Patient information for Gynaecology

Heavy or irregular periods

Heavy or irregular periods can be caused by hormonal changes, fibroids, endometriosis, adenomyosis, polyps or blood clotting problems. Our doctors will take the time to listen to your concerns, investigate the cause of the bothersome bleeding and make a collaborative decision with you on the appropriate management. This may include expectant management, medications, or surgery

        • Gynaecological conditions – Endometriosis & Adenomyosis
        • Irritable Bowel Syndrome – IBS
        • Painful Bladder Syndrome  – PBS
        • Pelvic Floor Muscle Dysfunction
        • Central Sensitisation – resulting in fatigue, headaches, poor sleep

Further information for heavy periods can be found at : RANZCOG – Heavy Menstrual Bleeding

Painful periods and painful sex

Most women will have some mild discomfort on the first few days of their periods. It is not normal to have periods that are so painful or heavy that they limit a woman’s ability to work or perform everyday activities. Common causes of painful periods include:


Chronic Pelvic Pain

Women who have pelvic pain for longer than six months have chronic pelvic pain. Chronic pelvic pain may arise from a single condition, however may be associated with multiple related conditions. The conditions that often occur together include: Gynaecological conditions – Endometriosis & Adenomyosis, Irritable Bowel Syndrome – IBS, Painful Bladder Syndrome – PBS, Pelvic Floor Muscle Dysfunction, and Central Sensitisation – resulting in fatigue, headaches, poor sleep.

For online Stress management & Pain education education we recommend:

  • This Way Up… Learn More
  • MindSpot… Learn More
  • Curable… Learn More
  • Of course, seeing your GP and/or psychologist is always recommended however the above resources are available immediately and for free so you can get started!

Abnormal Pap Smear

If you have been referred from your GP with an abnormal pap smear, or you have experience bleeding with sex, you may be recommended to have a colposcopy, which is an office-based procedure where we have a close look at your cervix with a speculum and microscope. A biopsy may be required. This can be a little uncomfortable, however most women are able to return to work and usual activities immediately after their assessment.

Most women referred with an abnormal pap smear will not have cervical cancer. They may have a precursor for cervical cancer that requires treatment to avoid progression.

Further helpful information regarding Cervical Screening Tests, Colposcopies and possible treatments can be found here – A guide to understanding your Cervical Screening Test results.