Women's Health Clinic
There are a lot of specific matters relevant to women's health where here in the clinic we are willing to discuss or advise about.
The most common consultation would be about contraception or even its use to treat a heavy menstrual cycle and its associated symptoms. There is such a wide range of contraceptive options available ranging from daily pills, to weekly patches, to monthly rings or even devices that are placed in the womb that can last up to 5 years. A lot is about lifestyle choice, convenience and budget but sometimes through discussion with your GP it may be that one type may be best suited to your needs both physically and mentally.
For example not many may be aware that to go with a device that is placed in the womb - it means your body is taking far less dose of hormone but yet providing as effective if not even greater contraceptive cover than a contraceptive pill. Also many contraceptive pills have different hormone strength in them and different combination of hormones. It may be a matter of figuring out with your GP which best suits your body's needs etc. Do let your GP educate you about breast health and self checking with a bi-manual technique.
Menopause can be difficult for a lady to figure out. Usually it is in early 50's (51 years of age on average). Even as a GP there isn't a 'gold standard ' blood test. Yet by checking hormone levels along with a clinical consultation, it can be possible to diagnose peri-menopausal symptoms or work out various treatment options should a lady be symptomatic be it with vaginal dryness or hot flushes. I would recommend to utilise your GP to discuss matters as often it can be a lot more subtle (EG: sleep disturbance or short term memory problem or even irritability). There is no one specific symptom to confirm it being what it is. Although at the age of 50 and up, if you haven't had a period in over a year it can be assumed one is in menopause.
HRT can play a significant role and improve quality of life for many women. There was in the past a lot of negativity regarding this treatment option which only served to increase a population of very symptomatic women and causing them more worry. Are you watching your bone health and taking calcium and vitamin D?
Our door is open and we are ready to have that chat should you wish to!
Leaking urine when coughing or sneezing - even experiencing a sudden urge to go and having to do so can be extremely inconvenient for women. I would advise that if you have such symptoms to go to your GP and have a discussion about them and figure out how much they interrupt you on a day to day basis.
Are there any lifestyle measures you can do (pelvic floor exercises or cut out caffeine etc). Have an examination to rule out anything that may need further options regarding management (EG a cystocoele and seeing a urogynaecologist about it etc). Plan a management approach with your GP. It maybe that one may benefit from medication, or seeing a physiotherapist who specialises on that area, or being referred to a gynecologist.
This list is not exhaustive, missed periods, delayed periods, early age starting periods, delayed age starting periods,early menopause , post menopausal bleeding, smoking cessation, weight management,sexual health (EG: be it infections or pain in pelvic area),managing mild anxiety symptoms..and so on!
Having a consultation with your GP who is sensitive and tailored to your needs as a female is the least service we can provide for you. Let us share in those problems and concerns of yours. Hopefully our knowledge, and experience can be of use and support in your busy day to day life.