Dr Shazia Malik

Dr Shazia Malik
Obstetrics & gynaecology
Central London


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Dr Shazia Malik Obstetrician - gynaecologist in
London

MRCOG MBChB (Hons)

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Dr Shazia Malik areas of expertise:

Professional statement

Dr Shazia Malik is an expert consultant obstetrician and gynaecologist in London who specialises in reproductive medicine and surgery. Dr Malik’s interests include pregnancy after IVF, early pregnancy problems, as well as PCOS, pelvic pain, menopause and menstrual dysfunction.

Dr Malik gained her medical degree with honours and a gold medal in obstetrics and gynaecology in 1991. She undertook her specialist training in Cambridge where she was also a research fellow funded by the MRC with a world-famous team, looking at abnormal vessel function in women with extremely heavy periods or endometriosis. She successfully completed her subspecialty accreditation in reproductive medicine and surgery at UCLH (London) where she remains an honorary consultant.

Dr Malik has worked as a consultant as part of the recurrent miscarriage team at St Mary’s Hospital, and as a consultant in IVF at CRGH, one of the country’s leading IVF units. She is regularly consulted by the national press and her articles appear in national publications.


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 Credentials

GMC: 3277153

 Professional experience

• More than 25 years of experience
• Consultant Obstetrician and Gynaecologist, The Portland Hospital for Women and Children (present)
• Consultant Obstetrician and Gynaecologist, The Princess Grace Hospital (present)

 ...

 Sub-specialties

• Reproductive medicine
• Obstetrics (general and high risk)
• Menstrual dysfunction
• Women's health check
• Pregnancy
• Miscarriage
• Heavy periods
• Pelvic pain
• Endometriosis
• Polycystic Ovarian Syndrome (PCOS)
• In vitro fertilisation (IVF)
• Caesarean section
• Pregnancy after IVF
• Ultrasound
• Subfertility
• Fibroids
• Menstrual dysfunction
• Laparoscopic surgery
• General gynaecology
• Female fertility
• Fertility medicine
• Female infertility
• Fertility advice
• Pre-pregnancy planning
• Twin pregnancy

 ...

 Education

• Kings College Hospital, early pregnancy and gynae ultrasound (2005)
• Royal College of Obstetricians and Gynaecologists, MAS Level II Accreditation in laparoscopic and hysteroscopic surgery (2005)
• Royal College of Obstetricians and Gynaecologists, Subspecialty Accreditaion in reproductive medicine (2005)
• Royal College of Obstetricians and Gynaecologists, CCST (2005)
• Royal College of Obstetricians and Gynaecologists, MRCOG (1997)
• Liverpool University, MBChB (honours) (1991)

 ...

 Publications and conferences

• Frequently consulted by the press to write articles and make appearances for publications such as the BBC, The Telegraph, The Huffington Post and The Daily Mail.

 Professional membership

• Member of British Medical Association
• Member of Royal College of Obstetricians and Gynaecologists

Languages spoken

  • English
  • Hindi
  • Urdu

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18/02/2018

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Patients comments

She's a true doctor in every sense, who can treat patients just with her smile & words beside's her expertise. she gave me what i needed most: confidence & hope

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Diseases, Medical Tests and Treatments

Caesarean

A caesarean, or C-section, is a surgical procedure performed in order to delivery a baby. This type of delivery is used when it is thought that a vagi ...

Fertility test

A fertility test is a medical protocol that aims to diagnose the causes of infertility in order to find the necessary help to get pregnant, including ...

Menopause

What is the menopause? The menopause refers to the process which naturally occurs in women as a result of ageing, meaning they no longer have p ...

Menstrual disorders

What are the different types of menstrual disorders? Disorders of cycle length: Amenorrhea (absence of menstruation) Oligomenorrhea (infreq ...

Miscarriage

Miscarriage is the loss of an embryo or foetus through natural causes, or through unintentional loss. If it happens after the 20th week of pregnancy it is called stillbirth. Miscarriage is divided into early stage (before 12 weeks) or late (between week 12 and 20). ...

