seek Medical Advice" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"] For questions in the first week after the operation, you can contact your doctor directly. If you become unwell in the week after surgery you must seek advice. If it is urgent, contact Dr Novikova on 0796807821 or your nearest Hospital Emergency Department.  You should look out for the following: • Burning or stinging when you pass urine. This may be a urinary infection and can be treated with a course of oral antibiotics. • Red or painful skin around your scars. This may be a skin infection and can be treated with a course of oral antibiotics. • A painful, red, or swollen leg. This may be a clot in the leg. • Increased abdominal pain, vomiting and fevers. This may be a result of damage to the organs (for example damage to the bowel) and needs further tests in the hospital. • Heavy vaginal bleeding (if you have had a hysterectomy) may be a sign of vaginal vault dehiscence or Hematoma (collection of blood in the pelvis) and will need urgent assessment and an intervention[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Fibroids [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]GYNAECOLOGICAL ILLNESSES[/et_pb_text][et_pb_heading title="Fibroids" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]What are Fibroids? Fibroids and polyps are growths made up of muscle and fibrous tissue in the uterus, which are usually not cancerous and often cause problems with bleeding, difficulties falling pregnant or recurrent miscarriages. Fibroids and polyps are diagnosed on examination, ultrasound and hysteroscopy. If they need to be treated, they are usually removed surgically, but there are non-surgical treatments too. Although we are using fibroids and polyps together, there is a difference, and that lies in their origins. Fibroids are tumours of uterine muscle tissue, while polyps are tumours of the uterine lining. It is always a worry when we hear the word tumour from our doctor, but when it’s a fibroid or polyps tumour, experts assure us there is little to fear.[/et_pb_text][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/Fibroids-and-Polyps.jpg" alt="fibroids and polyps" title_text="Fibroids-and-Polyps" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][/et_pb_column][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" hover_enabled="0" header_2_font_size_tablet="" header_2_font_size_phone="" header_2_font_size_last_edited="on|phone" global_colors_info="{}" header_2_font_size="25px" sticky_enabled="0"]Uterine Fibroids Uterine fibroids are masses of tissue that can vary in number and size, from one growth to many, ranging from very small to large. They are often seen in women between their 30s and 40s. A family history of fibroids can be a cause, but it is not always passed on. Overall, these tumours are quite common and are seen in about 70% of all women by the time they reach 50. Uterine Polyps Polyps are small growths that look similar to a skin tag and are found on the uterine lining. They are generally seen in women who have had children and can be rather common. While there is no definitive cause, they are usually brought on by hormone levels and develop in response to oestrogen circulating in the blood. Although they are rarely cancerous, they should be looked at by your gynaecologist. Symptoms of Fibroids   Women often do not know that they have fibroids or polyps, as only 1 in 3 women show symptoms. These are: Bleeding – Both fibroids and polyps can cause heavy bleeding as well as bleeding between periods and, at times, bleeding after sex. Pain – Fibroids can cause cramping and discomfort, whereas polyps usually cause no pain. Enlarged Uterus – Polyps are generally too small but fibroids that have grown large can cause a uterus to become bigger than normal. Lower back pain A frequent need to urinate Constipation Pain or discomfort during sex [/et_pb_text][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" url_new_window="on" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://youtu.be/38FDDnNejhI?si=2vOV3msB7cHO2B9S" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://drnovikova.co.za/wp-content/uploads/2024/07/Polypectomy-Video-1.mp4" admin_label="Video" _builder_version="4.22.1" _module_preset="default" width="100%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="What is the treatment for Fibroids & Polyps?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Fibroids and polyps are diagnosed on examination and confirmed by ultrasound and hysteroscopy. If they need to be treated, they are usually removed surgically, although there are non-surgical treatments as well.[/et_pb_accordion_item][et_pb_accordion_item title="What determines whether Fibroids and Polyps need to be treated or not?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The treatment of fibroids and polyps will depend first on what symptoms they cause. If someone has no symptoms or doesn’t know that they have them, they may not need to be treated unless fibroids are large (over 12 weeks) or grow fast. If fibroids or polyps cause any of the symptoms described above, they would need to be treated to control the bothersome symptoms and the patient’s experience.