Dr. Karoshi Gynaecologist & Obstetrician

About Dr. Karoshi Gynaecologist & Obstetrician Gynaecological Services Philosophy of care The Gynaecology service at 108 Medical Chambers is based on the philosophy of listening to women, offering comprehensive rigorous medical investigation and care. The focus of the clinic is Consultant led patient-centred care. Quality time is given to the patient to establish the rapport, diagnosis and offer treatment, with appointments lasting typically from half to 1 hour, and can be longer if necessary. Consultation and advice can be sought for the following General Gynaecology consultation Women's Health screening Genital infection screen Contraceptive advice Fertility Recurrent miscarriage Preconceptional advice Hormone replacement therapy Pelvic pain PMS Chronic vaginal discharge Heavy menstrual bleeding Polycystic ovarian syndrome (PCOS) Procedures available include Intrauterine system insertion and removal- (IUS) Copper coil insertion and removal Long acting reversible implant insertion and removal Outpatient hysteroscopy and biopsy Hysteroscopic polypectomy Outpatient endometrial ablation Word Catheter for Bartholin’s cyst Vulval biopsy HPV vaccine Gynaecology Screening Services I appreciate that everyone is leading busy lives these days so have developed a range of screening services that can be arranged as a package and are undertaken where possible within a single visit. Gynaecological check up Thorough gynaecological check-ups include a full examination including a breast examination and a cervical smear. Other issues may also be explored as appropriate. Screening for ovarian cancer Ovarian cancer tends to present itself late as it rarely shows symptoms until it is already advanced. Screening strategies are yet to be shown effective in this disease, although in selected cases they may be effective. As always, it is best to discuss your options with the doctor. Screening for cervical cancer The cervical smear mains the most reliable test for screening for cervical pre-cancers, and this may be supplemented with HPV testing in some circumstances. The NHS advocates screening every three years from the age of 25, however many other countries offer screening every year. Cervical cancer vaccine A vaccine is now available to prevent infection with HPV types 6, 11, 16 & 18. These viruses are associated with most cases of cancer of the cervix and many cases of genital warts. The vaccine is licensed for use in women aged 9 to 26 years, and reduces the risk of these diseases very significantly in the first few years. However, it is not yet certain how long the effect will last, or whether boosters will be required. Screening for breast cancer Mammorgraphy is incorporated into the general well woman screen. Heavy or irregular menstrual bleeding The cause of or irregular menstrual bleeding should be sought before assuming that the bleeding is normal. Most of the time the diagnosis is dysfunctional uterine bleeding, which simply means abnormal bleeding when other pathology has been excluded. One of the simplest treatments is the LNG Intrauterine System (LNG-IUS). This can be inserted without difficulty under local anaesthesia and provides effective treatment for four to five years. Menopause and the role of Hormone Replacement Therapy (HRT) Women with severe symptoms affecting their quality of life should consider HRT. HRT can be tried for a relatively short period of time with minimal risk in order to assess the effect. Many women will see great relief from severe symptoms. Fertility Consultation : Here basic tests are conducted to understand why conception is getting delayed. Sometimes simple basic fertility tests yield a lot of information, where simple therapeutic interventions will help the couple to achieve pregnancy, without recourse to expensive emotional upheaval of IVF treatment. ... (Show more)