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Treatments
Treatments Offered by Dr. Annette Reid
Treatments
Cervical screening, often referred to as a smear test, is a simple test used to check the health of the cervix and identify any changes in cervical cells.
It is an important part of preventative care, helping to detect early changes before they develop into more serious conditions.
Common reasons for this test:
Routine cervical screening
Follow-up after a previous abnormal result
Reassurance if you have concerns
Monitoring cervical health over time
What does the test involve?
The test is usually carried out in a clinic setting and only takes a few minutes. A speculum is gently inserted to allow the cervix to be seen clearly, and a small sample of cells is taken using a soft brush.
The sample is then sent for analysis to check for any abnormal changes.
What to expect after
Most patients can return to normal activities straight away. It is common to experience very light spotting afterwards, which usually settles quickly.
Results are typically available within a few weeks, and you will be advised on any next steps if further assessment is needed.
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A colposcopy is a procedure used to examine your cervix and check for abnormal cells.
What it means:
A colposcopy is a simple procedure used to take a closer look at the cervix (the neck of the womb). It is usually recommended if a cervical screening (smear test) has shown abnormal or unclear results.
The procedure allows your gynaecologist to examine the cervix in more detail using a specialised microscope, helping to identify any changes in the cervical cells.
Common reasons for a colposcopy:
Abnormal smear test results
Follow-up of previous cervical cell changes
Unexplained vaginal bleeding (such as after sex or between periods)
Monitoring known cervical abnormalities
What does the procedure involve?
A colposcopy is usually carried out in an outpatient setting and does not require a general anaesthetic.
You will be positioned similarly to a smear test, and a speculum is gently inserted to allow the cervix to be seen clearly. A special solution is applied to highlight any abnormal areas, and the cervix is examined using a colposcope, which stays outside the body.
If needed, a small sample of tissue (biopsy) may be taken for further testing. The procedure is generally quick, and most patients are able to return to normal activities shortly afterwards.
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A diagnostic laparoscopy is a procedure used to examine the pelvic organs, including the uterus, ovaries, and fallopian tubes. It is often recommended to investigate symptoms such as pelvic pain or to explore possible causes of fertility concerns.
A dye test (tubal patency test) may be performed at the same time to check whether the fallopian tubes are open and functioning normally.
Common reasons for this procedure:
Ongoing pelvic pain
Suspected endometriosis
Ovarian cysts
Fertility concerns
Unexplained symptoms requiring further investigation
What does the procedure involve?
This procedure is usually carried out under a general anaesthetic. A small incision is made near the navel, allowing a thin camera (laparoscope) to be inserted to view the pelvic organs.
A harmless dye is then passed through the fallopian tubes to check whether they are open. The flow of the dye is observed using the camera.
The procedure typically takes around 30–60 minutes, and most patients are able to return home the same day.
What to expect after
It is normal to experience some mild discomfort, bloating, or shoulder pain for a few days following the procedure. Small dressings will cover the incision sites, which usually heal quickly.
Most patients are able to return to normal activities within a few days, although this can vary. Clear aftercare advice will be provided, along with guidance on when to seek further support if needed.
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Endometrial ablation is a procedure used to treat heavy menstrual bleeding by removing or thinning the lining of the uterus (endometrium).
It is usually recommended for women whose periods are particularly heavy or prolonged, and where other treatments have not been effective.
Common reasons for this procedure:
Heavy or prolonged menstrual bleeding
Bleeding that affects daily life or wellbeing
When medical treatments have not improved symptoms
When a less invasive alternative to surgery is preferred
What does the procedure involve?
Endometrial ablation is typically carried out as a day-case procedure, often under local or general anaesthetic.
A thin instrument is passed through the vagina and cervix into the uterus, where heat or other energy is used to remove or thin the uterine lining. There are no external cuts or stitches.
The procedure is usually quick, and most patients are able to return home the same day.
What to expect after
It is common to experience some cramping, similar to period pain, for a few days after the procedure. Light bleeding or discharge may continue for a short time.
Many women notice a significant reduction in menstrual bleeding afterwards, and in some cases, periods may stop altogether.
You will be given clear aftercare advice and guidance on recovery, including when to resume normal activities.
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A hysteroscopy is a procedure used to examine the inside of the uterus (womb). It allows your gynaecologist to investigate symptoms such as abnormal bleeding and to identify any changes within the uterine lining.
In some cases, it can also be used to treat certain conditions at the same time.