[/et_pb_accordion_item][et_pb_accordion_item title="What determines the type of treatment, and what can I expect?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The type of surgery that is recommended would depend on the size of the fibroids, the location of the fibroid, the woman’s desire for future pregnancies and the symptoms that the fibroids are causing. For example, a small fibroid that is inside of the uterine cavity that is causing irregular bleeding, infertility, or sometimes bleeding after sex would be treated with hysteroscopy and resection of the fibroid. Hysteroscopy is a procedure we perform through the vagina with the usage of a little telescope that is inserted into the uterus. The uterine cavity is expanded with normal saline, and a fibroid is resected in small pieces and sent to the lab for investigation. Someone who has large fibroids or multiple fibroids in the uterus and has pain or heavy menstrual flow can choose to have the procedure to remove the fibroids. If they do not wish to have children in the future, it would be a hysterectomy, and if they wish to have children in the future, it would be a myomectomy. Myomectomy or hysterectomy can either be done through laparotomy (cut on the abdomen), caesarean section type of cut or keyhole surgery if the size of fibroids is not too big. The non-surgical way of managing fibroids is by uterine artery embolisation. A radiologist does this procedure in a special setting. The procedure blocks the blood supply to the fibroids, which leads to shrinkage of the fibroids. However, not all fibroids and not all patients are suitable for this procedure, and the doctor will be able to advise whom this procedure is suitable. The special procedure preparation would be advised individually to each patient overall. Before general anaesthesia, we advise the patient not to eat or drink for six hours. The procedure is performed in the operating room. It can be either a day procedure if it’s a hysteroscopy, and on occasions, patients have to stay overnight if it is keyhole surgery. Patients who undergo laparotomy will generally stay in the hospital for 2 nights after the surgery. There will be no pain as you will be asleep during the procedure. The anaesthetist will see you before the surgery to discuss anaesthesia and advise on what type of anaesthesia you will have. The duration of the procedure would depend on the type of procedure we’re performing, the size of the fibroids, any previous surgery, and any other comorbidities involved. Read more about hysterectomy here. Read more about hysteroscopy here[/et_pb_accordion_item][et_pb_accordion_item title="What happens after the surgery?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]After the procedure, we would advise women to take time off work for anything from one to two weeks to four to six weeks after a laparotomy. Pain levels are moderate and usually controlled well with oral medications. The possible complications involve infection, wound infection and bleeding. Quite often, women develop bladder infections and more rare and significant risks such as clots that may occur. We go into detail about any type of complications during preoperative counselling. For the procedure through the tummy, such as laparotomy or laparoscopy, there will be a little scar involved. It takes four to six weeks to recover from the laparotomy and two to three weeks from laparoscopy. You should see your results within the first period. The blood loss during the period should be lighter. The success rate of the procedure is quite high. If someone’s having a hysterectomy for uterine fibroids, it is definite that the fibroids will not come back because the uterus is removed, and there will be no further bleeding. If someone is having a myomectomy, just the removal of fibroids and not the uterus, the fibroids may come back later in life. However, the success of this procedure is still high, and the overall risks are low.[/et_pb_accordion_item][et_pb_accordion_item title="How much does Fibroid Treatment Cost?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]We can provide a quotation for the procedure. Generally, the cost of surgery depends on the size and location of the fibroid, the procedure we perform, previous surgical history and potential for complications, and your weight.