We perform a wide range of investigations in our practice which may then lead onto surgical management to resolve the outstanding symptoms.

Smear Abnormalities

Urinary Incontinence

Prolapse

Menstrual Disorders

Pelvic Pain and Endometriosis

Hysterectomy

Infertility

Contraception

Endometrial Ablation

Non-Invasive Prenatal Testing

Menstrual Disorders

  • Smear

  • Ultrasound

  • Hysteroscopy / D & C

Menarche usually occurs between 12 and 14 years with menopause occurring on average around 52 years. During the menstrual years from 12 – 52 years, irregularities of the cycle, changes to the amount of bleeding, absence of periods or excessively frequent periods may occur. Bleeding after sex, between periods and after the menopause are all symptoms which deserve careful investigation lest they represent the development of disease in the vagina, cervix or uterus.

While initial investigation can be undertaken in our rooms e.g. history taking and pelvic examination with smear and swabs (if indicated), other investigations may require the assistance of laboratories which are on the St George’s Medical Centre site. Ultrasound of the pelvis can be very helpful.

For some patients further investigation may be required, based on the history and the results of investigations. The single most common surgical invetigations undertaken with respect to menstrual disorder is diagnostic hysteroscopy, dilatation and curettage (D & C). In this procedure, performed under a light general anaesthetic, it is possible for your surgeon to inspect the lining of the womb, take samples (curettings), to aid with the diagnosis as to the underlying cause of the bleeding disorder. It is also possible at this time to remove polyps or fibroids, if appropriate. The surgical procedure would normally take 10 – 15 minutes and you will be able to discharge from the hospital two to three hours after surgery.