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Ms Karen Joash

@mskarenjoash

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Senior Consultant Obs & Gynae NHS/Lindo/ Portland, Positive Coach & functional medicine. Entrepreneur @purervita @purermama @thethrivehouse.uk

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Wave of light to remember the lost babies tonight. To also remember that we must not stand still but move forward in prevention, research and care. Every pregnancy loss, whether early or late, leaves a story and an opportunity to learn.
We know early identification of maternal, placental, and nutritional factors can dramatically reduce the risk of miscarriage, preterm birth, and stillbirth — and improve outcomes in future pregnancies. May this information truly help someone Early Loss (≤13 weeks)
• Chromosomal causes are common, but recurrent losses (≥2) should prompt review for:
• Uterine abnormalities (3D ultrasound or hysteroscopy)
• Thyroid function and autoimmune antibodies
• Antiphospholipid Syndrome (APS)
• Progesterone 400 mg vaginally twice daily (up to 16 weeks) if bleeding in early pregnancy and ≥1 prior miscarriage (NICE NG126).

Late Loss and Stillbirth
• Causes often involve placental dysfunction, hypertension, or infection.
• Investigations: full placental pathology, maternal health review, and growth restriction screening.
• Implement elements of the Saving Babies’ Lives Care Bundle for monitoring fetal growth and wellbeing.

Uterine Artery Doppler & PAPP-A
• Low PAPP-A (<0.4 MoM) at 12–14 weeks and abnormal uterine artery Dopplers at 20–24 weeks predict impaired placentation and fetal growth restriction (FGR).
• NICE and RCOG recommend additional growth scans from 26–28 weeks onwards for women with these risk factors.
• Optimising nutrition (especially omega-3, vitamin D, choline, and collagen) supports endothelial and placental health in these cases.

Other Proven Interventions
• Aspirin (75–150 mg daily from 12 weeks) for women at risk of pre-eclampsia or placental dysfunction (per NICE NG133).
• Heparin + aspirin only in confirmed Antiphospholipid syndrome
• Cerclage for women with proven cervical weakness or short cervix.
• Prompt review for reduced fetal movements.
#WaveOfLight2025
#LightForLove
#LightingTheWay
#AlwaysRemembered
#CandleForMyBaby
#WaveOfLightUK
#WaveOfLightGlobal
#healthequity #tommys #preterm #miscarriage by @mskarenjoash

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a year ago

Why I Created the MenoThrive Journey
By Dr Karen Joash – Award-Winning Consultant in Women’s Health, Functional Medicine Expert and Positive Psychology Practitioner

For too long, menopause has been framed as a medical problem to fix—a time of decline, disruption, and difficulty. But for me, as both a doctor and a woman, it became clear that this narrow view was failing us. That’s why I created MenoThrive.

MenoThrive is more than a journal. It’s a movement—a call to reframe the menopause journey as a powerful opportunity to reset, re-evaluate, and reawaken. Menopause is not the end of anything. It’s a beginning. A season for rediscovering yourself: mind, body, and spirit.

Yes, HRT can play a helpful role—but thriving in midlife is not just about balancing hormones. It’s about rewriting the story. As a consultant in women’s health, a functional medicine expert, and a positive psychology practitioner, I’ve seen how transformative this stage can be when we empower ourselves with knowledge, nourish our bodies, and reconnect with purpose.

MenoThrive is here to guide women through this transition—supporting physical wellbeing, emotional resilience, and spiritual alignment—so that we don’t just survive menopause, we thrive through it.

Because your next chapter is not about loss. It’s about becoming the most powerful version of you. We have the wonderful @the_health_creator with unique nuggets on hormone and foods who also has a wonderful happy hormone programme. We will also be talking about the O capsule for perimenopause from @purervita

👉 Join the free MenoThrive webinar this September to discover how you can thrive through menopause, naturally and holistically: spaces are limited
https://www.eventbrite.co.uk/e/menothrive-thriving-through-the-menopause-tickets-1530228026219. Buy the manual with menothrive15 code at www.bepurer.com by @mskarenjoash

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a year ago

www.drkarenjoash.com by @mskarenjoash

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a year ago

This week’s publication of the Baroness Amos Review is a stark reminder that, despite years of scrutiny, too many women and families continue to experience unequal maternity care.