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/medical-gynae-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Endometriosis [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]Gynaecological Illnesses[/et_pb_text][et_pb_heading title="Endometriosis" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" specialty="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" specialty_columns="2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_row_inner _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column_inner saved_specialty_column_type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]What is Endometriosis? Endometriosis is a condition when the tissue that is part of the lining of the womb grows outside of the womb, into the tummy, on the ovaries, and in other areas, which leads to women experiencing pain, especially during their menstrual cycle. It is a very common condition, with 1 in 10 women experiencing it, but it often goes undiagnosed as women believe that experiencing very painful periods is normal. Women of reproductive age suffer from endometriosis. This age ranges from teenagers to women in their 40s, and it usually comes with painful and heavy periods. It can also be genetic. If the pain is severe to the point of it interfering with your daily activities or requires you to take painkillers excessively, it is not normal and could be endometriosis.[/et_pb_text][et_pb_video src="https://www.youtube.com/watch?v=7L187Vs1m7U" admin_label="Video" _builder_version="4.22.1" _module_preset="default" width="100%" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column_inner][/et_pb_row_inner][et_pb_row_inner column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_module="41159" global_colors_info="{}"][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="BOOK ONLINE" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][et_pb_column_inner type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/contact/" button_text="MAKE AN ENQUIRY " _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column_inner][/et_pb_row_inner][/et_pb_column][et_pb_column type="1_2" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/endometriosis.jpg" alt="endometriosis" title_text="endometriosis" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]Endometriosis is usually diagnosed on laparoscopy (operation looking with the camera inside of the tummy) and treated with hormones or surgery. It most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. During Endometriosis, the displaced endometrial cells stick to your pelvic walls and the surfaces of your pelvic organs, such as your bladder, ovaries, and rectum. They continue to grow, thicken and bleed throughout your menstrual cycle.[/et_pb_text][/et_pb_column][/et_pb_section][et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="Diagnosis for Endometriosis" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]Endometriosis is diagnosed based on history, clinical examination, detailed pelvic ultrasound, and occasionally MRI scan. In some cases, laparoscopy, which is keyhole surgery, is necessary to diagnose and assess the severity of endometriosis. You can read about laparoscopy here.[/et_pb_accordion_item][et_pb_accordion_item title="Causes of Endometriosis" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Although the exact cause of endometriosis is unknown, some possible explanations include: Menstrual flow problems Fetal development Embryonic cell growth Surgical scar Genetics Hormones [/et_pb_accordion_item][et_pb_accordion_item title="Symptoms of Endometriosis" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The symptoms of endometriosis can vary from very mild to very severe, although the severity of your pain does not always indicate the degree of the condition. The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Women with endometriosis typically describe menstrual pain that’s far worse than normal. Other common signs may include: Pain with urination Pain with intercourse Infertility Excessive bleeding Pain passing stool As it is a chronic condition, symptoms are likely to be cyclical. Beyond the physical, it can also interfere with psychological well-being.[/et_pb_accordion_item][et_pb_accordion_item title="What is the Treatment?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Treatment will vary from woman to woman and is often determined by the patient’s priorities. For instance, in the case of a woman who is planning to try and fall pregnant soon, none of the hormonal treatments would be suitable as they either act as a contraceptive or halt the menstrual cycle. The type of treatment should be decided in partnership between the patient and the healthcare professional. The decision should depend on several factors: The age of the woman The severity of her symptoms The desire to have children and when The severity of the disease Previous treatment The woman’s priorities – pain relief or fertility Side effects of drugs Risks The intended duration of treatment We do not recommend any particular treatment for endometriosis but support patients seeking treatment options appropriate to their circumstances. The options are: Surgery Hormone treatment Pain management [/et_pb_accordion_item][et_pb_accordion_item title="Hormonal Treatments for Endometriosis" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]These are treatments that are used to act on the endometriosis and stop its growth. They either put the woman into a state of pseudo-pregnancy or