masthead womenclinic

Women Clinic Services

 

 1

Pregnancy Check Ups

We will be honoured to look after your pregnancy from the time of conception till delivery. You should arrange for a consultation the moment you missed your period. During the first consult we will take a detailed history and perform a thorough physical examination.

An ultrasound scan will be done to accurately date your pregnancy. We will see you at regular intervals until the delivery of your baby.

If required, tests can be done to ascertain if the fetus has genetic or structural abnormalities. This will be done if you are in the high risk group.

Patients can sign-up on our Ante-natal package from 16 weeks of pregnancy onwards. Our antenatal package is competitively priced and it will result in substantial savings if you sign-up early.

 2

Delivery

We offer delivery packages which are competitive and comparable to government restructured hospitals. You can have your baby delivered at one of the following hospitals.

  • Parkway East Hospital
  • Mount Alvernia Hospital
  • Mount Elizabeth Novena
  • Gleneagles Hospital
  • Thomson Medical Centre

Our nurses will be able to go through with you on the various packages offered by the hospitals .

 

 

 3

Fertility Treatment

Any couple who have had unprotected intercourse for a year and are still unable to conceive should arrange to be seen by a specialist doctor. During the first consult we will go through your detailed medical history and physical examination. This will involve a Pap smear, ultrasound scan, blood tests and arrange for a sperm test for your husband. It is better if your husband accompanies you on your first visit.

After the results of the tests are known, the next step would be to undergo laparoscopy which is usually done as a day surgery. This is an excellent tool which may be considered essential in the investigation of infertile couples. We can visualize the female reproductive organs and look for tubal blockage. Fibroids and cysts can be removed at the same time.

With the findings, we will explain to you the possible causes of our inability to conceive and the ensuing treatments involved. This is can be in the form of follicular tracking and timing of intercourse. We can also perform intra-uterine insemination. Assisted reproduction e.g. IVF will have to be referred to the tertiary centers.

 4

Birth Control

You can consult us on the various forms of birth control or contraception. We will inform you of the latest developments in the field of birth control. After the initial consultation and examination, we will discuss with you the various types of contraception available and will tailor the correct form based on your needs and lifestyles.

The various forms of contraception include pills, injectables, condoms, IUCD and implants. Emergency contraception has to be taken within 24 to 48 hours after intercourse for it to be effective.

 5

Well Women Screening

We provide screening for the health conscious female. The basic tests will include Pap smears, ultrasound scans and blood tests, if required. Mammograms will have to be done at the radiology centers. We will advise you accordingly if further treatment is required based on the results.

 

 6

Termination of Pregnancy (Abortion)

Our clinic provides outpatient abortion services for patients up to 15 weeks of pregnancy. Our patients see our clinic as a confidential and discreet , yet personal,  alternative in seeking termination of pregnancy services

Our patients vary in age and come from all lifestyles. We recognize that you have a common bond: an unwanted pregnancy. You can be assured of strict confidentiality and the procedure will be performed by a trained doctor. We respect your right to choose and counseling will be done by a trained and supportive counselor.

The First Consultation

During the first consult, we will determine the age of the pregnancy and go through with you the procedure, the risks and complications of the procedure. If you fall within the group that requires counseling, you will be counseled by a trained counselor . You will have to wait for at least 48 hours before we can perform the procedure. This is to give you time to contemplate on your pregnancy.

Counseling and the Law

In Singapore, counseling is mandatory for Singapore citizens and Singapore Permanent residents with 2 or less children and with some form of secondary education. Single women also have to be counseled. Women below 16 years of age need to be counseled at the Institute of Health. Work permit holders, employment pass holders and long term social visit pass holders are exempted from counseling. Women with 3 or more children do not need counseling.

The Procedure

For pregnancies less than that 14 weeks the procedure will be performed by vacuum aspiration.

The patient will have to fast for at least 4 hours and sedation will be given as anesthesia. This is usually sufficient in the majority of patients. The patient will be monitored after the procedure and should be able to go back 2 to 4 hours after the procedure.

For pregnancies beyond 14 weeks, laminaria will be inserted about 24 hours before the procedure. When the patient comes back the following day, the laminaria will be removed and prostaglandins will be given to extrude the fetus.

Patients will undergo post abortion counseling after the procedure. We will require that the patients come back for review a week later to check that everything is all well.

 

Sterilization

 

Sterilization is performed by surgical division of the fallopian tubes or by the application of clips. You may need to know that sterilization is not 100% effective as there are patients who get pregnant after sterilization. This procedure has to be done in the hospital and is a day surgery procedure.

 

Menopause Treatment

 

The menopause is characterized by the cessation of periods. In addition, the patient may suffer from menopause symptoms and in the long term, osteoporosis. After the consultation, we may decide if you need any medication for the menopause.

Hormone therapy may be indicated in some cases. Recently, hormone replacement therapy has come under a bad light due to recent publications.  However, there are other forms of therapy which will help patients in the management of their menopause. For instance, presently there is hormone like preparations without the side effects of hormones.

 

Fibroids and Cysts

 

Fibroids and cysts are the two most common gynaecological conditions affecting our women today. Treatment will depend on the size of the tumor, consistency, site, symptoms and the desire for future child bearing. Surgery is indicated in the majority of cases.

 

Laparoscopic Surgery

 

Surgery used to be performed the conventional way, requiring large surgical incisions. Advances in medicine have made it possible for us to perform surgery through small key hole incisions. We can discuss if your surgery is deemed suitable to be done in this manner.

 

Treatment of Menstrual Abnormalities

 

Patients with irregular or painful menses can be treated here. Treatment will depend on the cause of the problem.

 

Male Circumcision

 

We  perform male circumcision for the newborn right up to adult age. In infants we use the plastibell (ring) method. For older children and adults we use laser for the procedure.

 

Treatment of Incontinence

 

In most cases the condition is caused by loss of pelvic muscle strength. Women who suffer from this condition, need not continue to put up with the embarrassment and the inconvenience the condition presents them. We can help address this through a simple surgical procedure using Tension Vagina Tape (TVT). It is a day surgery and does not require any hospitalisation.