Gynaecology Clinic
Gynaecology Services
The mission of the Gynaecology Clinic is care and attention to women's health. We advise and specialised tests using more than 30 years of our experience and the most advanced medical equipment. The clinic provides a full package of medical services intended exclusively for women.
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Our doctors are eminent specialists in such fields as: gynaecological surgery, urogynecology, obstetrics and prenatal testing, gynaecological oncology, nipple disease, infertility treatment.
✔ Diagnosis And Treatment Of Women Diseases: Bacteriological And Viral Infections, Menstruation Disorders, Vaginal And Vulvar Disorders
✔ Comprehensive Cervical Smear Testing And Viral Infections
✔ Pelvic / Gynaecology Ultrasound (Including Transvaginal)
✔ Urinary Incontinence Ultrasound (Diagnosis And Treatment Of Urinary Incontinence)
✔ Breast Complaints And Ultrasound Scan
✔ Cervical Erosion Treatment By Cryotherapy Or Electrocoagulation Method
✔ Insertion And Removal Of IUS - Intrauterine System (Mirena®, Jaydess® Coil) Or IUCD - Intrauterine Contraceptive Device (Copper T380 Coil)
✔ Insertion And Removal Of Contraceptive Implant (Implanon®)
✔ PMT - Premenstrual Tension And Menstrual Disorders
✔ Menopausal And Post-Menopausal Problems
✔ Full Laboratory Diagnostic
✔ Diagnosis And Treatment Stress Urinary Incontinence (SUI)
✔ Diagnosis And Treatment Of Over-Active Bladder Syndrome (OAB)
✔ Diagnosis And Treatment Of Proliferative Lesions And Endometrial Polyps
✔ Diagnosis Of Abnormalities Of Cervix (HPV Virus & Etc.)
✔ Cervical Dilation Treatment
✔ National Cancer Screening Service: - Cervicalcheck - The National Cervical Screening Programme (25-60years) - Breastcheck - The National Breast Screening Programme
✔ Sexual And Psycho-Sexual Health Issues
✔ STI Screening (Sexually Transmitted Infections) and others: Chlamydia Trachomatis, Bacterial Vaginosis, Candida, Trichomonas Vaginalis, Gonorrhoea, HIV, Syphilis, Human Papilloma Virus, Hepatitis A,B,C, Mycoplasma/Urea Plasma, Scabies, Chancroid, Public Lice.
Pregnancy Scans
Our Clinic is providing Antenatal Scans during all stages of pregnancy. All dates of the pregnancy scans named below are just the recommendation of The Fetal Medicine Foundation. We offer affordable quality diagnostic ultrasound baby scans which allow the monitoring of foetal development and supervision of the pregnancy, week by week.
Ultrasound is not hazardous and there are no harmful side effects to the mother or the baby. The whole 2D ultrasound exam will last about 30 min. Depending on the sonographer, up to 14 weeks of pregnancy the transvaginal ultrasound probe is performed. There is no special preparation for the ultrasound test except a full bladder on the day of the scan.
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Early Pregnancy Viability Scan - 6-10 Weeks Of Pregnancy
Early Pregnancy Viability Scan is often done to provide reassurance in the very early stages of your pregnancy. You can have an Early Pregnancy Scan any time from 6 weeks onwards as we should see a heartbeat although, at this stage it is very small (approximately 5mm). These dates are calculated from the first day of your last menstrual period (LMP), not the day of conception. Before 5 weeks it is not possible to see any signs of a pregnancy with current ultrasound technology. Waiting a few weeks will allow you to see more, and if foetus is healthy at 8 weeks you will be reassured to know the chance of miscarriage is very low.
In these early weeks of pregnancy, your baby is too small and low in your abdomen to be picked up by a normal ultrasound scan. That’s why a vaginal scan is done by introducing a probe into your vagina. It can pick up a better image of your baby.
The doctor will exam:
✔ Number of foetuses. Determination of chorionicity in twin pregnancy (identical twins) for example can be made early and extra surveillance of these high risk pregnancies can be organized to optimize the outcome.
✔ Detection of foetal heart movement/rate. Seeing the heart beating is reassuring and confirms that the baby is okay. The heart usually starts beating at about six weeks.
