Gynaecology in Worthing

Gynaecology is the medical specialty that focuses on the health of the female reproductive system, including the uterus, ovaries, fallopian tubes, cervix, and vagina. It involves diagnosing, treating, and managing conditions such as menstrual disorders, pelvic pain, infertility, hormonal issues, and infections, as well as providing routine care like cervical screening.

Gynaecologists also play an important role in monitoring reproductive health throughout different stages of life, from adolescence through menopause, and often work closely with obstetricians when pregnancy or childbirth care is involved.

Common gynaecological symptoms that may warrant a visit to a gynaecologist include:

• Abnormal cervical smears
• Abnormal vaginal bleeding or discharge
• Bladder problems
• Endometriosis
• Fibroids
• Gynaecological cancer
• Heavy periods (menorrhagia)
• Hysterectomy including Novasure®
• Menopause
• Ovarian cysts
• Pelvic floor problems
• Polyendocrine metabolic ovarian syndrome (PMOS, formerly known as PCOS)
• Polyps
• Post-menopausal bleeding
• Prolapsed bladder or vagina
• Sterilisation
• Vaginal discharge

Early detection and intervention can contribute to better gynaecological health outcomes.

Group we offer private gynaecology consultations with transparent and flexible pricing. As with all our specialties, the cost of a gynaecology consultation depends on the consultant you see and the hospital location, but most private consultant appointments start from around £200.

If any diagnostic tests or investigations are required (for example scans, blood tests, or other procedures), these will be charged separately and clearly explained before booking.

We offer several payment options so you can choose what works best for you: you can pay in full as a self-pay patient; you can select a fixed-price package (where appropriate) that includes treatment and aftercare once your plan is agreed; or you can spread the cost with our monthly finance plans through our partner lender. If you have private medical insurance, that may also cover your gynaecology appointment and any related treatment — but coverage depends on your insurer and policy.

At a gynaecology appointment, the consultant will begin by discussing your symptoms, medical history, menstrual cycle, sexual health, and any concerns you may have. This conversation helps them understand what might be causing your symptoms and which tests, if any, are needed.

Depending on the reason for your visit, the doctor may carry out a physical examination, which can include an abdominal check and, if appropriate, an internal pelvic examination to assess the vagina, cervix, uterus, and ovaries. They may also recommend tests such as a swab, blood tests, or an ultrasound scan to gather more information. Throughout the appointment, the gynaecologist will explain what they’re doing, ensure you are comfortable, and ask for your consent before any examination.

The appointment usually ends with a discussion of findings, possible diagnoses, and personalised treatment options or next steps.

An abdominal cervical smear, more accurately termed a Pap smear or Pap test, is a procedure to collect cells from the cervix, which is the lower, narrow end of the uterus located at the top of the vagina. The main purpose of this test is to screen for cervical cancer and to detect any pre-cancerous or abnormal cells that might develop into cancer.

During the procedure, our Consultant Gynaecologist uses a speculum to gently open the vagina and gain access to the cervix. Cells are then collected from the cervix using a small brush or spatula. These cells are placed on a glass slide or in a liquid medium and sent to a laboratory for examination under a microscope.

The Pap smear is a vital part of women's health care and is recommended at regular intervals for women starting at age 21 and continuing until age 65, though the specific frequency can vary based on guidelines and individual health factors.

Understanding Abnormal Vaginal Bleeding or Discharge

Experiencing abnormal vaginal bleeding or discharge can be concerning, but it is important to understand the potential causes and when to seek medical attention

What is Considered Abnormal Vaginal Bleeding?

Abnormal vaginal bleeding refers to any bleeding outside of your normal menstrual cycle. This includes:

• Bleeding between periods
• Bleeding after sexual intercourse
• Heavy menstrual bleeding
• Menstrual cycles shorter than 21 days or longer than 35 days
• Bleeding after menopause

Common Causes of Abnormal Vaginal Bleeding

Several factors can contribute to abnormal bleeding, including:

• Hormonal imbalances
• Uterine fibroids
• Polyps
• Endometriosis
• Pelvic inflammatory disease (PID)
• Certain medications
• Cancer of the reproductive organs

When to Seek Medical Help

If you experience any of the following symptoms, it’s crucial to consult a healthcare provider:

• Heavy or prolonged bleeding
• Severe pain or cramping
• Bleeding accompanied by dizziness or fainting
• Bleeding after menopause

What is Abnormal Vaginal Discharge?