Common reasons for this procedure:
Heavy or irregular menstrual bleeding
Bleeding between periods or after menopause
Suspected polyps or fibroids
Investigation of abnormal ultrasound findings
Ongoing symptoms requiring further assessment
What does the procedure involve?
A hysteroscopy is usually carried out as an outpatient procedure, either with or without anaesthetic.
A thin, flexible telescope is gently passed through the vagina and cervix into the uterus, allowing the lining of the womb to be clearly seen on a screen.
Small instruments can be used at the same time if treatment is required.
The procedure is typically quick, and most patients are able to return home shortly afterwards.
What to expect after
It is common to experience mild cramping or light bleeding for a few days following the procedure.
Most patients are able to return to normal activities within a short time, depending on how they feel. You will be given clear aftercare advice and guidance on what to expect during recovery.
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Laparoscopy, often referred to as keyhole surgery, is a minimally invasive procedure used to diagnose and treat a range of gynaecological conditions.
It allows the pelvic organs to be examined and treated using small incisions, offering an effective alternative to traditional open surgery.
Common reasons for this procedure:
Pelvic pain
Endometriosis
Ovarian cysts
Fibroids
Fertility concerns
Unexplained gynaecological symptoms
What does the procedure involve?
The procedure is usually carried out under a general anaesthetic. Small incisions are made in the abdomen, allowing a camera (laparoscope) and fine instruments to be inserted.
This enables the gynaecologist to carefully examine the pelvic organs and carry out treatment where needed, depending on the condition being addressed.
Most procedures are completed within one to two hours, and many patients are able to return home the same day.
What to expect after
It is common to experience some mild discomfort, bloating, or shoulder pain following the procedure. Small dressings will cover the incision sites, which usually heal quickly.
Most patients are able to return to normal activities within a few days to a couple of weeks, depending on the procedure carried out. You will be given clear aftercare advice and support throughout your recovery.
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A laparoscopic ovarian cystectomy is a procedure to remove a cyst from the ovary using keyhole (minimally invasive) surgery, while preserving the healthy ovarian tissue.
It is often recommended when a cyst is causing symptoms or requires further assessment.
Common reasons for this procedure:
Persistent or large ovarian cysts
Pelvic pain or discomfort
Bloating or pressure symptoms
Cysts causing changes to the menstrual cycle
Cysts requiring further investigation
What does the procedure involve?
The procedure is usually performed under a general anaesthetic using keyhole surgery. Small incisions are made in the abdomen, allowing a camera and fine instruments to be used to carefully remove the cyst.
The aim is to treat the condition while preserving the ovary wherever possible. The procedure typically takes around one hour, and most patients are able to return home the same day.
What to expect after
It is normal to experience some mild discomfort, bloating, or tiredness following the procedure. Small dressings will cover the incision sites, which usually heal quickly.
Most patients are able to return to normal activities within a few days to a couple of weeks, depending on recovery. You will be given clear aftercare advice and guidance throughout your recovery.
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Laparoscopic sterilisation is a permanent method of contraception that involves blocking or sealing the fallopian tubes to prevent pregnancy.
It is a considered, long-term option for women who are certain they do not wish to have children in the future.
Common reasons for this procedure:
Permanent contraception
Preference for a non-hormonal method
When other contraceptive options are not suitable
A long-term solution for family planning
What does the procedure involve?
The procedure is usually carried out under a general anaesthetic using keyhole (laparoscopic) surgery. Small incisions are made in the abdomen, allowing a camera and instruments to be used to access the fallopian tubes.
The tubes are then sealed or blocked to prevent eggs from reaching the uterus. The procedure is typically quick, and most patients are able to return home the same day.
What to expect after
It is common to experience mild discomfort, bloating, or tiredness for a few days following the procedure. Small dressings will cover the incision sites, which usually heal quickly.
Most patients are able to return to normal activities within a short time. You will be given clear aftercare advice and guidance to support your recovery.
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Laparoscopic treatment of endometriosis is a minimally invasive procedure used to diagnose and treat endometriosis, a condition where tissue similar to the lining of the uterus grows outside the womb.
The aim is to remove or treat areas of endometriosis to help reduce pain and improve quality of life.
Common reasons for this procedure:
Ongoing pelvic pain
Painful periods
Pain during or after intercourse
Fertility concerns related to endometriosis
Symptoms not responding to medical treatment
What does the procedure involve?
