Gynaecology Clinics at WNHS
Adolescent and complex reproductive gynaecology service
A specialist gynaecology service for adolescents and those with complex reproductive conditions who require ongoing specialist gynaecological care across WA. This service works closely with the specialist gynaecology service provided at Perth Children’s Hospital. Ask your GP for a referral to one our clinics which are held once a fortnight at KEMH.
Colposcopy Clinic
A service for women with an abnormal cervical screening test result that offers diagnostic, treatment and management. Clinics are available each week and a referral from your GP or specialist is required.
Endoscopy Clinic
A service offering assistance for:
- Endometriosis: medical, surgical and pain management.
- Menstrual disorders.
- Advanced laparoscopic surgery for benign gynaecological conditions including fibroids, adenomyosis, ovarian cysts and adnexal masses.
- All aspects of reproductive surgery.
- Medical and surgical management of menstrual disorders.
- Advanced surgical procedures with colorectal and urological input.
- Hysteroscopic surgery for the management of reproductive tract abnormalities including polyps and fibroids.
A GP or specialist referral is required.
Early Pregnancy Assessment Service (EPAS)
Our aim is to provide care and support, within a sensitive and confidential environment, for women who are experiencing problems in early pregnancy that do not require urgent management.
The Early Pregnancy Assessment Service (EPAS) provides a consultant (doctor) led service. It is located at the Emergency Centre at KEMH and is open 8am to 12.30pm Monday to Friday. The Service has an appointment system.
You will be asked about your symptoms, the date of your last period and your medical history. A vaginal examination (similar to a cervical screening test) may be carried out to see where the bleeding is coming from. A vaginal examination will not cause you to miscarry.
Resources
General Gynaecology Clinic
The General Gynaecology clinics at WNHS is held each day and provides care for women across the broad range of gynaecological issues. Patients may be referred internally to other specialty gynaecology clinics and allied health services from the General Gynaecology Clinic. Patients referred for gynaecology review may receive an appointment from the Physiotherapy Department at WNHS before the gynaecology clinic appointment, as for some conditions the involvement of a specialist women’s health physiotherapist improves overall outcomes.
Menopause Services
WNHS offers various menopause services including:
- Assistance with management of troublesome menopausal symptoms during the menopause transition or when post-menopausal.
- A specific Menopause Symptoms after Cancer Clinic for women with a previous history of cancer who experience menopause because of their treatment.
- A specific surgical menopause clinic providing information and support for women with a planned surgical menopause. These women may experience sudden or more severe menopausal symptoms compared to naturally occurring menopause.
- A Young Age at Menopause Service (YAMS) that assists women identified as having premature ovarian insufficiency (POI).
Pelvic Mesh Complication Clinic
WNHS at KEMH provides a comprehensive multidisciplinary team-based approach for management of gynaecological pelvic mesh complications for women from across WA who are referred to the Pelvic Mesh Complication Clinic.
Women with gynaecological mesh complications are offered care and management by the different members of the team depending on their needs. The clinic provides a holistic approach to management of mesh complications which may affect many aspects of a woman’s health and overall wellbeing.
View information about the pelvic mesh telephone line.
Pelvic Pain Clinic
The Pelvic Pain Clinic assess and manages women from across WA experiencing complex pelvic pain. This service involves pain medicine specialists, clinical nurses, physiotherapists and psychologists.
The team have ready access to other specialists (gynaecologists) and allied health services (dietetics and social work) to assist with the management of complex pain.
Procedural Clinic for Long Acting Reversible Contraception (LARC)
The procedural Gynaecology clinic was established in November 2017 to provide a specialist outpatient procedural service for women.
This clinic sees women referred from within the hospital or other hospitals and community clinics for the insertion of Long acting reversible contraceptive (LARC) such as hormonal and non-hormonal IUD’s and contraceptive implants, as well as other problems related to LARC such as failed insertion or removal.
LARC is an excellent contraceptive option with efficacy over 99%.
It is easy to insert, is reversible and is effective for between three and 10 years depending on the type chosen. It also significantly reduces menstrual blood loss in over 90% of women, thereby reducing incidence of iron deficiency and anaemia. Women with very heavy menstrual bleeding can also be referred to this clinic for LARC insertion.
Patients who do not want hormonal contraception have a choice of Copper IUCDs which are effective for 5, or 10 years.
The Procedural Gynaecology clinic trains resident doctors and registrars to insert and remove intrauterine contraceptive devices, and the clinic sees patients in the East Wing Clinic once per week.
More information on contraception options.
Sexual Health Clinic
A specialist Sexual Health Physician is available to assist women with chronic vulvo-vaginal conditions that are not responding to usual treatments in this weekly clinic.
This clinic provides minor procedures, cervical screening testing and management of chronic vulvo-vaginal conditions.
It does not manage acute sexual health issues. The clinic provides diagnosis and treatment of sexually transmitted infections for women and men and is scheduled once a week.
Urogynaecology
This service is available for all women across WA who require urogynaecology care.
GP referral is available for:
- Severe pelvic organ prolapses (uterus, vagina, bladder)
- Urological complications of gynaecology surgery
- Incontinence
Vulvoscopy Clinic (vulval clinic)
The WNHS Vulval Clinic offers a comprehensive diagnostic, treatment and management service for WA women with vulval issues, including a history of vulval dyplasia or chronic vulval skin conditions (such as lichen sclerosis).
Western Australian Gynaecologic Cancer Service (WAGCS)
View the Western Australian Gynaecologic Cancer Service page