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    At hysteroscopy a small telescope is passed through the cervix into the uterine cavity, the cavity is then visualised, and those images are viewed on a screen.

    If you would like to book a consultation regarding hysteroscopy you can contact us using the link below or directly via our phone contacts.

    Saline infusion sonohysterography SIS is a special ultrasound technique used to evaluate the cavity of the uterus. This involves instilling sterile fluid into the uterine cavity while performing a transvaginal ultrasound scan.

    Saline is used to distend the cavity allowing for the shape and structure of the uterine cavity to be easily seen on ultrasound scan, with the aim of detecting any abnormalities.

    Some conditions and corresponding abnormalities which may be detected via SIS are: Heavy or abnormal uterine bleeding — uterine polyps or fibroids, Infertility — intrauterine adhesions, Miscarriages — abnormal uterine morphology shape.

    This procedure is generally performed in the office with oral pain relief. After the procedure you may experience mild spotting and abdominal cramping but major complications are rare.

    Wendel Cozier, is a highly qualified Consultant Obstetrician and Gynaecologist with an approachable, friendly personality.

    He has undergone training in the Caribbean and the United Kingdom. His expertise includes benign gynaecological conditions, high risk obstetric cases, Laparoscopic Surgery and Hysteroscopy.

    Cozier provides quality comprehensive pregnancy care inclusive of ultrasound scanning, 24 hr Emergency access for those seeking care at the Surgi-Med Clinic and personalized care during labour and delivery.

    Cozier helps you to take control of your gynaecological health. He provides comprehensive and empathetic care from routine screening to complicated surgeries for women at any stage of life.

    He believes that gynaecological health should be accessible and affordable to all women and should be given the utmost importance.

    The condition causes a hormonal imbalance, which affects the menstrual cycle and may make it harder for a woman to become pregnant.

    Due to failed ovulations, multiple small cysts build up on the ovaries and can be seen on ultrasound scan. The condition usually manifests during adolescence mainly as infrequent heavy periods, as a result of a hormonal imbalance.

    Testosterone is produced in small amounts by the ovaries, however women with PCOS produce higher amounts which can lead to the following problems; irregular periods, male pattern baldness, excess bodily hair and infertility.

    In the long-term PCOS may cause diabetes and cardiac disease, this risk is reduced by maintaining a normal weight. The exact causes of PCOS are unknown, though there may be a genetic predisposition and as such, if other women related to you have PCOS then your risk of developing it is higher.

    Heavy, prolonged or irregular periods should be a cause for concern. Some women may also bleed between their periods intermenstrual bleeding or after sexual intercourse postcoital bleeding.

    All these issues may require further investigation by a specialist gynaecologist. This is non-menstrual bleeding that occurs immediately after sexual intercourse.

    It is usually caused by lesions of the cervix or the vagina. It is important that every woman who notices persistent bleeding after intercourse be assessed by a gynaecologist.

    Have you had your pap smear recently? Pelvic pain, which is a condition more common in women than men, is typically felt in the lower abdomen and pelvis.

    Pain that is associated with a gynaecological condition generally occurs around the time of or is aggravated by the menses or sexual intercourse.

    However, many patients complain of pelvic pain which might be associated with intestinal complaints like, constipation or Irritable Bowel Syndrome.

    Pelvic pain may be acute or chronic, it may be dull or sharp with a slow or rapid onset, depending on the cause.

    Patients experiencing symptoms for six months or more have what is termed chronic pelvic pain. If you are experiencing pelvic pain which is causing you concern or affecting you work, quality of life and sexual function, you should make an appointment to see a gynaecologist.

    Fibroids are benign non-cancerous growths that develop in the uterus and are also referred to as fibromas, myomas or leiomyomas.

    Fibroids are generally firm, fibrous masses, of varying size, which are made up of muscle cells within the uterus. Many women only become aware of the fibroids when they have a pelvic ultrasound or present to the doctor for a bleeding problem.

    An ovarian cyst is a sac or pouch filled with fluid or other tissue that forms in or on an ovary. Ovarian cysts are very common. They can occur during the childbearing years or after menopause.

    Most ovarian cysts are benign not cancerous and go away on their own without treatment. Rarely, a cyst may be malignant cancerous.

    There are two main types of ovarian cyst: functional and pathological. Endometriosis is a condition where tissue similar to the inner lining of the womb endometrium is found elsewhere, usually in the pelvis around the womb, ovaries and fallopian tubes.

    It is a very common condition, affecting around 1 in 10 women, approximately million women worldwide.

    You are more likely to develop endometriosis if your mother or sister has had it. Endometriosis affects women during their reproductive years.

    It can be a long-term condition, that can have a significant impact on your general physical health, emotional wellbeing and daily routine.

    During normal monthly menstruation, the lining of the womb is shed via the vagina. With endometriosis the deposits of tissue outside the womb also bleed but this blood is trapped around the pelvic organs or under the surface of the tissues.

    This results in inflammation, pain and loss of tissue architecture due to scarring. The menopause occurs when a woman stops having periods for 12months.

    Usually 2 years prior, your periods may become irregular and start to skip months as the ovaries begin to slowly fail.

    You may also note a change in the characteristics of your period, as they may become heavier. As you age the number of eggs in your ovaries diminish significantly, as that happens, the amount of estrogen produced falls also.

    When there are no eggs left, the ovaries cease to produce estrogen, leading to menopausal symptoms, discussed below.

    Menopause will usually occur between the ages of , with the Caribbean average being Around 1 in women will experience premature menopause, thus facing symptoms before they reach the age of Pregnancy is usual a time of great joy and excitement for a couple and their extended families.

    Most women may discover their pregnancy because they suffer from common signs of early pregnancy, missed periods, nausea, vomiting, breast tenderness and fatigue.

    However some women may have symptoms, such as abdominal pain, bleeding or excessive vomiting, which may be a cause for concern and warrant urgent medical attention.

    As we age, bladder problems become more common but can start from an earlier age. There is no need to feel ashamed or suffer in silence, as there are multiple treatment options available that might benefit you.

    Some treatments merely require that you perform a few simple exercises a day. Cervical screening a smear test checks the health of your cervix.

    The cervix is the opening to your womb at the top of your vagina. Pap smears detect changes in the cells of the cervix before they become cancerous.

    All sexually active women aged 25 to 64 should have regular pap smear examinations. During the screening appointment, a small sample of cells will be taken from your cervix using a tine brush and spatula.

    The sample is tested for changes in the cells of your cervix caused by HPV, the virus which causes cervical cancer. Finding abnormal changes early means they can be monitored or treated so they do not get a chance to progress to cervical cancer.

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