Profile cover photo
Profile photo
Mahantesh Karoshi
Highest Reviewed Gynaecologist London. Private Gynecologist London, Sub-fertility specialist, Heavy periods specialist
Highest Reviewed Gynaecologist London. Private Gynecologist London, Sub-fertility specialist, Heavy periods specialist


Post has attachment
My patients’ thank you note 🙏
Add a comment...

Post has attachment
Types of ovarian cysts and myths

Not all ovarian cysts need surgery

Three types of ovarian cysts

1. functional - usually disappear within two months and usually less than 5cms. Contents of the cysts are clear and homogenous

2. Non-functional cysts - examples being dermoid cyst, Endometriotic cyst - they usually do not disappear on their own, if they found to be increasing in size or causing pain and discomfort, then surgery is the only choice

3. Cancerous cyst - usually vary in appearance with varying levels of content watery to solid with finger like projections and septa within the cyst wall and also patients accumulate fluid within the abdominal cavity called as ascites
Add a comment...

Post has attachment
Types of ovarian cysts

Functional - usually disappear on their own within two months

Non functional cysts - classic example being dermoid cyst - because they contain mix of solid and watery content, they usually do not resolve on their own, if found to be growing, the best solution would be surgery

Cancerous ovarian cysts - they usually have mixture of solid and cystic components associated with fluid collection the abdomen (ascites) The cysts have abnormal vascular pattern
Add a comment...

Post has attachment
Heavy periods and endometrial ablation
Add a comment...

Post has attachment
If you are a surgeon, one of the key steps to be good at what you do is to develop sharp skills in correct estimation of blood loss during operations. I have spent time and effort and have devised and conducted workshops all over the world including India, China, UK, Malaysia, Egypt, Jordan, Saudi Arabia, Malaysia, Ukraine and Italy to name a few.
The attached video is one example of my workshop for doctors in Athens, Greece, September 2018

#Bloodloss #Gynaecology #Heavyperiods #secondopinion #bartholincyst #infertility #lowamh #reducedovarianreserve #reducedeggreserve #hrt #hrtissues #menopause #prematuremenopause #sexualdysnfunction #missingcoilthreads #hysteroscopy #uterinepolyp #ambulatorycare #harleystreetgynaecologist #londongynaecologist #uterinefibroids #myoma #mioma #ovariancyst #subfertility #secondopinion #HPV #abnormalsmear #postcoitalbleed #recurrentmiscarriage #earlypregnancybleeding #miscarriage #chlamydia #herpes #abnormaldischarge #periodproblems #femalesexualdysfunction #painfulsex #prlopase #endometriosis, #adenomyosis #uterinearteryembolisation #cancerscare #reversalofsterilisation
Add a comment...

Post has attachment
Are your period problems affecting your lifestyle and activities?

Most patients who come to see me in clinic with period problems complain about periods being heavy affecting day to day work, embarrassing situations and want to know why this is happening and a solution. The age range could vary between women in their 20s to late forties.

What are the common causes?

Even though, few years ago no cause was found was common. Now, with the advent of technologies such as ultrasound, hysteroscopy and MRI, in majority of the situations , cause for such problems can be found and appropriate management strategies can be planned based on patients’ choice and preferences.

The common causes for heavy periods include, uterine fibroid (smooth muscle benign overgrowths of uterus), uterine polyps ( benign overgrowths of lining of uterus), adenomyosis ( lining of womb cells growing between the muscle fibres)

How are the heavy periods managed?

Identifying the cause is the key to control symptoms, i.e., if the polyp is the cause, it needs removal. If the fibroid is the cause, then the size, location in the uterus ( whether the fibroid is projecting outside the uterus, or buried in the uterus or projecting inside the omb cavity and how big is it). After careful evaluation, and taking patients fertility intentions into account, a management strategy can be instituted. Adenomyosis, management depends on whether patient is completed family or not. This could be managed with medications, hormonal intrauterine device or blocking the blood flow to the feeding vessels of uterus (uterine artery embolisation). In minority of women, surgical interventions such as removal of fibroid or removal of womb (hysterectomy) may be required .

Are there any lifestyle change needed?
Common problem now a days is obesity affecting general public. Higher the body weight, higher the fat content of the body which makes lining of the womb thick and indirectly can contribute to heavy periods. Hence, optimising body weight can be a key strategy in some women apart from medical management as explained above

Treatments provided for

Heavy periods
Polycystic ovarian syndrome (PCOS)
Pelvic pain
HRT issues
Bartholin’s cyst

Contact details :

Website :

Private secretary : Joanne Packwood Tel : 07940072111
0207 952 1201
Email :
Private clinics available at

108 Harley Street, London, W1G 7ET
London Medical, 49 Marylebone High Street, W1U 5HJ
Portland Hospital for Women, W1W 5AH
BMI Kings Oak Hospital, Enfield, EN2 8SD

Add a comment...

I commonly get asked why my patients come to see me. So, the simplest thing I did was look at the last year data about why patients sought my input and below were the reasons for their visit to my consulting rooms

1. Period problems (Heavy periods, light periods, irregular periods, no periods, postmenopausal bleeding, bleeding between the periods, bleeding after sex)

2. Infertility ( seeking options of IUI/IVF/ICSI) and miscarriages (cause and prevention of recurrence)

3. Pelvic pain (IBS, Endometriosis, Adenomyosis, postoperative adhesions, fibroid degeneration, ovarian cyst accident)

4. Abnormal vaginal discharge ( bacterial vaginosis, thrush, ureaplasma and mycoplasma)

5. Abdominal distension (fibroid, ovarian cysts)

6. Menopause and hormone replacement therapy issues, hot flushes, vaginal dryness (Bioidentical hormone problems, HRT problems such as uterine polyp, unopposed HRT)

7. Abnormal smear issues ( post LLETZ bleeding, anxiety about having cancer and not knowing about it)

8. Urinary leakage on coughing/sneezing/jogging (Age related skin changes in the vagina casing thinning,

9. Something coming down (vaginal prolapse/uterine prolapse)

10. Have I got enough eggs? (Concerned about ovarian reserve as modern life stuck with career and not meeting Mr. Right)

11. Asking for non-invasive prenatal testing (NIPT)

12. Lesions on the vagina - skin tag, warts, painful lesions

13. Anxiety situations because of family and friends, friend has been diagnosed with polycystic ovaries (PCOS), fibroids, endometrial cancer, ovarian cancer

14. Misplaced contraceptive device

15. Well-woman screening (smear, mammogram, basic hormonal profile, pelvic ultrasound and CA-125 levels)

Finally, anxiety and seeking second opinion validating another specialist’s opinion (before deciding to go ahead with a proposed treatment or writing a complaint
Add a comment...

Post has attachment
Add a comment...

Post has attachment
Add a comment...

Post has attachment
Add a comment...
Wait while more posts are being loaded