The review identifies persistent challenges across maternity services, including women not being listened to, inequalities in care and outcomes and a gap between how care is intended to be delivered and how it’s experienced by families.

These are themes we explore in the latest episode of Maternity Care Today.

Hosted by @drnighatarif, this episode brings together @mskarenjoash and Anne Kavanagh to discuss why inequalities in maternity care continue to persist. From whether concerns are heard and acted on, to the impact of communication, and wider social determinants of health, the conversation focuses on the practical changes needed to create more consistent care.

Watch the full episode on Irwin Mitchell's YouTube or bio link. by @mskarenjoash

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4 months ago

The air your child breathes right now is shaping their health, their development, their future.

Too many Black children are growing up exposed to harmful air pollution during the most critical years of their lives. Years that shape everything from how they learn, to how they grow, to the opportunities they’ll have. That has to change.

Join us for the Black Child Clean Air Conference 2026, our 3rd annual event exploring the impact of air pollution on early childhood development and what we can do about it. Proudly sponsored by @bell_ribeiroaddy

This is a unique opportunity to hear from leading experts in health, environment, and early years, while gaining practical insight into how air pollution affects development, behaviour, and long-term outcomes for children.

You’ll also learn how you can play a role in shaping change, from supporting families and influencing practice, to contributing to wider advocacy for clean air and health equity.

📍 House of Commons
📅 Monday 22nd June, 6:30PM

Free to attend. Link in bio to register. by @mskarenjoash

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5 months ago

We are at the Fertility Show this weekend with Dr Karen Session details
Day: Sunday 17th
Time: 3.30PM
Session title: Egg Quality Over 35: Facts, Options & Next Steps
Host: Anya Sizer
Theatre: Theatre 1: Expert Q&A
Session description:
Egg quality can change with age, particularly after 35, and this can bring new questions and choices that might not have been relevant before. This session focuses on the facts around egg quality and what options are available. From understanding age-related changes, to treatment choices and practical next steps. Grab discounted tickets and visit our stand on both days for free fertility advice and support. Karen Joash is a Consultant Obstetrician and Gynaecologist at Imperial College Healthcare NHS Trust with over 15 years of experience advancing women’s health across fertility, pregnancy, and long-term wellbeing. She is known for integrating evidence-based medicine with functional and nutritional science to help women optimise reproductive health.

Dr Joash has a particular interest in egg quality, fertility after 35, and life-course health, supporting women to understand the biological factors influencing fertility and the practical steps that can improve outcomes. Alongside her clinical and academic work, she is the co-founder of an award-winning, doctor-led supplement company, Purervita at www.bepurer.com, focused on preventing nutritional deficiencies that impact fertility, pregnancy, and maternal health. She has developed the novel O capsule, designed to reduce ovarian ageing

Her mission is to empower women with clear scientific insight and practical strategies so they can make informed decisions about their reproductive future. by @mskarenjoash

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5 months ago

🎉 We are delighted to introduce our keynote speaker for the CMUK Women’s Health Edusocial: the brilliant Dr Karen Joash!

As Director of CATO at Imperial College and Chair of the Research Group at Tommy’s, Dr Joash perfectly embodies our mission: bridging clinical excellence with evidence-based nutrition.

With 15 years as a leading Consultant Obstetrician & Gynaecologist, she is a powerful voice in women’s health. Dr Joash empowers women through a unique blend of lifestyle strategies, nutritional science, and positive psychology.

Join us on 12th June to explore:
🍳 Nutrition & HRT – Supporting women through perimenopause and menopause with evidence-based nutrition strategies alongside medication.
🌿 Holistic Strategies – An overview of food and lifestyle shifts for optimal hormonal health.
🥗 Culinary Medicine – Harnessing nutrition science across the spectrum of women’s health.