The procedure is usually performed under a general anaesthetic using keyhole (laparoscopic) surgery. Small incisions are made in the abdomen, allowing a camera and fine instruments to be used to identify and treat areas of endometriosis.
Affected tissue may be removed or treated using specialised techniques, depending on the extent and location of the condition.
What to expect after
It is normal to experience some discomfort, bloating, or tiredness in the days following the procedure. Recovery can vary depending on the extent of treatment carried out.
Most patients are able to return to normal activities within a couple of weeks. You will be given clear aftercare advice and ongoing support to help manage symptoms and recovery.
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A myomectomy is a procedure to remove fibroids (non-cancerous growths) from the uterus, while preserving the womb.
It is often recommended for women who are experiencing symptoms from fibroids or who wish to retain their fertility.
Common reasons for this procedure:
Heavy or prolonged menstrual bleeding
Pelvic pain or pressure
Bloating or abdominal discomfort
Fertility concerns related to fibroids
Fibroids affecting daily life or wellbeing
What does the procedure involve?
A myomectomy is usually performed under a general anaesthetic. Depending on the size, number, and location of the fibroids, the procedure may be carried out using keyhole (laparoscopic) techniques or through a small abdominal incision.
The fibroids are carefully removed, and the uterus is repaired to maintain its structure and function.
What to expect after
Most patients are able to return home within one to two days after surgery. Recovery can vary depending on the type of procedure performed. It is common to experience some discomfort and tiredness in the days following surgery.
Most patients are able to return to normal activities within a few weeks. You will be given clear guidance on recovery, including activity levels and follow-up care to support your healing.
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An oophorectomy is a procedure to remove one or both ovaries. It may be recommended to treat certain gynaecological conditions or to reduce symptoms that are affecting your health and wellbeing.
The procedure is carefully considered and tailored to your individual circumstances.
Common reasons for this procedure:
Ovarian cysts or masses
Endometriosis affecting the ovaries
Persistent pelvic pain
Risk-reducing surgery in certain cases
Pelvic inflammatory disease (PID) - infection of the reproductive system usually caused by an untreated sexually transmitted infection (STI)
What does the procedure involve?
The procedure is usually performed under a general anaesthetic and is often carried out using keyhole (laparoscopic) surgery. Small incisions are made in the abdomen, allowing a camera and fine instruments to be used to remove the ovary or ovaries.
The approach used will depend on your individual condition and treatment plan. Most procedures are completed within one to two hours, and many patients are able to return home the same day.
What to expect after
It is normal to experience some discomfort, bloating, or tiredness following the procedure. Recovery time can vary depending on the type of surgery performed.
You will be given clear aftercare advice and guidance on returning to normal activities. Where relevant, the impact on hormones and longer-term health will be discussed with you in advance, so you feel fully informed and supported.
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Why might you need a total laparoscopic hysterectomy?
A hysterectomy is a procedure to remove the uterus (womb), and in a total hysterectomy, the cervix is also removed. When performed using keyhole surgery, this is known as a total laparoscopic hysterectomy.
This type of procedure is usually considered when symptoms are significantly affecting your quality of life and other, less invasive treatments have not been effective.
Symptoms that may lead to this procedure:
Heavy or prolonged periods
Painful periods
Chronic pelvic pain
Pain during or after sex
Irregular or abnormal bleeding
These symptoms can have a number of underlying causes and will always be carefully assessed before any treatment decisions are made.
Conditions that may be treated:
A total laparoscopic hysterectomy may be recommended for a range of gynaecological conditions, including:
Fibroids – non-cancerous growths that can cause heavy bleeding, pressure, and discomfort
Endometriosis – where tissue similar to the womb lining grows outside the uterus, often causing pain
Uterine prolapse – when the womb moves from its normal position and causes a feeling of heaviness or discomfort
Pelvic inflammatory disease (PID) – in more severe cases where symptoms persist despite treatment
Certain gynaecological cancers – where removal of the uterus is part of treatment
Not all of these conditions require a hysterectomy, and alternative treatments will always be discussed first.
A considered and supportive approach
A hysterectomy is a significant decision, both physically and emotionally. Time is always taken to discuss your symptoms, explore all available treatment options, and ensure you feel fully informed before proceeding.
Where appropriate, less invasive treatments such as medication, physiotherapy, or smaller procedures may be considered first.
What this means for you
After a hysterectomy, you will no longer have periods or be able to become pregnant. Some women may experience menopausal symptoms, depending on individual circumstances.
