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Dr Faz Pakarian

Dr Faz Pakarian

Show Phone NumberMontefiore Hospital, 2 Montefiore Road, Hove, Brighton, BN31Rd
3.8 / 5  Very Good
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Opening Hours

Monday
Tuesday
Wednesday
Thursday14:00 - 17:00
Friday
Saturday09:00 - 17:00
Sunday

Popular Treatments

Obstetrician / Gynaecologist Consultation
Labiaplasty Up to £2300
Vaginoplasty Up to £2500
Hymenoplasty
Sexual Health Advice
Fertility Test
Tubal Ligation Reversal Up to £6000
Sexual Dysfunction Treatment
Myomectomy
Tubal Ligation Up to £3000
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About Dr Faz Pakarian

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Provides

Fertility

Obstetrics / Gynaecology

Premises

Parking

Clinic Services

Open weekends - Saturday 9-5pm

Languages spoken

EnglishFarsi

Obstetrics / Gynaecology

 
Antenatal Treatment
 
Contraception
Up to £2000
D&C - Dilatation and Curettage

This may be carried out under local or general anaesthesia.  Indications are abnormal per vaginal bleeding, bleeding after the menopause.

 
Emergency Contraception
 
Hysteroscopic Surgery
Hysteroscopy

Hysteroscopy and endometrial biopsy is a test to look inside the uterus by using an narrow instrument (hysteroscope). This tubular instrument is slim (less than 6 mm in diameter. An instrument is placed on the neck of the womb (cervix) and the cervix canal is dilated to allow the passage of the hysteroscope). This may be carried out either under local or general anaesthesia. Once the hysteroscopy has been completed, a specimen of the lining of the womb is taken. 

Indications for Diagnostic Hysteroscopy

  • Heavy periods
     

  • Post menopausal bleeding
     

  • Intermenstrual (bleeding in between periods) bleeding
     

  • Post-coital bleeding
     

  • Malformation of the uterus
     

  • To assess fibroids and polyps in the uterine cavity

After the procedure and going home?

If you have a general anaesthetic you should not drive on the day of the procedure. It is recommended that all women who have a hysteroscopy (even under local anaesthetic) are accompanied when they go home and do not spend the first night at home alone.
When one is required, it is usually when the laboratory results of the specimens taken (endometrial biopsy) are back. These can take up to ten days. Normally you will be given your follow-up appointment before going home. Sometimes it is necessary to send you your appointment through the post. 

Vaginal bleeding can occur for up to seven days afterwards

What are the important risks of the procedure?

  • The procedure can cause excessive bleeding resulting in the need for a blood transfusion in about 4 of 1000 cases.

  • Infection of the womb also occurs in about 4 of 1000 cases

  • Uterine perforation. It is possible that an instrument can pass through the muscle

 
IUD - Intrauterine Device
 
Laparoscopic Gynecological Surgery
Laparoscopy

Laparoscopy is a commonly performed procedure to inspect the organs of the pelvis (uterus, tubes, ovaries) and abdomen (appendix, liver, gallbladder) using a specially designed telescope. This is carried out under general anaesthesia as a day case, without the need of overnight stay. If treatment has been carried out, one or more nights stay is recommended The abdomen is filled with gas by making a 5 mm scar in the belly button. A similar scar may be indicated below the bikini line if operative laparoscopy is indicated. 

Indications in performing a Diagnostic laparoscopy:

  • Pelvic pain (endometriosis, pelvic inflammatory disease, pelvic abscess)

  • Painful sex

  • Infertility: to check the patency of tubes using dye- the tubes are seen with the telescope whilst dye is passed from below.

Indications in performing Operative Laparoscopy:

  • Treatment of endometriosis

  • Removal of ovarian cysts

  • Hysterectomy

  • Fertility surgery

  • Sterilisation

  • Myomectomy (removal of fibroids)

After Laparoscopy 
After a laparoscopy it is usual to have some pain in the tummy and around the shoulder tips. However, this should be treatable with pain relief. It should not limit a womans ability to mobilise and be discharged. Vaginal bleeding is also quite common but should not be heavier than the worst day of a normal period and should not last more than about two weeks. 

Following a diagnostic laparoscopy most women take a week off work. Following an operative laparoscopy, most women take two to three weeks off work depending on the complexity of the procedure and other coexisting medical conditions.

 
Myomectomy
Fibriods

Fibroids are common benign (non-cancerous) tumors which arise from the muscle of the womb. They are made up of smooth muscle. Up to 1 in 4 women in the reproductive age have fibroids. They arise in the muscle wall of the womb (intramural), project outwards from the uterine surface (subserosal), arising in the cavity of the uterus (submucosal) and cervical fibroids (arising on the cervix). The size and number of fibroids may vary some ranging from a few centimeters to one that are so large that fill the abdominal cavity .

Clinical features 
The clinical presentation of fibroids is dependant on the site, size and the reproductive status of the woman.

  • Asymptomatic: there are no symptoms in over 50% of cases and are discovered at routine pelvic or abdominal examination. 
     

