Gynaecology

What is Gynaecology?

Gynaecology is the medical specialty that focuses on women’s reproductive health. It involves:

• Preventative care: Routine examinations and cervical screening
• Hormonal health: Managing menstrual irregularities and hormonal conditions
• Diagnosis: Investigating pelvic pain, abnormal bleeding, or fertility concerns
• Medical and surgical treatment: Managing conditions affecting the uterus and ovaries
• Contraceptive advice: Helping women choose safe and suitable birth control
• Preconception care: Supporting reproductive planning

Many gynaecological conditions are common and highly treatable when identified early.

Who Should See a Gynaecologist?

You may benefit from a consultation if you experience:

• Irregular periods: Cycles that are unpredictable, very heavy, or absent
• Pelvic pain: Ongoing or severe pain during menstruation or intercourse
• Abnormal bleeding: Bleeding between periods or after intercourse
• Fertility concerns: Difficulty conceiving after trying for several months
• Unusual discharge: Persistent discharge, odour, or irritation
• Ovarian cysts: Known or suspected ovarian masses
• PCOS symptoms: Irregular cycles, acne, or excess hair growth
• Fibroids or polyps: Diagnosed or suspected uterine growths
• Contraceptive counselling: Exploring safe birth control options
• Routine screening: Preventative check-ups and cervical screening

Regular gynaecological reviews help detect concerns early and maintain long-term reproductive health.

Conditions Managed by Gynaecology

Dr Wong provides assessment and treatment for a wide range of gynaecological conditions, including:

• Menstruation Disorders: Irregular cycles, painful periods, heavy bleeding
• Endometriosis: Tissue similar to the uterine lining growing outside the uterus
• Fibroids & Polyps: Non-cancerous growths within the uterus
• Ovarian Cysts: Fluid-filled sacs in or on the ovary
• Pelvic Inflammatory Disease (PID): Infection affecting reproductive organs
• Polycystic Ovarian Syndrome (PCOS): Hormonal imbalance affecting ovulation
• Abnormal Uterine Bleeding: Bleeding outside normal menstrual patterns
• Pelvic Pain: Acute or chronic lower abdominal pain
• Cervical Abnormalities: Abnormal screening results requiring colposcopy

Each condition is carefully evaluated using clinical history, examination, imaging, and laboratory testing where appropriate.

Gynaecological Check-Ups

Routine gynaecological check-ups are important even when no symptoms are present.

A standard consultation may include:

• Medical history review: Menstrual cycle patterns, past pregnancies, family history
• Physical examination: Pelvic and abdominal examination when indicated
• Cervical screening test: Screening for human papillomavirus (HPV)
• Ultrasound referral: If structural abnormalities are suspected
• Discussion of symptoms: Addressing any concerns or changes

Regular check-ups support early detection and preventative care.

Cervical Screening & Colposcopy

Cervical screening tests check for high-risk HPV, which can cause changes in cervical cells. Early detection allows treatment before cancer develops.

If abnormalities are detected, a colposcopy may be recommended. This is a detailed examination of the cervix using magnification to assess and biopsy any abnormal areas.

These procedures are generally straightforward and performed in a supportive clinical setting.

Contraception & IUD Services

Choosing contraception is a personal decision. Dr Wong provides comprehensive counselling to help select the most suitable method based on health, lifestyle, and reproductive goals.

Options include:

• Oral contraceptive pill
• Hormonal and non-hormonal IUDs
• Implants
• Barrier methods
• Long-acting reversible contraception (LARC)

IUD insertion is performed in a safe, controlled setting with careful explanation and follow-up.

Diagnostic Approach

When symptoms are present, investigations may include:

• Pelvic ultrasound: To assess the uterus and ovaries
• Blood tests: Hormone levels, thyroid function, inflammatory markers
• Swabs: For infection screening
• Hysteroscopy: Visual assessment of the uterine cavity when indicated
• Laparoscopy: Minimally invasive surgery for conditions such as endometriosis

The goal is to reach an accurate diagnosis efficiently while minimising discomfort.

Treatment Options

Treatment depends on the diagnosis and may include:

• Lifestyle modifications: Diet, exercise, and stress management
• Hormonal therapy: Regulating menstrual cycles or reducing symptoms
• Pain management strategies
• Antibiotics: For infections such as PID
• Minimally invasive surgery: For fibroids, cysts, or endometriosis
• Fertility-focused management: When reproductive plans are a priority

Management plans are individualised to reflect age, symptoms, severity, and future pregnancy plans.

When to Seek Urgent Care

Immediate review is recommended if you experience:

• Severe pelvic pain
• Sudden abdominal swelling
• Heavy bleeding soaking through pads hourly
• Fever with pelvic pain
• Fainting or dizziness with bleeding

Prompt evaluation ensures safe and timely treatment.

Gynaecology and Fertility

Many gynaecological conditions can influence fertility. Conditions such as PCOS, endometriosis, fibroids, and ovulation disorders may affect the ability to conceive.

Because Dr Wong is also a fertility specialist, patients benefit from integrated care. This means reproductive planning can be considered early, reducing delays in treatment if pregnancy is desired.

Early management often improves both symptom control and long-term reproductive outcomes.

Preventative Women’s Health

Maintaining reproductive health involves:

• Regular cervical screening
• Monitoring menstrual patterns
• Maintaining a healthy weight
• Managing stress
• Seeking early advice for persistent symptoms
• Discussing reproductive goals early

Preventative care reduces complications and supports overall well-being.

What to Expect at Your First Appointment?

Your initial consultation typically includes:

• Detailed discussion of symptoms
• Review of past medical and surgical history
• Pelvic examination (if required)
• Planning of investigations
• Clear explanation of findings
• Discussion of treatment options

You are encouraged to ask questions and take an active role in your healthcare decisions.

Book a Consultation

If you are experiencing symptoms, planning a pregnancy, or simply due for a routine check-up, a gynaecological consultation can provide clarity and reassurance.

Early assessment leads to earlier treatment, improved comfort, and better long-term outcomes.

To arrange an appointment with Dr Wong, please contact the clinic.