Community Gynaecology Service

All community based gynaecology issues can appropriately be referred to this service.

Conditions that will clearly require surgery will need to be referred to UHCW.

Do not refer patients with suspected cancer or pre-cancer.

All referrals are made via Choose and Book under Women’s Health.

The service is available to patients registered with a Coventry GP and is provided by UHCW.

Location:
First floor of City of Coventry Health Centre
2 Stoney Stanton Road,
Coventry
CV1 4FS

Contact:

UHCW contact details: Tel 024 76964233.

The service is provided by a team of gynaecology consultants (Mr Tony Parsons, Mr Feras Izzat and Mr Lawrence Anyanwu) and  specialist gynaecology nurses

Consultant led One Stop Gynae clinic, Mr Izzat & Mr Anyanwu

• Patients with menstrual disorders, amenorrhea, dysmenorrhea, menorrhagia, hypomenorrhea/ oligomenorrhea,
• Chronic abdominal pain and suspected ovarian cysts,

Procedures performed with the consultant led clinic include:

• Vaginal and abdominal scanning
• Saline sonography
• Endometrial biopsy
• Insertion of difficult IUS/IUD
• Removal of IUS/IUD under ultrasound guidance (Following 2 attempts at removal)
• Patient pathway for Management of absent IUD (please see link in right hand panel)
• Mirena fits for patients with menorrhagia only. If a Mirena is required for contraception, referral to Integrated Sexual Health is required.

For contraceptive purposes, please advise the patient to contact Integrated Sexual Health on 0300 020 0027 to arrange a consultation.

Endometrial polyps should be referred to UHCW as surgical intervention may be indicated.

Menopause and Hormone Related Problems Clinic (Community Assessment Service CAS)

• Menopausal symptoms
• Management decisions regarding HRT
• Pre-menstrual symptoms (PMS)
• Osteoporosis assessment and treatment
• Polycystic ovarian syndrome (PCOS)

Procedures performed

Assessment & Provision of advice and recommendations for an appropriate management plan

Female chaperones are always available

Exclusions:

Patients who do not have symptoms attributable to the menopause or pre-menstrual syndrome

Refer via NHS E-referral Service: “Gynaecology Consultant Menopause and Hormone Related Problems”

Referral Information Required:

• Current condition
• Relevant medical
• Past surgical history
• Current medications
• Relevant investigations and scans
• Known allergies
• Any special requirements that the patient has e.g. known disabilities

Community Nurse led Assessment and Treatment Clinic (Community Assessment Service CAS)

• Utero-Vaginal Prolapse assessment and ring/shelf pessary fits (We do not offer vaginal ring changes.
• Difficult cervical smears (see also Colposcopy Service)
• Cervical polyps
• Sterilisation counselling including LARC options.

Where sterilisation counselling, including LARC options has been thoroughly explored, referrals should be made directly to (George Elliot Hospital).

Procedures performed

• Assessment of vaginal prolapse and fitting of vaginal pessary
• Insertion and change of vaginal pessary
• Removal of cervical polyp
• Cervical smear
• Removal of  IUD/IUS (where threads are visible)
• IUD/IUS thread checks

Exclusions

• Males
• Females under 16
• Two week waits
• Urgent referrals
• Cancer

Community Incontinence Clinic – nurse led

Patients complaining of incontinence should be referred to the community incontinence clinic. For further details, go to Continence Nurse from the A – Z tab on GP Gateway.

Continence Physiotherapy

• Incontinence of bladder and/or bowel
• Prolapse
• Weak pelvic floor muscles
• Overactive bladder
• Loss of sexual sensation

Procedures include vaginal examination, bowel examination, bladder scans, urinalysis, neuromuscular stimulation and biofeedback. The clinical lead is Ms Charlotte Leung, Specialist Physiotherapist for Women’s Health, Charlotte.Leung@uhcw.nhs.net Please refer to “Women’s Health” via Choose and Book.

Menopause and Hormone Related Problems Clinic

• Menopausal symptoms
• Management decisions regarding HRT
• Pre-menstrual symptoms (PMS)
• Osteoporosis assessment and treatment
• Polycystic ovarian syndrome (PCOS)

Refer via NHS E-referral Service: “Gynaecology Consultant Menopause and Hormone Related Problems”

Pelvic Floor Exercises

Service provided by South Warwickshire Foundation Trust (SWFT)

Outpatient physiotherapy

Multiple outpatient clinics are provided across Warwickshire for men’s and women’s health (continence)

Referral by primary or secondary care