Abnormal vaginal discharge differs from normal discharge in color, consistency, smell, and volume. Normal discharge is usually clear or white and has no strong odor. Abnormal discharge may be:

• Yellow or green
• Thick and white (resembling cottage cheese)
• Foul-smelling
• Accompanied by itching or burning

Common Causes of Abnormal Vaginal Discharge

Potential causes include:

• Bacterial vaginosis
• Yeast infections
• Sexually transmitted infections (STIs)
• Trichomoniasis
• Cervical or vaginal cancer

When to Seek Medical Help

Contact a healthcare provider if you notice:

• A significant change in your discharge
• Foul odor or strong odor
• Itching, burning, or irritation
• Pain during intercourse or urination

Diagnosis and Treatment

At Goring Hall Hospital our expert Gynaecologists will review your symptoms and may conduct a pelvic exam, Pap smear, or other diagnostic tests to determine the cause of your symptoms. Treatment will depend on the underlying cause and may include medications, lifestyle changes, or further medical procedures.

Take Charge of Your Health

Understanding what is normal for your body is essential. Keep track of your menstrual cycle and any changes in your vaginal health. Early detection and treatment of abnormal symptoms can prevent more serious health issues down the line.

For more information or to schedule an appointment online or contact us on 01903 506 699. 

Understanding Gynaecological Bladder Problems

Bladder problems can significantly impact a woman's quality of life. Many of these issues are related to gynaecological health, and understanding them is the first step toward effective management and treatment.

Common Gynaecological Bladder Problems

1. Urinary Incontinence

Urinary incontinence is the involuntary leakage of urine. It can occur during activities such as coughing, sneezing, or exercising (stress incontinence), or as a sudden, intense urge to urinate (urge incontinence). Mixed incontinence, a combination of both, is also common.

2. Overactive Bladder (OAB)

OAB is characterized by a frequent, urgent need to urinate, often accompanied by involuntary urine leakage. This condition can disrupt daily activities and sleep.

3. Interstitial Cystitis (IC)

Also known as painful bladder syndrome, IC involves chronic bladder pain and pressure, often accompanied by frequent urination. The exact cause is unknown, but it is thought to be related to bladder inflammation.

4. Urinary Tract Infections (UTIs)

UTIs are infections in any part of the urinary system, but they most commonly affect the bladder. Symptoms include a strong, persistent urge to urinate, a burning sensation when urinating, and cloudy or strong-smelling urine.

5. Pelvic Organ Prolapse (POP)

POP occurs when pelvic organs, such as the bladder, drop from their normal position and push against the walls of the vagina. This can cause urinary symptoms such as incontinence or difficulty emptying the bladder.

Causes and Risk Factors

Several factors can contribute to gynaecological bladder problems, including:

• Age: The risk increases with age due to weakening pelvic muscles.
• Childbirth: Vaginal delivery can weaken pelvic floor muscles.
• Menopause: Hormonal changes can affect bladder function.
• Chronic Conditions: Conditions such as diabetes can increase the risk.
• Lifestyle: Obesity, smoking, and high-impact activities can contribute to bladder issues.

Diagnosis and Treatment

Diagnosing bladder problems involves a thorough medical history, physical examination, and possibly diagnostic tests such as urine analysis, bladder scans, or urodynamic testing.
Treatment Options:

• Lifestyle Changes: Diet modifications, bladder training, and pelvic floor exercises.
• Medications: For overactive bladder or infections.
• Medical Devices: Pessaries for pelvic organ prolapse.
• Surgical Options: Procedures to support the bladder or correct anatomical issues.

When to See a Doctor

Consult a healthcare provider if you experience:

• Persistent or recurrent urinary incontinence
• Frequent, urgent, or painful urination.
• Bladder pain or pressure.
• Symptoms of a UTI that do not improve with home treatment.

Take Control of Your Bladder Health

Managing bladder problems involves understanding your symptoms and seeking appropriate treatment. Early intervention can improve your quality of life and prevent more serious health issues.
For more information or to schedule an appointment online or contact us on 01903 506 699.

Understanding Endometriosis

Endometriosis is a chronic and often painful condition that affects millions of women worldwide. It occurs when tissue similar to the lining inside the uterus, known as the endometrium, grows outside the uterus.

What is Endometriosis?

In endometriosis, endometrial-like tissue can be found on the ovaries, fallopian tubes, the outer surface of the uterus, and other organs within the pelvis. This tissue responds to menstrual cycle hormones, leading to inflammation, pain, and the formation of scar tissue.

