Category: English

Esophageal cancer surgery is among the most complex operations in gastrointestinal surgery. Traditionally requiring large incisions, prolonged hospital stays, and lengthy recovery periods, it’s a procedure many patients fear. But advanced minimally invasive techniques are changing that narrative. A 73-year-old patient recently underwent a groundbreaking laparoscopic-thoracoscopic Ivor Lewis esophagectomy at Burjeel Hospital, Abu Dhabi, and was discharged just four days later—a testament to surgical innovation and expertise. 

The Patient’s Journey 

For three years, the patient suffered from gastroesophageal reflux symptoms that responded to PPI therapy. However, he recently developed dysphagia (difficulty swallowing solids), prompting further investigation. 

Medical history included: 

• Long-segment Barrett’s esophagus under surveillance 

• Hyperlipidemia 

• Hypertension 

• Coronary artery disease (3 coronary stents, dual antiplatelet therapy) 

• Non-smoker 

Endoscopy revealed what surveillance was designed to detect: a biopsy-proven moderately differentiated adenocarcinoma of the distal esophagus. 

Comprehensive Staging 

CT Scan findings: 

• Long-segment asymmetric circumferential wall thickening (9mm) 

• Involving distal 6.7cm of esophagus 

• Mild luminal narrowing with proximal dilatation 

• No evidence of metastatic disease 

PET Scan results: 

• FDG-avid (SUV 4.36) hypermetabolic wall thickening 

• Few hypermetabolic hilar and paratracheal lymph nodes (SUV 2.5-3.0) 

• No distant organ deposits 

Endoscopic Ultrasound (EUS): Dr. Khalid Elsayed, Consultant Gastroenterologist, performed EUS showing a superficial esophageal malignant nodule at 35cm, which he removed using endoscopic submucosal dissection (ESD) technique. 

Histopathology revealed: Moderately differentiated adenocarcinoma, at least stage pT1b with positive deep resection margin. 

The Oncology MDT Decision 

Given the incomplete ESD and cancer stage of at least pT1b (carrying up to 20% risk of lymph node metastases), the Multidisciplinary Team decided to offer esophagectomy for complete cancer removal. 

The Minimally Invasive Approach 

The patient underwent laparoscopic-thoracoscopic Ivor Lewis cardio-esophagectomy with D2 lymphadenectomy and pyloroplasty. 

Why this matters: Most centers perform this operation through large open incisions. The minimally invasive approach offers: 

• Smaller incisions 

• Less post-operative pain 

• Faster recovery 

• Shorter hospital stay 

• Better cosmetic outcome 

• Reduced complications 

The Five-Hour Surgical Journey 

Stage 1: Abdominal Phase (Lloyd Davis Position) 

• Proximal gastrectomy en bloc with regional lymphadenectomy 

• Construction of gastric tube 

• Pyloroplasty 

• Laparoscopic approach throughout 

Stage 2: Thoracoscopic Phase (Prone Position, Single Lung Ventilation) 

• Esophagectomy completed by dividing mid-esophagus with stapler 

• Regional lymphadenectomy performed 

• Gastric tube pulled into chest (avoiding twisting) 

• Thoracoscopically-sutured end-to-side esophago-gastric anastomosis 

• Methylene blue leak test: negative 

• Specimen placed in water-impervious bag and pushed through hiatus into abdomen 

Stage 3: Final Abdominal Phase 

• Hiatus closed (preventing visceral herniation into chest) 

• Specimen retrieved through Pfannensteil incision (avoiding painful thoracotomy) 

• Thoraco-abdominal drain placed 

Blood loss: 50ml 
Blood transfusions: None (intraoperative or postoperative) 

Frozen Section Verification 

During surgery, frozen sections of proximal and distal resection margins returned negative—confirming complete tumor removal with clear margins. 

Remarkable Recovery 

Postoperative Course: 

• No complications 

• Discharged on postoperative day 4 

• On full liquid diet 

• Remained well at 6-week follow-up 

Traditional approach comparison: 

• Open surgery typically requires 10-14 day hospital stay 

• More pain and slower mobilization 

• Larger incisions with extended healing time 

Final Pathology Results 

• Moderately differentiated esophageal adenocarcinoma 

• Stage: pT1bN0 

• All 32 lymph nodes: negative for metastases 

• Resection margins: negative (R0 resection—complete removal) 

Oncology Follow-up Management 

The Oncology MDT reviewed the final pathology and determined: Follow-up only (no adjuvant chemoradiotherapy required). 

This excellent outcome reflects: 

• Early detection through surveillance 

• Complete surgical removal 

• No lymph node involvement 

• Clear margins 

Understanding Barrett’s Esophagus and Cancer Risk 

Barrett’s esophagus is a condition where chronic acid reflux changes the lining of the esophagus. While most people with Barrett’s never develop cancer, regular surveillance is crucial because: 

• Small percentage progress to cancer 

• Early detection significantly improves outcomes 

• Minimally invasive treatment options available for early-stage disease 

• Cure rates are high when caught early 

The Surgical Excellence Behind This Success 

This case demonstrates several aspects of advanced surgical care: 

1. Minimally Invasive Expertise: Few surgeons worldwide perform this complex operation laparoscopically 

2. Multidisciplinary Collaboration: Gastroenterology, surgery, oncology, pathology, and anesthesia working seamlessly 

3. Advanced Techniques: Thoracoscopic anastomosis construction, Pfannensteil retrieval avoiding thoracotomy pain 

4. Patient-Centered Care: Balancing cancer cure with quality of life and recovery 

Why Choose Burjeel for Esophageal Cancer 

• Minimally invasive esophageal surgery expertise 

• Multidisciplinary tumor board 

• Advanced endoscopic techniques (ESD, EUS) 

• Intraoperative frozen section capability 

• Comprehensive oncology services 

• Enhanced recovery protocols (ERAS) 

• Shorter hospital stays 

• Better outcomes 

Our Experts 

Advanced Gastrointestinal Cancer Care 

Esophageal cancer requires specialized expertise and a multidisciplinary approach. Our team provides comprehensive evaluation, advanced surgical options, and ongoing oncology support. 

For Appointments & Consultations: 

 

For seven months, a baby suffered with a condition so rare it affects only 1 in 100,000 newborns. Persistent vomiting since birth, recurring chest infections, and the inability to feed normally left the child and family frustrated and exhausted. The diagnosis: esophageal achalasia, a condition where the lower esophageal sphincter fails to relax, preventing food from passing into the stomach. 

