Reasons for referral
Adam specialises in the diagnosis and management of a range of gynaecological conditions, including cancers of the female reproductive system. You may be referred to Adam because of one or more of the following complaints:
Abnormal uterine bleeding
There are many potential causes for abnormal uterine bleeding, so a diagnosis may require various tests. An ultrasound can be very useful in the first instance, to determine the appropriate investigation and management of any underlying problem. An endometrial biopsy can diagnose many conditions and help guide treatment. If a biopsy is required, Adam can perform this procedure during your appointment in his consulting suites.
Abnormal uterine bleeding can often be managed with medical (i.e. non-surgical) treatments. When medical treatments are not successful, a minimally invasive hysterectomy may be considered.
Abnormal cervical screening (colposcopy) and other cervical problems
If your results require further assessment, your GP will refer you for a colposcopy, which can be performed in Adam’s consulting suites. This test uses a special instrument called a colposcope to magnify the cells of the cervix – a bit like a microscope – in order to determine if any treatment is required. In the vast majority of cases, a simple procedure is all that is needed to remove any abnormal cells. This is done either with a laser beam (‘laser ablation’) or thin wire loop (‘LLETZ’).
Ovarian cyst or uterine mass
An ovarian or uterine mass may be a simple cyst (a fluid collection that is almost always benign), a cyst with more concerning features or, very occasionally, a cancer. Sometimes surgical assessment is the only way to tell whether a mass is benign or malignant.
Fibroids, which are benign lumps in the uterus, are another common problem. They may be asymptomatic (i.e. not causing any symptoms) or may cause problems such as pelvic pain or discomfort, abnormal bowel or bladder function, or abnormal uterine bleeding. Medical treatment is often appropriate for fibroids, but if this is ineffective then a hysterectomy (i.e. removal of the uterus) may be considered.
Family history of gynaecological and breast cancer
Gynaecological cancers: ovarian, endometrial, vulval or cervical cancer
If you have a suspected or confirmed gynaecological cancer, Adam will see you promptly, with the aim of commencing treatment as soon as possible. He works closely with medical oncologists and radiation oncologists to ensure that comprehensive, multidisciplinary care is available to all women with cancers involving the reproductive system.