KNOW MORE ABOUT
OUR SERVICES AND TREATMENTS
We provide a comprehensive set of gynaecology services for all age groups. We can perform routine gynaecology check for you or address concerns as per your doctor’s referral.
The common symptoms that lead to a gynaecology review are
- Abnormal Uterine Bleeding (AUB)/ Menstrual abnormalities
- Postmenopausal bleeding
- Chronic pelvic pain
- Abnormal cervical screen (abnormal pap smear)
- Vaginal discharge
- Vaginal discomfort
- Pain during sex
- Sub-fertility/ infertility
- Menopausal symptoms
- Prolapse symptoms
- Urinary incontinence
The services we can provide on-site are
- Clinical examination including cervical screening
- Cervical biopsy
- Removal of cervical polyps
- Insertion or removal of the Intrauterine device (including a copper IUD or Mirena®)
- Insertion of a contraceptive implant (implanon®)
Surgical treatment may be provided in either a private or public hospital based on the woman’s choice. The common surgical treatment required under anaesthesia are:
- Hysteroscopy with Dilatation and Currettage (D and C)
- Suction evacuation with D and C
- Diagnostic Laparoscopy
- Operative Laparoscopy (with ovarian cystectomy/oophorectomy/ excision of endometriosis/ adhesiolysis)
- Total Abdominal Hysterectomy
- Vaginal Hysterectomy
- Anterior or posterior vaginal repair
The common gynaecology condition that we see are
- Uterine fibroids: Uterine fibroids are benign tumours in the wall of the uterine muscle. They can cause heavy menstrual bleeding, pelvic pain or pressure symptoms in the lower abdomen. Depending on their size and location, the treatment may be either conservative management or surgery (Myomectomy or a hysterectomy).
- Endometritis: This is a condition where there is inflammation of the lining of the uterus (endometrium). This can occur due to a variety of causes, a common one being associated with Pelvic Inflammatory disease (PID) which is pelvic infections. Pelvic infections may be acute (sudden occurrence) and can present with severe lower abdominal/pelvic pain with fever or discharge. Alternatively, PID can be chronic (long-term) which can present with abdominal pain or occasionally cause pain or fertility problems.
- Polycystic ovarian syndrome (PCOS): This is a condition where there may be an occurrence of multifollicular ovaries, irregularities in periods/ missed periods or clinically or biochemical evidence of hyperandrgenism (symptoms or increase in testosterone). It can also lead to infertility or problems in conception.
- Menopause: This is defined as the phase in a woman’s life when the periods cease. Occasionally this can be a difficult time for some women due to symptoms like hot flushes, Night sweats, anxiety, mood changes and vaginal dryness. These symptoms may need medical management if they affect a woman’s quality of life.
- Infertility/ subfertility: This is defined as a condition when a couple is unable to achieve a pregnancy. The causes can be related to male/ female factor or unidentified. These can only be identified after extensive investigations of the couple. Infertility can occur due to the presence of polycystic ovarian syndrome (PCOS) when there is a lack of ovulation. Other common causes can be endometriosis, the presence of pelvic adhesions caused by infection or previous surgery. Sometimes fertility treatments may include techniques like intrauterine insemination (IUI) or In Vitro Fertilisation (IVF).
- Premalignant conditions or malignancy: Cancers of the female genital tract can present in the uterus, ovaries or cervix. These can occasionally present as precancerous or premalignant presentations like thickened endometrium/ abnormal uterine bleeding, the presence of ovarian cysts/ tumours or asymptomatic cervical squamous cell abnormalities (abnormal pap smear or liquid-based cytology).
- Pelvic organ prolapse: This is a condition where there is dropping down of the pelvic organs. This can present as significant pelvic discomfort, or a bulge noted in the vagina especially on walking, prolonged standing or exercise. Occasionally it is associated with urinary symptoms. The treatment for pelvic organ prolapse is mostly surgical or can be treated with a vaginal pessary in certain cases. Sometimes where urinary incontinence is suspected, a urodynamic study may need to be undertaken prior to surgical management.