The Long Road to Diagnosis 

The 7-month-old child presented to the Emergency Room with a troubling medical history: 

• Persistent vomiting since birth 

• Fed exclusively through nasogastric tube 

• Recurrent episodes of aspiration 

• Multiple chest infections 

• Frequent nasogastric tube replacements 

The child and family were understandably distressed by the ongoing situation. Previous investigations at another facility finally revealed the cause: a contrast study showing esophageal achalasia—distal esophageal obstruction present from birth. 

Understanding Esophageal Achalasia 

Esophageal achalasia is an extremely rare condition in pediatric patients, characterized by: 

• Failure of the lower esophageal sphincter to relax 

• Inability to swallow food normally 

• Accumulation of food in the esophagus 

• Risk of aspiration into the lungs 

• Chronic malnutrition and failure to thrive 

In children, symptoms include: 

• Persistent vomiting 

• Feed intolerance 

• Underweight/failure to thrive 

• Recurrent aspiration pneumonia 

• Respiratory failure in severe cases 

The Surgical Solution: Laparoscopic Heller Myotomy 

After careful stabilization, the child underwent minimally invasive surgery under general anesthesia: Laparoscopic Heller myotomy with 270-degree fundoplication. 

Why this approach? 

• Minimally invasive (small incisions) 

• Precise relief of esophageal obstruction 

• Fundoplication prevents reflux after opening the sphincter 

• Faster recovery than open surgery 

• Less post-operative pain 

Operative time: One and a half hours 

Remarkable Recovery 

The post-operative course was exceptional: 

Post-Operative Day 1: 

• Chest tube removed 

• Started on oral feeds 

Post-Operative Day 4: 

• Reached full oral feeds 

• No feeding difficulties 

Post-Operative Day 7: 

• Discharged home in stable condition 

• Normal feeding pattern established 

Follow-up pulmonary function tests: FEV1 – 77%, FVC – 88% (satisfactory recovery) 

The Complexity of Pediatric Minimally Invasive Surgery 

Performing laparoscopic surgery on a 7-month-old infant presents unique challenges: 

• Limited anatomical space: Small body size requires precision 

• Delicate tissue handling: Infant tissues are fragile 

• Anesthesia considerations: Careful management required 

• Post-operative care: Specialized PICU monitoring needed 

Success requires: 

• High-level surgical skill 

• Specialized pediatric anesthesia expertise 

• Advanced laparoscopic equipment designed for infants 

• Experienced PICU team 

• Coordinated multidisciplinary approach 

Long-term Outlook 

With successful surgery, children with esophageal achalasia can: 

• Feed normally by mouth 

• Gain weight appropriately 

• Avoid recurrent respiratory infections 

• Develop normally 

• Enjoy good quality of life 

Regular follow-up ensures the surgical repair remains effective and the child continues to thrive. 

Why Minimally Invasive Matters for Children 

Traditional open surgery would have required: 

• Large abdominal incision 

• Longer hospital stay 

• More post-operative pain 

• Larger scar 

• Extended recovery time 

Laparoscopic approach offers: 

• Small keyhole incisions 

• Minimal scarring 

• Reduced pain 

• Faster recovery 

• Earlier return to normal feeding 

• Better cosmetic outcome as the child grows 

Burjeel’s Pediatric Surgery Excellence 

Our pediatric surgical capabilities include: 

• Specialized pediatric surgeons 

• Advanced laparoscopic equipment for infants 

• Pediatric anesthesia team 

• PICU with neonatal/infant expertise 

• Multidisciplinary pediatric care 

• Family-centered approach 

Our Experts

Expert Pediatric Surgical Care 

Complex pediatric conditions require specialized expertise and child-focused care. Our team provides comprehensive evaluation and advanced surgical solutions for infants and children. 

For Appointments & Consultations: 

Every second counts in trauma care. For a 25-year-old man rushed to our Emergency Department following a high-impact road traffic accident, those seconds made the difference between life and death. 

The Critical Moment 

When the ambulance doors opened, our trauma team knew they were racing against time. The patient was unresponsive, in severe hypovolemic shock, with blood pressure dangerously low at 70/40 mmHg. His rapid pulse and pallor told the story—massive internal bleeding was stealing his life away. 

The Golden Hour Response 

Under our hospital’s major trauma protocol, a specialized team assembled within minutes. The primary survey revealed the severity: 

• Airway: Patent but weak response 

• Breathing: Rapid, shallow, oxygen saturation at 85% 

• Circulation: Weak thready pulse, hypotensive 

• Disability: GCS 10/15 

• Exposure: Abdominal distension and tenderness 

Diagnosis at the Speed of Life 

A bedside FAST scan (Focused Assessment with Sonography for Trauma) immediately showed free fluid in the abdominal cavity—the telltale sign of internal hemorrhage. Within minutes, an urgent CT scan confirmed the diagnosis: massive hemoperitoneum with complete splenic rupture. 

From Emergency Room to Operating Theatre in 30 Minutes 

The decision was immediate—emergency laparotomy. In what exemplifies exceptional coordination and operational efficiency, only 30 minutes elapsed from arrival to the first surgical incision. 

Intraoperative findings revealed: 

• Approximately 2 liters of blood and clots in the peritoneal cavity 

• Complete splenic rupture with active bleeding from the hilum 

• Life-threatening hemorrhage requiring immediate intervention 

A swift splenectomy was performed, achieving hemostasis and thoroughly irrigating the abdominal cavity. The patient received 4 units of packed RBCs and 2 units of plasma during surgery. 

Recovery: A Testament to Teamwork 

Post-surgery, the patient was transferred to the Intensive Care Unit for close monitoring. Within 24 hours, his hemodynamic status stabilized. He progressed to the surgical ward, was gradually mobilized, and received appropriate antibiotic prophylaxis and post-splenectomy vaccination protocols. 

Outcome: Full recovery and discharge in stable condition within days. 

Why the 30-Minute Response Matters 

This case demonstrates several critical factors in trauma survival: 

1. Immediate Protocol Activation: Our major trauma protocol ensures the right specialists are present within minutes 

2. Bedside Diagnostics: FAST scan capability at the bedside eliminates delays 

3. OR Readiness: 24/7 operating theatre availability with trauma-ready teams 

4. Multidisciplinary Excellence: Seamless coordination between emergency, anesthesia, surgery, and critical care 

Understanding Splenic Rupture 

The spleen, located in the upper left abdomen, is highly vascular and vulnerable to trauma. When ruptured, massive internal bleeding occurs rapidly, blood pressure drops dangerously, and without immediate surgery, survival is unlikely. 

