Community Gynaecology Service

All community based gynaecology issues can appropriately be referred to this service. Anything which will clearly require surgery will need to be referred to UHCW. We do not see any patients with suspected cancer or pre-cancer. All referrals are made via Choose and Book under Women’s Health.

The Community Gynaecology service is based at:
First floor of City of Coventry Health Centre
2 Stoney Stanton Road,
Coventry
CV1 4FS.

The service is provided by a team of gynaecology consultants (Mr Tony Parsons, Mr Feras Izzat and Mr Lawrence Anyanwu) and three specialist gynaecology nurses (Ms Deb Hunt, Ms Linda Mutton and Ms Marie White).

COVID-19 Impact Statement

Consultant led One Stop Gynae clinic, Mr Izzat & Mr Anyanwu

• Patients with menstrual disorders, amenorrhea, dysmenorrhea, menorrhagia, hypomenorrhea/ oligomenorrhea,
• Chronic abdominal pain and suspected ovarian cysts,

Procedures performed with the consultant led clinic include:

• Vaginal and abdominal scanning
• Saline sonography
• Endometrial biopsy
• Insertion of difficult IUS/IUD
• Removal of IUS/IUD under ultrasound guidance (Following 2 attempts at removal)
• Patient pathway for Management of absent IUD (please see link in right hand panel)
• Mirena fits for patients with menorrhagia only. If a Mirena is required for contraception, referral to Integrated Sexual Health is required.

For contraceptive purposes, please advise the patient to contact Integrated Sexual Health on 0300 020 0027 to arrange a consultation.

Endometrial polyps should be referred to UHCW as surgical intervention may be indicated.

Menopause and Hormone Related Problems Clinic – Mr Parsons

• Menopausal symptoms
• Management decisions regarding HRT
• Pre-menstrual symptoms (PMS)
• Osteoporosis assessment and treatment
• Polycystic ovarian syndrome (PCOS)

Refer via NHS E-referral Service: “Gynaecology Consultant Menopause and Hormone Related Problems”

Community Nurse led Assessment and Treatment Clinic

• Prolapse assessment and ring/shelf pessary fits (We do not offer vaginal ring changes. We can offer support/training if required. Please contact Deborah.hunt2@covwarkpt.nhs.uk)
• Difficult cervical smears (see also Colposcopy Service)
• Cervical polyps
• Removal of  IUD/IUS (where threads are visible)
• IUD/IUS thread checks
• Sterilisation counselling including LARC options.

Where sterilisation counselling, including LARC options has been thoroughly explored, referrals should be made directly to (George Elliot Hospital).

Community Incontinence Clinic – nurse led

Patients complaining of incontinence should be referred to the community incontinence clinic. For further details, go to Continence Nurse from the A – Z tab on GP Gateway.

Continence Physiotherapy

• Incontinence of bladder and/or bowel
• Prolapse
• Weak pelvic floor muscles
• Overactive bladder
• Loss of sexual sensation

Procedures include vaginal examination, bowel examination, bladder scans, urinalysis, neuromuscular stimulation and biofeedback. The clinical lead is Ms Charlotte Leung, Specialist Physiotherapist for Women’s Health, charlotte.leung@covwawrkpt.nhs.uk  Please refer to “Women’s Health” via Choose and Book.

Menopause and Hormone Related Problems Clinic – Mr Parsons

• Menopausal symptoms
• Management decisions regarding HRT
• Pre-menstrual symptoms (PMS)
• Osteoporosis assessment and treatment
• Polycystic ovarian syndrome (PCOS)

Refer via NHS E-referral Service: “Gynaecology Consultant Menopause and Hormone Related Problems”

Pelvic Floor Exercises

Service provided by South Warwickshire Foundation Trust (SWFT)

Outpatient physiotherapy

Multiple outpatient clinics are provided across Warwickshire for men’s and women’s health (continence)

Referral by primary or secondary care