At some stage during their life, women will need to see a gynaecologist. Whether it be as a young woman with issues with abnormal periods, contraceptive issues or pelvic pain, women with issues with ovarian cysts or infertility problems or older women with abnormal bleeding, pelvic organ prolapse or menopausal issues, it is always concerning that there is something really going wrong.
Whilst gynaecological cancers are uncommon, women referred to a gynaecologist are always worried about this as a possible outcome. Dr Richards will spend time explaining the possible diagnoses and ALL potential treatment plans with his women. Most women will have a significant option of non-surgical treatment dependent on their situation. Each management option will be discussed in a contemporary evidence-based manner to ensure that women get the most up-to-date treatment available.
Dr Richards has skills and experience in the management of the following general gynaecological conditions
- Hysterectomy – laparoscopic (key hole), vaginal or open (via laparotomy – big cut) can be arranged depending on symptoms and diagnosis
- Ovarian pathology – most ovarian cysts are benign and can be managed either with observation or with laparoscopic (key hole) surgery. Sometimes large cysts will require a laparotomy to be managed
- Post-menopausal bleeding – 20% of these patients will require a hysterectomy and ½ will have a cancer
- Menorrhagia – heavy or irregular vaginal bleeding with or without significant period pain/endometriosis
- Fibroid uterus – pain, bloating, obstructive symptoms can be managed by surgical and non-surgical options
- Prolapse – uncomfortable lump in the vagina following childbirth from weakness of the vaginal walls or after hysterectomy
- Urinary incontinence – both stress incontinence (mostly surgical treatment) and overactive bladder/urge incontinence (mostly medical/medication treatments) can be managed
- Menopause – especially in challenging and difficult situations (e.g. previous breast or gynaecological cancers or early/premature menopause)
- Pelvic pain – medical and surgical treatment are available to manage women with this issue
- Contraception – especially in difficult cases (e.g. polycystic ovarian syndrome, women sensitive to hormones, period pain)
- Risk-reducing surgery – counselling and discussion prior to potential operation is vitally important and is provided for these women