Polycystic ovaries

Polycystic ovaries is a condition that occurs when there is an imbalance in the female ovaries or adrenal glands so they produce more male hormones than normal. The result is the development of cysts (tiny fluid-filled balloons) in the ovaries. Women can develop the syndrome during the teen years or reproductive age, being more common in obese women. Although sometimes there are no symptoms, some symptoms the patient may experience include irregular, infrequent or absent menstrual periods, infertility, pelvic pain, excess hair on the face, chest, abdomen and fingers, hair loss or weak hair, acne, oily skin or dandruff. Birth control pills can help regulate the period and reduce male hormone levels, so this is the treatment usually prescribed for polycystic ovaries. When the ovaries produce multiple small cysts (no more than 1 cm in diameter), it is micropolycystic ovaries syndrome, which usually has the same symptoms. Likewise, the treatment for micropolycystic ovaries may also be based on the administration of the contraceptive pill. ...

20 week scan

The ultrasound at 20 weeks is usually carried out week 19 and week 20 of the pregnancy. Through this control, the doctor can examine the different structures of the foetus as the head, the chest, and the shape of the spine, as well as the heart and the limbs. This ultrasound makes it possible to identify any problems or anomalies. ...

Antenatal appointments

Management of pregnancy or prenatal care is necessary for the welfare of the mother and baby. Reviews should be monthly during the first seven months of pregnancy and more frequent as the mother approaches due date. In each appointment, routine tests are performed to check the development of the pregnancy. Some tests are conducted only in risk pregnancies. ...

Assisted conception

This treatment is undertaken when a couple is not successful in getting pregnant. It can be intrauterine insemination (IUI) or in vitro fertilisation (IVF). ...

Assisted reproduction

Assisted reproduction is a technique in which, through medical assistance, the egg is fertilized by the sperm. This technique is used when there is a medical problem that prevents the couple from getting pregnant. ...

Childbirth

Childbirth is when the baby leaves the womb at the end of the nine months of pregnancy, although it may occur prematurely. Labour starts when the mother starts feeling irregular and continuous uterine contractions, which progressively increase in frequency and intensity. Together with the contractions there are also some other physiological changes happening in the cervix, which will help the baby to be born. The pregnant woman should be taken to a hospital in order to receive all the medical care required. In some cases, she may require the help of anaesthetic drugs or oxytocin, which are used when there are complications. Ideally, during labour the baby goes through the mother’s vagina spontaneously, without complications or the need for doctors to use instruments. However, in many cases there is the need to use instruments, such as forceps, to help the baby during delivery. A lot of births are by Caesarean section, a surgical procedure in which an incision is made in the abdomen and uterus to remove the baby when a natural birth is too complicated or dangerous for the mother and child. ...

Ectopic pregnancy

Ectopic pregnancy occurs when a fertilised egg becomes attached outside the uterus. It is a serious but rare problem. Symptoms include abdominal pain, vaginal bleeding, nausea, and dizziness. If caught early the embryo can be removed by laparoscopic surgery. If the embryo has grown too much it can rupture the fallopian tubes, requiring immediate surgery. ...