pseudo-menopause. (Pseudo means simulated or artificial – both states are reversed when the patient has stopped taking the hormones.) In addition, testosterone derivatives are occasionally used to mimic the male hormonal state; these drugs are generally synthetic hormones. While not all of the hormonal drugs used to treat endometriosis are licensed as a contraceptive, they all have a contraceptive effect, so they are not used if the patient is trying to become pregnant. All of the hormonal drugs carry side effects and are equally effective as treatments for endometriosis, so it’s often the side effects that will dictate the choice of drug. Drugs used that mimic pregnancy include combined oral contraceptive pills and the synthetic form of progesterone. Higher levels of progesterone characterise pregnancy; thus, taking the synthetic form of progesterone mimics the state of pregnancy. During pregnancy, the endometrium is thin and also inactive. Drugs that mimic menopause: GnRH analogues: GnRH analogues are a form of the naturally occurring GnRH, which is produced in a part of the brain called the hypothalamus. GnRH analogues stop the production of the hormones FSH and LH. The ovaries switch off and temporarily stop producing eggs and the hormone oestrogen. Male hormone drugs – testosterone derivatives: Gestrinone: Gestrinone is a derivative of the male hormone testosterone. It lowers oestrogen levels, which directly inhibits the growth of the endometrium (lining of the womb).[/et_pb_accordion_item][et_pb_accordion_item title="The Combined oral contraceptive pill (cOCP) for Endometriosis Treatment" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]COCPs are tablets containing synthetic oestrogen and the synthetic form of progesterone (female hormones). The combination of these hormones in the pill is similar to that in pregnancy, causing the menstrual cycle to stop, hence the symptoms of endometriosis being reduced.The pill is commonly used to treat endometriosis before a definite diagnosis, as most women who take it do not suffer from side effects. It can also be taken safely for many years. The pill can be taken continuously (without a monthly break) to avoid bleeding. Although there is limited data on its use to treat endometriosis, there are a few studies that have assessed the pill’s effectiveness. Based on the side effects of each treatment, it was concluded that the pill may be preferable as an overall treatment and has the advantage that it can be safely continued long-term until menopause in fit and healthy, non-smoking women.[/et_pb_accordion_item][et_pb_accordion_item title="The Synthetic Form of Progesterone as Treatment for Endometriosis" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The female sex hormone progesterone stops the endometrium (womb lining) from growing. If the endometrium is exposed to progesterone for a prolonged amount of time, it will become thin and inactive. This is also the effect the hormone has on endometriosis. The synthetic form of progesterone is used to recreate this effect on the endometrium and endometriosis. The dose of the drug is usually adjusted until periods stop.[/et_pb_accordion_item][et_pb_accordion_item title="Surgical treatment for Endometriosis" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Surgery can alleviate pain by removing endometriosis, dividing adhesions, or removing cysts. It can also diagnose the disease and improve fertility.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" _builder_version="4.22.1" _module_preset="default" module_alignment="center" custom_css_main_element="||||" global_module="41160" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element=".flexing-away{|| display: flex;|| justify-content: center;|| align-items: center;||}||" global_colors_info="{}"][et_pb_button button_url="https://drnovikova.co.za/aesthetic-procedure-fees/" button_text="Procedure FEES" button_alignment="left" module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" button_bg_color="gcid-662f863c-327b-44fd-832f-ce83b3804e98" custom_margin="0px|20px|0px|20px|true|true" custom_padding="15px|25px|15px|25px|true|true" custom_css_main_element="||" global_colors_info="{%22gcid-662f863c-327b-44fd-832f-ce83b3804e98%22:%91%22button_bg_color%22%93}"][/et_pb_button][et_pb_button button_url="https://dr-novikova.au1.cliniko.com/bookings?practitioner_id=119742#location" button_text="Book an appointment online " module_class="flexing-away" _builder_version="4.22.1" _module_preset="default" custom_margin="25px|20px|25px|20px|false|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{}"][/et_pb_button][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" custom_css_main_element="||" global_colors_info="{}"][/et_pb_column][/et_pb_row][/et_pb_section] ### Emsella Chair [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|||on|||||" text_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" text_letter_spacing="3px" text_orientation="center" custom_margin="||20px||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22text_text_color%22%93}"]PELVIC