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Gynaecology

What scan is needed?

It is advisable that patients on any form of HRT (Hormone Replacement Therapy) are closely monitored. Modern transvaginal (TVS) colour Doppler (blood flow) ultrasound has proved very effective both in assessing both the management and safe use of HRT.

What can it show?

Most ultrasound clinics will only monitor the thickness of the womb lining during the use of HRT. This is shown to be insufficient in terms of identifying problems in the endometrium caused by the HRT. CDS offers advanced TVS and colour Doppler monitoring which is much more effective in demonstrating any abnormal tissue or vascular changes within the endometrium. This is particularly important in the case of abnormal bleeding.

In addition, CDS offers breast ultrasound, particularly for those patients on oestrogen-based HRT and where there is a family (maternal) history of breast cancer.

For general enquires, further information and appointments please view our Contact Page

What scan is needed?

CDS offers considerable experience and advanced ultrasound scanning technologies in the screening of menopausal patients.  Advanced transvaginal (TVS) colour Doppler (blood flow) ultrasound is very effective in assessing general gynaecological disorders in pre- and post-menopausal patients.

What is it?

Menopause:

This is the natural cessation of regular menstrual periods, the onset is which is typically from 50 years of age onwards. It can also occur in earlier age groups, and can affect fertility.

The absence of menstrual periods are typically associated with symptoms such as hot flushes, disrupted sleep, lack of libido, weight gain etc. TVS is very effective in confirming the onset of menopause.

Ovarian cancer: 

The incidence of ovarian cancer increases with age, but survival rates are greatly increased by early detection. CDS has shown we can detect ovarian cancer at a very early stage, before any symptoms might occur. For this reason we recommend regular check ups. This provides considerable reassurance for the vast majority of patients.

Post-menopausal bleeding:

Experience strongly suggests the major cause of post-menopausal bleeding is hormonal in nature, and not caused by cancerous changes in the lining of the uterus (endometrium).  Colour Doppler ultrasound is very important in assessing the endometrium.

HRT:

What scan is needed?

It is advisable that patients on any form of HRT (Hormone Replacement Therapy) are closely monitored. Modern transvaginal (TVS) colour Doppler (blood flow) ultrasound has proved very effective both in assessing both the management and safe use of HRT.

What can it show?

Most ultrasound clinics will only monitor the thickness of the womb lining during the use of HRT. This is shown to be insufficient in terms of identifying problems in the endometrium caused by the HRT. CDS offers advanced TVS and colour Doppler monitoring which is much more effective in demonstrating any abnormal tissue or vascular changes within the endometrium. This is particularly important in the case of abnormal bleeding.

In addition, CDS offers breast ultrasound, particularly for those patients on oestrogen-based HRT and where there is a family (maternal) history of breast cancer.

For general enquires, further information and appointments please view our Contact Page

What scan is needed?

CDS uses advanced transvaginal scanning (TVS) techniques including colour Doppler imaging. This identifies the causes of menstrual disorders which are predominantly hormonal in nature.

What can it show?

Menstrual disorders can include symptoms such as:

  • abnormal, unpleasant, irregular or painful bleeding
  • pelvic and abdominal discomfort
  • breast tenderness and lumpiness
  • PMS-type symptoms

In addition, these symptoms are often mistaken for other conditions such as endometriosis, IBS, urinary tract infections etc.

CDS has considerable experience in the investigation of the above issues and recognises the effects these disorders can have in terms of quality of life. CDS works very closely with established clinical consultants and integrated healthcare practitioners skilled in the treatment of these disorders. Direct referral is available for patients on request.

For general enquires, further information and appointments please view our Contact Page

What scan is needed?

CDS uses advanced 2D and 3D transvaginal scanning (TVS) techniques to identify the causes of pelvic pain and the presence of any endometriosis. We are globally recognised for our work in this field, and in promoting its use in the investigation of pelvic pain.

CDS specialises in the investigation of hormonal disorders which cause the majority of pelvic pain and/or abnormal bleeding.

What can it show?

There are many causes of pelvic pain although most tend to be gynaecological in nature.  Common causes are:

  • pelvic endometriosis: a condition where cells similar to the endometrial lining grow outside of the womb
  • adenomyosis: a condition where endometriosis develops within the wall of the womb
  • masses/fibroids within the womb
  • adhesions/scar tissue
  • ovarian cysts
  • infection
  • hormonal and menstrual issues

Note: Bloatedness is very rarely caused by ovarian cancer, and the majority of these cases are associated with hormonal disorders affecting the bowel.

Pelvic pain is often accompanied by abnormal bleeding. Find out more about common causes and how we can help here.

For general enquires, further information and appointments please view our Contact Page

What scan is needed?

CDS uses advanced transvaginal scanning (TVS) techniques to identify the cause of irregular or abnormal uterine bleeding. We are recognised worldwide for our pioneering work in this field, and in promoting its use in the investigation of pelvic disease.

What can it show?

