• Slide 1

    Batian Medical Center

    Online Medical Consultancy

    Hospitality, Chemist, Labaratory

    Learn More
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    Batian Medical Center

    Online Medical Consultancy


    Meet Our Team


Services we offer in our hospital

General Medical Consultations

Welcome to the Batian Medical Centre website. We aim to provide all of our patients with a comprehensive range of healthcare services covering one-off problems to longer term illnesses.

Feel free to explore the site and find out how you and your family can benefit from our personal and professional approach to healthcare. The general medical consultation covers our entire life from pre-conception counseling, fertility issues ,antenatal,

post natal matters, childhood, adolescent medicine, midlife crises to geriatric medical care. Please take the time to browse our site as we have endeavored to supply all the information you require. If you have a query that is not answered within the site,

please feel free to call us at the clinic, and we will be only too pleased to help.

General Gynecological Consultations

Our multidisciplinary team of experienced clinicians and specialist nurses ensure that all our patients’ needs are addressed, providing our patients and their families with the support they need during their period of illness and recovery.

Against a backdrop of rapid developments, our department strives to provide our patients with the best care by keeping abreast of the fast changing panorama of women’s health.

Management of Heavy Menstrual Bleeding (HMB)

Dr Cindy Pang


Dept of Obstetrics & Gynecology

In a normal menstrual cycle, the average woman loses a total of 30-40 ml of blood over three to seven days. Heavy or prolonged menstrual bleeding is termed menorrhagia. Research criteria define this as a monthly menstrual blood loss in excess of 80 ml.

A more practical definition may be that of menstrual loss that is greater than the woman feels she can reasonably manage. When the term menorrhagia is used, it is implied that there is regular, cyclical bleeding without inter-menstrual bleeding. The National

Institute for Health and Clinical Excellence (NICE) in the UK defines heavy menstrual loss as excessive blood loss that interferes with a woman’s physical, social, emotional and/or quality of life.

Causes of heavy menstrual bleeding include:

  1. Dysfunctional uterine bleeding (excessive bleeding with no identifiable pathology): 20-40%
  2. Anovulatory cycles (more common at extremes of reproductive age): 20%.
  3. Local causes: fibroids, endometrial polyps, adenomyosis, endometritis, pelvic inflammatory disease
  4. Endometrial hyperplasia and carcinoma: to consider in patients with non-cyclical heavy bleeding who are above 40 years old or with risk factors such as polycystic ovarian syndrome, obesity, nulliparity, early menarche, diabetes mellitus, unopposed exogenous
  5. or endogenous estrogen.
  1. Systemic disease: including hypothyroidism, liver or kidney failure and bleeding disorders.

History and Examination

Studies have shown that there is little correlation between the number of pads or tampons used and actual menstrual blood loss. This is because hygiene habits of women differ greatly. However, it is prudent to enquire in the history about the extent of use

and staining of sanitary products, as well as occurrences of clots or flooding, as a gauge of the amount of loss. Other pertinent information from history-taking


  1. The pattern of bleeding and associated symptoms – inter-menstrual bleeding, post-coital bleeding, dyspareunia and pelvic pain.
  1. Fertility wishes
  2. Symptoms of anaemia
  3. Effect on quality of life, including any time off work
  4. Past medical problems, including clotting disorders, thyroid status and gynecological history
  5. PAP smear, gynecology history

Clinical examination should be undertaken to assess for any anaemia and also to rule out potential organic causes of HMB. bio-prosthetic aortic valve is preferred because no anticoagulation is required.


Always consider a urine pregnancy test to rule out pregnancy. PAP smear should be undertaken if not done recently. Ultrasound (ideally transvaginal) is the first-line diagnostic tool for identifying structural abnormalities such as fibroids and polyps.

An endometrial thickness of less than 12 mm is normal in premenopausal women. Endometrial sampling should be offered to women above 40 years, particularly if there is non-cyclical (irregular) bleeding. Menorrhagia (regular, heavy bleeding) is generally

not associated with malignancy though endometrial evaluation is usually performed in older women. Younger women who have not responded to medical treatment for heavy menstrual bleeding should also be offered endometrial evaluation.

A full blood picture will give an estimation of the degree of anaemia. Other blood tests such as thyroid function tests and bleeding disorder testing should be performed only if there is clinical suspicion.



Pregnancy, endometrial hyperplasia and endometrial carcinoma need to be ruled out. If there are organic causes of menorrhagia, such as fibroids or adenomyosis, treatment options can be offered based on the patient’s wishes and fertility concerns.

