Please call Louise on 01483 202066
The appointments last 45 minutes, however it is sensible to allow at least 90 mins for your visit incase the clinic is running little behind or you require several investigations which may take longer.
Yes you can. If you have been referred due to abnormal bleeding (heavy or irregular bleeding) then you may require an ultrasound +/- endometrial biopsy at your appointment, in which case we would ideally like to see you just after your period has finished. But this can be difficult to arrange if your bleeding is very irregular or persistent so in that case please keep your appointment but consider calling Yvette Deacon for advice from one of our doctors as we may re-schedule or consider starting some treatment prior to your appointment to minimise any necessary appointments for you.
If you have been referred due to abnormal bleeding or pelvic pain then it is highly likely we will perform a trans-vaginal ultrasound at your appointment. Other conditions may require an ultrasound.
This is a ultrasound undertaken with a small probe which is inserted in to the vagina. The probe is cleaned in between each use and covered with a disposable probe cover. You need an empty bladder for the scan. Most women do not find this procedure painful, it can be uncomfortable if you have pathology causing pain such as an ovarian cyst or endometriosis. The procedure takes around 15 minutes and the doctor will talk you through what they see at the time of the scan.
An endometrial biopsy is used to identify abnormal cells within the lining of the womb. Women with abnormal (heavy or irregular) bleeding may require a biopsy if they have risk factors for endometrial cancer. These risk factors include: age over 45 yrs old, overweight, PCOS, family history of endometrial cancer. Women who have bleeding in between their periods persistently or have tried & failed previous medical management (such as a Mirena coil) may also require a biopsy.
A speculum is used to visualise the cervix and a small tube is passed in to the womb through the cervix. The tube has tiny perforations along it, a vacuum creates suction and draws cells in to the tube. The procedure takes a few of minutes. It can be painful for some women (like strong period pain). Local anaesthetic can be used if the procedure is difficult or painful. If you are expecting to have a biopsy it can be helpful to take some simple painkillers (paracetamol or ibuprofen) 30 minutes prior to your appointment. Some women experience some bleeding after the procedure, we will provide you with a panty liner, again if you are expecting a biopsy then bring a pad may be helpful. We would suggest you use pads for any subsequent bleeding (which should only last a few days) rather than tampons in order to minimise the risk of any subsequent infection.
If you need a hysteroscopy (camera inside the womb) or a surgical procedure such as a laparoscopy to investigate pelvic pain then you will be referred on the the Royal Surrey County Hospital for this procedure. For most women they can be added straight to the waiting list for the procedure without needing any additional appointments, those with a complex condition or requiring major surgery may need a follow up appointment at the hospital prior to scheduling their surgery (however this patients will ideally have been “triaged” to the hospital clinic at the outset depending on their GP referral letter).