Outpatient Hysteroscopy and Outpatient Procedures Clinic

We offer an Outpatient Procedures Service including an Outpatient Hysteroscopy Clinic for patients with heavy or irregular periods and other problems concerning the womb lining or cavity such as bleeding after the menopause. We also see patients with vulval irritation, skin tags, cysts and cervical ectropion.

Services Available

• Diagnosis and management of patients with heavy or irregular periods or bleeding after the menopause.
• Insertion of Intrauterine System for treatment of heavy periods.
• Outpatient Endometrial ablation under local anaesthetic for heavy periods.
• Outpatient resection of cervical/uterine polyps and small fibroids.
• Removal of vulval and vaginal lumps or skin tags under local anaesthetic.
• Vulval biopsy.
• Endometrial biopsy.
• Cervical polypectomy.
• Cervical biopsy
• Cryo-cautery/ cold-coagulation for cervical ectropion.

Routine Investigations

Most patients will require abdominal, vulval and vaginal examination including insertion of vaginal speculum. 

Hysteroscopy involves inserting a thin telescope into the womb through the vagina to enable visualisation of the womb cavity. This can be done without an anaesthetic as an especially thin telescope is used, which causes minimal discomfort and is usually well-tolerated. We can offer local anaesthetic injections into the cervix which can help ease discomfort at the cervical entrance. Patients are encourage to self administer simple pain relief such as paracetamol and ibuprofen an hour before their procedure (as long as they have no contraindications and are not allergic to these).

 

All patients under the age of 55 years are required to have a pregnancy test prior to a hysteroscopy or endometrial biopsy to ensure there is no risk of pregnancy. It is helpful if you can bring a fresh urine sample with you or be able to pass urine soon after your arrival in the department. If you have had unprotected intercourse since your last period your procedure will need to be reschedule.

 

Some patients will have had a pelvic ultrasound scan if needed prior to their appointment. 

 

There are some informative leaflets at the end of this page that you can read about various investigations/treatments performed in this clinic.

 

Appointments

Patients are referred to the outpatient procedures clinic either from other clinics in Gynaecology Outpatients, from the Gynaecology Assessment Unit or from GP’s as part of the Rapid Access Clinic due to abnormal bleeding.

 

How to contact us

For general enquiries please contact the clerks on 0151 604 7775

 

Where are we based?

1st floor of the Wirral Women’s and Children’s Hospital in the Gynaecology Treatment Centre (GTC).

 

Key Staff

Mr Ash Alam - Consultant lead for outpatient hysteroscopy

Miss Jennifer Ramage- Obs and Gynae Consultant with special interest in hysteroscopy, ultrasound and minor procedures.

Mrs Natalie Pumford – Specialist Nurse

Mrs Laura Threlfall- Specialist Nurse