Common causes include: 

• Motor vehicle accidents 

• Sports injuries 

• Falls from height 

• Direct abdominal trauma 

Post-Splenectomy Life 

Modern medicine has protocols to ensure patients thrive after spleen removal: 

• Vaccination against encapsulated bacteria (pneumococcus, meningococcus, H. influenzae) 

• Antibiotic prophylaxis in certain cases 

• Patient education on infection risks 

• Regular follow-up care 

Most patients resume completely normal lives with appropriate precautions. 

Burjeel’s Trauma Excellence 

Our trauma capabilities include: 

• 24/7 specialized trauma teams 

• Immediate CT and imaging availability 

• State-of-the-art operating theatres 

• ICU with advanced monitoring 

• Blood bank with immediate access 

• Multidisciplinary approach 

Our Experts 

When Seconds Count, Choose Experience 

If you or a loved one experiences trauma, remember that rapid, expert care makes all the difference. Burjeel Hospital’s trauma teams are ready 24/7 to provide life-saving care. 

For Appointments & Consultations: 

Introduction 

If a damaged heart valve is affecting your quality of life, it’s natural to worry about surgery. Fortunately, minimally invasive heart valve surgery offers a much gentler alternative compared to traditional open-heart surgery. At Burjeel Specialty Hospital, Sharjah, our advanced cardiology and cardiac surgery team combines modern techniques with compassionate care — giving patients safe, effective treatment and quicker recovery.  

Here’s what you need to know if you or a loved one is considering heart valve surgery. 

What Is Minimally Invasive Heart Valve Surgery? 

Unlike traditional open-heart surgery, which requires a large sternotomy (full breastbone opening), minimally invasive techniques use small incisions — often between the ribs or via partial sternotomy — to access the heart. Surgeons use specialized instruments and sometimes robotic or thoracoscopic assistance for precision. 

At Burjeel, this advanced method allows treatment of various valve disorders while reducing trauma, pain, and recovery time.  

Common heart conditions treated include: 

• Aortic valve stenosis 

• Mitral valve regurgitation or prolapse 

• Tricuspid valve disorders 

• Other congenital or acquired valve defects 

Patients may receive a valve repair (preferred when possible) or a valve replacement (with mechanical or biological valves), depending on individual condition and surgeon recommendation. 

How the Procedure Works at Burjeel 

After initial evaluation — including echocardiograms, ECG, CT scans or cardiac catheterization — the surgical team chooses the best approach. Depending on the valve and condition: 

• Mini-thoracotomy: A small incision on the side of the chest (common for mitral/tricuspid valves) 

• Mini-sternotomy: Partial opening of the breastbone (common for aortic valve surgery) 

• Robotic-assisted / video-assisted techniques: For greater precision and less tissue damage 

• Transcatheter (catheter-based) procedures: In some cases, for valve replacement without surgery 

Burjeel’s experienced cardiac surgeons and interventional cardiologists work together to plan and perform the most suitable procedure.  

Benefits: Why Minimally Invasive Surgery Is Often Preferable 

• Smaller incision → less visible scarring 

• Reduced post-operative pain and faster mobilization 

• Lower risk of infection 

• Shorter hospital stay (often 3–5 days) 

• Faster recovery — many patients return to normal activities within 4–6 weeks 

• Equivalent long-term outcomes compared to open-heart surgery 

For many eligible patients, minimally invasive valve surgery offers the best balance between effectiveness and comfort. 

Who is a Good Candidate? 

Minimally invasive surgery is not for everyone. Suitability depends on factors such as: 

• Type and severity of valve disease 

• Patient’s general health, age, and presence of other heart or medical conditions 

• Anatomy of the heart and arteries, previous surgeries (if any) 

• Diagnostic imaging results (ECHO, CT, angiography) 

At Burjeel, the cardiology and cardiac surgery team conducts thorough pre-operative evaluation to recommend the best personalized treatment plan for each patient.  

Symptoms Suggesting You Might Need Valve Treatment 

Valve disease may develop slowly. Watch out for: 

• Shortness of breath, especially during activity or when lying down 

• Fatigue or decreased stamina 

• Chest discomfort 

• Palpitations or irregular heartbeat 

• Swelling in legs, ankles, or abdomen 

• Fainting spells, dizziness, or lightheadedness 

If you notice one or more of these, an assessment by Burjeel’s cardiac team can determine whether valve repair or replacement — possibly via minimally invasive surgery — is needed. 

Recovery and What to Expect 

Most patients at Burjeel recover faster than with traditional surgery. Typical timeline: 

• Hospital stay: ~3–5 days 

• Return home: After discharge with follow-up care 

• Full recovery / normal activity: 4–6 weeks (varies by patient) 

Follow-up includes medications, regular checkups, echocardiograms, and sometimes cardiac rehabilitation. The goal is to save healing and restore quality of life.  

Risks and Safety Considerations 

As with any surgery, there are risks — but minimally invasive approaches tend to reduce them. Potential complications: 

• Bleeding or infection 

• Temporary arrhythmias 

• Reaction to anesthesia 

• Rarely: blood clots, stroke, or valve-related complications 

At Burjeel, strict safety protocols, experienced surgeons, and advanced technology help minimize these risks.  

Minimally Invasive vs Traditional Open-Heart Surgery 

Feature	Minimally Invasive Valve Surgery	Traditional Open-Heart Surgery
Incision size	Small (5–7 cm or less)	Full sternotomy (large opening)
Post-operative pain	Relatively low	Higher
Hospital stay	Short (3–5 days)	Longer (7–10 days)
Recovery time	Faster	Slower
Scarring	Minimal	Noticeable
Infection risk	Lower	Higher
Suitability	Selected by careful evaluation	Broader, but more traumatic

For eligible patients, the less-invasive approach tends to deliver the same therapeutic benefit with greater comfort and quicker return to normal life. 

Take the First Step — Consult Burjeel’s Cardiac Team 

If you or someone you know is showing signs of heart valve disease — or you’ve already been diagnosed — don’t wait. Contact Burjeel Specialty Hospital, Sharjah for a detailed evaluation. 

Our combined team of interventional cardiologists and cardiac surgeons will review your condition and recommend whether minimally invasive valve surgery is a safe and effective option for you.  

• Call +971 800 55 to book a consultation 

• Or visit our website to book an appointment online — select “Cardiology & Cardiovascular Surgery” for heart valve evaluation.  

Final Thoughts 

At Burjeel Specialty Hospital, Sharjah, we believe every patient deserves compassionate, cutting-edge cardiac care. Whether you’re acting on warning signs or exploring valve treatment options — our cardiology team is ready to support your heart health journey. 

Let your heart lead a healthy life — with expert care, timely intervention, and peace of mind. 

