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Gynaecological Services

The Gynaecology service at 108 Medical Chambers is based on the philosophy of listening to women, offering comprehensive rigorous medical investigation and care.


Philosophy of care

The Gynaecology service at 108 Medical Chambers is based on the philosophy of listening to women, offering comprehensive rigorous medical investigation and care. The focus of the clinic is Consultant led patient-centred care. Quality time is given to the patient to establish the rapport, diagnosis and offer treatment, with appointments lasting typically from half to 1 hour, and can be longer if necessary.

Consultation and advice can be sought for the following

  • General Gynaecology consultation
  • Women's Health screening
  • Genital infection screen
  • Contraceptive advice
  • Fertility
  • Recurrent miscarriage
  • Preconceptional advice
  • Hormone replacement therapy
  • Pelvic pain
  • PMS
  • Chronic vaginal discharge
  • Heavy menstrual bleeding
  • Polycystic ovarian syndrome (PCOS)
  • Hysteroscopy
  • Non invasive pre-natal testing

Procedure available include

  • Mirena intrauterine system insertion and removal
  • Copper coil insertion and removal
  • Nexplanon insertion and removal
  • Outpatient hysteroscopy and biopsy
  • Hysteroscopic polypectomy
  • Outpatient endometrial ablation
  • Word Catheter for Bartholin’s cyst
  • Vulval biopsy
  • Gardasil vaccine
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Gynaecology Screening Services

We appreciate that everyone is leading busy lives these days so have developed a range of screening services that can be arranged as a package and are undertaken where possible within a single visit.

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Gynaecological check up

Thorough gynaecological check-ups include a full examination including a breast examination and a cervical smear. Other issues may also be explored as appropriate.

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Screening for ovarian cancer

Unfortunately ovarian cancer tends to present itself late as it rarely shows symptoms until it is already advanced. Screening strategies are yet to be shown effective in this disease, although in selected cases they may be effective. As always, it is best to discuss your options with the doctor.

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Screening for cervical cancer

The cervical smear mains the most reliable test for screening for cervical pre-cancers, and this may be supplemented with HPV testing in some circumstances. The NHS advocates screening every three years from the age of 25, however many other countries offer screening every year.

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Cervical cancer vaccine

A vaccine is now available to prevent infection with HPV types 6, 11, 16 & 18. These viruses are associated with most cases of cancer of the cervix and many cases of genital warts. The vaccine is licensed for use in women aged 9 to 26 years, and reduces the risk of these diseases very significantly in the first few years. However, it is not yet certain how long the effect will last, or whether boosters will be required.

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Screening for breast cancer

Mammorgraphy can be incorporated into the general well woman screen.

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Sexual health screen

Most sexually transmitted diseases can be prevented by use of a condom and ensuring no penetration take place without protection, however sexual health screens are still incredibly important.

The most common sexual diseases are Chlamydia and Gonorrhoea. Screening for these diseases is highly recommended, as if left untreated, damage can be caused to the fallopian tubes and lead to infertility. Testing is simple and can be combined with a cervical smear. Additionally, a full sexual health screening can be arranged if required.

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Other Services

Heavy or irregular menstrual bleeding

The cause of or irregular menstrual bleeding should be sought before assuming that the bleeding is normal. Most of the time the diagnosis is dysfunctional uterine bleeding, which simply means abnormal bleeding when other pathology has been excluded. Fortunately, very successful treatments have been developed for heavy periods.

One of the simplest treatments is the Mirena coil. This can be inserted without difficulty under local anaesthesia and provides effective treatment for four to five years. An alternative is a form of endometrial ablation, such as Novasure , which involves heat treatment to thin the lining of the uterus. This can be done very simply, and causes minimal side effects.

Menopause and the role of Hormone Replacement Therapy (HRT)

Women who are able to cope with the symptoms of menopause without undue suffering, or have only mild symptoms, should not use HRT. However, women with more severe symptoms affecting their quality of life should consider it. HRT can be tried for a relatively short period of time with minimal risk in order to assess the effect. Many women will see great relief from severe symptoms.

Fertility Assistance

We are able to assist with patients planning a family with a programme to detemine

  • Ovarian Scanning
  • Semen analysis

Contraception Services / Reproductive Choices:

Every year, new and exciting methods of contraception are introduced to the general public. Everyone has different needs and expectations, and careful consideration must be taken to find the right method for you.

No two patients are alike, and here at 108 Medical Chambers we are dedicated to helping you find the safest and most appropriate form of contraception for you as an individual.

The following contraceptive services are available,

  • Mirena insertion and removal
  • Copper coil insertion and removal
  • Nexplanon insertion and removal
  • Vasectomy

Click here to see Wellwoman Flyer

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