The investigation of patients with heavy periods, abnormal bleeding or pelvic pain is usually planned within a single clinic appointment with Mr J McCormack, Mr J Hawe or Mr D Semple who all are very experienced Consultant Gynaecologists.
Investigation will involve clarifying your symptoms, an examination of the abdomen and pelvis, vaginal swabs, blood tests and usually a transvaginal ultrasound scan to allow complete assessment of the pelvic organs. For some conditions it may be necessary to confirm the lining of the uterus is healthy by taking a pipelle biopsy (sample of the womb lining).
Further investigations may also be indicated which may be arranged as an outpatient under local anaesthetic or may require admission and examination under general anaesthetic as a day case. These investigations include:
- Diagnostic Hysteroscopy (Examination of the womb with a thin telescope which is passed through the neck of the womb)
- Diagnostic Laparoscopy (Examination of the inside of your abdomen using a telescope which is introduced through your umbilicus)
- Other Imaging techniques including CT or MRI scanning
After your assessment and investigations are completed the results will be explained to you and clarify the cause of your symptoms. Management of your symptoms may require specific treatment (medical and / or surgical) which will be discussed in detail.