FLOOR CONDITIONS[/et_pb_text][et_pb_heading title="Emsella Pelvic Floor Chair" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" use_custom_gutter="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text admin_label="Text" _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_text_color="gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7" header_4_font="|700|||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="30px" header_4_line_height="2em" custom_margin="20px||||false|false" hover_enabled="0" text_font_size_tablet="18px" text_font_size_phone="15px" text_font_size_last_edited="on|phone" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-0d9d114b-897b-496e-aa3d-cdd95264d3e7%22:%91%22text_text_color%22%93}" header_2_font_size="25px" sticky_enabled="0" header_3_font_size="23px"]What is the Pelvic Floor Chair? The Emsella Pelvic Floor Trainer Chair treatment is available at Dr Novikova’s practice in Cape Town and in Johannesburg for the treatment of urinary incontinence and vaginal laxity in women. Do you experience urine leakage when performing physical activities such as jumping, laughing, or coughing? Do you sometimes feel like something is falling out of your vagina? Do you experience a sensation of looseness in your vagina? Dr Novikova offers Emsella as one of several treatments for Vaginal rejuvenation. To explore the other alternatives, please click here. BTL Emsella is designed to strengthen pelvic muscles and reduce incontinence without drugs or surgery. The BTL Emsella Chair is an FDA-cleared device for the treatment of urinary incontinence and vaginal laxity. The Emsella uses a high-intensity electromagnetic field to activate motor neurons located in the pelvic floor. This pelvic floor trainer is a revolutionary alternative to the commonly recommended ‘Kegel’ exercises. Benefits of Emsella include: Emsella patients experience noticeable relief from stress incontinence and/or hyperactive bladder Enhanced sensation in the pelvic area Treat the entire pelvic floor area in a 28-minute session! Non-invasive and non-surgical No recovery or downtime needed Remain fully clothed during a treatment A single 28-minute session results in 11,200 pelvic floor muscle contractions which have the effect of performing the same number of Kegel exercises [/et_pb_text][/et_pb_column][et_pb_column type="1_2" admin_label="Column" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2025/02/Vaginal-Rejuvenation.jpg" alt="emsella chair" title_text="Vaginal-Rejuvenation" force_fullwidth="on" admin_label="Image" _builder_version="4.22.1" _module_preset="default" custom_margin="45px||45px|15px|true|false" custom_margin_tablet="45px||45px|15px|true|false" custom_margin_phone="45px||45px|15px|true|false" custom_margin_last_edited="on|phone" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_image][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" text_font_size="20px" text_line_height="2em" header_4_font="||||||||" header_4_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" header_4_font_size="23px" header_4_line_height="1.7em" custom_padding="20px|30px|20px|30px|true|true" hover_enabled="0" border_radii="on|30px|30px|30px|30px" border_width_all="2px" border_color_all="gcid-3850e49f-a5fa-4735-95b7-761af0bbf885" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22header_4_text_color%22%93,%22gcid-3850e49f-a5fa-4735-95b7-761af0bbf885%22:%91%22border_color_all%22%93}" sticky_enabled="0"]Emsella can be administered through Dr Novikova’s sister practice in Cape Town and Johannesburg, Body and Skin Clinic. For more information and to book an appointment through Body and Skin Clinic, please click here.[/et_pb_text][et_pb_button button_text="BOOK ONLINE AT BODY AND SKIN CLINIC" button_alignment="center" _builder_version="4.22.1" _module_preset="default" custom_padding="15px|25px|15px|25px|true|true" hover_enabled="0" global_colors_info="{}" button_url="https://bodyandskinclinic.au2.cliniko.com/bookings#location" url_new_window="on" sticky_enabled="0"][/et_pb_button][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" hover_enabled="0" sticky_enabled="0"]FAQs[/et_pb_text][et_pb_accordion _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}"][et_pb_accordion_item title="How does the Pelvic Floor Chair work?" open="on" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"]The main effectiveness of the Emsella pelvic floor trainer chair treatment is based on focused electromagnetic energy. A single session of Emsella treatment induces thousands of supramaximal pelvic floor muscle contractions – these are extremely important in the muscle re-education of inconsistent patients. This non-invasive, lunchtime treatment penetrates targeted pelvic floor tissue and stimulates muscles to build strength and restore support for pelvic organs. The Emsella does all the work, initiating intensive pelvic floor exercises through 11,200 muscle contractions in just 28 minutes. Stronger pelvic floor muscles result in a tighter vaginal wall and a decrease in urinary incontinence. With dramatic results that are immediate and ongoing, the Emsella offers a solution to debilitating issues without needing to undergo surgery or any other invasive treatment.