We specialise in Women’s Health, Fertility, Pregnancy and Childbirth.
Click read more to view the summary of our Areas of Expertise. You may scroll down this page for more information. For specific question, you may click the Contact tab above to scroll down to our FAQs page for answers or scroll further down to Enquiry to email us your questions.
We recognise that good health care in women’s health and reproduction requires an understanding and care from puberty to post-menopause. At any stage of your reproductive life, we can look after you to ensure you know what is best for you and how to plan out your health future so that you can enjoy a high quality of life, overcome health problems / barriers and minimise health-related risks and complications.
We dedicate ourselves to cater for you a care that:
Our specialist is comfortable to discuss with you any concerns regarding period problems, pelvic pain, abnormal PAP smear, pre-pregnancy and fertility issues, contraception & family planning, menopause, vaginal prolapse and urinary incontinence. We respect you as an individual with unique sets of values and circumstances, and will endeavour to customise a plan most acceptable to you.
We can also provide you onsite ultrasound scanning so that you can have your ultrasound findings discussed together with the management plan in one session, thereby addressing your concerns promptly and giving you plenty of convenience. We provide this one-stop-shop service so that you can have a piece of mind that our specialist who listens to your concerns, can do the following for you:
All these steps are carried out by the same specialist with the intention that this would help
If more investigations are required, we can organise appropriate imaging and pathology tests which can be done in the same location or at locations most convenient to you.
We don’t embrace a ‘one size fits all’ approach, but rather, we customise your management plan based on your unique set of circumstances and health concerns, while maintaining an evidence-based and benevolent approach so that you will never feel like getting a run-around for nothing or a treatment plan less than your expectation. We believe this approach would, in the long run, help you save time and money by customising a treatment package most appropriate and affordable to you. We strive to provide you a high quality, cost effective and individually-focused care that is also flexible in tailoring to your needs and budget, and that is how we believe could ultimately meet your expectation of a great and warmth care.
We have devised an easy booking process where you can simply contact us by phone or email. We aim to organise your appointment to see our specialist within 2 weeks. You can also read about our booking process in the FAQs section by scrolling your mouse cursor to the Contact tab above (for computer users) or simply tapping on the menu tab on the top right corner of your screen (for tablet users).
At the end of your visit, what we strive for is to see a smile on your face which signifies the warmth and care you have received, the relief from your worry, the realistic hope we bring, and the satisfactory result achieved from the management plan undertaken. Two things sit at the top of our priority – exceptional care and optimal results. As our practice motto goes, ‘we don’t muck around, we make it happen’. Refer to Our Mission and Values for further reading.
We are passionate to help women / couples who are yearning to have their own baby, realise their dream because we understand that having your own child is a very rewarding and fulfilling experience in one’s life. It is an important part of building a family and passing on deep family traditions and values to the next generation. We also recognise that starting a family requires planning and patience, and often a few simple tips are all that is needed to get you going.
Our focus is to help you overcome barriers to having a baby, with the ultimate goal of delivering you a healthy baby. As part of our ultimate personalised care, we come up with three strategies which we believe are effective in maximising your chances of having a baby.
First strategy is taking steps to avoiding activities which affect your fertility. The most notable regret couples have is delaying childbearing past the age of 35 because of personal and/or social circumstances, and may be because couples thought that modern IVF treatment would simply create miracles. Other known risk factors are physical / emotional stress, obesity, unhealthy diet, over-indulgence in smoking / alcohol, frequent travelling, medical problems and getting the wrong advice! Hence, in your first visit, we shall help you identify and avoid these risk factors through proper counselling.
Second strategy is having a comprehensive assessment to determine the cause(s) which can affect your chances of getting pregnant and having a baby. The most practical assessment is trying to get pregnant through regular intercourse, because a couple would have passed all fertility tests once the woman conceives spontaneously! However, unless you can carry the pregnancy to term and give birth to a healthy baby, there can be underlying problems which need to be addressed. Over the last decade, we have identified many known infertility causes and also recognise that an individual can have more than one infertility problem. Moreover, about a quarter of these couples have male fertility problem. With this knowledge in mind, we would hence encourage every couple to attend the first consultation together in order to receive a comprehensive assessment. This would allow you and your partner become fully aware of the cause(s) and the severity; understand the rationale behind the recommended management plan; and appreciate the level of difficulty you may face together.
Third strategy is going for the most appropriate management plan which should be customised to deal with the unique set of problems you and your partner may have before and during the course of treatment. And here, we emphasize that we don’t believe that every couple having difficulty conceiving needs IVF treatment, unless you have both fallopian tubes found damaged / removed, or totally lost your ability to produce eggs / sperms. After identifying all known factors, you will be given our recommended management plan which can be a few tips to continue trying natural ways; some medications or procedures to enhance your fertility; or IVF treatment if required. Whichever plan you end up going for, you can be rest assured you have the same specialist who will plan your management schedule, monitor your response and guide you through your journey to get pregnant and then have a baby.
