Gynaecological Services

Women of all ages may have gynaecology problems now and then. From irregular menses to heavy bleeding, uncomfortable discharges, familiy planning, and menopause issues, we can provide a thorough examination and diagnosis.

Common Gynaecological Problems

eg, Discharge, Menstrual Bleeding, Infections

Discharges are mostly due to infections; bacterial, viral, fungal, etc. Other times, it could be something innocent like ovulation, or something more dangerous, eg cancer. Persistent bleeding or discharge that recur after multiple treatment needs to be checked out in greater detail to make sure dangerour conditions are not missed.

Well Women ‘Check Up’ – Pap Smear, Scans, Breast Lumps, Cervical Cancer Vaccine

Four important cancers unique to ladies are breast (well, men also rarely develop breast cancer), cervix, womb, and ovary cancer. Regular check up make pick up early stages whereby effective treatment is available.

Cervical cancer vaccine is an effective way to prevent development of cervical cancer by immunising against the Human Pappiloma Virus (HPV). Women aged 12 to 45 years are advised to received this vaccine.

Uterine Fibroids and Polyps

Fibroids and polyps are commonly found in women after the age of 30. They may cause heavy bleeding, painful menses and sometimes affect pregnancy chances by affecting the internal enviroment of the womb. One in 200 of these condition may turn dangerous, therefore it is advisable to keep an eye on them especially if not removed.

Ovarian Cyst, Endometriosis

Not all cysts found in the ovaries have to be removed. Depending on the timing of menstrual cycle, scans done during ovulation will show a cyst which is actually a mature egg sac just about to be released.

On the other hand, cysts that persists more than 3 months may be a ‘blood’ cyst or endometriosis. Endometriosis is a long-standing illness take may cause painful menses, fallopian tube blockages, and reduced fertility potential.

Family Planning, Birth Control, Contraception, IUCD

Women who wish to postpone pregnancy have many options at their disposal, which are reversible, and does not effect future fertility. From short term measures, like birth control pills, to long term like intra-uterine contraceptive device, IUCD, we will discuss and decide which methods are suitable based on acceptability of different side effects.

Menopause

Women’s life expectancy is longer than ever before, women will be spending 30% of their lives after menopause. Problems of menopause is not just limited to hot flushes and dry skin, there could be intermittent bleeding, leaking or urine, bone pain, etc.

Gynaecological Surgery

Certain conditions will require surgery, such as large fibroids, or polyps. With advancement of medical techniques, we can avoid big scars on the tummy in most cases, with faster recovery and healing.

a) Laparoscopic ‘Keyhole’ Surgery

Pioneered in the 70s, laparoscopy surgery can be done on 80% of gynaecological surgeries. With ‘keyhole’ surgery, 2 to 4 cuts are made on the tummy, each measuring between 0.5 to 1.0cm (yes as small as a keyhole). Via telescopic lenses, the whole operation is seen on a big screen outside the body at a magnified view, allowing better precision and clarity.

b) Hysteroscopy Surgery

In this form of surgery, there is no scarring on the tummy as all the procedure is done via the birth canal on the inner layer of the womb. The endometrium (pregnancy bed), opening of the fallopian tubes, cervical canal, and cervix (door to the womb) can be examined clearly, and necessary treatment done.