Dr Joyce Sakala
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Consultant Obstetrician gynecologist.
Expert in women's health: puberty, menopause, fibroids, ovarian cysts, abnormal bleeding, pregnancy, childbirth plus many more
16/06/2026
A smile returned. Confidence restored 🩷
Good morning 🎉
15/06/2026
Ladies, let’s talk about something many women experience but few discuss openly 🫂
If you’ve been consistent with Kegels, tried different remedies, and worked on your mindset, but things still feel “different” after childbirth: you are not alone 😔
Childbirth is powerful. For some women, especially after a traumatic delivery, a large baby, or multiple births, the vaginal muscles and tissues may not return to their pre-birth state. That can show up as discomfort, reduced sensation, a feeling of looseness, or it can affect intimacy and confidence. All of that is valid, and it’s not “just in your head”.
So what can you do?
🎯 Talk to your ObGyn. Unregulated “tightening” creams or online hacks can irritate tissue and cause harm.
🎯 Ask about options. For some women with significant laxity or muscle/tissue damage, reconstructive procedures like vaginoplasty or perineoplasty may be discussed. When done for the right medical reasons, these can improve function and quality of life.
Today in theatre, a mom who delivered a large baby underwent a minor reconstructive procedure called vaginoplasty 🤗
Stories like hers remind us that postpartum changes are real, and support + treatment options exist😇
Have you heard about pelvic floor assessment or reconstructive options before?
Important reminder ❗
This is health education, not a diagnosis or personal medical advice. If you have concerns, please speak with your doctor or a qualified ObGyn in person. I don’t assess or treat patients via Facebook or WhatsApp.
PLAY WITH YOUR CHILDREN
Driving through traffic this morning, I got thinking.….🤔
How sedentary have we become as a country?🥹
Think about it:
House → car parked by the door → drive to work → car park right by the office → drive to the mall → car park by the entrance → back home.
When do we actually move our bodies? 🧐🤔😯
Here’s what most people don’t know:
📍 You can lose your muscle mass and strength if you don’t use your muscles regularly. It starts as early as your 30s — men and women.
📍 You can look slim on the outside but still carry mostly fat under the skin. It’s called “skinny fat.” No movement = less muscle, more fat, even if your weight looks “normal.”
📍 With that body composition,the risk of non-communicable diseases is increased. Diabetes, high blood pressure, heart disease, cancers plus more. Our health is much more than the number on the scale.
So what can we do?
✅Start small. Your body is a gift, move it like you’re grateful for it
✅ Park further from the entrance. Those extra steps add up.
✅ Take the stairs, even if it’s just 1 floor.
✅ Stand up and stretch for 2 minutes every hour. Set a phone reminder.
✅ Walk to the gate for deliveries instead of having them brought to the door.
✅Lift that water dispenser by yourself instead of waiting for your house help.
✅Walk while you’re on that long phone call.
✅ Play with your kids 😄
You don’t need a gym. You need to move.
Your muscles, your heart, your health — they all work better when you move.
What’s ONE small way you’ll move more today? Drop it below 👇🏾 Let’s keep each other accountable.
Invest in your health, you're worth it ❗
Good morning and happy Sunday 🌄
Living apart is costing couples 2 things: conception + connection 💔
Ladies, can we be honest for a minute? 😊
Patient: Doc, we’ve been trying for 3 years. Nothing is working.
Me: I hear you. And let’s talk about distance too. You’re in Lukulu. He’s in Mbala. You were each others regular visitor before but he now visits once every 4 months 😳
That’s hard on your marriage… and it’s hard on babies. When we miss the 6-day fertile window every month, pregnancy becomes a geography problem 🤷🏿♀️
Three truths about distance + couples:
🎯 Getting pregnant needs timing.Egg survival = ∼24 hours. S***m = 3-5 days. That’s a 6-day window per month to conceive.
🎯Marriage needs presence. Stress + loneliness mess with hormones AND communication. Your body + heart both feel “now isn’t safe”.
🎯Distance takes twice. Couples miss the baby because of timing. They also drift apart because of silence😔
Bottom line:Before guilt, let’s be real about distance.
