About Us. View treatments prices & details, doctor profiles, clinic contact information and photos. AIS or possible high grade glandular lesion, History of diethylstilboestrol (DES) exposure regardless of HPV status or LBC test, Abnormal appearing cervix with normal cervical screening, Recurrent post-coital bleeding in pre-menopausal woman – gynaecological assessment recommended, Any episode of unexplained vaginal bleeding (including post-coital) in a post-menopausal woman, Unexplained persistent unusual vaginal discharge, especially if offensive and blood stained, Any abnormal result and past history of excisi onal treatment of AIS, SCC, positive oncogenic HPV and/or HSIL on LBC, glandular lesion on cervical screening, Cervical polyps in post-menopausal women with normal cervical screening, Cervical polyps in pre-menopausal women with normal cervical screening, Severe pelvic pain associated with dyspareunia, Urinary obstruction, renal impairment e.g. NO. I completed my post graduate training in late 2004, was appointed Consultant in Gynaecology in the Royal Victoria Hospital in 2005 and practiced there (and subsequently in the Belfast HSC Trust) until my resignation in 2020. Contact . Find a doctor from our comprehensive list of accredited doctors. This clinic for public patients accepts referrals for teenagers, younger women and girls approaching physical maturity with gynaecological issues or concerns of sexual development. The Gynaecology-Oncology service is a specialised sub-specialty of gynaecology and accepts tertiary health centre and GP referrals for confirmed gynaecological cancers. The Gynaecology-Oncology team integrates with other departments including Medical and Radiation Oncology, Radiology and Pathology to establish individualised plans of the most appropriate treatment option through weekly tumour board meetings and radiology meetings. Dr Naven Chetty: Specialty: Gynaecology Clinical interests: Gynaecology and Gynaecologic Oncology, including management of gynaecological malignancies using minimally invasive techniques. Dr Beata Peter-Przyborowska is a specialist in Obstetrics and Gynaecology. Pelvic USS if lost strings, HMB or other clinical indication, Mirena® prescription to be supplied by referring GP. Vulval cancers may present as unexplained lumps, bleeding from ulceration or pain. Lifestyle modification (increased activity, dietary, weight, smoking, alcohol), simple moderate physical activity including structured exercise (at least 30 minutes/day) and optimising incidental exercise with weight loss and weight maintenance, Anovulation for ovulation induction (selected cases), History of abnormal bleeding / hormonal contraceptive use, Medical management to date/surgical history, Pelvic USS results (TVS preferable) if available, Medical history - relevant family, menstrual, obstetric, contraceptive, and brief sexual history or history of STDS. A process of categorisation ensures safety and equity of access. Her clinic in Townsville provides a flexible approach, helping from conception to delivery, as well as postnatal care. I look after a spectrum of gynaecological issues including but not limited to menstrual dysfunction, pelvic pain, fertility issues, ovarian cysts, fibroid, endometriosis, prolapse, urinary incontinence, abnormal smears, cancer risk reducing surgery. The Gynaecology Oncology service consistently reviews their patients within recommended OPD categorisation times. Patients & Visitors. If, at any time post treatment, the woman has a positive oncogenic HPV (16/18) test result, she should be referred for colposcopic assessment (regardless of the reflex LBC result). Referrals for this service are reviewed at the weekly Multidisciplinary Team Tumour Board and/or Radiology meeting. Our professional team of doctors, nurses and medical staff provide our patients with personalised care within a comfortable environment. For all gynaecology surgery performed at the hospital, we use a mixture of key hole or robotic surgery. Send an enquiry and get response fast - Updated Feb 2021 HIV positive, immunosuppressant medications), atypical genital warts (including pigmented lesions), there are positive results from the screen for other STI’s, there is treatment failure or where treatment cannot be tolerated due to side-effects, In some facilities, the referral maybe referred to the Medical Imaging Department where the procedure is performed under ultrasound guidance (or alternative imaging) by interventional radiologist or this can be managed in. The Gynaecology-Oncology team consists of specialist gynae-oncologists, specialist nurses including a Clinical Nurse Consultant and team of allied health specialists including physiotherapy, psychologists, social work and nutrition & dietetics. antipsychotics, metoclopramide), Cyclical abdominal pain in adolescent with primary amenorrhoea might be indication of imperforate hymen, localised lesions (pigmented or non-pigmented lesions), Elicit onset, duration and course of presenting symptoms, Vulva ulcers – swab M/C/S and viral PCR result, Vulval rashes – scraping, swaps or biopsy (as appropriate), STI screen result -endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA (as appropriate), For