GYNAECOLOGY
Caring for women with empathy, expertise, and trust.
Comprehensive Gynaecological Care
Your comfort and well-being are central to Dr Priya Rajagopal’s approach. As an experienced female gynaecologist in Melbourne, she provides diagnosis and treatment for a broad range of women’s health conditions, including menstrual disorders, abnormal uterine bleeding, pelvic pain, endometriosis, fibroids, ovarian cysts, hormonal concerns and reproductive health issues.
Her care combines careful assessment, advanced diagnostic options, minimally invasive treatment where appropriate, and compassionate support to help women make informed decisions about their health at every stage of life.
Dr Priya consults patients across Melbourne, including Bundoora, Epping, Craigieburn and Hoppers Crossing. If you are experiencing ongoing symptoms or have concerns about your gynaecological health, book a consultation to discuss your individual needs and treatment options.
Gynaecology Conditions
Abnormal Uterine Bleeding
Abnormal uterine bleeding refers to menstrual bleeding that is heavier, longer, more frequent, or more irregular than usual. If you are experiencing ongoing changes to your period, seeking abnormal uterine bleeding treatment in Melbourne can help identify the cause and guide the right management plan.
Bleeding may be considered abnormal when it includes:
- Bleeding for more than 7 days
- Heavy flow or flooding through pads or tampons
- Blood clots larger than 3 cm
- Spotting or bleeding between periods
- Periods occurring less than 21 days apart
- Periods occurring more than 35 days apart
Common causes of abnormal bleeding may include hormonal imbalance, thyroid disorders, fibroids, polyps, cervical or uterine infection, endometriosis, coagulation disorders, or other gynaecological conditions.
Assessment usually begins with a detailed medical history and examination.
Depending on your symptoms, your gynaecologist may recommend blood tests, pelvic ultrasound, cervical screening, or an endometrial biopsy. In some cases, a hysteroscopy may be used to view the inside of the uterus and obtain a tissue sample if needed.
Treatment depends on the cause, severity of bleeding, age, medical history, and reproductive goals.
Options may include:
- Combined contraceptive pill
- Progesterone-only medication
- Mirena IUD
- Endometrial ablation
- Hysterectomy, when appropriate
If abnormal bleeding is affecting your comfort, daily routine, or quality of life, book a consultation with Dr Priya Rajagopal to discuss your symptoms and treatment options. This information is general in nature and does not replace personalised medical advice.
Adenomyosis
Adenomyosis is a condition of the uterus where cells similar to the endometrium, the lining of the uterus, grow within the muscular wall of the uterus. This can cause the uterus to become enlarged, tender, and more sensitive during the menstrual cycle.
If you are experiencing heavy or painful periods, pelvic discomfort, or fertility concerns, consulting an adenomyosis specialist in Melbourne can help you understand your symptoms and treatment options.
Adenomyosis may occur on its own or alongside endometriosis. Symptoms can vary from mild to severe, and some women may not realise they have the condition until it is investigated during fertility or pelvic pain assessment.
Common symptoms may include:
- Heavy menstrual bleeding
- Painful periods
- Pelvic pain or pressure
- Pain during intercourse
- Bloating or an enlarged uterus sensation
- Difficulty conceiving or subfertility
Diagnosis may involve a detailed medical history, pelvic examination, ultrasound, or other imaging, depending on the patient’s symptoms and clinical findings.
Treatment for adenomyosis depends on age, symptom severity, fertility goals, and overall health. Common treatment options may include hormonal contraceptives, the Mirena IUD, pain management, or medications that temporarily reduce hormone activity and mimic a medical menopause.
If symptoms are affecting your quality of life, book a consultation to discuss diagnosis, treatment options, and ongoing management.
Uterine Fibroids
Fibroids, also known as myomas, are benign growths that develop in the muscle wall of the uterus. They can vary greatly in size, from very small growths to larger masses that may affect periods, pelvic comfort, fertility, or pregnancy. If you are experiencing symptoms, consulting a uterine fibroid specialist Melbourne can help you understand your condition and treatment options.
