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Heavy
painful periods
Mrs W. is 37 years old and married with two children.
As well as looking after her family she holds down a busy job running
the office of her husband's mini-cab firm which involves long and
often out of hours work. She had been suffering from very heavy and
painful periods for about a year and had put off going to see her
doctor about the problem, partly through embarrassment and partly
due to lack of time to spare. Over the year the duration of the bleeding
had been increasing to between 7 and 10 days, it was now very heavy
for the first three or four and was painful for the duration. Finally
Mrs W knew she would have to see someone about it as it was putting
a toll on her health - she was always tired and run down - as well
as coping with an inconvenient and embarrassing problem. She had seen
an advert in her local paper for the Gynae Centre which offered expert
medical advice and treatment at convenient times and so one morning
in desperation she rang and was offered an immediate appointment that
evening. She attended at the Gynae Centre where, after an initial
consultation and examination, the Consultant told her he could feel
the uterus enlarged with fibroids. He suggested Mrs W should have
a pelvic ultrasound scan which would combine both abdominal and vaginal
scans to confirm his diagnosis.. This was carried out straight away
and confirmed the consultant's suspicion of uterine fibroids. The
consultant explained that these fibroids were the most likely cause
of the heavy and painful bleeding and went through the various treatment
options with Mrs W - medication to control the bleeding, including
tablets , hormonal coil ,uterine artery embolisation or hysterectomy.
Mrs W went home relieved to have found the solution to her problems
so quickly and efficiently and in addition received a full written
medical report few days later explaining the problem, the findings
of the scans and confirming the options and recommendations for treatment.
She discussed the matter with her husband and telephoned the consultant
later having decided to try the medical treatment option first. Armed
with the medical report and diagnosis, she would go now to her own
GP to receive the recommended treatment.
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Infertility
Mrs SS is a busy
financial adviser in the City and came to the Gynae Centre anxious
and distressed. She is 35 and had been trying to get pregnant for
over a year without success. She was concerned as she felt time was
running out for her for treatment if she or her husband had a problem.
She decided to go to the Gynae Centre. After a consultation and examination
the consultant could find no obvious cause for her infertility and
said he would need to do a series of tests on Mrs SS and her partner
and then a pelvic scan on Mrs SS to investigate the ovaries and the
womb. Mrs SS could have taken his recommendations back to her GP and
waited for the investigations to be done via the NHS but decided to
carry on and have them done very speedily at the Gynae Centre. The
consultant therefore carried out a hormone assay on Mrs SS, a pelvic
scan to assess the ovaries and a semen analysis on her husband. These
tests showed that Mrs SS had a condition called Polycystic Ovarian
Syndrome (PCOS). The consultant recommended preliminary treatment
at the Gynae Centre which would involve ovarian stimulation by Clomid
tablets and ultrasound monitoring. If Mrs SS failed to get pregnant
within 3 months further assisted reproduction techniques could then
be considered either privately or through the NHS if possible. Mrs
SS did not get pregnant within three months and required more specialised
assisted conception methods which were also carried out at the Centre
in collaboration with leading Harley Street Fertility centres. Mrs
SS is now happily pregnant after two cycles of ovarian stimulation
and intrauterine insemination.
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Emergency
contraception
Miss A made a frantic
call to the Gynae Centre on a Saturday morning. She explained that
she had had unprotected intercourse the previous evening after unexpectedly
meeting and then making up with her ex-boyfriend following the break
up of their relationship several months ago. She was frantic she would
not be able to get medical assistance until few days at the earliest
which would be out of time to take the emergency contraceptive pill
(window of 72 hrs after intercourse). Could anyone at the Centre help?
She was offered an appointment that morning. After discussing matters
with the consultant she decided to have an IUD fitted there and then
in preference to the emergency contraceptive pill as this would give
her efficient contraceptive cover now and later.
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Abnormal
smear
Mrs B telephoned the Gynae Centre one morning seeking
advice. She had had a smear test recently and had just received the
results which were reported abnormal. Her GP had told her she now
needed to have these results investigated but Mrs B was concerned
how long she would have to wait and enquired if the Gynae Centre could
see her more quickly. She was given an appointment that day at 6:30
pm after work and came to the Centre with a copy of the smear test
results which reported evidence of high grade abnormality. Mrs B was
very anxious that this was a precursor to cervical cancer - the reason
why she did not want to wait a minute longer than necessary to have
it investigated and treated. The consultant explained to Mrs B with
illustrations that these abnormal cells are indeed a prelude to cancer
although it may take months or even years for this to develop. He
then examined her cervix with a Colposcope which allowed him to identify
the abnormality. After explaining what he was doing, he proceeded
to remove a cone shaped sample of tissue from the cervix with the
aid of loop diathermy under local anaesthetic and sent this off for
immediate analysis. The results came through in 5 days and the Consultant
telephoned Mrs B straight away with the results. The biopsy showed
complete excision of the abnormal cells and the consultant recommended
Mrs B had another test in six months' time to check no re-occurrence
of the abnormal cells.
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Post
menopausal bleeding
Mrs H made an appointment
at the clinic following a recent episode of unexpected vaginal bleeding
- she was 65 years old, had gone through the menopause and was not
taking hormone replacement therapy. The consultant examined Mrs H
and explained that the cause of the bleeding may be due to a polyp
on the lining of the womb and wanted to investigate it to rule out
if it was malignant. He carried out a special vaginal ultrasound scan
with the aid of saline, which did reveal a polyp near the top of the
womb. An endometrial biopsy was done at the centre with a very fine
cannula and with little discomfort and sent away for immediate analysis.
Mrs H went home and the consultant reassured her he would ring as
soon as the results came through. A couple of days later the results
unfortunately proved that the polyp was malignant. However the consultant
told Mrs H that since it had been found early it would be easy to
treat by hysterectomy and removal of the ovaries. Mrs H decided to
continue her treatment on the NHS and a letter was immediately sent
to her doctor detailing the results of the ultrasound and biopsy and
recommending immediate treatment. Mrs H's decision to take prompt
action had probably saved her from a very serious illness.
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Hormone
replacement Therapy
Mrs C made an appointment at the Gynae Centre seeking
a consultation with a gynaecologist. She said she needed to talk to
an expert who had the time to listen to her about the symptoms she
was experiencing and have an in depth discussion as to the best treatment
for her. Mrs C was a busy career woman of 47 who suspected she was
starting to go into the menopause. She explained she had been suffering
from increasing hot flushes, night sweats and mood swings. Lately
she felt she had been rather irritable which had been causing major
problems between herself and her family. Finally she had also noticed
that she had been suffering from vaginal dryness during intercourse
with her husband which was adding to the problems. The consultant
examined Mrs C and said he would do a check on her hormone levels
to try and confirm her suspicions which he felt were probably right.
The test confirmed that Mrs C was in the early menopause. Mrs C was
aware of the option of taking hormone replacement therapy but wanted
to discuss the pros and cons of this in depth, as well as the alternatives.
The consultant discussed the option of taking daily tablets or twice
weekly patches .
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Gynea Centre Ltd 2008
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