Dr. Karoshi Gynaecologist & ObstetricianMédecin généraliste, ... (London)

Gynaecological Services

Philosophy of care

The Gynaecology service at 108 Medical Chambers is based on the philosophy of listening to women, offering comprehensive rigorous medical investigation and care. The focus of the clinic is Consultant led patient-centred care. Quality time is given to the patient to establish the rapport, diagnosis and offer treatment, with appointments lasting typically from half to 1 hour, and can be longer if necessary.

 Consultation and advice can be sought for the following

General Gynaecology consultation

Women\'s Health screening

Genital infection screen

Contraceptive advice

Fertility

Recurrent miscarriage

Preconceptional advice

Hormone replacement therapy 

Pelvic pain

PMS

Chronic vaginal discharge

Heavy menstrual bleeding

Polycystic ovarian syndrome (PCOS)

Procedures available include

Intrauterine system insertion and removal- (IUS)

Copper coil insertion and removal

Long acting reversible implant insertion and removal

Outpatient hysteroscopy and biopsy

Hysteroscopic polypectomy

Outpatient endometrial ablation

Word Catheter for Bartholin’s cyst 

Vulval biopsy

HPV vaccine

Gynaecology Screening Services

I appreciate that everyone is leading busy lives these days so have developed a range of screening services that can be arranged as a package and are undertaken where possible within a single visit.

Gynaecological check up

Thorough gynaecological check-ups include a full examination including a breast examination and a cervical smear. Other issues may also be explored as appropriate.

 Screening for ovarian cancer

Ovarian cancer tends to present itself late as it rarely shows symptoms until it is already advanced. Screening strategies are yet to be shown effective in this disease, although in selected cases they may be effective. As always, it is best to discuss your options with the doctor.

 Screening for cervical cancer

The cervical smear mains the most reliable test for screening for cervical pre-cancers, and this may be supplemented with HPV testing in some circumstances. The NHS advocates screening every three years from the age of 25, however many other countries offer screening every year.

 Cervical cancer vaccine

A vaccine is now available to prevent infection with HPV types 6, 11, 16 & 18. These viruses are associated with most cases of cancer of the cervix and many cases of genital warts. The vaccine is licensed for use in women aged 9 to 26 years, and reduces the risk of these diseases very significantly in the first few years. However, it is not yet certain how long the effect will last, or whether boosters will be required.

Screening for breast cancer

Mammorgraphy is incorporated into the general well woman screen.

 Heavy or irregular menstrual bleeding

 The cause of or irregular menstrual bleeding should be sought before assuming that the bleeding is normal. Most of the time the diagnosis is dysfunctional uterine bleeding, which simply  means abnormal bleeding when other pathology has been excluded.

One of the simplest treatments is the LNG Intrauterine System (LNG-IUS). This can be inserted without difficulty under local anaesthesia and provides effective treatment for four to five years.

Menopause and the role of Hormone Replacement Therapy (HRT)

Women with severe symptoms affecting their quality of life should consider HRT. HRT can be tried for a relatively short period of time with minimal risk in order to assess the effect. Many women will see great relief from severe symptoms.

 Fertility Consultation : Here basic tests are conducted to understand why conception is getting delayed. Sometimes simple basic fertility tests yield a lot of information, where simple therapeutic interventions will help the couple to achieve pregnancy, without recourse to expensive emotional upheaval of IVF treatment.

. There are parking opportunities around the facility. You can access us by public transport. The property has a wheelchair accessible toilet. There are disabled parking spots around the buildling. There is a patients bathroom. You can have free, wireless internet access while you are waiting. RCOG - Royal College of Obstetricians and Gynaecologists (UK).