Fibroids are not cancerous, and many women may have them without symptoms. In some cases, they are found during a pelvic examination or routine ultrasound. However, fibroids may cause:
- Heavy or prolonged periods
- Bleeding between periods
- Period pain or pelvic discomfort
- bloating
- Fertility or pregnancy-related concerns
The location of a fibroid can influence symptoms. Intramural fibroids grow within the uterine muscle wall, submucosal fibroids develop near or inside the uterine cavity, and subserosal fibroids grow on the outer surface of the uterus.
Treatment depends on the size, location, symptoms, age, and reproductive goals of the patient. Options may include medication to manage bleeding, treatment to shrink fibroids, myomectomy to remove fibroids, uterine artery embolisation, or hysterectomy in selected cases.
Dr Priya Rajagopal provides careful assessment and personalised management for women with fibroids. If you have heavy bleeding, period changes, or fertility concerns, book a consultation to discuss the most suitable treatment pathway.
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Uterine Polyps
Uterine polyps are non-cancerous growths that develop on the inner lining of the uterus, known as the endometrium. They occur when endometrial cells grow more than usual, sometimes due to hormonal changes or estrogen-related factors. While many polyps are benign, they can cause uncomfortable symptoms and may need assessment by a gynaecologist.
Common symptoms of uterine polyps may include:
- Irregular menstrual bleeding
- Spotting between periods
- Heavy or prolonged periods
- Bleeding after menopause
- Difficulty conceiving in some cases
- No symptoms at all in some women
Uterine polyp treatment depends on the polyp's size, symptoms, age, fertility goals, and any risk factors. In many cases, symptomatic polyps are removed through a procedure. This allows the doctor to view the inside of the uterus and remove the polyp carefully.
The removed tissue is usually sent for laboratory testing to confirm the diagnosis and check for any abnormal or precancerous changes. This is especially important for postmenopausal women or women with ongoing abnormal bleeding.
If you have irregular bleeding, heavy periods, spotting, or bleeding after menopause, it is important to seek medical advice. Early assessment can help identify the cause and guide suitable treatment.
This information is general in nature and does not replace personalised medical advice. Please consult a qualified gynaecologist to discuss your symptoms and treatment options.
Ovarian Cysts
Fluid-filled sacs in the ovary, commonly benign. Diagnosed through ultrasound and tumour-marker testing; treated conservatively or by laparoscopy if persistent or symptomatic.
Ovarian cysts are fluid-filled sacs that develop within the ovaries.
They are either functional, benign or cancerous cysts
Functional cysts: Follicular cysts form when the follicle does not release an egg but instead continues to swell up with fluid. A corpus luteum cyst forms when the corpus luteum(a structure that forms after the ovaries release an egg) does not shrink away but continues to grow in size.
Usually, these cysts are filled with clear or light yellow fluid, but they can contain blood. Functional cysts are common and usually go away by themselves in 2 – 3 months.
Benign cysts: These cysts are non-cancerous growths in the ovary. They do not disappear and can either be monitored by scan or need removal by laparoscopy
The commonest types are dermoid cyst, endometrioma(Chocolate Cyst), and cystadenomas.
Cancerous cysts of the ovary.
Symptoms caused by ovarian cysts are very non-specific- either they are completely asymptomatic or some cause bloating, pressure sensation, nausea, loss of appetite or irregular periods.
Dr Priya will do a physical examination, organise blood tests for tumour markers- specific proteins which help differentiate benign cysts from cancers of the ovary.
Specialist Ultrasound and MRI pelvis are imaging methods that help to characterise the cysts more specifically.
Asherman Syndrome
Scar tissue inside the uterus causes light or absent periods and infertility. Diagnosed and treated via hysteroscopy with follow-up hormonal therapy.
Asherman syndrome means that scar tissue is present inside the uterus (womb) or cervix. If severe, this scarring can prevent you from getting pregnant or, in rare cases, may affect the development of a baby during pregnancy.