✔ Determines the gestational age of the foetus. This can be made accurately by measuring the crown-rump length (CRL). It will help in determining the expected date of delivery (EDD).
✔ Ensure an intra-uterine pregnancy. It confirms that the foetus is well placed in the womb and therefore excludes an out-of-place (or ectopic) pregnancy.
✔ Detection of structural abnormalities. Gross foetal abnormalities such as anencephaly (foetus without a brain) can be detected early in pregnancy.
✔ The foetal viability scan is important for women who experience bleeding in pregnancy, previous miscarriages or foetal abnormalities in pregnancy. It is often used to reassure women that their pregnancy is off to a good start.
✔ The gestational sac can be seen as early as four and a half weeks of pregnancy and a yolk sac at about five weeks.A trans-vaginal probe has to be used to visualize the early pregnancy. This special transducer is introduced gently into the vagina. Clearer images are obtained because the probe is of higher frequency and is nearer to the object of interest in the womb.
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Early Pregnancy Scan with Nuchal Fold Assessment (Nuchal Translucency) - 11-13.6 weeks of pregnancy
The NT scan is usually performed between 11 and 13.6 weeks of pregnancy. Before 11 weeks the scan is technically difficult because the baby is so tiny and, after 14 weeks, excess fluid may be absorbed by the baby's developing lymphatic system.
Nuchal translucency (NT) is the sonographic appearance of a collection of fluid under the skin behind the foetal neck in the first-trimester of pregnancy. The sonographer will perform a transvaginal scan which can pick up a better image of your baby. The NT thickness is measured and this gives the risk or estimate of the baby having Down's syndrome and other conditions. A scan can only indicate the level of risk of your baby having Down's syndrome. To get a definitive 100% answer for chromosome abnormalities including Down syndrome, a prenatal diagnostic test is needed like a blood test to give a more accurate assessment which is also available to perform in our clinic (Verify DNA Test). The nuchal translucency scan is usually advised in first time pregnancies, high-risk pregnancies and in pregnant women who are over 35 years of age.
The full scan will provide the following information:
✔ Number of foetuses. Determination of chorionicity in twin pregnancy (identical twins) for example can be made early and extra surveillance of these high risk pregnancies can be organized to optimize the outcome.
✔ Detection of foetal heart movement/rate. Seeing the heart beating is reassuring and confirms that the baby is okay. The heart usually starts beating at about six weeks.
✔ Determines the gestational age of the foetus. This can be made accurately by measuring the crown-rump length (CRL). It will help in determining the expected date of delivery (EDD).
✔ Foetus anatomy:● The shape and structure of your baby's head. It is possible to detect severe brain problems at this stage, but fortunately these are very rare.
● Your baby's abdominal wall, to make sure it covers all the internal organs at the front.
● Your baby's stomach. Your baby swallows some of the amniotic fluid that he lies in, which is seen in his stomach as a black bubble.
● Your baby's kidneys. The doctor will check that your baby has two kidneys, and that urine flows freely into his bladder. If your baby's bladder is empty, it should fill up during the scan and be easy to see. Your baby has been passing urine every half an hour or so for some months now!
● Your baby's heart. The top two chambers (atria) and the bottom two chambers (ventricles) should be equal in size. The valves should open and close with each heartbeat.
● Your baby's spine, both along its length and in cross-section, to make sure all the bones align and that the skin covers the spine at the back.
● Your baby's arms, legs, hands and feet. The doctor will look at your baby's fingers and toes, but not count them.
● Full nuchal translucency scan (NT) -
Anomaly Scan - 18-22 Weeks Of Pregnancy
An ultrasound examination during the second trimester of pregnancy assesses the exact foetus development, which aims to detect birth defects, determining the weight and age of the foetus. At this stage the foetus is sufficiently well advanced to enable investigation of the whole anatomy for normal development.
While ultrasound the sonographer will check:
✔ Number of foetuses. Determination of chorionicity in twin pregnancy (identical twins) for example can be made early and extra surveillance of these high risk pregnancies can be organized to optimize the outcome.