[/et_pb_accordion_item][et_pb_accordion_item title="How long is an Emsella session?" _builder_version="4.22.1" _module_preset="1a00b290-0714-46ba-9830-3eff2b16c5a5" global_colors_info="{}" open="off"]A treatment session with the Emsella takes around 30 minutes. Some improvement of symptoms is expected from the very first session, though we advise 2 treatments a week for 3 weeks (6 in total) for the best results. Most patients report no discomfort during the treatment, while some report mild, tolerable contractions. These contractions have the effect of the same number of pelvic exercises, with no effort required from the patient. The Emsella is a walk-in walk-out procedure with no downtime, and the patient remains fully clothed and able to resume normal activity immediately.[/et_pb_accordion_item][et_pb_accordion_item title="How much does the treatment cost?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]Pricing is available from our sister practice Body and Skin Clinic.[/et_pb_accordion_item][et_pb_accordion_item title="How do I book with Body and Skin Clinic?" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}" open="off"]The procedure is offered at our Cape Town and Johannesburg Body and Skin Clinic practices by appointment only. Book an appointment for the Emsella Pelvic Floor chair here.[/et_pb_accordion_item][/et_pb_accordion][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_3,1_3,1_3" use_custom_gutter="on" gutter_width="2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://www.youtube.com/watch?v=z5klZVC1_PE" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://www.youtube.com/watch?v=sQWi49RrJ0I" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][et_pb_column type="1_3" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_video src="https://www.youtube.com/watch?v=XGMZaMKQgpo" admin_label="Video" _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section] ### Blog [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_blog fullwidth="off" posts_number="12" include_categories="20" show_more="on" show_categories="off" _builder_version="4.22.1" _module_preset="default" body_font="|300|||||||" body_link_font="|300|||||||" hover_enabled="0" border_radii_image="on|30px|30px|30px|30px" global_colors_info="{}" border_radii="on|30px|30px|30px|30px" sticky_enabled="0"][/et_pb_blog][/et_pb_column][/et_pb_row][/et_pb_section] ### Contact Us [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="Contact Us" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure="2_5,3_5" _builder_version="4.22.1" _module_preset="default" background_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22background_color%22%93}"][et_pb_column type="2_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" custom_margin="45px|40px|45px|40px|true|true" global_colors_info="{}"] ONLINE BOOKINGS If you would like more information on our treatments or have any general enquiries for our  Cape Town or Johannesburg. practice, please complete the form.Our team will endeavour to respond to your query promptly. If you know which treatment you would like to book, please click Online Booking. [/et_pb_text][et_pb_button button_text="Book Online" button_alignment="center" _builder_version="4.22.1" _module_preset="default" button_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" button_bg_color="#FFFFFF" custom_margin="15px|35px|15px|35px|true|true" custom_padding="15px|25px|15px|25px|true|true" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22button_bg_color%22,%22button_text_color%22%93}"][/et_pb_button][/et_pb_column][et_pb_column type="3_5" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_code _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"] Where did you hear about us?InstagramFacebookGoogle SearchYouTubeWord of Mouth Which location is closest to youCape TownJohannesburg Is this your first-time or follow-up consultation?First-time consultationFollow-up consultation [/et_pb_code][/et_pb_column][/et_pb_row][et_pb_row column_structure="1_2,1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]JOHANNESBURG PRACTICE Medical Suites, First Floor18 The High Street, Melrose, Johannesburg, 2076 Tel: +27 76 242 0027[/et_pb_text][et_pb_code _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_code][/et_pb_column][et_pb_column type="1_2" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]CAPE TOWN PRACTICE 219 Upper Buitenkant Street, Vredehoek,Cape Town, 8001, South Africa Tel: +27 76 242 0027[/et_pb_text][et_pb_code _builder_version="4.22.1" _module_preset="default" border_radii="on|30px|30px|30px|30px" global_colors_info="{}"][/et_pb_code][/et_pb_column][/et_pb_row][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_text _builder_version="4.22.1" _module_preset="default" text_font="|300|||||||" global_colors_info="{}"]If you know which treatment you would like to book please click Request Appointment below. Please note we are not contracted to any medical aid and you have to settle your account on the day of appointment. We will issue a receipt for you to submit to your medical aid. Fees can be found on our Procedure Fees page or when you book an appointment online.