  • Heavy periods (menorrhagia) occurs in up to 30% of women
     

  • Painful periods (dysmenorrhea) 
     

  • Pelvic pain or pressure symptoms
     

  • Subfertility
     

  • Cancerous change in fibroids is rare. It is thought to occur in about 1 in 500 cases. When this occurs, the fibroid develops into something called a leiomyosarcoma.

Investigations 
Ultrasound scan. This details the exact number and location of the fibroids. Hysteroscopy to look at fibroids inside the cavity of the womb. 
Laparoscopy is required to see if there are other causes for any pain. It is also usual to have blood tests to look for anaemia and clotting problems in a woman with heavy periods (menorrhagia). 

Treatment 
This depends on the age, size and site of the fibroid, symptoms affecting quality of life and fertility wishes. If the fibroids are not causing any trouble, it may be possible to ?leave things as they are? and to annually assess the size of

 
Obstetrician / Gynaecologist Consultation
 
Postnatal Treatment
 
Pregnancy Test
Up to £3000
Tubal Ligation

I carry this procedure laparoscopically (key hole surgery ) as a day case procedure.  It is performed under general anaesthesia.

Up to £6000
Tubal Ligation Reversal
Tubal Operations
  • Reversal of sterilisation, I would always recommend assessing the quality of eggs in the ovaries by a simple blood test, FSH. Semen analysis is always essential.

    If these are normal, the procedure is carried out under general anaesthesia with over night stay.

  • Laparoscopy and dye- to assess the patency of the fallopian tubes as part of subfertility investigations.

    This is a day case procedure.  In addition it is possible to assess the pelvis for endometriosis, adhesions or ovarian cysts. the cost is £2400

Plastic Surgery

 
Genital Reshaping
Vulval Surgery

Vulval biopsy

This involves the removal of a small piece of skin from the vulva. This small piece of skin is assessed by the laboratory for any abnormality. Vulval biopsies are usually carried out if there are any concern about the appearance of the vulva. The procedure is usually carried out at the clinic and the results are available with in a week. 

Bartholin?s cyst

These arise from the duct of the Bartholin?s gland . When the duct becomes blocked, a cyst develops. The cyst can become infected and will then cause discomfort. Incision and marsupilisation of the cyst is necessary to release the abscess.

Labial reduction

The labia minora (inner lips of the vagina), may be perceived to long or to be unequal. This may cause discomfort, embarrassment or sexual dissatisfaction.
It is now possible to reduce the labial tissue. This is carried out under general anaesthesia and usually takes up to an hour. This is often carried out as a day case. The recovery time is up to two weeks.

 
Hymenoplasty
Up to £2300
Labiaplasty

It is not uncommon for women to be unhappy about the shape of their labia.  It may be that the labia are asymmetrical. I carry out labial reduction or refashioning under local or general anaesthesia. It is a day case procedure and I recommend a few days off from work.

Up to £2500
Vaginoplasty

It may be that women are unhappy about the shape or appearance of their vagina. This may be following child birth affecting sexual relationship.

I carry out vaginal refashioning under general anaesthesia. This involves tightening the perineum.  On some occasions, I also carry out a vaginal repair.

Fertility

 
Cycle Monitoring
 
Fertility Specialist Consultation
 
Fertility Test
 
Tubal Surgery

General Practice

 
Cancer Screening
Rapid Access Clinic

The aim of this service is to provide a rapid diagnosis and treatment of some of common gynaecological problems such as:

  •  (swelling in the tummy) such as an ovarian cyst or fibroid
     

  •  (abnormal bleeding after the menopause)
     


  •  

  • - bleeding after intercourse or bleeding in between periods
     

  • Abnormal appearance of the vulva

A number of tests are carried out on the same day. These include:
 

  • Blood test- CA125 (this protein tumour marker increases with ovarian cancer in addition to other conditions such as endometriosis). Ca125 levels may also remain low in early ovarian cancer

  • Ultrasound- During clinical examination a large swelling in the abdomen may be detected. However a scan will be more useful in detecting smaller cysts. It will also distinguish between a fibroid and an ovarian cyst.
     

  • Colposcopy in the cases of abnormal cervical smears and post-coital bleeding.
     

  • Endometrial pipelle- to obtain sample from the lining of the uterus. This is later assessed to exclude abnormal cells. This is often carried out in women with PMB.

The rapid access services ensures that as far as possible, diagnosis and plans for future treatment are made on the same day. 

 

 
Sexual Dysfunction Treatment
 
Sexual Health Advice

Urology

 
Urinary Incontinence

Diagnostic Imaging

 
Ultrasound

Payment Information

Will be happy to consult without referral from the GP if uninsured

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Insurance

Private Patients Welcome

Public Health Insurance

BUPA - Premium Consultant

AXA PPP Healthcare

CIGNA Healthcare

WPA

Simplyhealth

Mr Faz Pakarian

Job Title:
  Consultant
Specialisations:
  Fertility Medicine, Gynaecology

Dr Staff Theatres

Show Phone NumberMontefiore Hospital, 2 Montefiore Road, Hove, Brighton, BN31Rd