✔ Detection of foetal heart movement/rate. Seeing the heart beating is reassuring and confirms that the baby is okay. The heart usually starts beating at about six weeks.
✔ Measure head circumference (HC) and diameter (biparietal diameter or BPD).
✔ Measure abdominal circumference (AC).
✔ Measure femur or thigh bone (FL)
✔ Foetus anatomy:
● The shape and structure of your baby's head. It is possible to detect severe brain problems at this stage, but fortunately these are very rare.
● Your baby's face to check for a cleft lip. Cleft palates inside a baby's mouth are hard to see and are rarely picked up.
● Your baby's abdominal wall, to make sure it covers all the internal organs at the front.
● Your baby's stomach. Your baby swallows some of the amniotic fluid that he lies in, which is seen in his stomach as a black bubble.
● Your baby's kidneys. The doctor will check that your baby has two kidneys, and that urine flows freely into his bladder. If your baby's bladder is empty, it should fill up during the scan and be easy to see. Your baby has been passing urine every half an hour or so for some months now!
● Your baby's heart. The top two chambers (atria) and the bottom two chambers (ventricles) should be equal in size. The valves should open and close with each heartbeat.
● Your baby's spine, both along its length and in cross-section, to make sure all the bones align and that the skin covers the spine at the back.
● Your baby's arms, legs, hands and feet. The doctor will look at your baby's fingers and toes, but not count them.Doctor will also evaluate:
✔ Placenta location
✔ Umbilical cord vessels
✔ Amniotic Fluid Index (AFI)
✔ CervixAs long as baby is in the right position, the sonographer may also attempt to identify the gender of the foetus. However please note that we cannot guarantee 100% the gender of baby before delivery however, we are happy to give an 85/95% opinion as to gender based on what we can see on the gender scan and the excellent experience of our sonographers.
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Growth & Foetal Well-Being Scan - 28-32 weeks of pregnancy
The Growth & Foetal Well-Being scan is offered for a number of reasons. It determines the lie or presentation of the baby (breech, transverse or cephalic), it provides us with information about the placenta location and appearance, it establishes an estimated foetal weight, it examines the umbilical cord Doppler flow to determine whether the placenta is functioning as it should, it calculates the amniotic fluid volume around the baby and it allows for the sonographer to check the main organs and standard foetal measurements. Time is also taken to make sure that the baby is swallowing, breathing and moving normally.
This forms part of its biophysical profile.
The role of this scan is to:
✔ Determine the presentation/lie of the baby
✔ Locate the position of the placenta
✔ Measure the amniotic fluid index
✔ Assess the foetus’ growth
✔ Establish a current estimated foetal weight
✔ Identify and measure foetal heart rate
✔ Determine the gender of the foetus if requested.
Contact us to book an appointment
Obstetrics Services
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Obstetrics Services
✔ Pregnant Woman Medical Care
✔ Diagnosis And Treatment Of Threatening Miscarriage And Recurrent Miscarriages
✔ Diagnosis And Treatment Of Pre-Term Labour
✔ Ultrasound Prenatal Diagnosis
✔ Comprehensive Study During Pregnancy -
Prenatal Testing
✔ Prenatal ultrasound during whole pregnancy
✔ Early Pregnancy Viability Scan - 6-10 weeks of pregnancy
✔ Early Pregnancy Scan with Nuchal Fold Assessment (Nuchal Translucency) - 11-13.6 weeks of pregnancy
✔ Anomaly scan - 20-22 weeks of pregnancy
✔ Growth & Foetal Well-Being Scan - 28-32 weeks of pregnancy
✔ Verifi® - Non-invasive prenatal testing screening for trisomies 21 (Down syndrome), 18 (Edwards syndrome), and 13 (Patau syndrome) -
Infertility Treatments
✔ Diagnosis And Treatment Of Female And Men Infertility Factor
✔ Ultrasound Of The Female Reproductive Organs And Pelvis
✔ Hormone Therapy
✔ Semen Analysis (External Referral)
✔ Sonohysterosalpingogram (SHG) – Assessment Of The Fallopian Tubes And Uterine Shape By Trans-Vaginal Ultrasound
✔ Professional Counselling