Gynaecology
The Trust provides a wide range of women's health
services at University Hospital Lewisham and in the wider
community. Services include a number of specialist women's health
clinics, such as a Recurrent Miscarriage Clinic and Subfertility
Clinic.
The Trust
provides both inpatient and outpatient care, and benefits from a
dedicated Women's Health Outpatient Department in addition to
surgical care in the Riverside Building.
The Department is made up of a full range of gynaecology staff,
including consultants, junior doctors and a nursing team.
What women's health services are
available?
The Trust provides a wide range of general gynaecology and
specialist services:
Where are these services located?
The majority of services are provided from the Women's Health
Outpatient Department, situated on the ground floor of the Green
Zone at University Hospital Lewisham.
Surgical care is provided on Larch and Juniper wards, which are
located on the 2nd floor of the Riverside Building (Orange
Zone).
How can you contact the service you
require?
Please call the Hospital switchboard on 020 8333 3000 and ask for
the service you require.
What else do you need to know?
Below you will find specific information about individual clinics,
including opening times, referral criteria and outreach
locations.
Colposcopy Clinic
- Referrals made following smear test results, via hospital
review, family planning clinics and GP surgeries
- Nurse led clinics are held on Monday, Tuesday, Thursday and
Friday
- Consultant led clinics are held on Tuesday, Wednesday and
Thursday
- There is also an outreach clinic based in Baring Road which is
held on Tuesdays
Early Pregnancy Assessment Unit
Clinic opening times:
0830-1200 (ED referrals), 0900-1100 (other referrals) Mon-Fri
(excluding Bank Holidays).
Please state if:
- Any blood tests or drugs prescribed in ED
- If English is not spoken
- If LMP is unknown or patient unsure and under 12/40 and 1st
attendance to EPAU, please ensure HCG and progesterone is taken
prior to attending
Criteria for referral to EPAU:
- Pain
- Bleeding
- Previous ectopic pregnancy – with or without complications
- Loss of liquor before 18/40
- PV bleeding post delivery (SVD or LSCS), up to 6/52 post
partum
- If Clearview® positive in the past 2/52 but now negative with
heavy pv bleed
Please ensure:
- Pregnancy test done in ED if not done in the last 2/52
- Urinalysis – please state results (if leucocytes and nitrites
present, send for MC&S)
Please note:
- Women >12/40 who have had their 1st scan DO NOT need a
pregnancy test
- A scan is NOT usually done unless a foetal heart beat cannot be
heard with a Sonicaid®
- Women who have had minor RTAs or minor assault can contact
their Midwife or GP for further follow up
- Women who have had a TOP (providing they are not pyrexial or
heavy PV bleed) should be referred back to the clinic or hospital
where the procedure was undertaken
- If the patient has previously been seen in EPAU there is NO
need for a new referral form to be completed for new problems with
current pregnancy. Ask the patient to return to EPAU – please call
ext 8751 ahead of patient arrival
Genuine Emergencies:
Any patient with cardiovascular instability SHOULD NOT be sent
to EPAU, please contact the Gynaecology on call team via bleep (Reg
4000, SHO 4100).
General Gynaecology Clinic
Conditions treated:
- Menorrhagia
- Fibroids
- Prolapse
- Amenorrhoea
- Vulval conditions
- Pelvic pain
- Ovarian cysts
- Polyps
- Endometriosis
Gynaecological Endocrine Clinic
Conditions treated:
- PCOS
- Hirsutism
- Hypogonadotrophic
- Hypogonadism
- Other disorders of the hypothalamo-pituitary-ovarian axis
- Chromosomal abnormalities including Turners syndrome
Hysteroscopy Clinic
- Referrals made via hospital review and GP surgeries.
- Clinics are held on Monday and Friday
Menopause Clinic
Conditions treated:
- Menopause
- Bleeding on HRT
- HRT
- Premature ovarian failure
- Vaginal dryness
- Vasomotor symptoms
Rapid Access Clinic
For 2 - week wait proforma referrals made via hospital review and
GP surgeries
Clinics are held on Monday all day. The morning clinic is a one
stop consisting of consultation, gynaecology scanning and
hysteroscopy. The afternoon clinic is for follow up results
giving
Recurrent Miscarriage
Conditions treated:
Specialist clinic review for patients suffering from recurrent
miscarriages
Subfertility
Conditions treated:
Fertility & reproductive medicine
Urogynaecology
Conditions treated:
- Utero vaginal prolapse
- Urinary dysfunction
- Insertion of pessary – specialist clinic available
- Post-partum pelvic floor dysfunction – specialist midwife
available
- Procedures performed:
- Urodynamic studies
- Cystoscopy
- Bladder biopsy
- Hysteroscopy
- Endometrial biopsy
- Pelvic floor repair
- TVT
Services available:
- Physiotherapist
- Continence advisor
- Nurse Specialist via pessary clinic
- Specialist midwife