It is more likely to occur if you have had several surgeries, such as curettage after a miscarriage or retained placenta.
The most common problem you may notice is a change to your menstrual cycle – lighter periods, or none at all.
If you are still having your period, you might experience an increase in period pain. However, scarring within the cervix is much more difficult to see with ultrasound, whatever method is used.
It is important to understand that a normal ultrasound does not rule out Asherman syndrome. Hysteroscopy is the procedure that allows a complete assessment of the uterus and is more accurate in the diagnosis of Asherman syndrome.
Hysteroscopy allows the visualisation of scar tissue and instruments to cut and remove it.
Hormonal therapies. The hormone estrogen stimulates the growth of the lining of the uterus, and it is commonly prescribed for women following surgical treatment of scarring in Asherman syndrome.
Antibiotics at the time of surgery are commonly used to help reduce the risk of infection. Treatment can improve the tissue to allow a pregnancy to occur; changes which involve the deeper layers of the uterus are likely to remain to a certain extent.
PCOS
Affects 1 in 10 women and may cause irregular cycles, acne, and difficulty conceiving. Managed through lifestyle modification, hormonal therapy, and ovulation-induction medications.
This causes symptoms such as irregular periods, excessive facial and body hair, pimples and weight gain.
PCOS affects one in 10 women.
PCOS can affect ovulation (when an egg is released from an ovary). The increased levels of androgens in the ovaries can stop follicles from developing and eggs from being released from the ovaries. The undeveloped eggs stay in the ovaries. It’s okay to have some undeveloped eggs in your ovaries, but too many can make it hard to get pregnant.
PCOS may be diagnosed if you have 2 or more of the following symptoms:
• irregular or no periods
• features of ‘clinical androgen excess’, such as pimples and excess hair growth, or higher than normal androgen levels (shown in a blood test)
• polycystic ovaries visible on an ultrasound (i.e. more than 20 partly developed eggs are visible on your ovaries, or your ovaries are enlarged).
PCOS in teenagers:
• It’s hard to diagnose PCOS in young women in the first few years after their periods start, as it takes about 2 years for periods to settle into a regular pattern.
If this doesn’t happen and your periods are either very close together or far apart, it may be due to PCOS.
Having a healthy lifestyle is the first step and an effective way to manage PCOS. It can be challenging to manage weight for women with PCOS. Hormonal medications are used to regulate cycles, excessive hair growth and acne. For fertility, ovulation induction medications may be prescribed to help egg release.
Endometriosis
Endometrial-like tissue outside the uterus leads to pain and fertility issues. Managed with hormonal therapy or laparoscopic excision.
Endometriosis is a condition where cells similar to those that line the uterus are found in other parts of the body, mainly in the pelvis and reproductive organs.
Symptoms
Endometriosis affects everyone differently. Pain is a common symptom. The severity of symptoms is often related to the location of endometriosis, rather than the extent of the disease. Symptoms may include:
• painful periods
• painful sex
• abdominal, lower back and pelvic pain
• pain during ovulation. bladder and bowel problems
• bloating
• tiredness
The exact cause of endometriosis is unknown. Some factors may increase the likelihood of developing the condition. For example, people who have a close relative (e.g. mother or sister) with endometriosis are 7 to 10 times more likely to develop the condition.
Endometriosis can be diagnosed in different ways:
• Laparoscopy – keyhole surgery (via the abdomen) is performed under general anaesthetic.
• Ultrasound – doctors with expert training can use ultrasound to make a ‘working diagnosis’ of endometriosis. Depending on the findings, you may or may not require surgery.
• Magnetic resonance imaging (MRI) – this technology can help experienced radiologists to diagnose endometriosis.
Treatment :
Although there is no cure for endometriosis right now, treatment will help you to manage your symptoms. It’s a matter of finding a treatment that works for you. Your treatment plan will be unique to your diagnosis.
