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Why should I see a Gynaecologist?

Several important benefits of seeing a Gynaecologist include:

  • Helping you understand your body and take control of your health.
  • Creating a healthy baseline with your private gynaecologist will draw attention to any future problems or changes in your body that might require treatment.
  • Any abnormalities that you may not be aware can be identified early and be easier to treat.
  • The peace of mind that comes with good health and expert treatment.

Your gynaecology consultation is a great opportunity to ask questions and receive expert advice about your sexual health. Each visit will give you the confidence and knowledge you need to better manage your health.

Women’s Health is our Passion

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When should I visit a London gynaecologist?

We recommend that females who are sexually active and/or over the age of 21 visit a gynaecologist for an annual check-up. Additionally, we strongly advise you visit a gynaecologist if you experience any of the following:

  • Abnormal vaginal bleeding including, heavy periods, post coital bleeding, missed periods, or bleeding after menopause.
  • Abdominal or stomach pain this may indicate that you have an infection, ovarian cysts, or fibroids (non-cancerous tumours).
  • Unusual discharge yellow, green, or grey discharge with a foul odour may be a sign of a bacterial or yeast infection.
  • Painful sex this can result from vaginal dryness, fibroids, or infection and will require a pelvic examination.

Cervical smears

When should I have my first pap smear?

In the UK women are encouraged to have their first cervical smear at the age of 25. (If you are under 25 small abnormalities in the cells can be a normal occurrence.) However, we are happy to provide a private smear test in London to women of any age.

How often should I have a pap smear?

You should be screened for cervical cancer once every 2-3 years.

Why do abnormal cells develop?

The human papilloma virus (HPV) is a sexually transmitted infection that gives rise to cervical cancer. Although abnormal cells do not always indicate cancer, this may be a sign that cancer may develop. Treatments are easier and more successful if given before this process happens.

My pap smear came back with abnormal results. What next?

An abnormal cervical smear will identify infection, abnormal cells, or cervical cancer. The extent of the follow-up investigations required will depend on your age and severity of the abnormality.

  • Repeat cervical smear if it seems possible that the abnormalities will resolve naturally, your gynaecologist will ask you to return for a repeat smear test in 3-6 months.
  • Private colposcopy your gynaecologist will examine your cervix to identify the nature of the abnormality.
  • Biopsy - tissue from your cervix may be necessary for a definitive diagnosis and small sample taken and sent to a laboratory for further testing.

Follow-up investigations will tell your Harley Street gynaecologist if the abnormality is likely to develop into cervical cancer. You may need treatment to destroy the abnormal cells and decrease your cancer risk.

Please follow your gynaecologist’s advice on how often to have a pap smear. Regular testing is important to identify any abnormalities early before they develop into cancer.


Why is it harder to get pregnant as we get older?

After 35 years of age, a woman’s fertility begins to decline for a number of reasons:

  • Ovarian reserve (eggs) decline, leaving fewer eggs of good quality.
  • Approaching menopause can cause irregular periods and, in turn, irregular ovulation.
  • A small percentage of women (1%) begin menopause early and stop ovulating before they are 40 years old.
  • Infections or other conditions may have caused blocked fallopian tubes at any age, but this can be prevented with good sexual and general health.
  • Endometriosis causes the fallopian tubes to thicken with scar tissue and the situation worsens with age.
  • Fibroids (non-cancerous tumours) are more common in women over 30 and can make it harder to get pregnant.

Being overweight can also interfere with the ability to conceive. Women with PCOS may increase their chances of a successful pregnancy by losing weight.

Sexual health

I've had unprotected sex and don’t want to get pregnant. What do I do?

Call our surgery as soon as possible for advice on emergency contraception. You may be offered the emergency contraceptive pill or be fitted with the copper coil.

How soon can I take a pregnancy test after sex?

You will need to wait at least three weeks for pregnancy to be confirmed by a urine test.

When can I be tested for sexually transmitted diseases?

It takes at least two weeks after sex for gonorrhoea and chlamydia to be confirmed on a test. However, if you have symptoms, please book a consultation with your gynaecologist in Harley Street right away. HIV can be tested for one month following sex, but you should then be tested again after 12 weeks.

Can sexually transmitted diseases be cured?

Bacteria, parasites, or viruses cause STDs. Antibiotics can be used to treat and cure a number of STDs, including:

  • Chlamydia.
  • Gonorrhoea.
  • Syphilis (treated with penicillin).
  • Trichomoniasis.

STDs with no current cure include:

  • Some strains of HPV.
  • Chronic hepatitis B & C.
  • Genital herpes.

Some STDs will, over time, clear up without treatment. Most strains of HPV, hepatitis A, and acute strains of hepatitis B & C are some of these.

It’s important to be tested for STDs, so that if you need to, you can begin treatment.

If you would like to book a consultation at Gynae Clinic, or if you have any questions, please get in touch with us today.

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Ground Floor, 117A Harley St,
Marylebone, London W1G 6AT, UK

Gynae Clinic is a website designed to inform our patients about gynaecological services delivered at Medical Express Clinic at 117a Harley Street. In the event that patients are seen by a clinician, this will be arranged at Medical Express Clinic which is registered in the United Kingdom with the Care Quality Commission to provide healthcare services.