We provide ultrasound scan service for diagnostic purposes like finding the causes of abnormal vaginal bleeding, pelvic pain, subfertility etc; for pregnancy dating and monitoring of foetal growth and well-being. By combining this with our consult, we can discuss with you the scan findings and appropriate management on the same session.
Ultrasound technology utilises sound wave to study the internal body structure, by emitting sound waves and analysing the returning sound echo which bounces back, much like how bats manoeuvre in the dark and how ships detect schools of fish and study the ocean floor. The sound waves emitted at high frequency are beyond our audible range (hence you won’t notice it at all), but can penetrate soft tissue and fluid. Ultrasound is emitted from the end of the transducer / probe, and through the specialised layer of gel, is able to transmit into the body and reflect back as echo which is detected by the transducer and analysed by the ultrasound machine, thereby generating a black-and-white image you see on the screen. Generally speaking, the closer the transducer is to the area of interest, the clearer the images generated.
Ultrasound technology has been around for over 60 years, and scientific and epidemiological studies have dispelled the myth about its potential harmful effect. Unlike x-rays and CT scans, there is no radiation emitted from the ultrasound machine, and hence no associated harmful health risk expected or observed.
Our modern ultrasound machine, Mindray M5, can do the following:
detect structures within the pelvis and uterus as tiny as 2mm;
monitor egg development within the ovaries;
determine pregnancy dates as early as 5-7 weeks from the first day of your last menstrual period;
measure foetal heart rate;
demonstrate foetal movement and position;
measure and estimate the amount of fluid in the womb (so called liquor volume);
measure and estimate the foetal size and weight; and
study blood flow within the umbilical cord;
Utilising ultrasound scan during your visit could assist in making a prompt diagnosis and allowing the opportunity to discuss the appropriate management on the same visit with the specialist who knows your history and who would be taking care of you. This approach not only can avoid unnecessary delay, but can also bring tremendous convenience to you and ensure continuity of care.
A standard scan can take about 20-30 minutes, and you do not need to have a full bladder prior. A diagnostic ultrasound scan often involves a vaginal transducer / probe (so-called internal or vaginal scan) because of the better image quality and hence better diagnostic capability compared to the abdominal probe. Although you are under no obligation to have this type of scanning, this is recommended as part of evaluation of your presenting complaint in the area of women’s health and reproduction. For monitoring pregnancy progress, this is often done with only the abdominal probe. If further imaging test is required, you may be referred to our recommended radiology departments which are located at Ashford or around Adelaide.
This is a specialised examination of the cervix and lower genital tract using a high-magnification scope (so-called colposcope), and is recommended for women with abnormal Pap smear results or symptoms suggestive of suspicious lesions like precancerous changes or cancer of the cervix, vagina or vulva.
The examination usually takes about 10-15 minutes, and whilst the thought of having this done can be scary, our specialist is trained to provide you this examination in a very gentle and professional manner. You will be resting in a lying down position (so-called lithotomy position) on our special-purpose built gynaecology couch with comfortable headrest and leg support. Our specialist will explain how this is done so that you are fully aware of the process and reasons before this examination is being carried out. You may get further information from the Royal Women's hospital.
Our scope – the Labomed Prima GN colposcope – is a premium high resolution scope which enables clear and precise examination. Presence of abnormal lesions as seen on the colposcope enables our specialist to do appropriate target biopsy for laboratory testing, thereby confirming the type, grade and depth of the lesion biopsied.
Also known as the endoscopic or keyhole surgery, this modern surgical technique enables the highly-trained specialist to perform surgery using specialised equipment which can examine (i.e. diagnostic) and fix (i.e. therapeutic) the problem inside your abdomen / pelvis / womb through the genital tract or very small abdominal skin opening, often as small as half a centimetre. Photo / video images can be taken for illustrative purposes.
The rationale for this approach is to minimise the surgical wound, thereby reducing post-operative pain, shortening hospital stay and minimising infectious risk. Many patients after this type of surgery can be discharged home the same day of the surgery, while those having major surgery may still be discharged home within a couple of days. By having less postoperative pain and not being confined to the hospital bed, most patients can recover quicker with better ventilation of the lungs, better circulation to energise the muscles and to prevent blood clots in the legs (so-called deep vein thrombosis), and better mental and emotional state.
During your consult, our specialist will discuss with you the type of keyhole surgery you will be having if surgery is indicated. Most of these procedures are carried out in the hospital theatre under general anaesthetics.