Endoscopy

What is it? Endoscopy is the use of cameras to relay images from inside the body.  The device used, known as an endoscope, is a long thin flexible tube with a camera at one end and a light source. What does it involve? Endoscopes are inserted in to the body via a natural opening such as the mouth or the anus. There are different types of endoscopy depending on the site and function of the procedure – if the bowel is to be investigated for example, it is referred to as a colonoscopy. If the airways are to be examined, the procedure is referred to as a bronchoscopy. Endoscopy can also be used for surgery, as in the case of laparoscopic surgery – in this situation the laparoscope (a specific type of endoscope) is inserted through small incisions. Once inserted, the endoscope is able to send images from the inside of the subject’s body back to a TV screen. What is it for? Endoscopy is most commonly used to investigate symptoms and help to diagnose conditions relating to the digestive system, although it can be deployed to produce images and aid with many other parts of the body, including the respiratory system, the urinary tract and the female reproductive system. An endoscope can also be used to assist with surgery. An endoscopy is commonly used to investigate symptoms such as abdominal pain, nausea and vomiting, unexplained weight loss, diarrhoea, blood in the stool or vomiting blood. How can you prepare for it? You may be required to avoid food and liquids for a period beforehand, depending on what type of endoscopy you are undergoing. In the case of a colonoscopy, you might be given laxatives to help you evacuate any stool beforehand. You may also be required to stop taking certain medication such as blood thinners to prevent excess bleeding from the procedure. What does it feel like during the procedure? The procedure usually only causes mild discomfort although a local anaesthetic is also sometimes used. It is normally performed with the patient conscious, although sedatives can be deployed to help you relax. Antibiotics are sometimes used to reduce risk of infection. What would a “bad” result mean? An endoscopy can be used to diagnose a wide range of conditions and the results are interpreted by a specialist.  Whether the results are good or bad clearly depends on what symptoms are being investigated and on which part of the body the endoscopy is being performed. ...

Family planning

Family planning refers to fertility techniques and contraceptive treatments. Family planning allows couples to decide on the number of children they wish to have and offers an element of control over the time between pregnancies. ...

Fertility treatments

Couples that have not conceived naturally after two years may opt for fertility treatments. Treatments can be medicinal, surgical or assisted (IUI/IVF). ...

Foetal medicine

The Fetal Medicine treats all diseases that originate during gestation. Much of the diseases suffered by children and adults emerge during pregnancy. The Fetal Medicine includes the diagnosis of the disease by high definition ultrasound, biopsy or amniocentesis. fetal through surgery treatment and evaluation. ...

Foetal surgery

Fetal surgery is the procedure performed while the fetus is in the womb of the mother. It is rare, only 1 in 1,000 pregnancies requires this type of operation. The fetal surgery can save the life of a baby who has a malformation or disease ...

Gynaecological examination

The gynecological examination involves the examination by a gynecologist and a series of tests to determine the status of the female reproductive system. The first control is advisable to carry out between 13 and 15 years of age, when the body of the woman is in the process of development. During the first gynecological visit you may perform a physical examination or not. The tests also will depending on the age of the patient, if you have had sex or have problems with menstruation or pain or symptoms of infection. The study of the patient can be performed through a pelvic exam, a Pap test, ultrasounds or revision breast. Maintain good sexual health and normal control women can prevent the development of certain diseases in the future. ...

Heavy periods

Heavy periods, known in medical terms as ‘menorrhagia’ can be experienced along with other symptoms such as period pain. On average women lose around 30-40ml of blood during their period. The amount varies from woman to woman, but generally amounts lost above 60ml are considered to be heavy menstrual bleeding. Heavy periods are not always an indication that something is wrong, but they can be uncomfortable and disruptive in everyday life. Some conditions which can cause heavy periods include fibroids, PCOS (polycystic ovary syndrome), endometriosis, hyperthyroidism, and pelvic inflammatory disease. ...

High blood pressure pregnancy

High blood pressure in pregnancy should be monitored very carefully. It can cause slow growth of the foetus or neonatal mortality. Hypertension in pregnancy can be caused by a low-fat and low in calcium diet, so it is necessary to eat a well-balanced diet. ...

High-risk pregnancy

Risk pregnancy is a type of pregnancy in which there are many chances that the mother or the child develop problems during the pregnancy. Rest and medical supervision are required and, in some cases it is necessary to take medication or additional food supplements. To be considered a medium, high or very high risk pregnancy, the mother or the foetus would have an illness or be under circumstances that could endanger both. Medium risk: Pregnancies under the age of 17 and over 38, obese women with abnormalities in the pelvis, blood group Rh negative, those who smoke. High-risk: Mother with severe anaemia, pregnancy with twins, women who have had cervical surgery or who have a critical obstetrical history, infections, gestational diabetes, suspected foetal malformation, morbidly obese. Very high risk: Multiple gestations, uterine malformations, heart disease, diabetes, cervical incontinence, restricted foetal growth, foetal malformation confirmed, placenta praevia, severe pre-eclampsia, preterm labour, ruptured membrane. ...

