Gynaecology One Stop Clinic

What is the gynaecology one stop clinic?

This is a clinic where you will be seen and scanned during the same visit.  The scan may be a transvaginal (internal) or transabdominal (through your tummy).

You will normally be referred to the clinic by a GP or by another clinician at St George’s.

Who is the clinic for?

The clinic is for women with one of the following symptoms:

• Suspected ovarian cyst and cyst characterisation
• Lower abdominal pain
• Heavy periods or bleeding in between periods in pre-menopausal women
• Suspected fibroids
• Known genetic syndromes needing gynaecological input
• Suspected uterine malformations
• Lost or misplaced coils
• Incidental gynaecological findings on CT/MRI reports
• Transgender patients with menstrual problems

Where do I need to go?

Clinic A, Lanesborough Wing, St George’s Hospital.

Your clinic letter will advise you of the exact location of your appointment.

What will happen at the clinic?

We aim to see and treat you at the same appointment.  If this is not possible, we will refer you on to an appropriate clinic within the gynaecology department.

At the one stop clinic, after taking a thorough history from you, we aim to perform a transvaginal ultrasound.

You will need an empty bladder for this scan. The scan is done by passing a small probe into your vagina, to get better scanning images than scanning on your tummy. It will only take a few minutes to complete the scan and should not be painful. Sometimes we also need to visualise (see) your cervix by a speculum examination (like during a smear test). If a biopsy needs to be taken, or a coil needs removing, this can be done at the same time. Very occasionally we would need to take a biopsy from your womb lining by passing a very thin plastic tube into your womb. This takes 1-2 minutes to complete and may cause period like pain, which may last only a few minutes. We will prescribe paracetamol or ibuprofen at the time should you need it.

How long will I be at the clinic?

Your appointment will take around 30 minutes. We aim to see all patients on time, however the clinic staff will inform you if there is a delay in clinic.

What happens next?

The doctor should discuss the scanning results and treatment given in clinic. A copy of the scan report will be sent to you and your GP.

It may be possible to refer you on to see another clinician at the hospital e.g. Myoma Clinic or Endometriosis clinic should you require so.

If you have had a biopsy, we would usually let you and your GP know the results in two to three weeks. Please note some biopsies can take longer than this.

Please not that we no longer perform routine smears in this clinic.

When you leave the clinic, you should be able to carry on with your daily activities.

Meet your Consultant Team 

Mr Kevin Hayes, Consultant Obstetrician and Gynaecologist

Interest in General Gynaecology, Scanning for ovarian cyst and pelvic masses

BRCA and Lynch syndrome gene carriers

Mr Kamal Ojha, Consultant Gynaecologist

Interest in scanning for ovarian cyst and Endometriosis. His special interest include 3D ultrasound to exclude uterine abnormality including bicornuate uterus and uterine septum

Miss Ouma Pillay, Consultant Obstetrician and Gynaecologist

Interest in Gynaecology endocrinology, ovarian cyst characterisation, gender reassigned patients with menstrual irregularity, fibroid mapping, cervical tracking, paediatric adolescent menstrual disorders and endocrinology

Miss Madhu Ghosh, Consultant Obstetrician and Gynaecology

Interest in General Gynaecology, Scanning for ovarian cyst and pelvic masses