or paediatric and adolescent gynaecology patients, please refer to, <14 years refer to Queensland Children's Hospital, >14 years refer to RBWH or local adolescent gyane service. Patients with chronic pelvic pain following mesh procedures can be referred to the Queensland Pelvic Mesh Service (QPMS) for assessment This service offers comprehensive, interdisciplinary assessment and treatment for women with complications from pelvic mesh. Patient must bring the device with her to the clinic, Where available for the routine removal or insertion of Mirena®/progesterone releasing IUD please consider referral to, History including pain and other symptoms, Family history of breast and ovarian cancer, ROMA score in premenopausal women with elevated CA125, In paediatric and adolescent patients, remember to exclude germ cell tumours with markers: alpha feto protein LDH BHCG along with the other tumour markers. A process of categorisation ensures safety and equity of access. However, this should include active follow-up until symptoms resolve or a diagnosis is confirmed. Patients <25 years old should also have screening for STI as they are a high-risk group. For optimum care, patient should be seen within 2 weeks. Available appointments are provided to our patients based on clinical priority. ROMA score in premenopausal women with elevated CA125 would be beneficial to have at the time of the referral. The Gynae Outpatients/Antenatal Clinic is found on the ground floor of the Outpatients Department. Book Appointments Online, View Fees, User Reviews, Address and Phone Numbers of Best Gynaecology Clinics … Sitemap. Karen is also appointed as a consultant at Royal North Shore Hospital. Gynae Outpatients / Ante-Natal Clinic Location. Mater Private Hospital Townsville GP Education night - Tuesday 23 March 2021, Mercy, Dignity, Care, Commitment & Quality, Emergencies & Enquiries Adolescent patients with abnormal HPV should follow the same pathway as adult patients. irregular / focal lesion or thickened – over 12mm), Polycystic ovarian syndrome as per Rotterdam criteria. Suspicious of malignancy or high risk features: Consider if significant pain and/or due to risk of torsion, Persistent ovarian cyst >5cm on 2 pelvic USS 6 weeks apart, Complex cyst (haemorrhagic, endometriotic or dermoid), Difficulty voiding +/- significant residuals on bladder screening (without renal impairment), Pelvic pain and significant USS findings e.g. labiaplasty, NB labial hypertrophy in paediatric and adolescent patients: refer to, Tubal ligation (including reversal of tubal ligation), Routine Mirena®/ progesterone-releasing IUD insertion for contraception, any abnormal bleeding (i.e. > Main > Mater Dei Hospital > Gynae Outpatients / Ante-Natal Clinic. DR ZAHARUDDIN RAHMAT @ MOHD.RAWI. Essential information (Referral will be declined without this), Additional referral information (useful for processing the referral), Other useful information for management (not an exhaustive list). ABOUT ME . Consider referral to women’s health physiotherapist for the following: stress incontinence – physiotherapist for pelvic floor exercises and bladder retraining for 3 months prior to referral, Consider topical oestrogen in post-menopausal women, Lifestyle modification (Increased activity, dietary, weight, smoking, alcohol), Urogynaecologist society of Australasia –, pain, severity and duration, cyclical nature, dysmenorrhoea, Important to exclude cyclical bladder, bowel symptoms, Suppress menstrual cycle with oral contraceptive pill / implanon® / depo-provera / mirena®, previous pregnancies, STDs and PID, surgery, endometriosis, age and health, reproductive history, testicular conditions, FBC Group and antibodies Rubella IgG Varicella IgG, Syphilis Serology, HBV/HCV/HIV serology results, FSH, LH (Day 2-5), Prolactin, TSH if cycle prolonged and/or irregular, Ensure BMI sent as essential information above, Psychological features need to be screened for, acknowledged, discussed and counselling considered, to improve quality of life in PCOS and to facilitate effective and sustainable lifestyle change consideration of depression and/or anxiety and appropriate management, Emphasis on healthy lifestyle, with targeted medical therapy where indicated, simple moderate physical activity including structured exercise (at least 30 minutes/day) and optimising incidental exercise assists with weight loss and weight maintenance, STI screen result - endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA, Pre-menopausal women who have a single episode of post-coital bleeding and a clinically normal cervix do not need to be reported if oncogenic HPV is not detected and LBC is negative, Postmenopausal women with an incidental finding on pelvic ultrasound of a regular endometrial thickness of less than 11mm and having no episodes of postmenopausal bleeding would only need a repeat ultrasound and referral if developing vaginal bleeding, TAS-TVS USS may not be appropriate in non-sexually active females, therefore important to seek early advice from, Primary amenorrhoea – is defined as the absence of menses at age 16 years in the presence of normal growth and secondary sexual characteristics and 14 in the absence of