The general considerations guiding the choice of initial treatment are:

  • Etiology and severity of bleeding
  • Associated symptoms (eg. pelvic pain, infertility)
  • Fertility – Contraceptive needs or plans for future pregnancy
  • Contraindications to hormonal or other medications
  • Patient preferences regarding medical versus surgical and short-term versus long-term therapies

In the absence of any structural or histological abnormalities, or fibroids more than 3cm causing distortion of uterine cavity, the recommendations for treatment according to the NICE clinical guideline 44 on heavy menstrual bleeding (January 2007) are:

First line:

  1. Levonorgestrel intrauterine system – Mirena
  • This is long-term treatment and can last for five years. Studies have shown this to be more effective than other medical treatments.
  • This option reduces blood loss by up to 94%. Some women experience an increase in irregular or heavy bleeding during the first three months after placement of the LNG-IUS. After six months, the majority of patients have amenorrhoea or oligomenorrhoea

Second line:

  1. Tranexamic acid
  • This is an anti-fibrinolytic agent. It inhibits the dissolution of clots which then reduces menstrual flow. It can reduce flow by up to 50% and is usually taken on the 3 heaviest days of the period
  1. Non-steroidal anti-inflammatory drugs (NSAIDs) such as mefenamic acid
  • The reduction in blood loss is by 30% and is usually taken on the 3 heaviest days of the period. Side-effects include nausea, Vomiting and diarrhea.


General Surgical Consultations

The medical Centre is seized of its obligation to manage surgical emergencies within its scope and expertise. Minor surgery such as excisions of lipomas, and other skin appendages are undertaken in our day care unit. Male Circumcision

is done on a walk in walk basis. Simple reduction of dislocated joints under sedation, as well as hernia repairs are done on a merit basis.

Along this line, we have partner surgeons who review our major surgical cases, and may advise referral or on site management.




Ultrasound services

Ultrasound services is integral to Obstetric & Gynecology and our team of experienced sonographers provide a comprehensive service and perform more than 2000 scans per year. Established in 2012, the team has expanded their service of performing ‘routine’ gynecological

scans to performing specialized scans in the Centre for  Prenatal Diagnostic Centre  and the Early Pregnancy Unit, the Antenatal care.

The EPU facilitates prompt access for patients with first trimester complications and aims to centralize and streamline assessment, diagnosis, management & counselling of patients with conditions such as miscarriages and ectopic pregnancies.

The department is central in the management of other medical surgical conditions, such as, masses and growths, ascites, liver pathology, kidney issues, organomegally, testicular emergencies including torsion.



Vaccination schedule

2 months


Diphtheria, Tetanus, Pertussis, Polio, Hib (DTaP/IPV/Hib)
Pneumococcal conjugate vaccine (PCV)Rotavirus
As one injection

As one injection

As one oral administration

3 months


Diphtheria, Tetanus, Pertussis, Polio, Hib (DTaP/IPV/Hib)
Meningitis C (MenC)Rotavirus vaccine
As one injection

As one injection


As one oral administration

4 months



Diphtheria, Tetanus, Pertussis, Polio, Hib (DTaP/IPV/Hib)
Pneumococcal conjugate vaccine (PCV)
As one injection

As one injection

Between 12 and 13 months Haemophilus influenzae type b, Meningitis C (Hib/MenC)


Measles, Mumps, Rubella (MMR)

Pneumococcal conjugate vaccine (PCV)


As one injection



As one injection


As one injection


3 years 4 months
or soon after
Tetanus, Diphtheria, Pertussis and Polio (DTaP/IPV)
Measles, Mumps, Rubella (MMR)
As one injection


As one injection

Girls aged 12 to 13 years Cervical cancer related to HPV16 and 18 (HPV 16/18) As one injection x 3
within one year
Around 14 years Tetanus, Diphtheria and Polio (Td/IPV)


Meningitis C

As one injection



As one injection

In addition, live, intranasal influenza vaccine is offered to all two and three year olds from the 2013/14 influenza season.


Further details of the UK childhood vaccination schedule and the vaccines used can be found on the NHS Choices website.


Laboratory Services

Our laboratory is mainly concerned with Analytical services .Usually to provide one or more of the functions described below. In addition we emphasize optimizing the responsiveness and accuracy of the complete analytical services supply chain, including quotation, order taking, testing execution, results delivery, invoicing and customer service.

