Menstrual irregularities, abnormal uterine bleeding, pelvic pain, vaginal discharge and masses found on examination or ultrasound are the main topics assessed under this heading. Endometriosis, polycystic ovary syndrome, vaginal infections and menopausal complaints are also among these topics.
Assessment
When the complaint started and how it has progressed, the menstrual pattern, pregnancy plans and previous surgery are discussed. A gynecological examination and ultrasound form the basis of the assessment. Where needed, further tests such as blood tests, cervical cancer screening (HPV test and smear), a biopsy or MRI are requested.
Approach to treatment
Not every finding requires treatment. Some conditions are monitored with regular check-ups, and in others medication is sufficient. Surgery is considered when complaints persist, when other options are unsuitable or when the nature of the finding requires it. Planning takes into account age, how much the complaints affect daily life and the wish for pregnancy.
