Owen Owen MD MRCOG MRCPI - Treating all aspects of gynaecology
Asked Questions (FAQs)
have an abnormal smear does it mean that I have cervical cancer?
majority of women and generally over 98% will have pre-cancerous changes. The
cervix is assessed by an instrument callled a colposcope and this allows a biopsy
or treatment to be directed to the abnormal area This will allow the Doctor to
tell the patient almost immediately that there is nothing wrong. Smear are reported
as borderline, mild, moderate and severe dyskaryosis. Most abnormal smears are
caused by a virus called human papilloma virus (HPV).
have heavy periods does it mean that I have to have a hysterectomy?
majority of women with heavy periods will not require a hysterectomy. Treatment
can be medical, using a hormonal coil called the Mirena, or an operation called
Novasure or endometrial ablation.
I have an ovarian cyst does it mean that I've got cancer?
majority of women with ovarian cysts do not have cancer. Most cysts are benign
and can be simple. Some women have endometriosis and some women have dermoid cysts.
Ovarian cysts can be treated by key hole surgery.
it possible to be a day patient for a hysterectomy?
women can undergo a sub-total hysterectomywhere the cervix and the ovaries are
kept and the uterus is removed by key hole surgery. Most women would in fact stay
in overnight and can return to work within 2 - 3 weeks.
treatment can I have for fibroids?
Fibroids can be occasionally
managed medically but this only shrinks the fibroid but after medical treatment
fibroids can grow again. Embolisation is a technique where a special substance
is placed near the blood supply to the uterus and into the uterine arteries to
block the blood supply. This will shrink the fibroids by 50 - 60% and it generally
not advisable in women who have not completed their families.Key hole surgery
can also be used for some fibroids removing the fibroid and keeping the uterus
or removing the fibroids along with the uterus (laparoscopic sub-total hysterectomy).
This is surgery performed on the vagina usually
in young women with an absent or very short vagina. This operation is only performed
in selected centres.
What is Laparoscopy?
is a diagnostic procedure performed under a general anaesthetic to assess the
pelvic organs (uterus, ovaries and fallopian tubes).
is Pelvic Reconstructive Surgery?
This is performed in Centres
of Excellence and may require the input of gynaecologist, plastic surgeon, bowel
surgeon and a kidney surgeon. Pelvic Reconstructive Surgery may be required in
rare cases where a female is born without a vagina but the condition may not be
recognised until a women fails to have a period. Otherwise it is performed occasionally
in women who have had cervical cancer or radiotherapy and the disease has recurred.
does an Ultrasound scan help?
Performed both abdominally and
vaginally to look at the size of the uterus and the ovaries. It is helpful in
women who bleed after the menopause where the thickness of the lining of the womb
is measured. It is also used in women with other gynaecological problems.
Spire Harpenden Hospital, Ambrose Lane, Harpenden, AL5 4BP Tel: 0800 585112
Spire Bushey Hospital, Heathbourne Road, Bushey Heath, WD23 1RD Tel: 01582 760045
Cobham Private Clinic, Luton & Dunstable NHS Trust, Lewsey Rd, Luton, LU4 0DZ Tel: 01582 718193
Luton & Dunstable NHS Trust, Lewsey Rd, Luton, LU4 0DZ Tel: 01582 497459