Heart disease remains one of the leading causes of health concerns around the world. While not every symptom means something serious, your heart often sends early warning signs when something isn’t right. Recognizing these signs and consulting a cardiologist early can make a life-saving difference. 

This guide explains the top warning signs you should see a cardiologist right away, how they relate to heart health, and why timely diagnosis is essential for your overall well-being. 

1) Chest Pain or Discomfort That Doesn’t Go Away 

Chest pain is one of the most well-known signs of a heart problem. However, many people misunderstand its seriousness. 

You should not ignore: 

• Pressure or tightness in the chest 

• Burning or squeezing sensation 

• Pain that spreads to arms, neck, jaw, or back 

• Pain that comes on with activity or stress 

• Pain lasting more than a few minutes or recurring frequently 

Chest discomfort could indicate coronary artery disease or even an early heart attack. Even if the pain comes and goes, a cardiologist can check for blocked arteries and prevent complications. 

Important: Always seek emergency care for severe or sudden chest pain. 

2) Shortness of Breath Without a Clear Reason 

Feeling breathless after climbing stairs or exercising can be normal. But if you struggle to breathe without major physical effort, this could be a cardiac symptom. 

Shortness of breath can be related to: 

• Heart failure 

• Valve disorders 

• Weak heart muscle 

• Low oxygen circulation due to heart issues 

If breathing feels harder while lying down or if you wake up at night gasping for air, these are urgent signs that your heart may not pump blood efficiently. 

A cardiologist can evaluate your heart and lung function to find the cause quickly. 

3) Irregular Heartbeat or Frequent Palpitations 

Your heart may occasionally beat faster due to stress, caffeine, or excitement. But a continuous irregular rhythm may indicate arrhythmia. 

Symptoms to watch for: 

• Fluttering or pounding feeling 

• Skipping beats 

• Very fast or very slow pulse 

• Dizziness or fainting along with palpitations 

Some arrhythmias are harmless, but others can increase the risk of: 

• Stroke 

• Heart failure 

• Sudden cardiac events 

Tests like ECG, Holter monitoring, and stress testing help cardiologists diagnose heartbeat problems early. 

4) High Blood Pressure or Family History of Heart Disease 

High blood pressure (hypertension) is often called the “silent killer” because it usually shows no symptoms until major damage occurs. 

If you have: 

• Persistent high readings above recommended levels 

• Diabetes, high cholesterol, or obesity 

• Family members with heart disease at a young age 

…you should schedule a preventive cardiology consultation. 

A cardiologist can provide: 

• Risk assessment 

• Medication if required 

• Lifestyle strategies to protect your heart 

Knowing your heart disease risk early gives you a better chance of preventing future complications. 

5) Swelling in Ankles, Feet, or Abdomen 

Fluid buildup in the body—called edema—can be a sign that the heart is struggling to circulate blood efficiently. When the heart weakens, blood pressure increases in the veins, causing fluid to leak into surrounding tissues. 

Swelling may be accompanied by: 

• Weight gain 

• Heavy, tired legs 

• Frequent urination at night 

• Shortness of breath 

This could indicate congestive heart failure or other serious cardiac concerns. Seeing a cardiologist early helps improve treatment outcomes and quality of life. 

Additional Warning Symptoms to Take Seriously 

If you notice any of the following, especially combined with the top five signs above, it’s best to consult a cardiologist: 

• Extreme fatigue that limits daily activities 

• Fainting or near-fainting episodes 

• Persistent dizziness or confusion 

• Bluish lips or fingertips indicating low oxygen 

• Pain during physical activity 

Any unexplained or recurring symptoms related to breathing, circulation, or heartbeat need professional evaluation. 

Why Early Evaluation Matters 

When detected early, heart disease can often be: 

• Managed with lifestyle changes 

• Treated with medications 

• Corrected using minimally invasive procedures 

A cardiologist will perform diagnostic tests such as: 

• ECG (electrocardiogram) 

• Echocardiogram 

• Stress test 

• Cardiac blood tests 

• Coronary angiogram or angiography 

Early diagnosis ensures: 

• Better long-term heart health 

• Lower hospitalization risks 

• Improved quality of life 

Remember: It’s always better to get checked and be safe than to ignore potential signs. 

How to Protect Your Heart Health Every Day 

Here are some simple steps to reduce heart risk: 

• Maintain a healthy weight and regular exercise routine 

• Quit smoking and limit alcohol 

• Reduce salt, sugar, and processed foods 

• Include heart-healthy foods like fruits, vegetables, nuts, and fish 

• Manage stress through relaxation techniques 

• Monitor blood pressure, cholesterol, and blood sugar regularly 

Prevention is the strongest heart treatment. 

When in Doubt, See a Cardiologist 

Your heart is your body’s most vital organ — take every sign seriously. If you or a loved one experiences any of the warning signs listed above, scheduling a cardiology assessment can ensure timely care and peace of mind. 

Why Early Evaluation at Burjeel Matters 

• State-of-the-art diagnostics: ECG, echocardiogram, stress testing, Holter monitoring, and more.  

• Experienced cardiologists and cardiac surgeons: Burjeel’s cardiac team handles everything from routine checkups to complex cases.  

• Comprehensive care: From preventive cardiology to advanced interventions, patients get personalized treatment plans.  

Take Charge of Your Heart Health — Book a Consultation 

If you notice any of the warning signs above — or have concerns because of risk factors — don’t wait. Schedule an appointment with Burjeel’s Cardiology Department today. Early intervention can prevent major complications later. 

A hysterectomy — the surgical removal of the uterus — is one of the most common procedures performed in women’s health. It is recommended for several conditions such as fibroids, endometriosis, abnormal uterine bleeding, adenomyosis, pelvic pain, and certain gynecological cancers. Today, women have more than one surgical option, and the choice can significantly impact recovery time, pain levels, scarring, and overall comfort. 

At Burjeel Specialty Hospital, Sharjah, our gynecology experts provide personalised care to help women choose the most suitable surgical approach based on their medical needs and lifestyle. 

Understanding the Two Main Types of Hysterectomy Procedures 

1. Open Hysterectomy (Traditional Surgery) 

An open hysterectomy involves removing the uterus through a larger incision in the lower abdomen. 

Advantages 

• Suitable for complex conditions or extensive disease 

• Allows greater visibility and access for the surgeon 

Considerations 

• Larger scar 

• Longer recovery period (typically 6–8 weeks) 

• Higher postoperative discomfort compared to minimally invasive methods 

2. Minimally Invasive Hysterectomy 

This technique uses small incisions and advanced surgical tools. Forms include laparoscopic hysterectomy, robotic-assisted hysterectomy, and vaginal hysterectomy. 

