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Dr Paul Armstrong

Frequently Asked Questions

Dr. or Mr.? - An Explanation

In the UK gynaecologists are traditionally addressed as Mr. rather than Dr. Unusually, Paul has dual qualification of a doctorate (M.D.) as well as gynaecological surgical qualifications. (M.R.C.O.G.), making either title appropriate.


Paul Armstrong is registered with health insurance companies under his initials N. P. I. Armstrong.

Medical Questions

The following advice may be helpful but does not replace proper medical assessment.

Should my 14 year old daughter be vaccinated against cervical cancer?

Evidence suggests that vaccination substantially reduces the risk of cervical cancer when given before girls are sexually active although it can be given up to the age of 26. Nevertheless, do remember that smears are still necessary.

When should I start having smear tests and how often should I have them?

Smears should be started once a woman is sexually active and have them every twelve to eighteen months unless otherwise indicated.

How soon after a miscarriage can I try to get pregnant again?

After you have had a miscarriage, you should wait until you have had one completely normal period. Of course, much also depends on when you are emotionally ready for it.

Is raspberry leaf tea safe in pregnancy?

It is quite safe to take raspberry leaf tea and evidence suggests that it helps with the labour process.

Following my menopause, my bladder has become weak.
Can anything be done to strengthen it?

Yes, pelvic floor exercises, dietary adjustments, specialist physiotherapy, yoga or, in extreme cases, surgery, are all options.

How much weight should I expect to put on in pregnancy?

No two pregnancies are exactly the same. Most people can expect to gain 10 - 12 kg but some women do retain more fluid during pregnancy which may lead to more weight gain. This is rapidly lost after delivery. If you are expecting twins or more, you will obviously put on more than that.

Can I transfer my care from the NHS to you?

Your care can be transferred at any stage and for any reason. Pregnancy complications and gynaecological conditions are normally covered by the UK health insurances.

I have had several miscarriages.
Can immunisation therapy (LIT) help me?

Only a full investigation will determine the appropriate treatment. LIT is one of the possible treatments for repeated miscarriages. When it is indicated, it has a success rate of 75%. In other cases, different treatments may be better.

I have have painful periods. What can I do?

There are a number of reasons why periods can be painful. It is surprising how often this can be resolved by simple measures.

What next?