Gynaecology...
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Cosmetic Gynaecology
Heavy Painful Periods
Fibroids
Abdorminal Cervical Smear
Pelvic Pain
Female Incontinence
Pelvic Organ Prolapse
Endometriosis
Servere Endometriosis
Ovarian Cysts
Bleeding After Menopause
Pain After Intercousre
Chronic pelvic pain (CPP) is a common condition in women of reproductive age affecting up to 1 in 4 women. This is an intermittent or constant pain in the pelvis or the lower abdomen of at least 6 months duration.
Adhesions- may be caused by previous surgery, endometriosis or previous pelvic infection (chlamydeous pelvic inflammatory disease)
Endometriosis
Pelvic inflammatory disease (PID)
Irritable bowel syndrome
Interstitial cystitis
Musculoskeletal /nerve entrapment
'No pathology'
A multidisciplinary approach to CPP has been shown to be effective in reducing pain and in improving work and social functioning. The team will include a gynaecologist, clinical psychologist, pain physician and specialist nurse.
Laparoscopy - Able to diagnose adhesions, PID and endometriosis. Irritable bowel syndrome and adenomyosis (endometriosis in the muscle wall of the uterus) will not be detected.
Ultrasound - to exclude ovarian cysts or an endometrioma
This is based on the history, examination and Laparoscopic findings
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