Advantages 

• Smaller incisions and minimal scarring 

• Less postoperative pain 

• Shorter hospital stay 

• Faster recovery (usually 2–4 weeks) 

• Reduced risk of infection and blood loss 

Considerations 

• Not suitable for every patient 

• Requires evaluation by an experienced gynecologic surgeon 

Which Hysterectomy Is Right for You? Key Factors 

Choosing between minimally invasive and open surgery depends on: 

• Underlying medical condition 

• Size and position of the uterus or fibroids 

• Prior abdominal or pelvic surgeries 

• Patient’s age and overall health 

• Presence of pelvic scar tissue 

• Preference and recovery goals 

A comprehensive evaluation allows specialists to recommend the safest and most effective method. 

Recovery and Postoperative Care 

No matter the surgical approach, proper recovery care ensures the best outcomes. 

Tips for Recovery 

• Follow all postoperative instructions 

• Take prescribed pain medication as directed 

• Avoid lifting heavy objects 

• Incorporate light walking to promote circulation 

• Monitor incision site for signs of infection 

• Attend scheduled follow-up appointments 

With minimally invasive surgery, most women return to daily activities sooner — often with significantly less physical strain. 

Meet Our Women’s Surgical Care Expert 

At Burjeel Specialty Hospital, Sharjah, hysterectomy procedures are performed with precision and compassion under the expertise of: 

She specializes in minimally invasive gynecologic surgery, laparoscopic procedures, management of fibroids and endometriosis, and safe hysterectomy planning tailored to women’s reproductive and long-term health. 

FAQ 

1. What is the difference between minimally invasive hysterectomy and open surgery? 

Minimally invasive hysterectomy uses small incisions and offers faster recovery, while open surgery uses a larger incision and requires a longer healing period. 

2. Is minimally invasive hysterectomy safer than open surgery? 

Both procedures are safe. Minimally invasive surgery generally results in less pain, lower infection risk, and shorter hospital stays, but suitability depends on the patient’s condition. 

3. How long does recovery take for each approach? 

Minimally invasive hysterectomy usually takes 2–4 weeks for recovery, whereas open hysterectomy typically takes 6–8 weeks. 

4. Who is a good candidate for minimally invasive hysterectomy? 

Women with fibroids, abnormal bleeding, or early-stage endometriosis may be good candidates, but evaluation by a gynecologist is required. 

5. Who performs minimally invasive hysterectomy in Sharjah? 

Women can consult Dr. Rabia Bashir Natash at Burjeel Specialty Hospital, Sharjah for specialised evaluation and minimally invasive hysterectomy expertise. 

Making the Right Surgical Decision With Confidence 

There is no one approach that fits every woman — the goal is to choose the procedure that provides the best medical outcome with the safest and most comfortable recovery. 

If you have been advised to undergo a hysterectomy or are seeking a second opinion: 

Book a consultation at Burjeel Specialty Hospital, Sharjah to explore your options and receive a customised treatment plan. 

Pregnancy is one of the most transformative phases in a woman’s life — physically, emotionally, and mentally. From conception to postpartum recovery, the right care and lifestyle decisions can make a significant difference for both mother and baby. Whether you’re preparing to welcome your first child or expand your family, understanding the essentials of prenatal and postnatal care plays a vital role in ensuring a healthy pregnancy and smooth recovery. 

At Burjeel Specialty Hospital, Sharjah, our experienced women’s health specialists offer personalized guidance and medical support to help expectants and new mothers enjoy a safe, comfortable, and joyful journey into motherhood. 

Prenatal Care: Preparing for a Healthy Pregnancy 

Prenatal (before birth) care ensures a healthy pregnancy and reduces the risks of complications for both mother and baby. It includes medical support, lifestyle planning, and emotional well-being. 

1. Schedule Early and Regular Prenatal Check-Ups 

Routine prenatal visits help monitor: 

• Baby’s growth and development 

• Mother’s blood pressure, blood sugar, thyroid, and nutrition levels 

• High-risk pregnancy markers 

Early screening allows timely interventions for the best outcomes. 

2. Eat a Balanced, Nutrient-Rich Diet 

A pregnancy-friendly diet should include: 

• Iron-rich foods (leafy vegetables, meat, beans) 

• Calcium (milk, eggs, yogurt, nuts) 

• Protein (fish, legumes, lean meat) 

• Folate and Vitamin B-complex 

Hydration is equally essential to support blood volume and amniotic fluid levels. 

3. Adopt Safe Exercise and Movement 

Light to moderate activities — such as walking, yoga, and prenatal exercises — improve flexibility, stamina, and blood circulation. They also help reduce back pain and prepare the body for delivery. 

4. Prioritize Mental and Emotional Well-Being 

Pregnancy hormones may affect mood and energy levels. Practices like meditation, bonding with family, and good sleep hygiene can reduce stress and support emotional balance. 

5. Avoid Smoking, Alcohol, and Unsupervised Medication 

Certain substances and medications can harm fetal development. Always consult a specialist before taking any medicine or supplement during pregnancy. 

Postnatal Care: Supporting Recovery After Childbirth 

Postnatal (after birth) care is equally important as prenatal care — ensuring the mother’s physical and emotional recovery and helping with newborn care. 

1. Allow the Body Time to Heal 

Rest is crucial in the first few weeks. Adequate sleep, hydration, and gradual movement support faster postpartum recovery. 

2. Continue Nutritious Eating 

Postnatal nutrition supports healing and strengthens the body. Breastfeeding mothers also require enhanced nutrients to support milk production. 

3. Monitor Mental Health 

Postpartum blues and postpartum depression are common but often overlooked. If feelings of sadness, anxiety, or guilt persist, prompt medical support is essential. 

4. Practice Safe Postnatal Physical Activity 

Once the doctor approves, gentle exercises can improve muscle tone, pelvic strength, and overall energy. 

5. Stay Up-to-Date with Postnatal Follow-Up Appointments 

Regular check-ups ensure: 

• Wound or surgical healing (if applicable) 

• Hormonal and emotional health 

• Breastfeeding support 

• Contraception counselling, if required 

Meet Our Women’s Health Experts 

At Burjeel Specialty Hospital, Sharjah, pregnancy care is led by highly skilled and compassionate specialists: 

Both experts provide comprehensive prenatal and postnatal support, high-risk pregnancy management, lactation guidance, and maternal wellness programmes — ensuring safety and comfort for every mother and baby. 