For many patients, the procedure can significantly improve symptoms such as heavy bleeding, pelvic pain, and discomfort, helping to restore quality of life.
What to expect after surgery
After your operation, it is normal to feel some discomfort in your abdomen and pelvic area. Pain relief will be provided to help keep you comfortable as you begin your recovery.
You may wake up with small dressings over your incisions, as well as a temporary catheter to help drain your bladder. In some cases, a small drainage tube may also be in place for a short time. These are all routine and will be removed as you recover.
You will be encouraged to get up and move gently soon after surgery, as this helps circulation and supports healing. You may also be shown simple exercises to continue at home, helping to improve mobility and reduce discomfort.
Recovery at home
Most patients are able to return home within one to two days after surgery. Full recovery typically takes around six to eight weeks, although this can vary.
During this time, it is important to rest, avoid heavy lifting, and gradually build up your activity levels. Gentle movement such as short walks can be helpful, but it’s important to listen to your body and not rush the process.
Staying well hydrated and maintaining a balanced diet with sufficient fibre can also support your recovery, particularly as some patients experience temporary changes in bowel habits.
Returning to normal activities
Work: Many patients can return to work within four to eight weeks, depending on the nature of their job
Driving: You should only drive once you feel comfortable wearing a seatbelt and able to perform an emergency stop safely
Exercise: Gentle activity can be resumed gradually, with more strenuous exercise avoided until you are fully recovered
Additional points to be aware of
It is normal to experience some light vaginal bleeding or discharge for a few weeks following surgery.
If your ovaries are removed as part of the procedure, you may experience symptoms associated with the menopause, such as hot flushes, sleep changes, or mood fluctuations. If needed, treatment options can be discussed to help manage these symptoms.
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+/- anterior and posterior repair
A vaginal hysterectomy is a procedure to remove the uterus (womb) through the vagina, without the need for abdominal incisions.
It may be recommended for a range of gynaecological conditions, particularly when symptoms are affecting quality of life and other treatments have not been effective.
Common reasons for this procedure:
Heavy or prolonged menstrual bleeding
Fibroids
Pelvic pain
Uterine prolapse
Other benign (non-cancerous) gynaecological conditions
What does the procedure involve?
The operation is usually performed under a general anaesthetic. The uterus is carefully removed through the vagina, avoiding external cuts on the abdomen.
In some cases, additional procedures may be carried out at the same time, depending on your individual needs. The surgery typically takes around one to two hours.
Most patients will stay in hospital for a short period following the procedure to ensure a safe and comfortable recovery.
What to expect after
Most patients are able to return home within one to two days after surgery.
It is normal to experience some discomfort and tiredness in the days following surgery. Gentle movement is encouraged, but full recovery may take several weeks.
You will be given clear guidance on recovery, including activity levels, returning to work, and follow-up care. Support is provided throughout to ensure you feel confident and well cared for during your recovery.
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Robotic-assisted surgery is an advanced form of minimally invasive (keyhole) surgery used to treat a range of gynaecological conditions with enhanced precision and control.
It is commonly used for procedures such as hysterectomy, cystectomy, oophorectomy, myomectomy, and the excision of endometriosis, offering a refined alternative to traditional laparoscopy.
Common reasons for this procedure:
Pelvic pain
Endometriosis
Ovarian cysts
Fibroids
Heavy or irregular menstrual bleeding
Complex or recurrent gynaecological conditions
Fertility concerns
What does the procedure involve?
The procedure is carried out under a general anaesthetic. Small incisions are made in the abdomen, through which specialised instruments and a high-definition 3D camera are inserted.
These instruments are controlled by the surgeon using a robotic system, allowing for highly precise, steady movements and improved visualisation of delicate structures. This can be particularly beneficial in complex cases or where fine dissection is required.
Most procedures are completed within one to three hours, depending on the complexity, and many patients are able to return home the same day or after a short stay.
What to expect after
Most patients are able to return home within one to two days after surgery. Recovery is similar to standard keyhole surgery, though some patients may experience a quicker return to normal activities due to the minimally invasive nature of the procedure.
It is common to have mild discomfort, bloating, or fatigue in the days following surgery. Small dressings will cover the incision sites, which typically heal well.
Most patients can return to normal activities within one to two weeks, depending on the procedure performed. You will be provided with tailored aftercare guidance to support your recovery.
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