Hormone replacement therapy (HRT)

During the menopause, women's hormone levels fluctuate. This can cause a range of unwanted symptoms like hot flushes. HRT aims to replace the lost hormones with medication, and restore balance to the body. ...

In vitro fertilisation (IVF)

 In vitro fertilisation (IVF) is used when a couple are having difficulty getting pregnant via natural methods. A woman’s own (or a donor’s) egg is artificially inseminated by her partner’s (or donor’s) sperm, to obtain one or more embryo. The embryos can then be transferred to the woman’s uterus to develop as a normal pregnancy, or frozen for use at later time....

Infertility

Infertility is the inability to achieve pregnancy after a period of 12 months or more of unprotected sex. This term should be distinguished from sterility, which is the absolute inability to achieve pregnancy. According to the World Health Organization, infertility affects 15% of couples. In approximately 40% of cases, it is male infertility; in another 40%, the female is infertile, and in the remaining 20% either of the two sexes is infertile, or there are unspecified causes. The causes may be varied: genetics, immune, endocrine, toxic, infectious, etc. so both partners must undergo medical tests. Treatment may include techniques such as in vitro fertilisation, artificial insemination, transfer of zygotes to the fallopian tubes, and intracytoplasmic sperm injection. ...

Laparoscopy

Laparoscopy is a surgical technique used to inspect the abdominal cavity, allowing the surgeon not to make large incisions. During the procedure, a laparoscope,  which is a tube containing an optical system coupled with a light source, is inserted into the abdomen. The camera allows the doctor to inspect the pelvic organs from a monitor and, if necessary, to introduce other instruments through the same laparoscope to correct a problem. The advantages of laparoscopy are many, such as the patient requiring shorter hospitalisation and recovery time, fewer chances of infectious complications, less postoperative pain and no visible scars. Laparoscopy is used primarily in processes such as prostate cancer or some kidney diseases. ...

Multiple pregnancy

Multiple pregnancy means that a woman has more than one baby in her uterus when pregnant. This can happen because of the fertilization of two or more eggs. Children from multiple pregnancies are twins....

Polyps

Polyps are abnormal tissue growths. They can form in different parts of the body: Colon polyps Uterine polyps Nasal polyps, etc. Polyps are a common problem and most of them are benign, although some types have been linked to cancer.  ...

Preeclampsia

Preeclampsia is a condition that can occur in women during their 20th week of gestation. During this stage, the pregnant may experience high blood pressure, protein in the urine and a series of symptoms that disappear within 6 weeks after giving birth. ...

Pregnancy

Pregnancy is the gestation of a single or of multiple foetuses. During this time a women will experience many physical and emotional changes. 

Premature birth

A premature birth is the one that happens three or more weeks before the baby’s due date. A premature birth can have consequences on the foetus, as it has not fully developed. The main risk factors that can cause premature labour include multiple pregnancy, two consecutive pregnancies, uterine problems, hypertension, smoking, and alcohol consumption during pregnancy. ...

Premenstrual syndrome

Premenstrual syndrome is characterised by a set of symptoms that affect the body and the mood of women. They usually start one to two weeks before menstruation and disappear when it starts. The vast majority of women experience at least one of these symptoms: joint pain, tender and swollen breasts, migraine, acne, fatigue, constipation, irritability, hot flushes, depression, changes in mood, low sex drive, etc. Sometimes they are severe enough to interfere with their normal life. There is no definitive treatment for premenstrual syndrome, but general recommendations include to exercise regularly, take pain killers or evening primrose and follow a healthy diet (avoiding sugars, replacing processed food with whole food, reducing fat). ...

Prenatal diagnosis

Prenatal diagnosis is the set of tests that examine the proper formation and development of a foetus. There are different techniques, both invasive and non-invasive. ...