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section] ### Privacy Policy [et_pb_section fb_built="1" _builder_version="4.22.1" _module_preset="default" custom_padding="30px||30px||true|false" global_colors_info="{}"][et_pb_row _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.22.1" _module_preset="default" global_colors_info="{}"][et_pb_heading title="@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@" admin_label="Heading" module_class="home-heading-with-seperator" _builder_version="4.22.1" _dynamic_attributes="title" _module_preset="default" title_font="|800|||||||" title_text_align="center" title_text_color="gcid-23fa7e97-48d1-4060-b19b-ed204620eb39" title_font_size="40px" min_height="51px" custom_margin="||||false|false" custom_padding="||||false|false" global_colors_info="{%22gcid-23fa7e97-48d1-4060-b19b-ed204620eb39%22:%91%22title_text_color%22%93}"][/et_pb_heading][et_pb_image src="https://drnovikova.co.za/wp-content/uploads/2024/07/section-divider.png" title_text="section-divider" align="center" _builder_version="4.22.1" _module_preset="default" custom_margin="-31px||||false|false" custom_padding="||||false|false" global_colors_info="{}"][/et_pb_image][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built="1" admin_label="section" _builder_version="4.22.1" custom_padding="||20px||false|false" global_colors_info="{}"][et_pb_row admin_label="row" _builder_version="4.22.1" background_size="initial" background_position="top_left" background_repeat="repeat" width="70%" global_colors_info="{}"][et_pb_column type="4_4" _builder_version="4.16" custom_padding="|||" global_colors_info="{}" custom_padding__hover="|||"][et_pb_text admin_label="Text" _builder_version="4.22.1" text_font="|300|||||||" background_size="initial" background_position="top_left" background_repeat="repeat" hover_enabled="0" global_colors_info="{}" sticky_enabled="0"]General terms and conditions applicable to persons joining this practice as patients Privacy InformationThe personal and health information that is provided by you and recorded in your Electronic Health Record (Cliniko) is collected to provide you with treatment. Your electronic medical record will be stored by the practice for as long as this practice is operating after which you will be contacted for instructions regarding your medical records. Your information is also stored in our mailing service and WhatsApp messages. All the information provided by you is treated as strictly confidential by Dr Novikova and the practice staff. When you submit your invoice to medical aid for reimbursement, it will contain your diagnosis (ICD-10 code) which may be disclosed to the main member of the medical (on your plan). During the procedures, photos and videos may be taken to be included in your health record. Your personal information may be shared with other health professionals participating in your care with your consent. Practice Communication Your information, test results, appointment confirmation will be communicated with you via emails and WhatsApp messages. Your test results will be sent to you via e-mail and you are expected to acknowledge them or contact us if you did not receive your test results.We do not provide email consultation. You are welcome to book video consultations. Online bookings via the website are available.You may receive monthly newsletter/updates from the practice. Repeat prescriptions, medical reports, past results and referrals are charged separately. Test & Fees Involved Fees for any laboratory tests (including Pap smear, HPV test, STDs tests, mammograms, any blood tests) are not included in Dr Novikova’s fees. Dr Novikova’s practice works with SaPath, Pathcare, Lancet and your lab account will be sent to your medical aid or you directly. Hospital ProcedureIf hospitalisation is required, it remains your responsibility to ensure that the planned treatment is covered by your medical aid and that the necessary finances are arranged to cover non-insured costs. The medical aids do not cover aesthetic surgery. Medical aid may sometimes cover part of your treatment and you are responsible to cover the gap. The practice will provide you with all the necessary documentation to facilitate the authorisation process. This practice does NOT deal with medical aids on your behalf. Settling of AccountsOur fees are based on an independent survey of practice costs within the industry and may be viewed on our website. Office consultations and procedures are due and payable in full on the day of service. Surgery fees a week before the surgery date. Current payment options are credit/debit cards, cash and EFT