Hormone therapy is available in the form of OCP, Progesterone-only Pill, Aromatase inhibitors, and GnRH analogues.
Surgery :
The surgery aims to safely excise the endometriosis lesions, either destroy the implants by using ablation or cut them out (excision). Sometimes adhesions will be removed to help with symptoms.
Pelvic Pain
Chronic pelvic pain can arise from multiple causes, including endometriosis or pelvic floor dysfunction. Dr Priya provides comprehensive assessment and multidisciplinary management.
Persistent pelvic pain is the pain felt in the pelvis or lower abdomen that is felt most days and lasts for more than 6 months. The pain can be short-term, lasting from a few days to a few weeks, or it can become persistent or chronic.
Persistent pelvic pain affects about one in 4 women and is more common in young women.
Multiple conditions may contribute to pelvic pain, like endometriosis, adenomyosis, painful bladder syndrome, pelvic floor dysfunction, vulvodynia, stress, and past trauma.
Dr Priya will perform a comprehensive assessment, including diagnostic tests like ultrasounds or laparoscopy, to identify the underlying cause of pain. Based on the diagnosis, she will discuss a variety of treatment options, from medication and hormonal therapy to minimally invasive surgeries like laparoscopy. Often this involves a multidisciplinary approach, and her ultimate aim is to help improve your quality of life and lead an active lifestyle.
Pap smear
Managed with colposcopy and, if required, LLETZ procedure to remove abnormal cells and prevent cervical cancer.
An abnormal Pap test result means that some of the cells of the cervix differ in some way from the normal cells. An abnormal result very rarely means cervical cancer. Dr Priya will discuss the results with you and perform a colposcopy, which provides a magnified view of the cervix to check the extent and nature of any abnormalities. She may obtain a biopsy from the cervix to check the cells.
The changes in cervical cells may be low-grade or high-grade abnormalities. Low-grade abnormalities are minor changes that usually disappear over time. Most low-grade abnormalities are due to an infection with the human papillomavirus (HPV). The body usually clears the active virus naturally within one to two years.
High-grade abnormalities are more serious changes to the cells of the cervix, which, if left untreated, have a greater chance of developing into cervical cancer. Dr Priya will perform a LLETZ procedure under general anaesthetic to completely excise these cells from the cervix to prevent them from turning into cancer.
Prolapse
Descent of pelvic organs into the vagina, managed with physiotherapy, pessary, or surgical repair.
Vaginal prolapse is the bulging of one or more pelvic organs into or out of the vagina. The pelvic organs consist of the uterus, vagina, bowel and bladder. Pelvic organ prolapse occurs when the muscles, ligaments and fascia (a network of supporting tissue) that hold these organs in their correct positions become weakened.
It can present as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse.
Prolapse is treated with pelvic floor physiotherapy, pessary in mild cases.
Severe prolapse will need surgical management with hysterectomy along with repair of the anterior and posterior wall of vagina.
Miscarriage
Thorough evaluation for genetic, anatomical, or hormonal causes with compassionate support throughout care.
Miscarriages happen when the pregnancy stops growing, and eventually the pregnancy tissue is passed out of the body. One in five women may miscarry, and most of them happen less than 12 weeks of gestation.
Usually, no treatable cause is found for a miscarriage. About half of all miscarriages happen because the chromosomes in the embryo are abnormal and the pregnancy doesn’t develop properly from the start.
There are certain risk factors- miscarriages are more common in older women than younger women, medical conditions such as uncontrolled diabetes, fibroids or thyroid problems, can lead to increased risk of miscarriage.
The trend of the pregnancy hormone blood test – Beta HCG and ultrasound helps to diagnose miscarriage.
It can be treated either by conservative management, medicine is available that can speed up the process of passing the pregnancy tissue, or some women may need Suction D&C to remove the tissue from the uterus.
Recurrent miscarriage:
Recurrent pregnancy loss is defined as two or more consecutive pregnancy losses in an intrauterine pregnancy.
