Gynaecology

We provide treatment and care for a full range of gynaecological conditions affecting women from a young age to older ages. From providing a comprehensive and accurate diagnosis to supporting your treatment and recovery with women’s health physiotherapists, we offer a fully integrated approach to managing all aspects of your care. We specialise in the latest minimally invasive, laparoscopic techniques which can reduce time spent in hospital, and your recovery period. Our surgeons have performed more than 50,000 gynaecological surgeries. Our areas of expertise include urogynaecology, oncogynaecology, advanced laparoscopic procedures, family planning services and sexual health. Our multi-skilled care team uses the latest equipment and innovative procedures for diagnosis and treatments. The nursing team is trained in international and national standards of care to detect problems and provide emergency care. We have on-premise radiology and pathology facilities to handle the most complex of surgical cases with the utmost care.

Menstrual disorders

Menstrual periods generally last 4 days to 7 days every 21 days to 25 days. Menstrual disorders include problems like heavy or irregular periods, excessive menstrual pain, bleeding between periods. Treatment plans are based on the cause and severity of the condition, the patient’s medical history, suitability of the treatment to the patient’s lifestyle and if the patient plans to have children in future.

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Endometriosis

Endometriosis is a progressive condition in which the endometrial tissue (tissue that lines the inside of the uterus) starts growing outside the uterus. Endometriosis is often painful and can also lead to fertility problems. Treatments for endometriosis include removing the abnormal tissue through laparoscopy and hormone-based medications to control the growth of the tissue.

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PCOS

Polycystic ovarian syndrome(PCOS) is a common hormonal condition that occurs among women of reproductive age. In this condition, the ovaries produce excess androgens (male sex hormones) and can also develop several small cysts. It is often characterised by irregular periods, excess facial and body hair, acne, male-pattern baldness and difficulty in conception. PCOD is generally treated through medication and lifestyle changes.

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Uterine fibroids

Uterine fibroids are non-cancerous growths that occur on the muscular wall inside the uterus. They range in size and often cause pelvic pain, heavy periods, fertility problems and pregnancy complications such as preterm birthing. Uterine fibroids are generally removed through minimally invasive surgeries and hysteroscopy procedures.

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Ovarian cysts

Ovarian cysts are abnormal fluid-filled sacs found in or on the ovaries. While many ovarian cysts are harmless, large cysts can lead to severe pelvic pain, bloating and fertility issues. Ruptured ovarian cysts can also cause severe health complications and require immediate medical intervention. This condition is generally treated based on the size and number of cysts with either one or a combination of medication and minimally invasive surgical procedures.

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Pelvic floor disorders

Pelvic floor disorders affect a woman’s ability to urinate or have a bowel movement due to weakened pelvic floor muscles. Pregnancy and childbirth are two of the most common causes of this disorder among women. It is treated with either one or a combination of lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries (a device used to support uterine prolapse), and surgery.

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Sexually transmitted diseases

Sexually transmitted diseases or sexually transmitted infections can be passed through unsafe sexual intercourse or from mother to child during pregnancy or childbirth. These include infections like gonorrhoea, chlamydia, genital herpes, and human papillomavirus (HPV). While most of these diseases can be prevented by practising safe intercourse with precautions.

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Menopausal problems

Menopause is a natural phenomenon defined as the end of the menstrual cycle. It is diagnosed after 12 months of absent periods. During the time leading up to menopause or perimenopause, women can experience several unpleasant symptoms like hot flashes, chills, sleep disorders, and hair fall. These physical, emotional and behavioural changes are generally managed through hormone therapy, vaginal oestrogen and other medications as well as lifestyle modifications.

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Gynaecological cancers

Gynaecological cancers refer to a group of cancers that can occur in the female reproductive system. These are cervical cancer, ovarian cancer, vaginal cancer, vulval cancer and uterine cancer. Routine gynaecology check-ups can help in early diagnosis and better prognosis. Treatment protocols for gynaecological cancer depend on the stage and type of cancer. Fertility preservation procedures like egg & embryo freezing are recommended prior to starting treatment if the patient intends to have children later.

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Adolescent gynaecological problems

Gynaecological problems during adolescence are fairly common and can have physical and psychological effects on young women and teenagers. Common adolescent gynaecological problems include vaginal disorders, vulval injury, menstrual problems, sexual development disorders, abnormal skin changes and abnormal vaginal discharge. Comprehensive age-appropriate care and treatment alternatives are offered based on the condition and its impacts to ensure a safe and healthy transition to adulthood.

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Robotic Gynae Surgery

Robot assisted gynae surgeries provide a superior surgical outcome compared to traditional surgical procedures. This latest minimally invasive approach is a much finer technique compared to laparoscopy. It ensures no unwanted complications, excessive blood loss or infections, since the robotic hand will be operated by a qualified surgeon.

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Premenstrual Dysphoric Disorder (PMDD)

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) characterised by significant mood disturbances, such as irritability, sadness, anxiety, or tension, along with physical symptoms like bloating, fatigue, and breast tenderness. These symptoms typically occur in the week or two before menstruation and significantly impact daily functioning and quality of life. PMDD's exact cause is unknown but likely involves hormonal fluctuations and neurotransmitter changes. Treatment may include lifestyle modifications, such as exercise and stress management, along with medications like antidepressants or hormonal therapy. Accurate diagnosis and personalised treatment plans are crucial for managing PMDD effectively.