Dr Joash is at the forefront of the movement to integrate evidence-based nutritional approaches into medical care to ensure the best possible outcomes for women.

✨ Edusocial Alert

🎟️ Tickets: Link in bio!

#DrKarenJoash #WomensHealth #EvidenceBasedNutrition #Foodinmedicime #CulinaryMedicine by @mskarenjoash

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6 months ago

It’s @fivexmore_ UK Black Maternal Health Awareness Week and today’s topic is hypertension, high blood pressure in pregnancy.

@mskarenjoash Dr Karen Joash is a Consultant Obstetrician and in today’s video is answering some of the most important questions for women with hypertension who are pregnant or thinking about pregnancy:

✨ If I already have hypertension, am I likely to get it in pregnancy?
✨ Is my baby likely to be affected if I have hypertension?
✨ What can I do to reduce my risk of hypertension in pregnancy?

Be sure to follow @fivexmore_ for the latest in Black Maternal Health and use the hashtag #BMHAW26 to stay updated.
#FiveXMore #BlackMaternalHealth #BMHAW26 #Hypertension by @mskarenjoash

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6 months ago

🤰“What do fertility experts wish more patients knew before trying for a baby?”

🤰🏻After our Pre-Pregnancy Blueprint seminar, we asked fertility experts Dr Shirin Khanjani and Dr Karen Joash (@mskarenjoash ) to share the one thing they wish more patients knew before trying to conceive.

Here’s what they said.

📋 Follow along for more practical, evidence based pre-pregnancy tips from our specialists.

#fitzroviafertility #fertilityjourney #pregnancyjourney taken in London, United Kingdom by @mskarenjoash

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7 months ago

Peace from Australia as we remember to celebrate international women. This is a banner to commemorate the peace convention in The Hague which went across the world from Brisbane. I continue to pray for peace in our world and through this it’s important that women stand united as we are often the ones who come to most harm. This year remember to give peace through conversations, intention and collaboration and may this lead to a gain of peace across the world. #iwd2026 #givetogain by @mskarenjoash

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7 months ago

A special thank you to Dr @mskarenjoash for the wonderful talk she shared with our community. It was truly insightful and so valuable for all of us at Fitzen.

We feel incredibly lucky to have such an inspiring professional not only supporting our community, but also as our neighbour. Dr Karen is the founder of Pure Shop Hampton, a beautiful natural health store just next door, filled with thoughtfully selected products that support wellbeing in the most natural way.

We are truly blessed to have her close by and collaborating with us. Thank you, Dr Karen, for your generosity, your knowledge, and for being such a wonderful part of our community.

We highly recommend visiting @purervita Shop Hampton. My dreaming place become my happy Place for so many @fitzen.pilates by @mskarenjoash

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7 months ago

🤰What actually improves pregnancy outcomes before conception or IVF?

🩺The Pre-Pregnancy Blueprint is a clinically grounded masterclass designed for both patients and healthcare professionals who want clear, realistic guidance based on evidence rather than trends.

🥼Delivered by Fitzrovia Fertility’s Co-Founder, Consultant Gynaecologist and Sub Specialist in Reproductive Medicine and Surgery Miss Shirin Khanjani and Consultant Obstetrician and Gynaecologist @mskarenjoash , the session focuses on:

✅Practical pre pregnancy optimisation
✅Lifestyle and metabolic health that influence outcomes
✅Supplements and add ons: evidence vs hype
✅Balanced preconception assessment
✅Preparing for IVF in the strongest possible position
✅Early pregnancy planning and risk reduction

📍 In person at Fitzrovia Fertility + live online
 🎥 Recording available for registered attendees
 📅 26 March 2026

🕕 6:00 - 7:00 pm

Limited places available.
Register via the link in our bio

#fertilityjourney #fitzroviafertility #pregnancyjourney taken in London, United Kingdom by @mskarenjoash

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8 months ago