While a single miscarriage is common, repeated losses suggest a potential underlying cause that can be investigated.
Dr Priya will obtain a detailed history, organise blood tests to evaluate for various endocrine and genetic causes, autoimmune causes and blood clotting disorders.
A 3D ultrasound to look for any uterine abnormalities, sometimes a hysteroscopy may be needed to remove uterine polyps.
In over half of the cases the cause may still remain unidentified.
Menopause
Tailored lifestyle advice and Hormone Replacement Therapy (HRT) to relieve symptoms and improve bone and heart health.
Menopausal symptoms often start before periods stop.
Hot flushes and night sweats can range from mild to quite severe.
Sleep disturbances, Brain fog, palpitations
Pain in your joints and tiredness
Anxiety or mood changes are the other bothersome symptoms that affect quality of life in menopause.
Dry vagina, Overactive bladder or discomfort.
- Lifestyle: changes. Improving diet, regular exercise and stopping smoking improve overall wellbeing and can make symptoms easier to tolerate.
Some psychological treatments, e.g. cognitive behavioural therapy (CBT) and mindfulness, may also help
Menopausal Hormone Therapy:
Also known as Hormone Replacement Therapy or HRT, it is the most effective way of improving menopausal symptoms. HRT can also benefit your health by improving bone density and reducing the risk of fractures
MHT is generally safe to use for most women in their 50s or for the first 10 years after the onset of menopause.
If you had an early menopause, you should continue treatment at least until the average age of menopause (51 years).
If you have had hormone-dependent cancer, you should not take hormone therapies.
HRT is available as tablets, patches, gels or vaginal treatments.
The type of MHT needed, and the associated risks, vary according to:• your age • whether you have had a hysterectomy • whether you have other health conditions.
Oestrogen alone is suitable for women who have had a hysterectomy. Progestogens are added to the treatment to reduce the risk of cancer of the uterus if you still have a uterus.
Vaginal oestrogen therapy alone may suffice for women who only have local symptoms such as vaginal dryness.
Dr Priya can help tailor the type of hormone treatment best suited to you.
Contraception
Guidance on all options including oral pills, Implanon, Mirena/Kyleena IUDs, and permanent methods.
There are many different types of contraception, and choosing the right one for you depends on the individual's menstrual history, medical conditions and personal preferences.
The commonest forms are Combined hormonal pills, or progesterone-only pills, Nuva ring.
Long-term reversible contraceptives are the Depo injections, Implanon rod, Kyleena and Mirena IUD, copper IUD.
These are effective for 5-10 years.
Permanent contraception for women is either ligation of the fallopian tubes or removal of the tubes.
Dr Priya performs several contraceptive procedures, including insertion of all types of IUD devices and Implanon NXT rods.She also performs sterilisation procedures.
Lichen Sclerosus
Chronic vulval skin condition treated with topical corticosteroids and maintenance therapy.
Lichen sclerosus is a chronic skin condition that affects the vulva. It is more common in people over the age of 50, although it can occur at any age. Lichen sclerosus is not contagious and cannot be passed from one person to another through skin-to-skin contact.
Symptoms can include:
• Itching, burning and soreness of the genital skin
• Skin surface can be white, dry and thickened.
• Scratching can result in very thickened white skin, blood blisters and skin fragility, which can result in splitting.
In long-standing situations, changes to the genital skin may include:
• Covering of the clitoris by skin
• Loss of the inner lips (labia minora)
• Bands of joined skin above and below the vaginal opening, which can make the vaginal entrance small and result in painful intercourse
Lichen sclerosus can usually be diagnosed clinically based on characteristic skin changes. Sometimes, will take a skin biopsy to help with diagnosis.
The best treatment is strong topical steroids. Strong steroid ointment or cream can:
• Control inflammation, help smooth out the roughened skin, prevent or halt scarring
However, it cannot reverse the loss of skin architecture.
Once active lichen sclerosus is stabilised, the doctor will prescribe maintenance therapy to reduce or prevent the skin inflammation from coming back.
