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OUR SERVICES & TREATMENTS - What to expect and what to bring with you

 

Rest assured that you will be treated as an individual and that any treatment plan will be created with care to ensure that it reflects your own personal circumstances and desires.

As part of each initial consultation, a detailed medical history, including any past pregnancies and/or gynaecological treatments, will be obtained and relevant clinical examination performed, which may include a bedside ultrasound scan.

 

Initial and follow up appointments typically vary according to the nature of the presentation, however, typical guides to patient experience are outlined under each of the service headings below. 

 

Please ensure that you bring the following with you to your first appointment:

  • Your referral letter from your GP - this will ensure that Medicare rebates are available and processed in a timely fashion;

  • Any ultrasound reports and/or films that you may have (including digital access codes if applicable);

  • Any relevant pathology results - these will most likely be included in your GP's referral letter;

  • Any correspondence you may have relating to previous treatments;

  • If you are being seen for a vulvovaginal pain issue then it is helpful if you take the time to print and complete the following questionnaire....

 

 

 

 

 

Consultation fees are payable on the day of your appointment.  For an indication of these fees please contact the rooms.  We will also happily answer any other questions that you may have.

OBSTETRICS

 

Dr Holland encourages partners to attend as many consultations as desired and aims to ensure that couples feel welcomed along the shared journey that is pregnancy.

 

Consultation times and the frequency of visits will vary according to your needs and those of your developing baby.  Typically, your first consultation will be 30-45 minutes with follow-ups around 20-30 minutes in length.  While the frequency of visits can vary, a typical framework is monthly up to 28 weeks, fortnightly to 36 weeks then weekly until you deliver.  

Most visits will include a bedside ultrasound scan including dating and growth as and when appropriate. 

There are a number of routine investigations that we encourage all patients to consider:

  • combined first trimester screening (nuchal scan);

  • NIPT - non-invasive prenatal testing;

  • routine antenatal blood investigations, including rubella immunity, blood group, thyroid function tests and full blood count;

  • morphology scan at 18-20 weeks;

  • oral glucose tolerance test at 26-28 weeks.

 

Further investigations will be determined by your medical history and the progress of the pregnancy.  Similarly, your management plan will be adjusted to your clinical and personal circumstances.

Finally, for those who are wanting the reassurance of expert care but do not have private insurance to cover their delivery, Dr Holland is more than happy to offer shared-care in conjunction with the public hospital.

VULVOVAGINAL DISORDERS

Dr Holland is a Fellow of the International Society for the Study of Vulvovaginal Disease (ISSVD) and as such has a particular interest in the management of vulvo-vaginal pain syndromes and vulval dermatoses. 

Vulvovaginal Pain

Painful intercourse, discomfort/intolerance of tampon use, discomfort with tight clothing and chronic pelvic pain are just a few of the symptoms that women may suffer from and which require a sophisticated and detailed approach to determine cause and treatment.  At the heart of management is recognition of the psychological impact that such conditions often have upon women, and in particular the often misplaced advice that "it is all in her head".  It most certainly is not all in your head and our goal is to provide a detailed, multi-disciplinary approach to your care with the objective of achieving a genuine improvement in quality of life.

As part of your consultation you will receive a detailed medical work-up and targeted examination designed to elicit the underlying cause of your symptoms.  First consultations typically last 45-60 minutes with follow ups taking 20-30 minutes. 

Vulval Dermatoses

Lichen sclerosus, lichen planus, lichen simplex chronicus, atopic dermatitis are common skin conditions that women suffer from and that require an experienced, evidence based approach to their management as provided by Dr Holland.

GYNAECOLOGY

Have confidence that you will be given the time to tell your story, however, as a guide, initial gynaecology consultations typically take 30 minutes with follow-ups lasting 20-30 minutes depending upon the clinical circumstances.

Most gynaecological presentations will require an ultrasound investigation and this will often have been arranged by your GP as part of your referral.  Additional scans, including bedside ultrasound scans, will be performed as needed.

At the end of each consultation you will leave with a clear plan of management targeted to your specific concerns.

IN OFFICE GYNAECOLOGY PROCEDURES

 

We offer a full range of in-office gynaecological assessments and procedures including:

  • Colposcopy

  • Vulvoscopy

  • LLETZ

  • Endometrial sampling

  • Mirena insertion

All in-office procedures are performed in accordance with FRANZCOG standards and in each case a discussion will be had with you regarding the indications and details of the procedure.  Where indicated or requested, Day Surgery facilities are available as an alternative to the in-office environment and this can be discussed as part of your consultation. 

OUR GYNAECOLOGICAL SERVICES INCLUDE MANAGEMENT OF:

Well-Woman Programs 

Yearly Exams

Cancer Screening including Colposcopy

Menstrual Disorders

Contraceptive Therapy

Endometriosis Treatment

Variety of Surgical Inventions including:

  • Hysterectomy - Vaginal, Laparoscopic and Abdominal

  • Laparoscopic and hysteroscopic interventions

  • Pelvic Organ Prolapse surgery

  • Incontinence surgery

Management of vulvovaginal pain syndromes

Management of vulval dermatoses