Services

There are five types of gynaecological cancer: ovarian cancer, cancer of the womb, cervical cancer, vaginal cancer and vulval cancer. In all cases of cancer, early diagnosis and treatment is the key to a good outcome. For example, having regular cervical smears is the best way to prevent cervical cancer, but after an abnormal smear, it is important to undergo a further investigation called a colposcopy. A colposcopy is a procedure where a microscope is used to examine the cervix in order to diagnose the cause for the abnormal smear. Our knowledgable clinicians at AWG are also part of the cancer treatment team at Counties Manukau DHB, and are committed to providing you with fast and effective investigations and management.

Endometriosis is a common condition that can cause pelvic pain and painful periods. Endometriosis is when tissue similar to the lining of the uterus (endometrium) is found elsewhere in the body, most commonly in the pelvis. This can result in cysts, inflammation and scar tissue. Uterine fibroids (also known as leiomyomas or myomas) can also develop in the uterus, most typically during the childbearing years. Large fibroids can lead to heavy bleeding and severe pain, especially at your time of the month. Other signs of this condition include abdominal pressure or bulging, urinary issues (frequent urination/retention) due to pressure on the bladder, constipation, lower back pain, pain during sexual intercourse, anaemia brought on by heavy bleeding, or infertility and pregnancy issues. At AWG, we offer expert diagnosis and treatment of these conditions.

Problematic periods are common and can have a big impact on your quality of life. Your symptoms may include difficulties related to pre-menstrual syndrome (PMS), heavy bleeding during your period, bleeding after intercourse, intense pain, or irregular periods. At AWG, we diagnose if this is being caused by an underlying medical condition (e.g. endometrial hyperplasia, cancer, endometrial polyps, polycystic ovarian syndrome) and offer the full range of treatment options, from tablets, to the Mirena, to hysterectomies and endometrial ablation.

Menopause is a natural event which marks the end of a woman’s menstrual cycles. However, although menopause is natural, it can cause a range of debilitating symptoms such as hot flushes, night sweats and vaginal dryness. At AWG, we are experienced at managing menopausal symptoms with both hormone replacement therapy (HRT) and non-hormonal methods. Our goal is to tailor an individualised treatment plan for you.

Pelvic pain refers to lower abdominal or pelvic discomfort, which can range from dull and aching to sudden and sharp. Common symptoms may include cramping (becoming severe during your periods), pressure in the pelvis, pain during sexual intercourse, pain during urination or bowel movements, and changes in your mood, such as depression. Chronic pelvic pain is a complex issue and often has many causes. Treatment may include hormonal therapies, physiotherapy, lifestyle adjustments or surgery. Sometimes, but not always, a physical cause for the pain is present, such as endometriosis, pelvic inflammatory disease, ovarian cysts, uterine fibroids, or irritable bowel syndrome. At AWG, we offer diagnostic and surgical treatment for the common gynaecological causes of pelvic pain.

Vulval disorders are conditions that affect part or all of the vulva – the skin around the opening of the vagina and perineum. Common complaints include vulval itch and discomfort. These symptoms may frequently occur due to irritating substances, infections or menopause. These symptoms may also occur as a result of certain skin disorders. In rare cases, the itching may develop due to vulval cancer or pre-cancer. At AWG, we offer diagnosis and management of all common vulval conditions.

There are many options available to prevent pregnancy. At AWG, we provide up-to-date individualised assessments and advice regarding contraceptive methods for all ages and stages. Contraception can include hormonal, long acting reversible, and surgical methods.