For people who might feel apprehensive about a gynaecology appointment, or who are about to have their first visit, sometimes it’s helpful to know what to expect, from the initial consultation to various examinations that might be conducted. One thing is for sure, gynaecology appointments are essential for assessing and maintaining women’s reproductive health, as well as addressing a range of concerns related to hormonal health, menstrual cycles and irregularities, family planning and more.
At The Surrey Park Clinic, appointments are conducted with sensitivity and expertise with patient comfort at the forefront. But wherever you are attending your appointment, here is what you can expect:
There are some steps you can take to help make sure the experience is as smooth as possible.
A review of your medical history – This may include noting down any past gynaecological issues or surgeries, and your family’s medical history. It may also be helpful to include details about menstrual cycles, their duration and flow, and any associated symptoms.
Symptoms – If your appointment is to discuss specific issues, noting the symptoms in advance can be helpful. You may find it easier to communicate your concerns if they’re written down.
Questions – If you have any questions, it is helpful to prepare these in advance. That way you won’t forget them if you are feeling nervous or emotional.
You can expect to start your appointment with an initial consultation where the healthcare provider reviews your medical history and current health concerns. This conversation allows them to understand any symptoms, concerns, or lifestyle factors that might be affecting the reproductive system.
Medical history review – The healthcare professional will ask about personal and family health history, focussing on areas relevant to reproductive health. This could involve questions about your menstrual cycle, whether there is a history of endometriosis, fibroids, polycystic ovary syndrome or any other known genetic condition.
Symptom discussion – You can share details on any symptoms that you may be experiencing, such as abnormal bleeding, pain, or discomfort. This information will help your healthcare provider to determine which examinations or tests might be necessary.
A gynaecological examination will typically include an external, and internal pelvic examination, which will help to identify any signs of infection, abnormalities and any other conditions you might be experiencing symptoms for.
Breast Examination – Some appointments include a breast exam, especially for patients over a certain age or for those with a family history of breast cancer. The healthcare professional will pay attention to the underarms as well as the breast itself, feeling for any unusual lumps or changes.
External Examination – An external examination of the vulva area may be checked for any visible signs of irritation or other abnormalities.
Internal Examination – The healthcare professional will use a tool called a speculum to gently widen the vaginal canal to view the cervix. You may feel a slight pressure, but it should not be painful. They may take a cervical smear (detailed below), and this may be based on your age or health history. This screening helps to detect precancerous or cancerous cells on the cervix.
Cervical smear tests are an important and essential part of women’s healthcare. This test involves collecting cells from the cervix which are analysed for any signs of precancerous cells.
Why? – They play a crucial role in detecting early signs of cervical cancer. Smear tests are recommended every 3-5 years depending on age and medical history.
What to expect – Your healthcare provider will use a soft brush to collect the cells from your cervix. This should not be painful, but there may be a few seconds of mild pressure or discomfort.
In some cases, the healthcare professional may recommend a pelvic ultrasound, especially if they have concerns about conditions such as fibroids, ovarian cysts, or unexplained or pain in the pelvic area. These ultrasounds are imaging tests that can be carried out transabdominally or transvaginally.
Transabdominal Ultrasound – This kind of ultrasound is when the patient lies down, and aconductive gel is applied to the lower abdomen. A transducer is then moved over the skin to capture images of the pelvic area.
Transvaginal Ultrasound – This test involves inserting a small probe into the vaginal canal. It gives a closer and clearer view of the uterus, ovaries and other reproductive organs which can help detect any abnormalities.
If you have had any tests during your appointment, your healthcare provider may offer preliminary insights, however, for certain tests like smear tests or bloods, results can take a few days to be processed.
Follow up – Depending on the results it may be recommended that you undergo further or additional testing or treatment options.
Discussing treatment options – If any condition is identified, the healthcare provider will explain treatment options available to you. Treatments can range from courses of medicationand lifestyle changes to minor procedures and/or referrals to specialists.
Every person’s needs are unique, and a gynaecology appointment is a safe space to voice any particular concerns. Common topics include:
Birth Control – The healthcare provider may discuss various types of contraceptive options, helping you choose a method that suits your lifestyle and health needs.
Fertility Discussions – For those looking to plan for pregnancy, your healthcare professionalcan provide fertility assessments, pre-pregnancy health screenings and advice and guidance on conception.
Menopause Management – For people experiencing menopausal or perimenopausal symptoms, you can be offered solutions for managing those symptoms.
It’s not unusual to feel anxious before a gynaecology appointment, especially if it’s the first one you’ve attended. The Surrey Park Clinic understands this, and we strive to make each appointment as comfortable as possible.
We focus on providing a compassionate, non-judgmental atmosphere where we encourage open communication, ensuring you’re respected and informed every step of the way. Privacy is a top priority, as is empowerment; we make sure you understand your reproductive healthand options available to you to best suit your wellbeing, in a safe and secure environment.
The Surrey Park Clinic’s Gynaelogical Services include:
You can contact us for more information here.