Infertility- counselling, investigation and treatment.
Ovarian reserve test- anti-mullerian hormone.
Contraception advise- all contraceptive methods, including combined oral contraceptives, progestogen only (“mini”) pills, emergency contraception (“morning-after” pills), Mirena IUS, copper intrauterine contraceptive device (IUCD) and surgical (sterilization) options.
Sexually transmitted infection- screen for chlamydia, gonorrhoea, trichomoniasis, syphilis, HIV, genital warts (HPV) and hepatitis B.
Candidiasis (yeast/thrush) therapy.
Ovarian cyst- investigation and treatment. If surgery is required, laparoscopy is the preferred method.
Polycystic ovaries syndrome (PCOS)- counselling, investigation and treatment.
Endometriosis- counselling, investigation and treatment.
Fibroids (myoma)- counselling, investigation and treatment.
Menstrual disorders (heavy, irregular or painful periods)- counselling, investigation and treatment.
Premenstrual syndrome (PMS)- counselling, investigation and treatment.
Abnormal vaginal bleeding- investigation and treatment.
Abnormal vaginal discharge (candidiasis, bacterial vaginosis)- investigation and treatment.
Vulvar or vaginal itch, pain or discomfort- investigation and treatment.
Pelvic inflammatory disease (PID)- investigation and treatment.
Amenorrhoea and oligomenorrhoea- Kallman’s syndrome, Asherman’s syndrome, hypogonadotrophic hypogonadism, hyperprolactinoma, premature menopause (ovarian failure), resistant ovary syndrome.
Hirsutism and virilization- investigation and treatment.
Ectopic pregnancy and pregnancy of unknown location- investigation and treatment.
Vaginal prolapse- investigation and treatment.
Abnormal Pap smear (CIN)- further investigated with a colposcope.
Mirena IUS or copper IUCD- removal/insertion.
Genital warts- treatment by cautery under colposcopy.
Vulvar disorder (vulvodynia, vulvar dystrophy- lichen sclerosus, lichen planus, leukoplakia)- investigated with a colposcope.
CIN lesions- treatment by large loop excision of the transformation zone (LLETZ) under colposcopy.
Menopause- counselling and management.
Vaccine- HPV, hepatitis B, rubella.