A gynaecology consultation may be helpful if you are experiencing:

• Heavy or painful periods – including passing clots, severe cramps or period pain that affects your daily life.
• Irregular periods or changes to your cycle – including missed periods, frequent periods or unpredictable bleeding.
• Bleeding between periods or after sex – bleeding outside your usual menstrual cycle needs investigating.
• Bleeding after the menopause – any vaginal bleeding after menopause should be assessed urgently by a healthcare professional.
• Pelvic or lower abdominal pain – persistent or recurring discomfort, including pain during sex.
• Suspected endometriosis or adenomyosis – symptoms such as painful periods, pelvic pain, heavy bleeding or pain during intercourse.
• Fibroids or ovarian cysts – symptoms, concerns about a previous diagnosis or a need to review management options.
• PMOS/PCOS or hormonal symptoms – including irregular periods, excess facial hair, acne or other changes that may need assessment.
• PMS or PMDD – physical or emotional symptoms before your period that affect your wellbeing or everyday life.
• Vulval or vaginal symptoms – including persistent itching, soreness, dryness, discomfort or skin changes.
• Pelvic organ prolapse – symptoms such as a feeling of heaviness, pressure or a bulge in the vagina, which may be more noticeable when standing, lifting or exercising.
• Pessary fitting and review – exploring whether a vaginal pessary may help manage prolapse symptoms, including assessment for fitting, adjustment or review of an existing pessary.
• Fertility concerns – difficulty conceiving, questions about your reproductive health or investigations into possible causes.
• Recurrent miscarriage – seeking advice about possible investigations and the next steps following pregnancy loss.
• Contraception concerns – advice about contraceptive options, including hormonal or non-hormonal coils and implants.
• Existing gynaecological conditions – reviewing ongoing symptoms, discussing treatment options or seeking a further specialist opinion.

If something doesn’t feel right, you don’t have to manage it alone. A consultation gives you the opportunity to discuss your symptoms and concerns with a Consultant Gynaecologist, explore possible causes and agree on appropriate next steps for your care.

You don’t need to know what is causing your symptoms or which investigations you need before booking. Your consultant will discuss your medical history and symptoms before advising whether an examination, ultrasound or other investigations may be helpful.