The type of surgery can be one or a combination of the following:
hysteroscopy: a technique using a specialised fine scope to visualise the cavity of the womb, by gently inserting the scope through the vagina and cervix. Fluid / air is run inside the womb to enable adequate visualisation. Abnormal lesions like polyp, septum, fibroid, cancer etc, can be removed or sampled thereafter. Hysteroscopy can be in one of these forms:
diagnostic whereby the cavity of the womb and cervix is examined with/out some tissue biopsy
polypectomy whereby a mushroom-like lesion (or polyp) within the womb / cervix is removed
tubal ligation, a modern sterilisation technique whereby the fallopian tubes are closed by the insertion of a special device called Essure, through the tubal insertion into the womb
myomectomy whereby fibroid within the cavity is removed
metroplasty whereby abnormally shaped uterus which can cause fertility and pregnancy complications is repaired
laparoscopy: a technique using a specialised fine scope to visualise the abdominal cavity by inserting the scope through small abdominal skin openings. To reduce the risk of injuring the internal organs, the specialist will empty your bladder using a soft catheter, inflate CO2 gas into the abdomen to distend the abdominal wall, and insert the instrument under direct vision. The number of skin openings (or ports) will very much depend on the objective of the surgery, the severity of the disease, and the technical complexities. Laparoscopy can be in one of these forms:
diagnostic whereby the abdominal / pelvic cavity is examined with/out some tissue biopsy. Organs like liver, appendix, omentum, bowels, uterus, fallopian tubes, ovaries etc can be clearly examined, and abnormal lesions like endometriosis or adhesion can be demonstrated.
adhesiolysis whereby filmy scar tissues which stick internal organs together can be released
dye studies whereby the patency of the fallopian tubes can be demonstrated by visualising the free flowing of dye which has been injected inside the womb
salpingectomy / salpingostomy whereby abnormal / swollen / inflammatory tube or ectopic pregnancy within the tube can be removed / repaired
tubal ligation whereby the tubes are clipped with special device called Filshie clips to achieve permanent sterilisation
ovarian cystectomy whereby abnormal lesions within the ovaries are removed for further laboratory testing to confirm the type and severity of the lesion
oophorectomy whereby the ovary is removed because it appeared abnormal, e.g. twisted, bleeding, large tumour/cyst; or for prevention against ovarian cancer (e.g. women with hereditary type of breast cancer)
excision of endometriosis whereby abnormal tissues resembling their womb lining can be removed for diagnostic confirmation or therapeutic purpose. Alternative, endometriotic lesions can be destroyed using electrical heating (or diathermy)
myomectomy whereby tumour / disease / fibroid of the womb is removed while preserving the womb. This surgery is aim to manage heavy period, pelvic pain and/or fertility problems.
hysterectomy whereby the womb is removed for treating condition like heavy / painful periods or suspected cancer. The cervix is usually removed concurrently, while the fallopian tubes & ovaries may be removed after careful consideration. This is considered a major surgery which is performed by highly skilled gynaecological surgeons.
Most problems causing abnormal vaginal bleeding, abnormal PAP smear, vaginal prolapse and bladder incontinence can be managed by vaginal surgery. Compared to abdominal open surgery (i.e. laparotomy), this form of surgery has less post-operative pain, shorter hospital stay and better cosmetic outcome. Minor procedures can be done in our clinic, while more major procedures like hysterectomy and prolapse repair are performed in theatre under general anaesthesia. Click read more for some of the examples of this surgery…
Minor vaginal / vulvar surgery: vaginal / vulvar lump / cyst / warts / lesions e.g. Bartholin’s cyst can be removed / drained. Intrauterine device like Mirena can be performed via vaginal entry either in the clinic or in theatre.
Polypectomy: Cervical lesions like polyps, warts, precancerous changes, erosion etc – a day procedure to remove these lesions can be done either under general anaesthetics or local / paracervical anaesthetic block.
Vaginal hysterectomy: when heavy/painful period is proved difficult to control using medical therapy or Mirena device, the uterus and cervix can be removed via the vagina with/out laparoscopic assistance.
Pelvic floor / vaginal reconstruction: Prolapse of the uterus / bladder / bowel through the vaginal opening (or orifice) can be surgically reduced and repaired, thereby resolving the dragging symptoms accompanying this type of problem.
Suburethral sling suspension: having a weak bladder can cause urinary leak during abdominal exertion, coughing, sneezing, laughing etc. This condition is also called stress urinary incontinence. Our specialist can insert a specialised tape called Ophira / MiniArc / Monarc to support the bladder neck, thereby preventing further bladder leak.
More details about this surgery will be addressed during your consultation.
Monday-Friday 9am till 5pm
After hour by request only
Phone: 08 8297 4338
Mobile: 0422 014 044