If you’re living apart while trying to conceive or just trying to stay close, you need a plan and a lot of grace 😇
You’re not broken. Your situation is difficult ❤️
Invest in your health + your marriage. You’re worth it❗️
゚viralシ
13/06/2026
Hi
I’m Dr Joyce Sakala; Zambian medical doctor with over a decade of experience| Women’s Health specialist (Consultant Obstetrician gynecologist)
If you’re new here, you're most welcome.I see you 🩵🩷
Three things to know about this page:
1. What I do 📍
I’m a medical doctor in Lusaka. I support women during pregnancy, prepare them for delivery, perform any kind of delivery; and also treat women with infertility, PCOS, fibroids, cysts, pregnancy loss, menopause, abnormal periods and other gynecological issues.
I am passionate about raising awareness in women's health and advocate for a healthy lifestyle for men and women to improve our health.
2. What this page is NOT📍
❌ Not a place for personal diagnosis in comments/DMs
❌ Not 24/7 free consultations
❌ Not a replacement for seeing your own doctor
3. How to get help safely📍
✅ Need an answer to your health issue, see your personal doctor or go to your nearest health facility
✅Struggling silently? My DMs are open
🚫 I don't take random phone calls unless you have an appointment.
Medical advice should be sought properly in a private consultation.
Yours truly,
Dr Joyce Sakala, Consultant Obstetrician gynecologist 📍 Lusaka, Zambia
13/06/2026
Shout out to my newest followers! Excited to have you onboard!
Himalambo Swedish Sianyaka, Ganizani Phiri, Linos Chileshe Mwamba, Nicholas Joseph Makumba, Jackson Zulu, Emeldah Mooba Sejani, Goodface Mulala, Yvie Yvonne Mudewa, Rabby Siakachite, Lapani Chisi Ngala, Emma Nkonde, John Kasanga, Himwami Macha, Ebby Nash Mukuka, Patrick MC Simukoko, Vislance Lumpa, Davis Mule, Sinvula Chika, Fidelis Mweene, Christine Nyirenda, Andrew Chirwa, Jonah Phiri, Chanda Chibesa, Kawana Namushi, Given Lu, Johnson Liyungu, ChisangaPonde Chisanga, Andikomera Daka, Stanley Jones Chomba, Samuel Chilawa, David Bwalya, Edward Longwe, Tracy M Mulwe, Victoria Maipambe, Fisonga Amos, Richard Lilamono, Reagan Rig-geez Banda, Chipo Sinyangwe, Mu Ku Tu Lu, John C. Chanda, Vincent Machogu, Enock Nkhuwa, Fidelis Mwansa, Ndumba MC, Clara Munsanje, Jmatola Jnr, Pretty Mbaiwa, Edmond Chisakulo Chimoto Chimz, Ilunga Moses, Gershom Simumba
Good morning and Happy Sabbath 🙏
12/06/2026
"What are you people waiting for to start having babies?"
"How old is your baby? S/he needs a sibling"
"When is Jayden having a baby brother?" 😠
"Akula mwana afunika mufana wake"
"I thought you were pregnant!"
Please stop. 🛑
Behind every "innocent" question is a couple who might be:
✨Grieving recurrent miscarriages in silence 😔
✨Saving every kwacha for IVF or fertility treatment
✨Managing PCOS, fibroids, or low s***m count
✨Recovering from a traumatic birth 😔
✨Waiting for the right partner
Or simply choosing to wait 🙄
None of that is your business.🚫
🎯1 in 6 couples worldwide faces infertility. In Zambia, many suffer in silence while family gatherings become interrogation rooms.
Your curiosity does not outweigh their peace.
As a doctor, I see the tears behind the forced smiles every week.
Let’s change this
🎯Replace "When are you?" with "How are you?"
🎯Celebrate babies without policing wombs
🎯Respect private medical journeys
If you’re silently struggling, you’re not alone. My DMs are safe.🤝
Let us end the stigma.
Share this and tag someone who needs the reminder.
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