Women and Children – Gynaecology
Why have I been referred to the PMB Clinic?
Bleeding after the menopause is not normal and always needs investigating. Whilst it is usually harmless, caused by hormonal problems, it can also be due to cancer, and although this is rare, it is important to exclude this as soon as possible.
During your visit to the clinic we are usually able to give you a diagnosis straight away, but not always.
What happens on my arrival at the PMB Clinic?
The clinic environment is relaxed and friendly. A member of the nursing staff will introduce herself to you before your consultation with a member of our medical team.
We will want to take a medical history from you including information about:
Past illnesses and operations
Any known allergies
Details of prescribed medications
Date of last cervical smear test
It is necessary to carry out a physical examination when you attend the clinic. This can still be performed even if you are bleeding.
A female nurse will be with you throughout the examination to support and reassure you but you are very welcome to bring a friend or relative with you if you wish. Following the initial examination a transvaginal ultrasound scan will be performed.
What is a transvaginal ultrasound scan?
This is exactly the same as an early pregnancy scan and uses a small probe which is placed in the vagina, enabling simple measurements of the womb and ovaries to be taken. It feels very similar to having an internal examination and is a painless procedure with no associated risks. No special preparation is needed other than an empty bladder.
What is a hysteroscopy?
A hysteroscopy is an examination of the inside of the uterus (womb). Again, this procedure should only take a few minutes.
A narrow telescope is passed through the vagina, along the cervix (neck of the womb) and allows the clinician to look inside the womb. You may experience slight abdominal discomfort similar to that of a ‘period pain’.
Is a hysteroscopy painful?
A hysteroscopy may cause some women slight discomfort but this is usually short lasting as the procedure only takes a few minutes. Similarly, the taking of the biopsy may also be uncomfortable (similar to period pains). Simple painkillers such as paracetamol usually provide effective relief. However, we recognise that everyone experiences pain differently, you will be in control at all times. If you are unable to tolerate the procedure the clinician will stop immediately upon your request.
What happens afterwards? How will I feel?
You may have some vaginal bleeding for a day or two following the hysteroscopy, especially if a biopsy has been taken. You should feel well enough to walk, travel by bus or train, or to drive home after both procedures.
Important
If you have any of the following:
- Ongoing pain
- Excessive bleeding
- Abnormal vaginal discharge
- Feeling unwell
Please consult your own GP or telephone our advice line:-
The James Cook University Hospital – Telephone: 01642 854243
The Friarage Hospital – Telephone: 01609 763750
Results
Results will usually be confirmed to you by telephone or letter, if you wish we will arrange a further appointment for you to discuss your results in clinic. Your GP will also be given a copy of your results.
Risks
There are small risks of infection, perforation (instrument or device going through the wall of the womb) and bleeding.
General Advice
The actual out-patient consultation usually takes about 30 minutes, but please allow time for unseen delays during the clinic.
However, if you cannot attend for any reason it is important to let us know so that your appointment time can be used by someone else and we can arrange another appointment for you.
Please inform the appointments office
Telephone: JCUH/FHN appointments 01642 282853
Email: [email protected]
If you have any anxieties or questions relating to your appointment please do not hesitate to contact our advice line:-
- The James Cook University Hospital: 01642 854243
- The Friarage: 01609 763750
For patient queries should you have any further questions
Email: [email protected]
You can use the extra space on the following page to write down any questions you may want to ask or to make a note of relevant information, for example; dates of previous operations, types of medication etc.
Further information
The Royal College of Obstetricians & Gynaecologists (RCOG) produces guidelines as an aid to good clinical practice. View them on the RCOG website
Your notes
Patient experience
South Tees Hospitals NHS Foundation Trust would like your feedback. If you wish to share your experience about your care and treatment or on behalf of a patient, please contact The Patient Experience Department who will advise you on how best to do this.
This service is based at The James Cook University Hospital but also covers the Friarage Hospital in Northallerton, our community hospitals and community health services.
To ensure we meet your communication needs please inform the Patient Experience Department of any special requirements, for example; braille or large print.
T: 01642 835964
E: [email protected]