FAQ Section 

1. Why are prenatal check-ups important? 

Regular prenatal visits help track the baby’s development, identify risks early, and ensure the mother’s health is stable throughout pregnancy. 

2. What foods should I eat during pregnancy? 

A diet rich in iron, calcium, protein, folic acid, whole grains, fruits, and vegetables provides essential nutrients for mother and baby. 

3. When can I start exercising after childbirth? 

Light movement is helpful, but structured postnatal exercises should start only after medical clearance to ensure safe recovery. 

4. What is postpartum depression and should I seek help? 

Postpartum depression involves persistent sadness, anxiety, or emotional distress after childbirth. If symptoms persist, medical guidance is important for early recovery. 

5. Who provides prenatal and postnatal care in Sharjah? 

Expectant and new mothers can consult Dr. Rabia Bashir Natash and Dr. Zarqa Noreen Shah at Burjeel Specialty Hospital, Sharjah for specialized care. 

Begin Your Safe and Confident Pregnancy Journey 

A healthy pregnancy doesn’t need to be overwhelming — with the right care, every mother can experience joy, comfort, and reassurance. Whether you are planning a pregnancy, currently expecting, or recovering after childbirth, our experts are here to support you every step of the way. 

Book a consultation at Burjeel Specialty Hospital, Sharjah and enjoy a safe and nourishing pregnancy journey. 

Hormones play a vital role in every stage of a woman’s life — from puberty and menstruation to pregnancy, postpartum, and menopause. When these hormones fall out of balance, the effects can be felt physically, mentally, and emotionally. Unfortunately, many women struggle with hormonal imbalance for years before seeking help, often assuming the symptoms are just stress or aging. 
At Burjeel Specialty Hospital, Sharjah, our dedicated women’s health specialists provide personalized evaluation and treatment to help women regain balance and feel like themselves again. 

What are Hormonal Imbalances in Women? 

Hormonal imbalance occurs when the body produces too much or too little of specific hormones such as estrogen, progesterone, testosterone, thyroid hormones, or insulin. Even minor fluctuations can disrupt vital bodily functions, impacting mood, weight, sleep, menstrual cycles, skin health, and reproductive well-being. 

Common Causes of Hormonal Imbalance 

Hormonal fluctuations may result from: 

• Stress and lifestyle factors 

• Polycystic Ovary Syndrome (PCOS) 

• Thyroid disorders (Hypothyroidism / Hyperthyroidism) 

• Perimenopause and menopause 

• Post-pregnancy hormonal shifts 

• Diabetes or insulin resistance 

• Genetics and family history 

• Poor sleep patterns 

• Certain medications 

Understanding the root cause is the first step toward effective treatment. 

Signs and Symptoms to Watch 

Hormonal imbalance can show up in many ways. Some of the most common signs include: 

• Irregular or missed periods 

• Weight gain or unexplained weight loss 

• Fatigue and lack of energy 

• Acne or excessive hair growth 

• Mood swings, irritability, or anxiety 

• Sleep disturbances or insomnia 

• Hot flashes or night sweats 

• Low libido 

• Hair thinning 

• Difficulty conceiving 

These symptoms may appear individually or in combination and should not be ignored. 

Hormonal Imbalance and Mental Health 

Hormones heavily influence brain chemistry. Many women experiencing hormonal fluctuations report: 

• Irritability 

• Emotional sensitivity 

• Anxiety 

• Low mood or sadness 

• Difficulty concentrating 

Recognising the connection between hormonal health and mental wellness empowers women to seek treatment early rather than silently struggle. 

Diagnosis: When to See a Specialist 

If symptoms interfere with daily life, menstrual health, mood, or fertility, it’s time to consult a gynecologist. Diagnosis typically includes: 

• Symptom and medical history review 

• Hormonal blood tests 

• Thyroid profile 

• Ultrasound (if needed) 

• Vitamin and metabolic assessments 

A personalised plan ensures every woman receives targeted care rather than trial-and-error remedies. 

Treatment Solutions for Hormonal Imbalances 

Treatment depends on the cause, age, symptoms, and goals — whether it’s restoring menstrual regularity, improving fertility, balancing mood, or enhancing overall health. At Burjeel Specialty Hospital, Sharjah, management may include: 

1. Hormone Therapy 

Helps regulate estrogen, progesterone, or thyroid hormone levels to restore balance and relieve symptoms. 

2. Lifestyle and Nutrition Guidance 

Custom programs focused on weight management, reducing inflammation, and stabilising blood sugar — critical for conditions like PCOS and insulin resistance. 

3. Medications 

May include thyroid medication, insulin-sensitizing tablets, or other prescribed therapies to regulate hormonal function. 

4. Supplements and Vitamins 

For deficiencies affecting hormones — such as Vitamin D, B-Complex, omega-3, and antioxidants — based on individual needs. 

5. Stress and Sleep Correction 

Improving sleep hygiene, managing stress, and incorporating activity or relaxation practices can significantly improve hormonal balance. 

6. Fertility Support 

For women planning pregnancy, ovulation-enhancing treatments and fertility care are available when required. 

7. Natural and Holistic Approaches 

Some women benefit from complementary options such as: 

• Yoga and Pilates 

• Meditation and mindfulness 

• Anti-inflammatory diet 

• Herbal and phytoestrogen-rich foods 

Natural approaches work best as supportive therapy alongside clinical care. 

Meet Our Women’s Hormonal Health Experts 

Women’s hormonal health requires expertise, sensitivity, and personalized attention. At Burjeel Specialty Hospital, Sharjah, care is led by highly skilled gynecology specialists: 

Both experts specialise in diagnosing and treating hormonal imbalance, PCOS, thyroid disorders, perimenopause, menstrual irregularities, and reproductive health — offering holistic support for women at every age. 

FAQ  

1. What are common symptoms of hormonal imbalance in women? 

Common symptoms include irregular periods, weight changes, mood swings, fatigue, sleep problems, acne, hair thinning, hot flashes, and low libido. 

2. What causes hormonal imbalance? 

Hormonal imbalance may occur due to PCOS, thyroid disorders, stress, menopause, perimenopause, pregnancy, insulin resistance, lack of sleep, lifestyle factors, or genetics. 

3. Can hormonal imbalance affect mental health? 

Yes. Hormonal fluctuations can influence neurotransmitters, leading to anxiety, irritability, mood swings, emotional sensitivity, and concentration problems. 

4. How is hormonal imbalance diagnosed? 

Diagnosis typically includes medical history review, hormonal blood tests, thyroid tests, vitamin level checks, metabolic screening, and ultrasound (if required). 