Symptoms of Endometriosis

The severity of symptoms can vary, but common signs include:

• Pelvic Pain: Often associated with menstrual periods, but it can also occur between periods.
• Heavy Menstrual Bleeding: Including prolonged periods or bleeding between periods.
• Pain During Intercourse: Pain during or after sex is common.
• Painful Bowel Movements or Urination: Typically occurring during menstrual periods.
• Infertility: Endometriosis can make it difficult to conceive.
• Fatigue, Diarrhoea, Constipation, Bloating, and Nausea: Especially during menstrual periods.

Causes and Risk Factors

The exact cause of endometriosis is unknown, but several factors may contribute:

• Retrograde Menstruation: Menstrual blood flows backward through the fallopian tubes into the pelvic cavity.
• Embryonic Cell Transformation: Hormones such as estrogen may transform embryonic cells into endometrial-like cell implants during puberty.
• Surgical Scars: After surgeries like hysterectomy or C-section, endometrial cells may attach to surgical incisions.
• Immune System Disorders: Problems with the immune system might make the body unable to recognise endometrial-like tissue growing outside the uterus.

Diagnosis

Diagnosing endometriosis typically involves:

• Medical History and Physical Exam: Including a pelvic exam.
• Imaging Tests: Such as ultrasound or MRI to identify cysts associated with endometriosis.
• Laparoscopy: A surgical procedure where a camera is inserted into the pelvic cavity to view and sometimes remove endometrial tissue.

Treatment Options

While there is no cure for endometriosis, several treatments can help manage symptoms:

• Medications: Pain relievers and hormonal therapies to reduce or eliminate menstruation.
• Conservative Surgery: To remove endometrial growths while preserving the uterus and ovaries.
• Fertility Treatment: For women who are having difficulty conceiving.
• Hysterectomy: In severe cases, removal of the uterus and sometimes the ovaries may be considered.

Living with Endometriosis

Managing endometriosis involves a comprehensive approach:

• Pain Management: Through medications, physical therapy, and complementary therapies such as acupuncture.
• Healthy Lifestyle: Regular exercise and a balanced diet can help alleviate symptoms.
• Support Systems: Connecting with support groups and counselling can provide emotional support.

When to Seek Medical Help

If you experience any symptoms of endometriosis, it’s important to consult a healthcare provider. Early diagnosis and treatment can significantly improve your quality of life.

Contact Us

For more information or to schedule a consultation online or contact us on 01903 506 699. Our team is dedicated to providing comprehensive care and support for women with endometriosis.

Comprehensive Guide to Fibroids Treatment

Uterine fibroids, also known as leiomyomas or myomas, are noncancerous growths that develop in the muscular wall of the uterus. While many women with fibroids experience no symptoms, others may suffer from significant discomfort and complications. Understanding your treatment options is key to managing this condition effectively.

What Are Fibroids?

Fibroids are benign tumours that vary in size, number, and location within the uterus. They can range from undetectable small sizes to large masses that distort the uterus. Fibroids are common, affecting up to 70% of women by age 50.

Symptoms of Fibroids

Symptoms vary depending on the size, location, and number of fibroids, and may include:

• Heavy or Prolonged Menstrual Periods
• Pelvic Pain or Pressure
• Frequent Urination
• Difficulty Emptying the Bladder
• Constipation
• Backache or Leg Pains
• Pain During Intercourse

Treatment Options for Fibroids

Treatment for fibroids is individualised based on the severity of symptoms, the size and location of the fibroids, your age, and whether you wish to preserve fertility.

1. Watchful Waiting

For women with minimal or no symptoms, regular monitoring may be all that’s needed. Periodic pelvic exams and imaging tests can help track fibroid growth.

2. Medications

Medications can help manage symptoms but do not eliminate fibroids:

• Hormonal Therapies: Birth control pills or hormonal IUDs can help control heavy bleeding and pain.
• Gonadotropin-Releasing Hormone (GnRH) Agonists: These medications shrink fibroids by inducing a temporary menopausal state.
• Non-Hormonal Medications: Anti-inflammatory drugs (NSAIDs) and antifibrinolytics can reduce menstrual bleeding and pain.

3. Minimally Invasive Procedures

Several procedures can effectively treat fibroids with minimal recovery time:

• Uterine Fibroid Embolisation (UFE): This procedure blocks blood flow to fibroids, causing them to shrink.
• Radiofrequency Ablation (RFA): This technique uses radiofrequency energy to destroy fibroid tissue.
• MRI-Guided Focused Ultrasound Surgery (FUS): A noninvasive procedure that uses high-intensity ultrasound waves to target and destroy fibroids.

