Gynaecology - Peterborough

Gynaecology

About our services

As part of the philosophy of care the unit aims to ensure that all patients and their partners are seen in an environment that is safe and friendly. It is a professional environment in which patients are able to make informed choices in relation to their health, current illness and continuing conditions in partnership with the multi-professional team. We also aim to respect all cultural and religious beliefs, and provide interpreters if and when needed.

If you would like more information you can visit Womens Health Peterborough which includes downloadable leaflets


The colposcopy unit receives referrals from your GP or direct from the cytology lab for a variety of problems related to abnormal smears, abnormal cervix or bleeding.

The timeframe of the appointment depends on the severity of the referral. But we aim to see urgent patients within two weeks, and routines within four to five weeks.  

For most patients colposcopy is used to assess the cervix and a biopsy may be taken. For others who require treatment we try to perform it on your initial visit.

  You are very welcome to bring someone with you, and if you would like they can be present at the examination. There is also a TV screen where you can see what we see down the microscope.

 

We see a combination of new and follow up patients within this clinic. With new patients we assess them and request further investigations that may be needed to give a clearer picture of what is happening.

We work extremely closely with the team at Addenbrooke’s because most patients requiring surgery will have to have this performed at Addenbrooke’s. Any subsequent follow up appointments will be back at Peterborough City Hospital.

Chemotherapy is provided from the Day Unit in the Haematology/Oncology Unit.

We are a friendly team dedicated to helping couples conceive with over 400 referrals every year. There are three specialist infertility practitioners holding daily clinics. Couples are cared for by one named clinician throughout investigation and management.

Services available:

  • In depth consultations and investigation of both partners to identify possible causes of sub-fertility
  • Advice about lifestyle changes to improve fertility for men and women
  • Health promotion advice
  • Weight reduction programme
  • Specific information on timing sexual intercourse for the fertile time
  • Metformin treatment
  • Clomifene treatment
  • Clomifene plus hCG treatment (Human Chorionic Gonadotrophin)
  • Ovulation induction injection treatment (Human Menopausal Gonadotrophin / hMG)
  • Artificial insemination, which can be carried out at home (AIH)
  • Laparoscopic ovarian diathermy
  • Laparoscopic diathermy to endometriosis
  • Surgery for endometriosis

Our gynaecology services diagnose and treat a range of disorders affecting the female reproductive organs. We offer general gynaecological advice and treatment as well as a range of specialist services.

 In addition there is also close collaboration with other healthcare professionals, including dietician, physiotherapy, and radiology (scanning and urodynamics) . Clinics are sometimes run by registrars in training, under the supervision of their consultant.

 Conditions we treat


• Cancers of the female reproductive tract
• Dysmenorrhoea – painful periods
• Menorrhagia – heavy periods
• Post menopausal bleeding
• Post coital bleeding – bleeding after sex
• Polyps
• Infertility
• Prolapse
• Incontinence
• Lichen Sclerosis
• Infections
• Cervical, vaginal and vulval abnormalities
• Early pregnancy problems
• Early pregnancy bleeding
• Endometriosis
• Polycystic ovaries

Urogynaecology covers all aspects of female urinary incontinence and vaginal prolapse. We offer a comprehensive assessment and investigation service, leading to conservative treatment and if appropriate surgery.

The department receives referrals from your GP or from the community continence service for a variety of problems related to the female pelvic floor. This includes incontinence, difficulty passing urine, urinary tract infections (cystitis) and vaginal prolapse.


The timeframe of the appointment depends on the severity of the referral. But we usually see all patients within five weeks.
You will see either a doctor or specialist nurse, who will assess your problem and recommend the treatment options. You will also need to have a vaginal examination. You are very welcome to bring someone with you, and if you would like they can be present during the examination. If you have problems with your bladder, we ask you to attend your appointment with a comfortably full bladder. 

You may be referred for further investigations, with may include ultrasound scans and/or urodynamics, an outpatient test to assess the functioning of your bladder which involves the insertion of small tubes into your bladder.

As we are a teaching unit, you may find trainee doctors and nurses in the clinic.  They will be supervised during any procedure.

Conditions we treat

• Female urinary incontinence – stress incontinence and overactive bladder
• Painful bladder syndrome/interstitial cystitis
• Recurrent urinary tract infections – assessment and management
• Voiding dysfunction (difficulty passing urine)
• Vaginal prolapse
         - Front wall with the bladder
         - Back wall with the rectum
         - Uterus
         - Vault – after a hysterectomy
• Fibroid uterus with an impact on urinary symptoms

We offer a rapid access Postmenopausal bleeding clinic.

 This service is for women who have gone through the menopause, and have since had episodes of vaginal bleeding that needs to be investigated, or who are taking HRT and have had some bleeding. We also see patients who have had an abnormality which has been found on an ultrasound scan. Any unusual bleeding needs to be investigated. In 90% of cases examination and investigations will find either no obvious cause or an innocent one.


