Services such as initial consultation, pelvic examination investigations and treatment for Abnormal uterine bleeding, Pelvic pain, Abnormal cervical smear test, Polyps, Cysts, Vulval itch, Vaginal discharges, Menopausal symptoms, Early pregnancy issues, Coil Removal and Replacement can be addressed in a single appointment for a swift diagnosis . This is to avoid any delay in starting treatment and to avoid multiple visits.

Procedures such as Colposcopy and LLETZ treatment for abnormal cervical smear, Vulvoscopy and vulval biopsy for lesions, Cervical polyp or vulval cysts removal, Hysteroscopy for investigation of bleeding and removal of uterine polyps, fibroids, taking endometrial biopsy, as well as Ultrasound scans and blood tests can be done all in one appointment. We also provide a well-woman check and pre-cancer screening for gynaecological conditions. We encourage you to complete the query form with details regarding your symptoms. This way, we can decide the best investigation and treatment for you. The secretarial team with contact you once the form is submitted. Please also refer to the price lists for Selfpay patients. For insured patients, the procedure codes need to be authorised by the individual’s insurance company. Codes will be provided after enquiries are reviewed on submissions. Your appointment can range from 45 minutes to 1 hour or be tailored according to your requirements.

Vulvodynia (chronic vulvar pain without identifiable cause) and vaginismus (involuntary pelvic muscle spasm preventing penetration) require a thorough assessment, including medical history, physical examination, and exclusion of infections (e.g., candidiasis, herpes) or dermatological conditions. For vulvodynia, a cotton-swab test helps localise pain, while vaginismus is diagnosed clinically, often with observed muscle tightness during attempted examination.

Management involves a multidisciplinary approach: vulvodynia treatment may include topical lidocaine, hormonal therapy, neuropathic agents (e.g., amitriptyline, gabapentin), pelvic floor physiotherapy, and cognitive-behavioural therapy (CBT). Vaginismus is primarily treated with progressive desensitization, pelvic floor relaxation exercises, vaginal dilators, and psychotherapy to address anxiety or trauma. Patient education, reassurance, and a tailored approach improve outcomes, with referral to specialists (e.g., pain specialists, or psychologists, or psychosexual counsellors ) when needed.

Procedures such as Colposcopy and LLETZ treatment for abnormal cervical smear, Vulvoscopy and vulval biopsy for lesions, Cervical polyp or vulval cysts removal, Hysteroscopy for investigation of bleeding and removal of Menopause assessment begins with a detailed clinical evaluation of symptoms such as vasomotor disturbance ( hot flushes, night sweats ), menstrual irregularities, genital urinary syndrome (vaginal dryness, painful sex), and psychological changes (mood swings, sleep disturbances). Diagnosis is primarily clinical in women over 45, but hormonal testing (FSH, estradiol) may confirm ovarian decline in younger patients or those with atypical presentations. Additional investigations, including thyroid function test, lipid profiles and bone density scans, help assess metabolic and osteoporosis risk. Management is tailored to symptoms severity and patient preferences; lifestyle modification ( balanced diet, weight-bearing exercise, stress reduction) and non-hormonal therapies (SSRIs, Gabapentin, vaginal moisturisers )are first line for mild symptoms.

Hormone replacement therapy (HRT) remains the most effective treatment for moderate to severe vasomotor and urogenital symptoms, with individualised regimes (transdermal/systemic oestrogen +_ progesterone) minimising risk (thromboembolism, breast cancer). Local oestrogen therapy is preferred for isolated vaginal trophy. Patient education on long-term health (cardiovascular, bone, and cognitive health) and regular follow-ups ensure safe, evidence-based care, while alternative therapies (phytoestrogen, cognitive behavioural therapy) cater to those avoiding hormones. A holistic, patient-centred approach optimises quality of life during this transition. For investigation and management of your perimenopause or menopause symptoms, book an appointment today.

Uterine polyps, fibroids, taking endometrial biopsy, as well as Ultrasound scans and blood tests, can be done all in one appointment. We also provide a well-woman check and pre-cancer screening for gynaecological conditions. We encourage you to complete the query form with details regarding your symptoms. This way, we can decide the best investigation and treatment for you. The secretarial team with contact you once the form is submitted. Please also refer to the price lists for Selfpay patients. For insured patients, the procedure codes need to be authorised by the individual’s insurance company. Codes will be provided after enquiries are reviewed on submissions. Your appointment can range from 45 minutes to 1 hour or be tailored according to your requirements.