5. What treatment options are available for hormonal imbalance? 

Treatment depends on the root cause and may include hormone therapy, thyroid medication, insulin-sensitizing drugs, nutritional guidance, lifestyle modification, supplements, or natural supportive remedies. 

6. Can hormonal imbalance affect fertility? 

Yes. Irregular ovulation, PCOS, thyroid problems, and progesterone imbalance can make conception more difficult. Fertility support and personalised treatment can help. 

7. Are natural remedies helpful for hormonal imbalance? 

Natural remedies including a balanced diet, exercise, yoga, meditation, and omega-3 and vitamin supplements can support hormonal health — but medical guidance is still recommended. 

8. When should I see a doctor for hormonal imbalance? 

If symptoms affect daily life — such as irregular periods, emotional changes, weight gain, sleep disturbance, or difficulty conceiving — consulting a gynecologist is advised. 

9. Who treats hormonal imbalance in women in Sharjah? 

Women can receive specialised hormonal health support at Burjeel Specialty Hospital, Sharjah with experts Dr. Rabia Bashir Natash and Dr. Zarqa Noreen Shah. 

You Don’t Have to Live with Hormonal Imbalance 

Hormonal shifts are common — but suffering in silence is not necessary. With proper diagnosis and tailored treatment, women can regain control of their health, energy, and emotional well-being. 

If you relate to the symptoms described, the first step is simple: reach out. 

Book your appointment at Burjeel Specialty Hospital, Sharjah and begin your journey toward balanced hormones and a healthier, happier life. 

Polycystic Ovary Syndrome (PCOS) is one of the most common hormonal disorders affecting women of reproductive age — yet many women do not realize its strong connection to metabolism, insulin levels, and weight management. PCOS is not just a menstrual or reproductive condition; it is closely linked to the body’s ability to process sugar and regulate hormones such as insulin, estrogen, and testosterone. 

At Burjeel Specialty Hospital, Sharjah, our expert gynecologists support patients with personalized treatment plans to balance hormones, improve metabolic function, and achieve healthier long-term outcomes. 

Understanding PCOS and Metabolism 

PCOS alters the way the body uses energy. In many women with PCOS, the body becomes less responsive to insulin — a hormone that controls blood sugar. As a result, the pancreas produces even more insulin to compensate. 

Over time, this leads to insulin resistance, which plays a major role in: 

• Weight gain and difficulty losing weight 

• Increased hunger and cravings 

• Fat storage around the abdomen 

• Acne and oily skin 

• Irregular menstrual cycles 

• Increased facial and body hair growth 

Understanding this metabolic connection is key to managing PCOS successfully. 

What Is Insulin Resistance in PCOS? 

Insulin resistance occurs when the body’s cells do not respond effectively to insulin, causing glucose (sugar) to remain in the bloodstream rather than being used for energy. The resulting high insulin levels worsen hormonal imbalance and trigger increased production of androgens (male hormones), contributing to symptoms such as: 

• Acne 

• Excessive hair growth 

• Irregular ovulation 

• Weight gain 

Addressing insulin resistance is therefore essential for long-term PCOS management — not just weight loss. 

Why Weight Management is Difficult in PCOS 

Weight gain in PCOS is not due to lack of effort — it is caused by biological and hormonal factors. Higher insulin levels make the body store fat more easily, especially in the abdominal area. This slows metabolism and makes calorie burning less efficient. 

Many women with PCOS report that traditional dieting and exercise do not produce results unless insulin resistance is treated at the root. 

Effective Strategies to Manage PCOS, Insulin Resistance, and Weight 

At Burjeel Specialty Hospital, Sharjah, treatment plans are personalized because each woman’s PCOS experience is unique. Management may include: 

1. Nutrition for Insulin Control 

A specialized diet plan can reduce blood sugar fluctuations and improve metabolic health. Beneficial approaches include: 

• Low-glycemic and balanced-carbohydrate meals 

• High-fiber vegetables and whole grains 

• Lean proteins and healthy fats 

• Avoiding sugar-laden foods and highly processed carbohydrates 

2. Medical Support 

Depending on symptoms and hormone levels, treatment may include: 

• Insulin-sensitizing medications (e.g., Metformin) 

• Ovulation-support therapy for fertility 

• Hormonal therapy for menstrual regulation 

• Supplements such as Vitamin D and Omega-3, when required 

3. Exercise and Physical Activity 

Exercise increases insulin sensitivity and supports weight management. Both strength training and cardio are beneficial for improving metabolism. 

4. Sleep and Stress Management 

Poor sleep and chronic stress can increase cortisol and worsen insulin resistance. Lifestyle guidance is often crucial in PCOS care. 

5. Long-Term Monitoring 

Regular follow-ups help track improvements in: 

• Hormonal balance 

• Weight and metabolic markers 

• Menstrual cycle regularity 

• Energy and emotional well-being 

Meet Our Expert Gynecology Specialists 

Expert support is essential for managing PCOS and insulin resistance successfully. At Burjeel Specialty Hospital, Sharjah, our experienced team offers evidence-based treatments and complete metabolic evaluations: 

Both specialists provide holistic care for PCOS, metabolic concerns, fertility issues, menstrual irregularities, hormonal imbalance, and long-term reproductive health. 

FAQ

1. What is the link between PCOS and insulin resistance? 

Insulin resistance is common in women with PCOS and makes it harder for the body to process glucose. This increases insulin levels, which worsens hormonal imbalance and weight gain. 

2. Why is weight loss difficult with PCOS? 

Higher insulin levels promote fat storage and slow metabolism, making weight loss more challenging unless insulin resistance is treated. 

3. Can PCOS be managed without medication? 

Lifestyle changes such as diet, exercise, and stress management help significantly, but many women need medical treatment to address hormonal and metabolic imbalances. 

4. Does treating insulin resistance improve PCOS symptoms? 

Yes. Improving insulin sensitivity can support weight loss, regulate menstrual cycles, enhance ovulation, reduce acne and hair growth, and improve energy. 

5. Who treats PCOS in Sharjah? 

Women can receive specialized PCOS and hormonal care at Burjeel Specialty Hospital, Sharjah with Dr. Rabia Bashir Natash and Dr. Zarqa Noreen Shah. 

Take Control of PCOS — You Don’t Have to Manage It Alone 

PCOS is a long-term condition — but with the right treatment plan, women can achieve hormonal balance, stable weight, regular cycles, and better quality of life. 

Book a consultation at Burjeel Specialty Hospital, Sharjah and begin your personalized journey toward improved metabolic and hormonal health. 