The Laboratory covers basic areas of that supports the diagnosis, management and monitoring of our clients in these core ares:-

  • Haematology
  • Virology
  • Chemical Pathology/Immunology
  • Histopathology
  • Medical Microbiology
  • Parasitology


Cancer Screening

Our centre is keen to provide a holistic approach to our clients. At all available opportunity, we accord the option of cancer screening for early detection of cancer in the following areas

Breast cancer screening with patient education on palpation, breast ultrasound and or mammography when need arises. Those requiring expert opinions are referred to the tertiary centers for management.

Prostate cancer for men is screened by PSA level determination combined with sononography

Pap-smears are routinely done for the early detection of cancer of the cervix.


Antenatal Clinics

Incorporated in our facility, we do provide first class antenatal care with careful routine evaluation of both the mother and fetus for possible complications. Ultrasound scans are routine at subsidized rates for all our antenatal clients.

The department is on the cause of expansion to provide modern Maternity services, with ultramodern delivery suites. Work is in progress.

  • Well Men and Women Clinics

We accord our clients the benefit of health education, screening, and counseling for healthier lifestyles at all times. Just walk in and out. No appointments and no pain.



The pharmacy department is one of the clinical, service department  in the Centre, and virtually all patients who attend the clinic end up in the pharmacy to collect drugs and/or dressings. The Pharmacy Department has evolved from a Dispensary to the modern Pharmacy

Department it is today.

Drug procurement is mainly from the plethora of  distributors and manufactures in Nairobi and its suburbs, thro a pre-arranged purchase agreements.

In line with our mission statement,  the department carries out the following activities:

  1. Procurement, Storage and Dispensing of Drugs and Dressings
  2. Counseling of Patients on Drug Use.
  3. Provision of Information on drug related issues to patients and other health workers.
  4. Monitoring of Adverse Drug Reactions with other members of the Pharmacovigilance team.


  • To deliver promptly, good quality drugs, accessible and affordable to patients at the point of care.
  • To provide first-rate education, information and assistance on drug-related matters to patients.
  • To be the gold standard in Outpatient pharmacy care.

Batian Medical cENTRE

Batian Medical Centre is located at RED HERON  CENTER  adjacent  to NAIVAS supermarket , Kitengela.

We have very ambient  office space on second floor, in a serene and private atmosphere, away  from  the noisy and dusty Namanga road.

Our  medical services  are unrivalled by any of its competitors.

We have a team of highly qualified, highly skilled and experienced team of health care providers headed by its founder, Dr. Joseph Igamba Kiarie,(MBCHB- UON, FP, Dip.Th)

Our Vision and Mission is to offer the best quality healthcare in this region.

Our Motto is  That we shall Endeavour  not only  to treat  the disease  absolutely but also the  person as a whole. Satisfactorily.


a little about our company...

Batian Medical Centre is one of the few medical facilities in Kitengela town that offers laboratory services. We have a full range of common routine tests as well as  highly specialized  ones performed by our highly trained and specialized technologists. Your results can be emailed to you on your  request to save on time.


At the reception, you will be warmly and cordially received to our centre and  comforted  at our lounge with mineral water  and or hot beverage.

Our receptive and attentive receptionist will be happy to guide you  through the various  services on offer, will usher you to the doctor’s consultation room and later assist in following the doctors’ instructions  including labs, pharmacy or further follow-up.

Our   Pharmacy is well stocked  with quality original drugs to meet the needs of our clients. This negates the need to purchase medicines that may be of doubtful quality elsewhere. This has indeed proved to be very popular with our clients.

We are committed to our cause and are always ready to help.


The centre freely welcomes  our client to appreciate the value of consultations as opposed to self medications. To this end we have pegged our fees very lowly so that everybody may afford and avoid the attendant risks  and dangers of self medication.

our centre is open to general medical.  surgical , gynecological , Family planning, Psychological consultations..

In addition we have every day clinics for:

Antenatal mothers

Pap smear screening –(cervix Cancer Screening)

Family planning clinics.

Sick children  clinics

Breast ultrasound clinics.

Well  men clinics (prostate cancer screening)

about img

Dr. Joseph Igamba Kiarie

(MBCHB- UON, FP, Dip.Th)
about img

Ann Kiarie



Talk to us for more assistance


Hours of business are 8:00am to 6:00pm on Monday to Saturday. The clinic is closed on Sundays.


Tel: 0722 753651

Email : Batiann@swiftkenya.com