Abnormal bleeding can be caused by a number of reasons.  Transvaginal ultrasound scanning is fully established as the first step of investigation.

The vast majority of cases are non-cancerous, but still need to be thoroughly assessed. It should be recognised that many cases are in fact caused by hormonal issues. The most common causes are found to be:

  • Uterine fibroids or polyps
  • Abnormal changes within the lining of the womb cavity (endometrium)
  • Ovarian cysts causing hormonal imbalance
  • HRT

The state-of-the-art techniques offered by CDS are also very effective in the early detection of cancer of the uterus and cervix. CDS are pioneers in developing saline infusion (SIS) and virtual 3D imaging of the womb cavity which offer high quality imaging to identify the causes of abnormal bleeding.

Abnormal bleeding is often accompanied by pelvic pain. Find out more about common causes and how we can help here

What scan is needed?

CDS uses advanced transvaginal scanning (TVS) techniques to check the overall healthiness of the ovaries and pelvic organs. We are recognised worldwide for our pioneering work in this field, and in promoting its use in the investigation of pelvic disease.

What can it show?

TVS increases the ability to detect ovarian and uterine cancers, with greater accuracy and at a much earlier stage of the disease.  It can differentiate between malignant and benign lesions and disease very effectively, and can also be used to check other areas such as the bladder and bowel.

TVS is a very effective way of assessing the endometrium (lining of the uterus) to check for evidence of cancer as well as monitoring patients on HRT.

NOTE: There are more deaths from ovarian cancer than any other form of gynaecological cancer within the UK.  Treatment of the disease has not significantly improved in recent years mainly because of failure to detect ovarian cancer at a relatively early stage.

Modern transvaginal ultrasound imaging available at CDS provides tremendous reassurance to the vast majority of women attending for ovarian and pelvic health checks.

For general enquires, further information and appointments please view our Contact Page

What is it?

CDS is able to offer our patients very advanced ultrasound imaging technologies, including:

  • 2D and 3D transvaginal (internal) scanning
  • Transabdominal (external) scanning
  • Colour Doppler (blood flow) imaging
  • Gynaecological procedures
  • Virtual 3D ultrasound imaging

What do they show?

2D and 3D transvaginal (internal) scanning (TVS): very important in assessing gynaecological disease within the pelvis that might affect fertility or the normal development of early pregnancy. This might include the presence of endometriosis, fibroids or abnormalities of the ovaries.

Transabdominal (external) scanning: complements TVS, and is valuable in assessing gynaecological disease that might affect the abdominal organs e.g. endometriosis and pelvic cancers. It can also be used where TVS is unsuitable e.g. our younger and more elderly patients.

Colour Doppler (blood flow) imaging: Modern colour Doppler imaging shows very fine blood flow through organ tissues as well as within major arteries and veins.  This allows diffuse disease, such as pelvic infection or endometriosis, to be identified more clearly.  It can also show blood flow changes within the ovary which reflect hormonal activity and ovulatory changes without the need for blood tests.  Transvaginal colour Doppler imaging is shown to be very effective indeed in the early detection of ovarian and other pelvic cancers.

Gynaecological procedures: Enhanced ultrasound examination of the Fallopian tubes (HSS/HyCoSy) and uterine cavity (SIS) to show their overall healthiness. Ultrasound guidance provides a very effective technique for biopsy of the uterine lining, insertion and removal of coils etc.

Virtual 3D ultrasound imaging: CDS has collaborated with Canon Medical Systems to create the very first virtual 3D imaging system. It produces very detailed life-like pictures of the inside of the uterine cavity, and has shown to be immensely valuable in assessing cases of abnormal uterine bleeding and/or recurrent miscarriage. Virtual 3D ultrasound at CDS is used as part of the SIS procedure.

For general enquires and further information please head over to our Contact Page

What it is?

Transvaginal (TVS) ultrasound, or internal scanning, is fully established as the routine technique for examining the pelvis and assessing gynaecological problems.  It is a safe technique in experienced hands, and very rarely causes any discomfort to the patient.

Bill Smith, Head of CDS, is recognised internationally for his pioneering work and contribution to developing transvaginal scanning and promoting its clinical use in important areas of women’s healthcare.

What can it show?

TVS provides much more anatomical and clinical information compared to transabdominal (external) scanning. TVS is particularly useful for:

  • Demonstrating abnormalities of the uterus (womb), ovaries and pelvis generally
  • Investigation of specific gynealogical disorders e.g. abnormal bleeding, endometriosis, pelvic pain etc
  • Pelvic (ovarian) health checks

Who can have it?

Transvaginal scanning is suitable for the majority of woman, except our younger or  more elderly patients. Transabdominal scanning is used as an alternative for those patients, or for those might find internal examination unacceptable for whatever reason.  We treat these issues with the utmost sensitivity at CDS, and all patients are welcome to request a chaperone to be present during any ultrasound examination.

For general enquires, further information and appointments please view our Contact Page

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