4. Surgical Options

Surgery may be necessary for larger fibroids or severe symptoms:

• Myomectomy: Removal of fibroids while preserving the uterus. It can be performed through traditional surgery, laparoscopy, or hysteroscopy.
• Hysterectomy: Removal of the uterus, which completely eliminates fibroids and their symptoms. This is typically considered when other treatments have failed or are not an option, especially for women who do not wish to preserve fertility.

Choosing the Right Treatment

Deciding on the best treatment involves discussing your symptoms, treatment goals, and concerns with your healthcare provider. Factors such as your age, general health, and desire to have children will influence the choice of treatment.

When to See a Doctor

If you experience any symptoms associated with fibroids or if your symptoms worsen, it’s essential to seek medical advice. Early intervention can help manage symptoms and prevent complications.

Contact Us

For more information or to schedule a consultation online or contact us on 01903 506 699. Our dedicated team is here to provide personalised care and the latest treatment options to help you manage fibroids effectively.

A woman may experience pain, heavy bleeding or have fibroids in the uterus. Such conditions may require Hysterectomy surgery which is the removal of the uterus and ovaries. Following the procedure patient experience what is known as surgical menopause and the associated symptoms can include hot flushes, vaginal dryness, chills, night sweats, sleep problems, mood swings, and weight gain.

Hysterectomy Surgery

Overview

A hysterectomy is a surgical procedure to remove the uterus. It may be necessary for various medical reasons, including uterine fibroids, endometriosis, chronic pelvic pain, or cancer. Our experienced team of surgeons provides comprehensive care, ensuring each patient receives personalized treatment tailored to their specific needs.

Types of Hysterectomy

There are several types of hysterectomy procedures, each designed to address different medical conditions and patient requirements:

• Total Hysterectomy: Removal of the uterus and cervix.
• Partial Hysterectomy: Removal of the upper part of the uterus, keeping the cervix intact.
• Radical Hysterectomy: Removal of the uterus, cervix, part of the vagina, and surrounding tissues, typically performed when cancer is present.

Surgical Approaches

Our clinic offers the latest surgical techniques to ensure the best outcomes with minimal recovery time:

• Abdominal Hysterectomy: An incision is made in the lower abdomen to remove the uterus. This method is often used for larger uteruses or when disease is present in the pelvis.
• Vaginal Hysterectomy: The uterus is removed through the vagina. This approach avoids abdominal incisions and generally results in a quicker recovery.
• Laparoscopic Hysterectomy: A minimally invasive procedure using small incisions and a camera to guide the surgery. This technique often leads to shorter hospital stays and faster recovery times.

What to Expect

Our priority is your comfort and safety. Here’s what you can expect during your hysterectomy journey:

• Consultation: An in-depth discussion with your surgeon to review your medical history, discuss your symptoms, and determine the best surgical approach for you.
• Preparation: Detailed instructions on how to prepare for surgery, including pre-operative tests and dietary guidelines.
• Surgery: Performed by our skilled surgical team in a state-of-the-art facility, ensuring the highest standards of care.
• Recovery: Post-operative care to manage pain, monitor healing, and provide support through follow-up appointments. Recovery times vary depending on the type of hysterectomy performed, but our team is committed to helping you return to your daily activities as quickly as possible.

Why Choose Us?

Choosing our clinic for your hysterectomy means entrusting your care to a team of specialists dedicated to excellence in women’s health. Here’s what sets us apart:

• Expertise: Our surgeons are highly trained and experienced in performing a wide range of hysterectomy procedures.
• Patient-Centred Care: We believe in a holistic approach, addressing not just the physical but also the emotional and psychological needs of our patients.
• Advanced Technology: We utilise the latest medical technologies and techniques to ensure the best possible outcomes.
• Supportive Environment: From your first consultation to post-operative care, our compassionate staff is here to support you every step of the way.

Contact Us

If you’re considering a hysterectomy or need more information, contact us today to schedule a consultation online or call on 01903 506 699. Our team is here to answer your questions and help you make an informed decision about your health.

Ovarian cysts are fluid-filled sacs that develop on or inside an ovary. While many ovarian cysts are harmless and resolve on their own, some can cause symptoms and require treatment. Our expert team is dedicated to providing comprehensive care for ovarian cysts, ensuring accurate diagnosis and effective management tailored to your needs.