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Hysterectomy Surgery

Hysterectomy surgery involves the removal of the uterus, often performed to treat conditions such as uterine fibroids, endometriosis, pelvic organ prolapse, or certain cancers of the uterus, cervix, or ovaries. Depending on the patient's condition and medical history, different types of hysterectomy procedures may be performed, including total, subtotal, or radical hysterectomy. Recovery time varies but generally involves several weeks of rest and limited activity. While it is a major surgery, a hysterectomy can provide relief from symptoms and improve the quality of life for individuals with certain gynaecological conditions. However, it's important to consider potential risks and discuss alternatives with a healthcare provider.

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Low Amniotic Fluid (Oligohydramnios)

Low amniotic fluid, or oligohydramnios, occurs when the level of amniotic fluid surrounding the foetus in the uterus is lower than normal. This condition may result from various factors, including maternal dehydration, placental insufficiency, ruptured membranes, or foetal abnormalities. While mild cases may not cause complications, severe oligohydramnios can lead to foetal growth restriction, poor lung development, or compression of the umbilical cord, posing risks to the baby's health. Diagnosis involves ultrasound evaluation of amniotic fluid levels. Treatment depends on the underlying cause and severity but may include increased maternal hydration, monitoring, and possible early delivery in severe cases to prevent complications.

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Polycystic ovary syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is a common hormonal disorder affecting reproductive-aged individuals, characterised by irregular periods, excess androgen levels, and cysts on the ovaries. It can lead to infertility, weight gain, acne, and excess hair growth. The exact cause is unknown, but genetics and insulin resistance play roles. Diagnosis involves physical exams, blood tests, and ultrasound. Management includes lifestyle changes like exercise and diet modifications to manage weight and insulin levels. Medications such as birth control pills, metformin, or fertility treatments can help regulate hormones and improve symptoms. PCOS requires long-term management to alleviate symptoms and reduce long-term health risks.

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Pelvic inflammatory disease (PID)

Pelvic inflammatory disease (PID) is a serious infection of the female reproductive organs, typically caused by sexually transmitted bacteria such as chlamydia or gonorrhoea. It often begins with an untreated vaginal infection, spreading to the uterus, fallopian tubes, and ovaries. Symptoms may include pelvic pain, abnormal vaginal discharge, fever, painful urination, and irregular bleeding. PID can lead to infertility, chronic pelvic pain, or ectopic pregnancy if left untreated. Diagnosis involves pelvic exams, lab tests, and imaging studies. Treatment includes antibiotics to clear the infection and may require hospitalisation for severe cases. Prompt medical attention is crucial to prevent complications and long-term health issues.

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Vaginal Hysterectomy

A vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina, typically performed to treat conditions such as uterine fibroids, abnormal uterine bleeding, or pelvic organ prolapse. It involves making small incisions inside the vagina to access and remove the uterus, without the need for external incisions. Vaginal hysterectomy offers advantages such as faster recovery, shorter hospital stays, and reduced risk of complications compared to abdominal hysterectomy. It's often preferred when the uterus is of normal size and there are no other significant pelvic issues. However, not all individuals are candidates, and eligibility depends on individual circumstances.

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Vaginitis

Vaginitis refers to inflammation of the vagina, often caused by infections, changes in vaginal pH, or allergic reactions. Yeast infections, trichomoniasis, and bacterial vaginosis are common forms. Symptoms may include vaginal itching, burning, abnormal discharge, and discomfort during urination or intercourse. Diagnosis involves a pelvic exam, microscopic examination of vaginal discharge, and sometimes laboratory tests. Treatment varies based on the cause and may include antifungal medications, antibiotics, or topical creams. Prevention strategies include practising good hygiene, avoiding irritants, wearing breathable underwear, and using protection during sexual activity. To reduce symptoms and avoid consequences, prompt diagnosis and treatment are crucial.

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Vulvar Cancer

Vulvar cancer is a rare malignancy that develops in the tissues of the external female genitalia, specifically the vulva. It typically affects older adults and is often associated with chronic inflammation, HPV infection, or precancerous conditions like vulvar intraepithelial neoplasia (VIN). Symptoms may include persistent itching, pain, lumps, or changes in skin colour or texture in the vulvar area. Diagnosis involves biopsy and imaging tests to determine the extent of the cancer. Treatment options depend on the cancer's stage and may include surgery, radiation therapy, chemotherapy, or targeted therapy. Early detection and prompt treatment are crucial for favourable outcomes in vulvar cancer.

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Trichomoniasis - STD

Trichomonas vaginalis is the parasite that causes trichomoniasis, a sexually transmitted illness (STI). It commonly affects the genital area, including the urethra in men and the vagina and cervix in women. Most infected individuals may not show any symptoms, but when present, they can include genital itching, burning, redness, or abnormal discharge. Trichomoniasis can increase the risk of other STIs and complications like preterm birth in pregnant individuals. Diagnosis involves laboratory testing of vaginal or urethral samples. Treatment typically includes antibiotics, such as metronidazole or tinidazole, to clear the infection. Preventive measures include practising safe sex and regular STI screenings.

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Our gynaecology services and treatments are designed to meet the unique requirements of every woman. We offer a comprehensive and patient-focused treatment approach to address each aspect of women’s health in a comfortable and private environment. Our services are designed in a way that women stay at the top of their health, today and tomorrow.

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