Gynaecology and Surgery

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What is gynaecology?  In a simple sense, the branch of physiology and medicine dealing with the functions and diseases specific to women and girls, especially those affecting the reproductive organs (Oxford English Dictionary).  A gynaecologist therefore deals with an array of female specific conditions including, but not limited to:

• Menstrual disorders - excessive pain or bleeding, cycle irregularities;

• Contraception - both reversible and permanent options;

• Pain - in addition to menstrual pain, pain during intercourse, chronic pelvic pain, cyclical pain/dysfunction of the bladder or bowels;

• Physiological disorders such as Polycystic Ovarian Syndrome;

• Endometriosis and adenomyosis;

• Infertility;

• Vaginal concerns - abnormal vaginal discharges, infections, discomforts and skin disorders;

• Challenges arising from childbirth - pelvic organ prolapse and incontinence concerns;

• Uterine and ovarian abnormalities - from the benign but symptomatic (such as fibroids or ovarian cysts) to the malignant;

• Cancer screening;

• "Change of life" concerns - perimenopause and post menopausal symptoms and challenges.

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The skill of the gynaecologist is in determining the underlying source of a female patient's concerns/symptoms, through appropriate history, examination and investigations, before identifying and advising on the best treatment options.  Such treatment options will typically be either surgical or non-surgical in nature and will often involve a multi-disciplinary framework of care with clinicians such as physiotherapists and other specialists.

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Dr Holland prides himself on taking the time to actually listen to his patients and ensure that all recommended courses of treatment are fully explained and understood.  Care is delivered with sensitivity and expertise.

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