Untreated lichen sclerosus can result in progressive scarring.
There is a small risk of cancer if the disease advances and is untreated. Surgery is not a substitute for ongoing steroid medication.
Gynaecology Procedures
Outpatient Procedures
Colposcopy
Magnified cervical examination to assess abnormal cells.
Colposcopy is an examination of the cervix. It allows the specialist to find any cell changes and to assess the extent of the changes.
A colposcope is a magnifying instrument, like binoculars on a stand, which we use to look at the cervix.
The doctor will dab the cervix with a very dilute acetic acid (vinegar) solution. This will help to identify any abnormal cells. Most women do not find this painful, although it may sting.
When abnormal areas are identified, the doctor may take one or two small biopsies (samples of tissue from the surface of the cervix). This can cause mild discomfort or menstrual-type cramps.
Vulval Biopsy
A vulval biopsy in Melbourne may be recommended when there are unusual vulval skin changes, persistent irritation, unexplained pain, itching, discolouration, or a visible lump or lesion. The test helps identify the cause of symptoms and supports accurate diagnosis and treatment planning.
A vulval biopsy procedure involves taking a very small sample of skin from the affected area. The area is usually numbed with local anaesthetic before the sample is collected, helping reduce discomfort during the procedure. The tissue is then sent to a laboratory for examination under a microscope.
A biopsy for vulval skin changes may be advised when symptoms do not improve with standard treatment or when a doctor needs to rule out conditions such as lichen sclerosus, infection, inflammatory skin disorders, precancerous changes, or vulval cancer. Not all vulval changes are serious, but early assessment can provide reassurance and guide the right care.
Patients seeking vulval lesion biopsy Melbourne should consult an experienced gynecologist who can assess symptoms, explain the procedure, and discuss what to expect before and after the biopsy. Mild soreness or spotting may occur after the procedure, and patients are usually given aftercare instructions to support healing.
This information is general and should not replace personalised medical advice. Please consult a qualified healthcare professional for individual assessment.
IUD Insertion
An intrauterine device, or IUD, is a long-acting contraceptive option placed inside the uterus by a trained healthcare professional. For women considering IUD insertion in Melbourne, a consultation with a qualified gynaecologist can help determine whether this method is suitable based on medical history, period symptoms, future pregnancy plans and personal preferences.
There are different types of IUDs, including hormonal and copper options. Hormonal IUD insertion may be considered by women seeking reliable contraception and support with heavy or painful periods. A hormonal IUD releases a small amount of hormone locally inside the uterus and may reduce menstrual bleeding and cramping over time.
Mirena IUD insertion is a commonly discussed option for women looking for long-term contraception. Mirena is a hormonal IUD that may be suitable for selected patients after clinical assessment. Before insertion, your doctor may discuss the procedure, expected benefits, possible side effects and aftercare instructions.
IUD insertion is usually a short procedure, but some women may experience temporary cramping, spotting or discomfort. Your gynaecologist can explain what to expect before, during and after the appointment.
You may consider speaking with a specialist if you want:
- Long-acting contraception
- A low-maintenance birth control option
- Support for heavy periods
- Advice about hormonal or non-hormonal IUD choices
This information is general in nature and should not replace personalised medical advice. Please consult a qualified healthcare professional to discuss whether an IUD is suitable for you.
Surgical Management
Hysteroscopy D&C
Minimally invasive uterine inspection or treatment.
Hysteroscopy is a procedure where a small telescope is passed into the cervix and the uterus, allowing the gynaecologist to see all surfaces of the cervix and the uterus.
Hysteroscopy is a day procedure. It involves inserting a slim instrument with a light and a camera through your cervix and into the uterus.
Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus.
In a dilation and curettage, small instruments or a medication are used to open (dilate) the lower, narrow part of your uterus (cervix). Next, a surgical instrument called a curette, which can be a sharp instrument or a suction device, is used to remove uterine tissue.
