Perimenopausal and Menopausal Management, Postmenopausal Bleeding and Vaginal Discharge

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Gynaecology
Women Wellness Packages Abnormal Pap smears HPV Test Cervical cancer HPV vaccination Contraception and Family Planning Pelvic Pain Menstrual Pain Ovarian cysts Uterine Fibroids Heavy Menstruation Perimenopausal and Menopause Postmenopausal Bleeding Vaginal Discharge management Threatened Miscarriages
Fertility
Fertility assessment Male semen analysis Ovarian reserve testing Ultrasound ovulation tracking Tubal patency test Polycystic Ovarian Syndrome Endometriosis Adenomyosis Vaginasmus Fertility enhancement surgery
Obstetrics
Comprehensive Antenatal Care Antenatal Ultrasound Scans Non-Invasive Prenatal Test (NIPT) Antenatal Vaccinations Management of pregnancy symptoms Labour management and delivery Delayed cord clamping Cord blood collection Postnatal Care and Birth Control
Surgery
Colposcopy Biopsy LEEP Cervical Cone Evacuation of uterus Diagnostic Hysteroscopy Therapeutic Hysteroscopy Laparoscopic / keyhole surgery Ovarian cyst removal Uterine fibroid removal Uterus removal Fertility enhancing surgery

Perimenopausal and Menopausal Management

Women may experience hot flushes, night sweats, disturbed sleep and vaginal dryness, as she approaches menopause.

Different types and strength of hormone replacement therapy can effectively address these symptoms and protect against osteoporosis. Treatment is customised according to one’s needs and preferences.

Hormone replacement therapy (HRT) is not recommended for women who has hormone-sensitive cancers, such as breast cancer. For such individuals, non-HRT alternatives may be used to treat the discomforting symptoms listed.

Postmenopausal Bleeding

Vaginal bleeding that occurs past 12 months of no menses and is considered abnormal. A hysteroscopy, dilatation and curettage (D&C) to exclude endometrial abnormalities like cancer.

See More Diagnostic Hysteroscopy

Vaginal Discharge

Usually arise from these six most common vaginal infections: -

Yeast Infection
This fungus overgrowth causes a thick, cottage cheese-like white discharge.
Causes itching and redness of the vulva.
Easily treated with topical anti-fungal. Seek medical advice in resistant cases.

Bacterial vaginosis
A greyish yellow vaginal discharge with a fishy odour, caused by sex, douches and hormonal changes.
This increases the risk of miscarriage, preterm delivery, womb infection after pregnancy and enhances susceptibility to catching sexually transmitted infection.

Trichomoniasis

A greenish-yellow, frothy vaginal discharge with a strong fishy odour in women.
Symptoms may include painful urination, itching and discomfort during intercourse. Couple needs antibiotics to minimize recurrence and the spreading of the disease.

Chlamydia

A sexually transmitted disease that can produce vaginal discharge, bleeding between periods or abdominal pain with fever.
Untreated infection causes infertility. During pregnancy, it may result in premature births and leads to congenital blindness or pneumonia in the newborn.

Human Papilloma Virus (HPV)

HPV infection produces itchy genital warts which persists, despite repeated antifungal treatment.
Antiviral cream is effective, and women can be vaccinated against HPV 6 and 11, which can lead to genital warts.

Noninfectious vaginitis

This occurs when the vagina becomes sensitive to an irritation, such as perfumed soaps, fabric softeners or even condoms. Removal of the irritant will lead to a cure.