- Ultrasound scan, including transvaginal.
- ThinPrep and HPV DNA.
- Human papilloma virus (HPV) vaccination with Gardasil 9.
- Vaginal infection- candidiasis (yeast) and bacterial vaginosis- diagnosis and treatment.
- Sexually transmitted infection (STI)- diagnosis by urine sample (male and female) and treatment.
- Infertility / sub-fertility investigation and treatment- follicle tracking and timed intercourse (FT/TI); intrauterine insemination (IUI).
- Tubal patency test- hysterosalpingography or HSG (X-ray involved) or HyFoSy sonography (preferred, as non-irradiation).
- Semen analysis.
- Recurrent miscarriages- investigation (inherited or acquired thrombophilia; karyotyping) and treatment (including low dose aspirin and low molecular heparin).
- Anora test by Natera, USA- to detect aneuploidies on products of conception (POC) after a miscarriage.
- Antiphospholipid syndrome (APS) – investigation and treatment for recurrent miscarriages.
- Polycystic ovarian syndrome (PCOS)- investigation and treatment.
- Menstrual disorders- Dysfunctional Uterine Bleeding (DUB); heavy menstrual bleeding (menorrhagia); painful periods (dysmenorrhoea); irregular menstrual cycle- investigation and treatment (hormonal or non-hormonal).
- Hyper-androgenism (hirsutism and acne)- investigation and treatment.
- Contraceptive advice- combined oral contraceptives (COC), mini pills (progestogen-only pills), implant (Implanon or Nexplanon), intrauterine contraceptive device (IUCD- Mirena or copper, laparoscopic sterilisation, emergency contraception (morning-after pills or copper IUCD).
- Outpatient removal of IUCD, even if “lost” strings.
- Menopause- hormone replacement therapy (HRT) or biphosphonates therapy. BBS (London), FRCOG (UK)
- Pelvic floor rehabilitation- for post-vaginal delivery, vaginal prolapse, urinary incontinecne and sexual dysfunction.
- Miscarriage- medical (misoprostol) and/or surgical (curettage) management.
- Colposcopy for abnormal cervical cytology (Pap smear result showing cervical intra-epithelial neoplasia (CIN) or squamous intra-epithehelial lesion, SIL), followed by biopsy and treatment with large loop excision of transformation zone (LLETZ) or loop electrosurgical excision procedure (LEEP).
- Electro-cautery to warts/condyloma (genital or elsewhere).
- Bartholin’s abscess surgery, by marsupalisation procedure.
- Office / outpatient endometrial biopsy- if suspicious of endometrial cancer.
- Utero-vaginal prolapse- surgical and non-surgical (ring pessary) treatment.
- Hysteroscopy for infertilty investigation is done in a hospital.
- Laparoscopic surgery (in hospital) for removal of ovarian cyst and ectopic pregnancy.
- Hysterectomy and myomectoy (in hospital).