Laparoscopy
Gynaecological laparoscopy is a minimally invasive surgical procedure used to diagnose and treat a range of women’s health conditions. For patients seeking gynaecological laparoscopy in Melbourne, this procedure may help investigate pelvic pain, endometriosis, ovarian cysts, fibroids, fertility concerns, and other gynaecological problems.
During laparoscopy, a specialist makes small incisions and uses a thin camera called a laparoscope to view the pelvic organs. Compared with traditional open surgery, laparoscopy may involve smaller cuts, reduced discomfort, shorter hospital stay, and faster recovery in suitable patients.
Common reasons for gynecological laparoscopy include:
- Persistent pelvic pain or suspected endometriosis
- Ovarian cysts, adhesions, or fibroids
- Fertility assessment or blocked fallopian tubes
- Investigation of abnormal pelvic findings
The benefits may include:
- Smaller incisions and less visible scarring
- Quicker return to daily activities
- Accurate diagnosis and treatment in one procedure
- Reduced recovery time compared with open surgery
Before recommending surgery, a gynaecologist will usually review symptoms, medical history, ultrasound results, fertility goals, and overall health. Not every patient needs laparoscopy, so personalised assessment is important.
As with any procedure, gynaecological laparoscopy may involve risks such as bleeding, infection, anaesthetic complications, or injury to surrounding organs, although these are uncommon. Your specialist will explain the risks, benefits, recovery expectations, and alternatives before treatment.
This information is general and should not replace personalised medical advice. If you have ongoing pelvic pain, suspected endometriosis, or fertility concerns, consult a qualified gynaecologist to discuss whether laparoscopy is appropriate for your circumstances.
Fibroid Resection
Fibroids are non-cancerous growths that develop in or around the uterus. While some fibroids cause no symptoms, others may lead to heavy periods, pain, bloating, or fertility concerns. If you're experiencing troublesome symptoms, Fibroid Removal in Melbourne services can assess your condition and recommend treatment options tailored to your needs.
Fibroid treatment depends on the size, number, and location of the fibroids, as well as the patient’s symptoms, age, medical history, and future pregnancy plans. A gynaecologist may recommend monitoring, medication, minimally invasive procedures, or surgery depending on the situation.
Common symptoms of fibroids may include:
- Heavy or prolonged menstrual bleeding
- Frequent urination
- Bloating or abdominal swelling
- Pain during intercourse
- Difficulty conceiving or pregnancy-related concerns
Fibroid removal may be considered when symptoms affect daily life or when fibroids interfere with reproductive health. In some cases, minimally invasive surgery may allow fibroids to be removed while preserving the uterus. However, the most suitable treatment should always be decided after a detailed consultation and appropriate investigations, such as ultrasound or other imaging.
Choosing an experienced specialist for fibroid removal in Melbourne can help patients understand their diagnosis, compare treatment options, and make informed care decisions. Early evaluation is important if symptoms are worsening or affecting quality of life.
This information is general in nature and should not replace personalised medical advice. Please consult a qualified gynaecologist to discuss your symptoms and the most appropriate treatment options.
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Hysterectomy
A hysterectomy is the surgical removal of your uterus and cervix.
Laparoscopic hysterectomy
• The laparoscope into your lower abdomen through a small incision near your belly button.
• The surgical tools are inserted through several other small incisions on your abdomen. The doctor removes your uterus through the vagina.
• You can go home the same day or after one night in the hospital.
• Full recovery is shorter and less painful than an abdominal hysterectomy.
LLETZ Procedure
The LLETZ procedure in Melbourne is a common treatment used to remove abnormal cells from the cervix. LLETZ stands for Large Loop Excision of the Transformation Zone. It is usually recommended when cervical screening, colposcopy, or biopsy results show abnormal cervical cell changes that may need treatment.
During the procedure, a thin wire loop heated by an electrical current is used to remove the affected area of cervical tissue. The removed tissue is then sent to a laboratory for further testing. LLETZ is usually performed under local anaesthetic and is often completed as a day procedure.