Types of Ovarian Cysts

There are several types of ovarian cysts, including:

Functional Cysts: The most common type, which often resolves on its own. These include:

• Follicular Cysts: Develop when the follicle does not release the egg and continues to grow.
• Corpus Luteum Cysts: Form after the follicle releases the egg and then reseals and accumulates fluid.

Pathological Cysts: These may require medical attention and include:

• Dermoid Cysts: Contain various types of tissues such as hair, skin, or teeth.
• Endometriomas: Caused by endometriosis, where uterine lining tissue grows outside the uterus.
• Cystadenomas: Develop from ovarian tissue and can be filled with a watery or mucous material.

Polycystic Ovary Syndrome (PCOS): A condition where multiple small cysts form due to hormonal imbalances.

Symptoms

Ovarian cysts often do not cause symptoms, but when they do, they can include:

• Pelvic pain or discomfort
• Bloating or swelling
• Painful periods
• Pain during intercourse
• Frequent urination
• Unexplained weight gain

If you experience sudden, severe abdominal pain, fever, or vomiting, seek immediate medical attention as these could be signs of a ruptured cyst or ovarian torsion.

Diagnosis

Our clinic employs a range of diagnostic tools to accurately identify and assess ovarian cysts:

• Pelvic Examination: Initial physical examination to detect abnormalities.
• Ultrasound: Uses sound waves to create an image of the ovaries and detect cysts.
• Blood Tests: To measure hormone levels and rule out other conditions.
• Laparoscopy: A minimally invasive surgical procedure to view the ovaries directly and, if necessary, remove the cysts.

Treatment Options

Treatment depends on the type and size of the cyst, as well as your symptoms and overall health:

• Watchful Waiting: Monitoring the cyst with regular ultrasounds if it is small and asymptomatic.
• Medications: Hormonal contraceptives to prevent the formation of new cysts.
• Surgery: Recommended if the cyst is large, persistent, or causing significant symptoms. Surgical options include:
  • Laparoscopy: Minimally invasive removal of the cyst.
  • Laparotomy: Open surgery for larger cysts or if cancer is suspected.

What to Expect During Your Outpatient Consultation

At Goring Hall Hospital, we aim to make your outpatient consultation as smooth and reassuring as possible. When you arrive, you’ll be welcomed by our friendly reception team and guided to the appropriate clinic area. Your consultation will take place in a private setting with one of our experienced consultants, who will take the time to understand your medical history, discuss your symptoms, and, if necessary, recommend further investigations such as blood tests, imaging, or follow-up appointments.
You are encouraged to ask questions at any point — we want you to feel informed and confident about your care. Depending on your condition, your consultant may provide a diagnosis and treatment plan during the same visit.

Additional Charges for Self-Pay and Insured Patients

Self-Pay Patients:

If you are paying for your treatment yourself, your initial consultation fee will be confirmed at the time of booking. Please note that any additional services, such as diagnostic tests, scans, or blood work, are not included in the consultation fee and will incur separate charges. A detailed estimate can be provided before any additional procedures are carried out.
Our friendly team will inform you of any additional costs, however if you have any queries please ask our team for further information before proceeding. 

Private Medical Insurance Patients:

If you are using private medical insurance, we recommend checking with your insurer before your appointment to confirm what is covered under your policy. While most insurers cover the consultation fee, some may not include the cost of additional tests or treatments. You may be responsible for any shortfalls or excesses not covered by your policy.

Specialist Consultants You Can Trust

Our highly experienced gynaecologists provide expert care across a wide range of women’s health concerns—from heavy or irregular periods to menopause, pelvic pain, and more. You'll receive personalised advice and treatment tailored to your needs.

State-of-the-Art Private Hospital

Our modern, fully equipped hospital offers the latest diagnostic tools and treatment options, including minimally invasive procedures, all in a calm, welcoming environment designed for your comfort and privacy.

Fast Access to Appointments

Avoid long waiting lists and get the answers you need, when you need them. We offer prompt appointments, rapid diagnostics, and flexible scheduling—often with the same consultant throughout your care journey.

Discreet and Supportive Care

We know how personal gynaecological health can be. That’s why we offer compassionate, confidential support at every stage. Our dedicated team is here to listen, understand, and help you feel at ease.

Convenient Location

Located just minutes from Worthing and easily accessible from surrounding areas, Goring Hall Hospital brings high-quality women’s healthcare right to your doorstep.

To book your initial consultation with one of our cardiologists near you, use our online booking system, or give us a call and one of our dedicated advisors will help you find an appointment time that suits you.