General Gynaecology

We offer a wide range of services to support the diagnosis and treatment of a range of gynaecology related symptoms to menstrual disorders, symptoms of menopause, problems relating to endometriosis, pelvic pain, or if you are suffering from polycystic ovary syndrome or other endocrine related conditions.

Menstrual Disorders


Menstruation that is too heavy or too light, or the complete absence of a cycle, may suggest that there are other issues that are contributing to an abnormal menstrual cycle.

A normal  menstrual cycle is  different for every woman.It’s important to stay in tune with your body and to talk to your doctor if you notice any significant changes to your menstrual cycle.

There are several different menstrual problems that you may experience.

Heavy Periods

Also called menorrhagia, heavy periods cause you to bleed more than normal. You may also have your period for longer than the average of five to seven days.

It is mostly caused due to hormonal imbalance, especially progesterone and estrogen.

Absent Periods

Primary amenorrhea is when you don’t get your first period by age 16. This may be caused by an issue with the pituitary gland, a congenital defect of the female reproductive system, or a delay in puberty. Secondary amenorrhea occurs when you stop getting your regular periods for six months or more.

Painful Periods

Period’s can be lighter or heavier than normal & painful. Cramps are normal during PMS and they also occur when your uterus contracts as your period begins. Extremely painful menstruation is called dysmenorrhea & is  likely linked to an underlying medical problem, such as:



Fibroids are abnormal growths that develop in or on a woman’s uterus. Sometimes, these tumors become quite large and cause severe abdominal pain and heavy periods. In other cases, they cause no signs or symptoms at all. The growths are typically benign (noncancerous). The cause of fibroids is unknown

Symptoms depend on the location and size of the tumor(s). If the  tumor is very small, or if the patient is going through menopause, they may not have any symptoms. Fibroids may shrink during and after menopause.

  • Heavy bleeding between or during your periods that includes blood clots
  • Pain in the pelvis and/or lower back
  • Increased menstrual cramping & Urination
  • Pain during intercourse
  • Swelling or enlargement of the abdomen

Pelvic inflammatory disease


Pelvic inflammatory disease (PID) is an infection of the reproductive organs in women. Several different types of bacteria can cause PID, including the same bacteria that cause the sexually transmitted infections (STIs) gonorrhea and chlamydia. PID can become extremely dangerous, even life-threatening, if the infection spreads. If you suspect that you may have an infection, see your doctor immediately.

Symptoms of Pelvic Inflammatory Disease

Some women with pelvic inflammatory disease don’t have symptoms. For the women who do have symptoms, these can include:

  • Pain in the lower abdomen (the most common symptom)
  • Pain in the upper abdomen
  • Fever
  • Painful sex
  • Painful urination
  • Irregular bleeding
  • Increased or foul-smelling vaginal discharge
  • Fatigue



Menopause is the time when the woman’s ovaries stop producing the hormones estrogen and progesterone.A woman has reached menopause when she has not had a period for one year. Changes and symptoms can start several years earlier.

Symptoms Include:

  • Change is periods duration – shorter or longer, lighter or heavier
  • Hot flashes and/or night sweats
  • Trouble sleeping
  • Vaginal dryness
  • Mood swings
  • Trouble focusing
  • Less hair on head, more on face

It’s always advisable to talk to your doctor about how to best manage menopause.

Ovarian Cysts

Sometimes, a fluid-filled sac called a cyst will develop on one of the ovaries. Many women will develop at least one cyst during their lifetime. In most cases, cysts are painless and cause no symptoms.In rare cases, an ovarian cyst can cause serious problems, so it’s best to have it checked by your doctor

Symptoms of an ovarian cyst

  • Abdominal bloating or swelling
  • Painful bowel movements
  • Pelvic pain before or during the menstrual cycle
  • Painful intercourse
  • Pain in the lower back or thighs
  • Breast tenderness
  • Nausea and vomiting

Severe symptoms of an ovarian cyst that require immediate medical attention include:

  • Severe or sharp pelvic pain
  • Fever & dizziness
  • Rapid breathing

These symptoms can indicate a ruptured cyst or an ovarian torsion. Both complications can have serious consequences if not treated early.



Endometriosis is a growth of cells similar to those that form the internal lining of the uterus on the outside of the uterus. Endometriosis affects women in their reproductive years. It is one of the leading causes of pelvic pain and infertility. Endometriosis is more common in women who are experiencing infertility than in fertile women, but the condition does not necessarily cause infertility.


  • Pelvic pain that may worsen during menstruation
  • Painful intercourse
  • Painful bowel movements or urination
  • Infertility
  • Pelvic pain during menstruation or ovulation can be a symptom of endometriosis, but may also occur in normal women.

Endometriosis can be suspected based on the woman’s pattern of symptoms, and sometimes during a physical examination, but the definite diagnosis is usually confirmed by surgery, most commonly by laparoscopy.



Polycystic ovarian syndrome (PCOS) is a condition in which a woman’s levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts (benign masses on the ovaries). PCOS can affect a woman’s menstrual cycle, fertility, cardiac function, and appearance. While the exact cause of PCOS is unknown, doctors believe that hormonal imbalances and genetics play a role. Women are more likely to develop PCOS if their mother or sister also has the condition.Overproduction of the hormone androgen may be another contributing factor.

Symptoms of PCOS

The most common characteristic of PCOS is irregular menstrual periods.

  • Deeper voice
  • Hair loss
  • Other symptoms may include:
  • Acne
  • Weight gain
  • Pelvic pain
  • Depression
  • Infertility

Many women with PCOS have other concurrent health problems, such as diabetes, hypertension, and high cholesterol. These are linked to the weight gain typical in women with PCOS.