Perimenopause is a major hormonal transition that every woman experiences, yet many are unaware of what is happening inside the body when symptoms begin. Understanding the changes early allows women to protect their physical, hormonal, and emotional health. 
At Burjeel Specialty Hospital, Sharjah, our women’s health experts guide and support patients through every stage of this journey with personalized and compassionate care. 

What is Perimenopause? 

Perimenopause refers to the time leading up to menopause when the ovaries gradually decrease estrogen production. This shift impacts the menstrual cycle and triggers a range of physical and emotional changes. Knowing what is perimenopause helps women recognize that these symptoms are not “just stress” or “getting older” — they are hormonal changes that can be managed with the right care. 

Perimenopause Age Range 

Most women experience perimenopause between 40 and 55 years, though some may start earlier due to genetics, medical history, lifestyle factors, or surgical removal of the ovaries. Duration varies — it can last from a few months to several years. 

Early Signs of Perimenopause 

The early signs of perimenopause often appear gradually and may differ for each woman. Common indicators include: 

• Irregular or missed menstrual cycles 

• Hot flashes and night sweats 

• Vaginal dryness or discomfort 

• Fatigue and low motivation 

• Breast tenderness 

• Lower fertility 

Recognising and addressing early symptoms improves comfort and long-term well-being. 

Common Perimenopause Symptoms 

As hormonal fluctuations progress, women may notice more prominent symptoms: 

Perimenopause and Mood Swings 

Shifts in estrogen and progesterone can affect neurotransmitters, leading to irritability, anxiety, sadness, or emotional sensitivity. 

Perimenopause Sleep Problems 

Disturbed sleep, night sweats, or insomnia are common and may increase daytime fatigue. 

Perimenopause Weight Gain 

Hormonal imbalance, reduced metabolism, and redistribution of body fat can cause weight gain — particularly around the abdomen. 

No two women experience perimenopause the same way, which is why personalised medical guidance is essential. 

Diagnosis: When to Seek Medical Guidance 

A gynecologist may diagnose perimenopause through: 

• Symptom and menstrual history 

• Hormonal blood tests 

• Thyroid and vitamin level evaluation 

• Ultrasound of reproductive organs (if needed) 

Timely diagnosis provides clarity and ensures symptoms are managed early. 

Perimenopause Treatment Options 

Effective perimenopause management is not a one-size-fits-all approach. Treatment depends on the type of symptoms, medical history, age, and personal preferences. At Burjeel Specialty Hospital, Sharjah, options may include: 

1. Hormone Therapy 

Hormone Replacement Therapy (HRT) balances declining estrogen levels to reduce hot flashes, sleep disturbances, vaginal dryness, mood swings, and bone loss. Treatment is customised to ensure maximum safety and benefit. 

2. Low-Dose Birth Control Pills 

For women still having irregular periods, low-dose contraceptive pills can regulate menstrual cycles, reduce heavy bleeding, and stabilise hormone fluctuations. 

3. Mood and Sleep Support 

If anxiety, irritability, or insomnia is severe, doctors may recommend safe prescription medications, counselling, or cognitive behavioural therapy to help restore emotional and mental balance. 

4. Vaginal Estrogen 

Topical estrogen (cream, gel, or ring) eases dryness, pain during intimacy, itching, and urinary discomfort — without affecting the entire body. 

5. Lifestyle Modification Program 

Doctors may recommend routine-based improvements such as: 

• Nutrition guidance 

• Strength and cardio exercises 

• Sleep hygiene and stress management 

• Reducing caffeine, smoking, and alcohol intake 

These habits significantly improve hormonal balance and energy levels. 

6. Natural Remedies for Perimenopause 

Alongside medical care, many women benefit from: 

• Omega-3-rich foods 

• Phytoestrogens (soy, flaxseeds, legumes) 

• Calcium and Vitamin D supplements 

• Yoga, pilates, and meditation 

Natural remedies for perimenopause work best as supportive care alongside medical treatment, not as substitutes. 

Meet Our Women’s Health Specialists 

Women experiencing perimenopause deserve reassurance, clarity, and personalized support. At Burjeel Specialty Hospital, Sharjah, our gynecology specialists bring a compassionate and expert-led approach to hormonal health: 

Both doctors are experienced in the diagnosis and management of perimenopause, menopause, hormonal imbalance, and long-term women’s health. 

Frequently Asked Questions (FAQs) 

1. How do I know if I am in perimenopause? 

If you are experiencing irregular periods, hot flashes, mood changes, difficulty sleeping, or unexplained weight gain between the ages of 40–55, you may be in perimenopause. A gynecologist can confirm it through a clinical evaluation and hormone tests. 

2. What is the earliest age perimenopause can start? 

While most women begin perimenopause in their 40s, some may start in their mid-to-late 30s due to genetics, lifestyle factors, or medical conditions. 

3. How long does perimenopause last? 

Perimenopause can last from a few months to several years. The duration varies for each woman depending on hormonal patterns and overall health. 

4. Are mood swings normal during perimenopause? 

Yes. Mood swings, anxiety, or irritability are common because hormonal changes affect neurotransmitters that regulate emotions. 

5. Is weight gain linked to perimenopause? 

Yes. Hormonal fluctuation slows metabolism and increases fat storage, making weight gain — especially around the abdomen — common during perimenopause. 

6. Can perimenopause cause trouble sleeping? 

Many women experience sleep problems such as insomnia, night sweats, or restless sleep due to hormonal imbalance. 

7. What treatments are available for perimenopause? 

Treatment depends on symptoms and may include hormone replacement therapy, low-dose contraceptive pills, vaginal estrogen, mood and sleep support, lifestyle modifications, and natural remedies. 

8. Are natural remedies enough to treat perimenopause? 

Natural remedies can support symptom relief, but they are most effective when combined with professional medical care rather than used as the only treatment. 

9. When should I see a doctor for perimenopause symptoms? 

Book a consultation if symptoms interfere with daily life, such as severe mood swings, heavy bleeding, sleep disturbance, or persistent discomfort. 

10. Who can help me manage perimenopause symptoms in Sharjah? 

Women can receive specialised perimenopause care at Burjeel Specialty Hospital, Sharjah with Dr. Rabia Bashir Natash and Dr. Zarqa Noreen Shah. 

Take Control of Your Hormonal Well-Being 

Perimenopause is a natural stage — not something women must struggle through alone. With the right diagnosis and treatment plan, women can feel energetic, emotionally balanced, and comfortable again. 

If you are noticing changes in your sleep, mood, weight, menstrual cycle, or overall energy levels, help is available. 

Book your consultation at Burjeel Specialty Hospital, Sharjah to receive personalized treatment and guidance tailored to your health and lifestyle.