Women's Health

Breast Cancer Screening

We strongly advocate for regular breast cancer screening to ensure early detection and optimal outcomes. We recommend starting mammograms at the age of 40, with screenings every 18 months. However, screening frequency may vary based on individual results, with annual mammograms often recommended for women with dense breast tissue or those at higher risk. For some, additional imaging, such as breast ultrasound or MRI, may also be advised.

While the NHS offers mammograms every three years for women aged 50 to 70, research suggests that shorter intervals for women in their 40s and those with dense breast tissue can be beneficial. We tailor recommendations to each patient’s unique risk profile.

Cervical smears

We recommend annual cervical smear tests alongside human papillomavirus (HPV) testing, as HPV is responsible for the majority of cervical cancers. For younger individuals, we advocate HPV vaccination for both girls and boys, up to the age of 45. The vaccine significantly reduces the risk of cervical cancer and other HPV-related conditions, including cancers of the throat and genital warts.

Our advice for cervical screening aligns with international best practices:

• First smear test: Two years after first becoming sexually active or by the age of 25 (as recommended by the NHS).
• Frequency: Annual screening may be considered for those at higher risk, but for other patients, screening every three to five years may be sufficient, depending on individual circumstances and HPV vaccination status.

Pregnancy and deliveries

Our practice offers comprehensive support throughout your pregnancy journey. We collaborate closely with a trusted team of specialist obstetricians, favouring deliveries in the private wings of NHS hospitals to combine the safety of NHS facilities with the comfort and personalised care of private services.

For those navigating the challenges of pregnancy and early parenthood, we are proud to have Dr. Sara Kayat, a GP with a special interest in reproductive health. Dr. Kayat is the author of How to Have a Baby, an unbiased guide to pregnancy, birth, and the first year of parenthood. Drawing from her clinical expertise and personal experience as a mother, Dr. Kayat provides practical advice and guidance for patients with questions or concerns about this important stage of life.

Menopause

We are passionate about supporting women through the menopause transition, offering individualized care that addresses both physical and emotional changes. We work closely with leading endocrinologists to provide evidence-based treatment options, including conventional hormone replacement therapy (HRT) and body-identical hormones.

Our approach includes holistic management of symptoms such as hot flushes, mood changes, sleep disturbances, and weight fluctuations, while also focusing on long-term health, including bone density and cardiovascular health.

Ovarian Cancer Screening

Ovarian cancer is often diagnosed at a late stage due to subtle early symptoms. While routine screening is not currently recommended for all women, those with a family history of ovarian or related cancers may benefit from targeted testing. We offer personalized screening plans that may include CA-125 blood tests and pelvic ultrasounds for those at higher risk. Screening decisions are made collaboratively, considering each patient’s unique history and preferences.

Other Services in Women’s Health

• Contraceptive Care: Comprehensive advice on all contraceptive methods, including long-acting reversible contraceptives (LARCs) such as implants and intrauterine devices (IUDs).
• Fertility Support: Initial investigations and tailored referrals to trusted fertility specialists, including pre-conception advice.
• Premenstrual Syndrome (PMS) and Hormonal Imbalances: Diagnosis and holistic management of PMS, irregular cycles, and hormonal issues, combining lifestyle strategies with medical treatments.
• Bone Health: Prevention and management of osteoporosis, particularly during and after menopause, including access to DEXA scans and nutritional guidance.
• Sexual Health: Discreet testing and management of sexually transmitted infections (STIs) and advice on maintaining sexual well-being.

We are here to provide expert guidance, compassionate care, and comprehensive health services for all aspects of women’s health. For tailored advice and support, please book an appointment with us.