Preparation for childbirth

Preparing for childbirth and delivery involves lots of things and the new parents need to get ready for the big moment from the beginning of the pregnancy. Courses consist of informative sessions in which experts explain all about foetal development, the medical check-ups the future mother needs, the psychological aspects of pregnancy, childbirth, the delivery, the postpartum period, breastfeeding, etc. In addition to this, there are useful classes to prepare the future mother for childbirth, in which a specialised instructor will teach the pregnant women body postures and exercises that will help provide greater elasticity to the muscles to facilitate the birth process, as well as breathing and relaxation techniques that will allow greater self-control at the time of labour. ...

Recurrent miscarriage

Repeated miscarriages are the loss of three or more consecutive pregnancies before the 20th week of gestation. Each case should be individualized, with the age of the woman, the circumstances surrounding the losses or the anxiety of the couple all being aspects to be taken into account. ...

Second medical opinion

What is a second medical opinion? A second medical opinion is when you consult with a doctor that is not your regular doctor about a potential diagnosis and/or treatment plan. There is no legal right to a second opinion, however, it is rare for a doctor to refuse. Why would you get a second medical opinion? Patients may consider a second medical opinion if they are facing a new diagnosis or recommended treatment because sometimes this can feel confusing and a second opinion can put their mind at ease. In addition, there are certain situations where a second medical opinion is sought after: Potential treatment is risky and could be life-changing or the diagnosis is possibly life-threatening The diagnosis is not clear-cut If you are considering a new treatment approach that is experimental The aims of obtaining a second medical opinion are: To confirm whether a diagnosis is correct and/or appropriate. To confirm whether a suggested treatment is correct and/or appropriate. To compare information received from each doctor so that you can make an informed decision – sometimes a second medical opinion can rule out the need for a potentially unnecessary invasive procedure. Possible disadvantages of seeking a second medical opinion include: The process can delay the start of treatment. Logistically, seeing another specialist might be difficult and possibly time-consuming. It might be stressful to hear the same diagnosis again. How would you seek a second medical opinion? You can request a second medical opinion from your GP or consultant, but before doing so it is recommended that you ask for as much clarification and explanation about the initial diagnosis and treatment, before seeking a second opinion. Obtaining a second medical opinion does not mean that the second doctor will then take over – if that is what the patient decides, then this needs to be agreed formally between doctors and hospitals.  ...

Ultrasound

What is ultrasound? Ultrasound is a diagnostic imaging procedure that allows you to see organs and soft structures inside the body. At present, they can be 2D, 3D or four-dimensional images. Ultrasound is a non-invasive technique, in which radiation is not used and thanks to this, it is used to visualise developing foetuses. What does an ultrasound scan consist of? It is carried out using high frequency sound waves emitted through a transducer that captures the echo of different amplitudes which occurs when they ‘bounce’ off the organs. These signals, once processed by a computer, give a series of images. Why are ultrasounds carried out? With this procedure you can clearly differentiate the shape and size of each structure inside the body. In medicine it is used to see the heart, kidneys, liver and blood vessels, among other organs. In addition, ultrasounds are also carried out on patients who are pregnant. Another function is the study of different tissues of the body such as the blood flow of arteries and veins to detect arteriosclerosis and blood clots. Ultrasounds also allow the analysis of the thyroid gland and other soft structures of the neck as well as tendons, ligaments, muscles and joint structures, and mammary glands. Preparation for Ultrasound Usually, you do not need any type of preparation for having an ultrasound. In cases where the area to be examined is the abdomen, the specialist may tell you to drink three glasses of water approximately one hour before the test. How does it feel during the ultrasound? During the ultrasound, the patient will lie on a table or stretcher with the area to be analysed exposed. The specialist will apply a transparent gel that will allow the movement of the roller built into the transducer. During the scan the expert will interpret the images and determine which shots are correct according to each case. The only slight discomfort that can be felt is the gentle pressure that the specialist applies when passing the transducer over the body area. The gel applied can also feel quite cold when applied. Meaning of abnormal results The types of images that are considered abnormal are: Congenital anomalies An alteration to tissue due to trauma or injury Cysts ...

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