Gynaecological
Services
Philosophy of care
The Gynaecology
service at 108 Medical Chambers is based on the philosophy of listening to
women, offering comprehensive rigorous medical investigation and care. The
focus of the clinic is Consultant led patient-centred care. Quality time is
given to the patient to establish the rapport, diagnosis and offer treatment,
with appointments lasting typically from half to 1 hour, and can be longer if
necessary.
Consultation
and advice can be sought for the following
General Gynaecology consultation
Women's Health screening
Genital infection screen
Contraceptive advice
Fertility
Recurrent miscarriage
Preconceptional advice
Hormone replacement therapy
Pelvic pain
PMS
Chronic vaginal discharge
Heavy menstrual bleeding
Polycystic ovarian syndrome (PCOS)
Procedures available
include
Intrauterine system insertion and removal- (IUS)
Copper coil insertion and removal
Long acting reversible implant insertion and removal
Outpatient hysteroscopy and biopsy
Hysteroscopic polypectomy
Outpatient endometrial ablation
Word Catheter for Bartholin’s cyst
Vulval biopsy
HPV vaccine
Gynaecology Screening
Services
I appreciate that
everyone is leading busy lives these days so have developed a range of
screening services that can be arranged as a package and are undertaken where
possible within a single visit.
Gynaecological
check up
Thorough
gynaecological check-ups include a full examination including a breast
examination and a cervical smear. Other issues may also be explored as
appropriate.
Screening
for ovarian cancer
Ovarian
cancer tends to present itself late as it rarely shows symptoms until it is
already advanced. Screening strategies are yet to be shown effective in this
disease, although in selected cases they may be effective. As always, it is
best to discuss your options with the doctor.
Screening
for cervical cancer
The cervical smear
mains the most reliable test for screening for cervical pre-cancers, and this
may be supplemented with HPV testing in some circumstances. The NHS advocates
screening every three years from the age of 25, however many other countries
offer screening every year.
Cervical
cancer vaccine
A vaccine is now
available to prevent infection with HPV types 6, 11, 16 & 18. These viruses
are associated with most cases of cancer of the cervix and many cases of
genital warts. The vaccine is licensed for use in women aged 9 to 26 years, and
reduces the risk of these diseases very significantly in the first few years.
However, it is not yet certain how long the effect will last, or whether
boosters will be required.
Screening
for breast cancer
Mammorgraphy is incorporated into the general well woman screen.
Heavy
or irregular menstrual bleeding
The cause of or
irregular menstrual bleeding should be sought before assuming that the bleeding
is normal. Most of the time the diagnosis is dysfunctional uterine bleeding, which
simply means abnormal bleeding when other pathology has been excluded.
One of the simplest
treatments is the LNG Intrauterine System (LNG-IUS). This can be inserted without difficulty under
local anaesthesia and provides effective treatment for four to five years.
Menopause
and the role of Hormone Replacement Therapy (HRT)
Women with severe
symptoms affecting their quality of life should consider HRT. HRT can be tried
for a relatively short period of time with minimal risk in order to assess the
effect. Many women will see great relief from severe symptoms.
Fertility
Consultation : Here basic tests are conducted to understand why conception is
getting delayed. Sometimes simple basic fertility tests yield a lot of
information, where simple therapeutic interventions will help the couple to
achieve pregnancy, without recourse to expensive emotional upheaval of IVF treatment.
