Gynaecology - Hinchingbrooke

Gynaecology - Hinchingbrooke

The clinic involves a team of people including a consultant, specialist registrar, trained nurses and  health care assistants. A full history and examination is carried out. Treatments include both medical (tablets) and surgical options. Further investigations in the form of blood tests and scans may also be arranged.

Conditions treated include:
  • Heavy periods
  • Irregular periods
  • Painful periods
  • Discomfort with sexual intercourse
  • Vaginal discharge
  • Benign vulval lumps
  • Request for sterilisation
  • Insertion of coils

Location: based in the Treatment Centre, within Gynaecology outpatients

A colposcopy is a simple procedure used to look at the cervix (neck of the womb) and vagina. Test to find abnormal cells on the cervix. Sometimes performed with a biopsy helps to determine if further treatment is necessary.

Contact us: 01480 416084

We may be seeing you because of abnormal:

  • cervical smear

  • persistant vaginal bleeding

  • appearance of your cervix

During the procedure:

  • You undress from the waist down and lie in a special type of chair with padded supports for your legs

  • A device called a speculum is inserted into your vagina and gently opened

  • A microscope (colposcope) with a light is used to look at your cervix - this doesn't touch or enter your body

  • Special liquids are applied to your cervix to highlight any abnormal areas

For most women this is a painless examination but some find it as uncomofrtable as having a smear taken.

You may be referred to us by:

  • Direct referral via the Cytology Laboratory

  • General practitioners

  • Genito-urinary medicine clinics

  • Family planning clinics

  • Other hospital consultants (with and outside the Trust)

  • Other gynaecology clinics / wards / theatre /antenatal

Location: based in the Treatment Centre, within Gynaecology outpatients

If you have a problem with conceiving, please talk to your GP first. Some of the investigations are required prior to referral which your GP can do for you.

Both partners should be seen together at the time of the consultation with the fertility consultant.


We offer:

  • The consultations and investigations for both partners to identify possible causes of sub-fertility

  • Metformin treatment

  • Clomifene treatment 

  • HSG (hysterosalpingogram)

  • USS (ultrasound scan)

  • Diagnostic laparoscopy 

  • Laparoscopic ovarian drilling surgery

  • Surgery for endometriosis 

We are the referral centre to The London Women's Clinic.

Hinchingbrooke provides high quality services with part of your treatment taking place at Harley Street Clinic.

You can start your IVF treatment with us.

Contact us:

Your consultation will involve taking a full history that includes noting any bowel or bladder problems as well as any issues with sexual intercourse.

A full vaginal examination is carried out as well as a rectal examination to assess the strength of the muscles and to determine whether any further treatment is required.

Conditions we treat:

  • Third or fourth degree tears in perineum after childbirth
  • Perineum problems related to childbirth

Our Urogynaecology service provides investigation and treatment of urological problems (or urinary incontinence) in women.  

Patients are referred to the clinic by their GP, physiotherapist or a continence advisor.

Conditions we treat:

  • Urinary leakage
  • Vaginal prolapse
  • Bladder problems
  • Recurrent urinary tract infections

When you arrive at the clinic

Your initial consultation will involve a review of your medical history and a discussion about your lifestyle, including:

  • Your height and weight recorded

  • Your urine tested

  • You may also be asked to complete a questionnaire about your symptoms

  • You’ll then be given a full examination (in the presence of a chaperone if requested)

At the end of the consultation

You will be given information about your condition and possible treatments. This may involve tablets, surgery or supportive pessaries for prolapse. It may be suggested that you have further tests, such as urodynamics, which will be explained fully to you


What you need to bring

A completed bladder diary with you and a urine sample. The bladder diary contains information on how much you have had to drink, when you pass water and any leakage. You may also have been asked to complete a short questionnaire about urinary leakage

This clinic is a purpose built, modern one-stop gynaecology clinic for patients with:

  • Abnormal bleeding

  • Vaginal or vulval lumps or ulcers

  • Ovarian cysts,

  • Abdominal distension

  • Any other worrying symptoms that may mean a cancer is suspected

You will be seen within 2 weeks of referral from your GP.

Conditions we treat:
  • Post menopausal bleeding
  • Post coital bleeding
  • Ovarian abnormalities
  • Vaginal or vulval lumps / lesions
  • Thickened endometrium
  • Endometrial or cervical polyps

You will meet one of our 3 specialist consultants (one female) and the specialist Gynae Oncology nurse. Often we also have another trained nurse or health care assistant present to assist us with the investigations.

First steps

We send out an information sheet explaining the tests you might have and ask you to complete a questionnaire and bring it with you. We then take a history before starting our investigations. Many patients will be offered a transvaginal ultrasound scan as the first step. Then depending upon the findings a biopsy or a hysteroscopy is performed.  If we see endometrial or cervical polyps we usually remove them.

Treatment options depend upon the results of your tests

Further investigations in the form of blood tests and CT or MRI scans may also be arranged. You will be given the contact numbers of the team, including the specialist nurse’s direct line and further investigations are done urgently if we are suspicious of cancer.

Results are discussed at the Multi Disciplinary Meeting and patients kept informed by the specialist nurse

The Termination of Pregnancy Service (TOP) is accessible via your GP who makes a referral to the clinic for you to be seen by our team.

We recommend you contact your GP as early as possible if you are thinking about having a termination as an early appointment helps in increasing your choices and in planning your treatment as quickly as possible.

Our team consists of doctors, nurses and pregnancy counsellors who are able to support you throughout your care.

Consultations

  • We are based in the Treatment Centre in the Lily Zone (Green area)

  • Consultations are Monday mornings between 8.50am-12.30pm (except bank holidays)

We offer a range of services:

  • Early Medical Termination (abortion pills) for early pregnancies up to 9 weeks - you can go home after taking the tablets so you miscarry at home
  • Surgical (suction) treatment, local anaesthetic between 9-12 weeks
  • Surgical (suction) treatment, general anaesthetic between 9-12 weeks
  • Contraception advice
  • Counselling service before and after termination

Clinic visit

You will usually have an ultrasound scan through your tummy or internally with a small probe in the vagina to date your pregnancy.  All treatment options will be then be discussed with you and you will also be offered screening for sexually transmitted infections and advice about contraception if you wish.  You will also be offered counselling support if you wish during the same visit

Starting treatment

Women who are suitable for medical treatment can start treatment on the day of their appointment and are followed up 2 days later for the second part of treatment.

You do not usually need to be admitted to hospital for this treatment and can go home on both days.

A telephone consultation or follow up visit is arranged in 2 weeks to ensure the procedure is complete.