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Gynaecology

The gynaecology and gynaecological cancer department diagnoses and treats a range of disorders affecting the female reproductive organs. 

The department has sub-specialist teams and consultation, investigation and treatment of all the gynaecological conditions is included:

  • Colposocopy – The colposocopy team looks after women with abnormal smears and treats precancerous lesions of the cervix.
  • Endometriosis – The multidisciplinary team offers a holistic approach to the management of endometriosis.
  • Gynaecology cancer services – the team work closely alongside general gynaecology, hysteroscopy and colposcopy with close assessment and management of suspected cancer referrals. 
  • Hydrosonography – We provide a menstrual dysfunction service where saline uterina hydrosonography is the primary tool for investigating menstrual disorders.
  • Hysterosocpy – A hysteroscopy is a procedure where a doctor can look at the inside of the uterus (or womb) using a narrow telescope called a hysteroscope.
  • Menopause – We provide a premature ovarian failure clinic and a general menopause service with an integrated approach towards the menopause, including discussion about HRT, pharmacological alternatives and complementary therapies. We also assess and treat young (in reproductive age terms) and postmenopausal women with hormonal problems including menopause, premature menopause and osteoporosis. We also provide a counselling service to patients.
  • Minimal access service – Apart from diagnostic assessment and laparoscopies which are carried out in the short stay surgical unit (Central Middlesex Hospital), laparoscopic procedures such as hysterectomy, myomectomy, ovarian cystectomy, oophorectomy and laparoscopic treatments for endometriosis are available at both hospital sites.
  • Reproductive medicine – The fertility service offers investigation for all referred couples and treatment as necessary. The fertility team also manage cases of recurrent pregnancy loss and ovulatory disorders including PCOS.
  • Urogynaecology – The service has the widest range of investigation for urinary and vaginal prolapse problems as well as faecal incontinence.  A wide range of urogynaecological surgery is also available with both videocystometry, ambulatory urodynamics, flow rate studies and filling voiding cystometry available.
  • Pipelle biopsy
    Zoladex/Hormone implants
    Management of ring pessary
    Ultrasound scanning
    Saline uterine hydrosonography
    Cervical polypectomy
    Psycho-sexual counselling

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