Uzbekistan holds a snap presidential election on Sunday, a vote that follows a constitutional referendum that extended the incumbent's term from five to seven years. President Shavkat Mirziyoyev was elected in 2021 to a second five-year term, the limit allowed by the constitution. But the amendments approved in April's plebiscite allowed him to begin the count of terms anew and run for two more, raising the possibility that he could stay in office until 2037. The 65-year-old Mirziyoyev is set to win the vote by landslide against three token rivals. “The political landscape has remained unchanged, and none of the parliamentary political parties stand in open opposition to the president’s policies and agenda,” the elections observer arm of the Organization for Security and Cooperation in Europe said in a pre-voting report. Since coming to power in 2016 after the death of longtime dictatorial leader Islam Karimov, Mirziyoyev has introduced a slew of political and economic reforms that eased some of the draconian policies of his predecessor, who made Uzbekistan into one of the region's most repressive countries. Under Mirziyoyev, freedom of speech has been expanded compared with the total suppression of dissent during the Karimov era, and some independent news media and bloggers have appeared. He also relaxed the tight controls on Islam in the predominantly Muslim country that Karimov imposed to counter dissident views. At the same time, Uzbekistan has remained strongly authoritarian with no significant opposition. All registered political parties are loyal to Mirziyoyev. In April’s referendum, more than 90% of those who cast ballots voted to approve the amendments extending the presidential term. As part of his reforms, Mirziyoyev has abolished state regulation of cotton production and sales, ending decades of forced labor in the country’s cotton industries, a major source of export revenues. Under Karimov, more than 2 million Uzbeks were forced to work in the annual cotton harvest. Mirziyoyev has also lifted controls on hard currency, encouraging investment from abroad, and he moved to improve relations with the West that soured under Karimov. He has maintained close ties with Russia and signed a number of key agreements with China, which became Uzbekistan’s largest trading partner as part of its Belt and Road Initiative. Like the leaders of other ex-Soviet Central Asian nations that have close economic ties with Moscow, Mirziyoyev has engaged in a delicate balancing act after Moscow sent troops into Ukraine, steering clear of backing the Russian action but not condemning it either. Read More Ukraine war’s heaviest fight rages in east - follow live Charity boss speaks out over ‘traumatic’ encounter with royal aide

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Shirlie Kemp has revealed that a doctor told her to “get over” her endometriosis, despite it making her periods more painful than childbirth. In a new interview, the Pepsi & Shirlie singer, 61, has discussed her experiences with the medical condition, which made her periods so painful she was “bedridden” as a teenager. Endometriosis is a condition where cells similar to those in the uterus are found elsewhere in the body, leading to inflammation, pain and scar tissue. It affects approximately one in 10 women and people assigned female at birth in the UK. “I could have kissed the doctor who said, ‘You sound like you’ve got endometriosis,’” she told The Times. “From 16 I was bedridden when I had a period. I suffered horrendous pain.” Kemp – who is married to Spandau Ballet musician Martin Kemp – continued: “A male doctor said, ‘What a load of nonsense. She’ll get over it,’ and gave me tablets that made me vomit. I didn’t even know there was a private health system until I was in Wham!. “A private female doctor gave my symptoms a name. When I went into labour I thought, this is not as bad as a period.” When a person has endometriosis, the cells similar to those in the womb follow the menstrual cycle, building up and breaking down. However, the blood has no way to escape, with common symptoms including pelvic pain, painful periods, pain during or after sex, pain when urinating, painful bowel movements, fatigue and difficulty getting pregnant. Kemp says that she was told endometriosis could affect her fertility, saying: “My husband wasn’t ready to have a baby. He was a rock star. “When the doctor told me that endometriosis can affect your fertility, I said, ‘Martin, I’ve got to have a baby. I have a problem with my fertility.’” Kemp’s experience with doctors isn’t uncommon. In March, a study by charity Endometriosis UK found that three in four women and those assigned female at birth would not go to a doctor with potential endometriosis symptoms. Among those who are reluctant to see a doctor, 24 per cent said it was because they think painful periods are part of life, and 23 per cent didn’t think it was serious enough to bother a GP with. Read More Britney Spears shares first statement after ‘shock’ Sam Asghari divorce: ‘I couldn’t take the pain anymore’ Kid Rock spotted drinking Bud Light months after shooting up beer cases during transphobic rant From tofu chicken wings to chickpea bacon – how and why you should be making plant-based meat at home The 20 worst kinds of pain humans can experience Chrissy Teigen posts topless photo to remind fans to get mammograms Influencer Caleb Coffee hospitalised after falling off cliff in Hawaii

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