Conditions Overview | The Gynaecology Group

period problems

Heavy or painful periods are common and a range of medical and minimal access surgical treatments are available. Investigations can often detect conditions such fibroids, adenomyosis or endometriosis as causes but reassurance can also be given by excluding more serious underlying causes.

prolapse

Symptoms of urinary or bowel dysfunction together with the sensation of pelvic dragging can sometimes be related to a vaginal prolapse. Accurate assessment is very important in determining the best treatment. Not all prolapses require treatment and options include physiotherapy, pessary fitting or surgical repair.

pelvic pain

Pelvic pain is very common in younger patients and can be associated with periods or sexual activity. There are many causes of pelvic pain and there is often an overlap with urinary or bowel related causes. Accurate assessment is therefore very important and investigation with ultrasound or MRI is commonly employed. A keyhole telescope investigation called a laparoscopy may also be recommended to diagnosis conditions such as endometriosis.

ovarian cysts

Ovarian cysts form as part of the normal physiological cycle every month and then disappear following. However cysts may also be caused by such conditions as endometriosis or benign ovarian tumours.

vulva problems

Benign conditions of the vulval skin can cause significant itching and soreness. Topical medical treatments commonly can settle symptoms but a skin biopsy may be required to exclude precancerous changes.

Menopause

The menopause is a natural event but can occur prematurely and symptoms can be intrusive and affect both social and professional life. Hormonal and non hormonal treatments are available and you specialist will advise you what will be the most appropriate for your needs.

Bleeding after the menopause (PMB)

Post menopausal bleeding is a red flag symptoms for potential serious underlying causes such as precancer or cancer of the uterus and requires urgent investigation.

Abnormal Cervical Smears

Cervical smears can test for the presence of precancer cells arising from the cervix and also the presence of high risk human papilloma virus suptypes that can predispose to cancer. Your consultant can interpret these changes for you advise on management.

Suspected Cancer

Abnormal vaginal bleeding, the presence of complex ovarian cysts on ultrasound or unexplained abdominal swelling require urgent further investigation to rule of the possibility of cancer..

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