Rapid access clinic

At your visit you will be examined internally to assess for any masses and/or clarify whether your cervix is healthy. A biopsy and/or smear may be obtained. You may then go onto have an ultrasound scan performed, which will provide us with a better picture of your womb.
 

If your scan shows an abnormality of the womb that needs to be further investigated, you will then proceed to a hysteroscopy. This is an investigation performed in the outpatients department that looks inside your womb.  It can cause period-like crampy pains, but is normally well tolerated. A biopsy may be obtained.

 General gynaecology clinic

 

If you are attending a general gynaecology clinic, you will be examined internally and a biopsy/smear may still be obtained. If further investigations are needed you will be referred initially for an ultrasound scan. If your ultrasound scan has shown an abnormality that needs to be investigated further you will then be referred to the hysteroscopy clinic.

Attending the Postmenopausal Bleeding clinic 

We have an office at Peterborough City Hospital, where certain groups of patients are eligible for counselling.

Groups of patients who will be seen:

  • Termination of pregnancy
  • Post termination of pregnancy
  • Threatened miscarriage
  • Miscarriage
  • Ectopic pregnancy
  • Infertility
  • Hysterectomy

You can use this service if you have had a recent episode of care at Peterborough City Hospital, within maternity or gynaecology. The service does not accept GP referrals.

We offer an emergency slot on most days and provide person centred counselling.

Women with a negative pregnancy test and have any of the below symptoms may attend the unit:

- acute lower abdominal or pelvic pain which persists despite rest/use of simple analgesia
- heavy vaginal bleeding
- vulval swellings or abscesses
- post operative complications, within 6 weeks of gynaecological surgery
- symptoms suggestive of retained products of conception within 6 weeks of delivery (new onset of pain, persistent    
  bleeding)
- OHSS (Ovarian Hyperstimulation Syndrome)

How can I be referred to the Unit?

Women can be referred by your GP, Emergency Department, other wards, health professionals. You cannot refer yourself to the unit.

 

What happens at my assessment?

An assessment may involve a blood test or internal examination. Our staff will listen to your symptoms and carry out the best tests depending on what you are experiencing.
 
As this is an emergency unit and appointment times are not guaranteed. We will try and see you as quickly and as efficiently as we can. Please be aware that you may be seen by a male doctor or sonographer.

 When are you open?

The Unit is open Monday-Friday 0800-1800, and Saturday/Sunday 0800-1200.

Are you pregnant and unsure about continuing?

Sometimes things don't go according to plan. An unplanned pregnancy can be frightening, stressful and a cause of great anxiety resulting in having to make difficult decisions.

We have a highly trained Counsellor that can support you to consider your options.

The service we provide is patient-centred and you will be given sufficient time to make your decisions. If you have made your decision and want to proceed to abortion treatment, then we will respond as quickly as we can, so that we don't cause any more undue stress.

How do I make an appointment?

You can make the appointment by calling 01733 673758. Tell us if you would like a Counsellor or Assessment appointment and you will be given a date to attend the Women and Child Unit.

Confidentiality

We know that this is very personal to you, and we offer a confidential service. Only the people involved in your care will access your notes. The only exception to confidentiality is if we feel you are being harmed, or intend to harm someone else.

Under 16 year-old patients

We do encourage younger patients to involve parents or an older family member. Going through a termination is difficult and we want to make sure you have support. However, if you are able to understand the treatment and possible risks involved, then you can still be treated without telling your mum or dad.

What will happen at the counselling appointment?

Our counsellor offers an hour long appointment to consider your concerns, fears, circumstances and hopefully allow you to reach a decision. If you decide to continue the pregnancy we will direct you for maternity booking. If you decide to stop the pregnancy we will give you an assessment appointment.

What happens at assessment?

You will be with us for about an hour and a half at assessment appointment.
You will have an ultrasound scan carried out, but will not see or hear anything on the screen. The nurse will then carry out a medical assessment to ensure you are fit for treatment. You will be seen by a doctor who will make sure you meet the terms of the Abortion Act and sign all the necessary forms and prescriptions.

If you are sure about your decision and do not need any longer, then we will book your treatment. If you would like more time, then we will rebook you when you have had more time to think through all the options.

What treatments are there?

If you are under 9 weeks in pregnancy you can chose to have a medical abortion. You swallow one tablet called Mifepristone, and then 1-3 days later you will be given four vaginal tablets called Misoprostol. This will cause cramps and bleeding similar to a miscarriage. By law, you are not allowed to insert the tablets at home, so you will need to attend hospital to have the tablets inserted on the second day.

If you are between 9 and 12 weeks you can chose to have a surgical abortion. You attend our Day Treatment Unit on a Friday and are given four vaginal tablets called Misoprostol. These tablets soften the cervix inside, so that about 1-2 hours later, we can put you to sleep under general anaesthetic and remove the pregnancy through the vagina.


Read more 

Click here for patient information leaflets such as:

  • Miscarriage 
  • Abortion 
  • Early pregnancy - general