secondary sexual characteristics, Secondary amenorrhoea – absence of menses for more than six months after the onset of menses, If BMI is greater than 30, manage weight loss, Address any significant stress or anxiety, Review medications if relevant (e.g. hydroneprhosis, history of urinary retention, Heavy Menstrual Bleeding (HMB) with anaemia (Hb<85) or requiring transfusion, Pressure symptoms (such are ureteric impingement), HMB without anaemia not responding to maximal medical management. If PCOS is suspected include the following: Free androgen index (FAI) or Free Testosterone, Day 21 serum progesterone level (7 days before the next expected period), Thrombophilia screen, antiphospholipid syndrome (APS), Coeliac serology – serum deamidated gliadin peptide (DGP), tTG Ab, Antinuclear antibodies (ANA) only if personal or family history indicates higher risk of autoimmune disease, Hysterosalpingogram (HSG) or hystero-sonogram, History of marijuana use (including partner), Fasting blood glucose, testosterone and free androgen index test for those likely to have PCOS, Hysterosalpingography (HSG) or saline infusion USS (sonohysterography), IVF not available in Mater public hospitals, To assess tubal patency, consider Hysterosalpingography (HSG) or saline infusion USS (sonohysterography) if history suggestive of blocked fallopian tubes. Atypical glandular cells/endocervical cells of undetermined significance, Small endocervical polyps (<2cm) in premenopausal women with normal cervical screening can be avulsed and sent for histology, Cervical polyps in post-menopausal women have a higher risk of malignancy, nature of the pain – location, intermittent or persistent, general body muscle tensing and general or focal pelvic floor muscle tension before and during attempts at penetration, STI screen result – endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA, Previous CST result (if within last 5 years), Advise using lubricant and adequate foreplay prior to intercourse. before 14 years) who have not recieved the HPV vaccine before sexual activity commenced. Antibiotic treatment of Bartholins cyst is of no value. For fax and secure messaging our latest Mater Adult Referral Form or Antenatal Form are available to embed into most major Practice Management software systems. Clinically recommended timeframe for initial appointment is 30 days, Clinically recommended timeframe for initial appointment is 90 days, Clinically recommended timeframe for initial appointment is 365 days. Mater Clinic specialists. All the courses in the programme are compulsory. The Gynaecology Service offers a comprehensive individualised approach to patient care. The Gynaecology service also offers specialised services for young adults aged 16 - 25 years at the Mater Young Adult Health Centre Brisbane. NB: Routine Mirena®/progesterone-releasing IUD insertion for contraception are out-of-scope for Gynaecology at Mater Health services. Scope of services . Please refer to your confirmation letter/SMS for the specific hospital location of your clinic. Additional referral information (useful for processing the referral). Dr Julie Buchanan . Suite 3.07, Mater Private Clinic Mirena® prescription – at Mater Hospital the referring GP does not need to provide a prescription for the device, nor is the patient required to bring the device with her to the clinic. MMC REG. GP Education, Maternity Shared Care Alignment Program and Events. Pelvic Health Clinic; Same Day Consultant Appointments™ Urology Institute; Day Hospital ; Your medical journey and experience are completely transformed to accelerate the pathway to your treatment plan. Consider using oestrogen cream +/- liquid cytology in post-menopausal women, Patients with positive non-16/18 but normal or LSIL on LBC would not need referral and only a repeat CST in 12 months, Recall women in 6-12 weeks if they have an unsatisfactory screening report, Specific efforts should be made to provide screening for Aboriginal and Torres Strait Islander women. Preconception Care Service. Bridges Health Services Suite 30, Level 7 Mater Medical Centre Obstetrics & Gynaecology clinic with subspeciality in GynaeOncology. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to one of the specialists listed above. This page contains information for general practitioners on how to refer patients aged 16 years and over to Gynaecology services at Mater Hospital Brisbane. Based at the Mater Clinic in North Sydney, she delivers and operates at both the Mater Hospital and North Shore Private Hospital. The Gynaecology-Oncology team consists of specialist gynae-oncologists, specialist nurses including a Clinical Nurse Consultant and team of allied health specialists including physiotherapy, psychologists, social work and nutrition & dietetics. For fax and secure messaging our latest Mater Adult Referral Form or Antenatal Form are available to embed into most major Practice Management software systems. Previous management modalities, iron utilisation if deficient. Mater Health offers patients the opportunity to attend bulk billed clinics. If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP phone line on 07 3163 2200.
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