When May LLETZ Be Recommended?
A gynaecologist may recommend LLETZ if cervical changes are found during assessment. It may be used to:
- Remove abnormal cervical cells before they develop further
- Confirm the diagnosis through laboratory testing
- Treat changes found after an abnormal Pap smear or HPV-related screening result
- Reduce the risk of abnormal cells progressing when treatment is clinically needed
What to Expect After LLETZ
After a LLETZ procedure, mild cramping, light bleeding, or watery discharge may occur for a short time. Patients are usually advised to avoid intercourse, tampons, swimming, and heavy exercise for a period recommended by their doctor.
Follow-up care is important for monitoring healing and reviewing future cervical screening results. If you have been advised to consider a LLETZ procedure in Melbourne, consult a qualified gynaecologist to understand your results, treatment options, risks, recovery, and follow-up plan.
This information is general in nature and does not replace personalised medical advice.
Abnormal Uterine Bleeding
Heavy, prolonged, or irregular periods often stem from hormonal imbalance, thyroid disorders, fibroids, or polyps. Evaluation may include blood tests, ultrasound, or endometrial biopsy. Treatment options include hormonal therapy, Mirena IUD, or surgical management such as endometrial ablation or hysterectomy.
Adenomyosis
Heavy, prolonged, or irregular periods often stem from hormonal imbalance, thyroid disorders, fibroids, or polyps. Evaluation may include blood tests, ultrasound, or endometrial biopsy. Treatment options include hormonal therapy, Mirena IUD, or surgical management such as endometrial ablation or hysterectomy.
Fibroids
Benign growths of the uterine wall that may cause bleeding, pain, or fertility issues. Options include medication, myomectomy, uterine artery embolization, or hysterectomy depending on severity.
Uterine Polyps
Non-cancerous growths on the uterine lining that can cause irregular bleeding. Managed via hysteroscopic removal.
Ovarian Cysts
Fluid-filled sacs in the ovary, commonly benign. Further testing includes ultrasound and tumour-marker testing; to different harmless cysts from cancerous ones.
Asherman Syndrome
Scar tissue inside the uterus causing light or absent periods and infertility. Diagnosed and treated via hysteroscopy with follow-up hormonal therapy.
PCOS
Affects 1 in 10 women and may cause irregular cycles, acne, and difficulty conceiving. Managed through lifestyle modification, hormonal therapy, and ovulation-induction medications.
Endometriosis
Endometrial-like tissue outside the uterus leading to pain and fertility issues. Managed with hormonal therapy or laparoscopic excision.
Pelvic Pain
Chronic pelvic pain can arise from multiple causes including endometriosis or pelvic floor dysfunction. Dr Priya provides comprehensive assessment and multidisciplinary management.
Pap Smear Abnormalities
Managed with colposcopy and, if required, LLETZ procedure to remove abnormal cells and prevent cervical cancer.
Prolapse
Descent of pelvic organs into the vagina, managed with physiotherapy, pessary, or surgical repair.
Miscarriage & Recurrent Loss
Thorough evaluation for genetic, anatomical, or hormonal causes with compassionate support throughout care.
Menopause
Tailored lifestyle advice and Hormone Replacement Therapy (HRT) to relieve symptoms and improve bone and heart health.
Contraception
Guidance on all options including oral pills, Implanon, Mirena/Kyleena IUDs, and permanent methods.
Lichen Sclerosus
Chronic vulval skin condition treated with topical corticosteroids and maintenance therapy.
Outpatient Procedures
Surgical Procedures
Hysteroscopy & D&C
Minimally invasive uterine inspection or treatment.
Fibroid Resection
Hysteroscopic or laparoscopic fibroid removal.
LLETZ Procedure
Removes abnormal cervical tissue.
Endometrial Ablation
Treats heavy periods by removing uterine lining.
Laparoscopy
Keyhole surgery for diagnosis or treatment of pelvic conditions.
Hysterectomy
Laparoscopic or open removal of the uterus.