I don’t have private health fund insurance. Will you still see me?
Yes. A general fee schedule is available through reception on 07 3188 5000 or email@example.com. Fees will be discussed in detail at your first consultation.
Is onsite parking available at Greenslopes Obstetrics and Gynaecology?
The closest parking for our practice is the Greenslopes Private Hospital multi-storey visitor car park. The entrance is on Nicholson Street. Some street parking is also available.
Is it safe to exercise during pregnancy?
Of course! It is safe for most women to continue exercising in pregnancy, and exercise is known to improve a mother’s physical and mental health, without harm to her baby. A helpful goal for pregnancy exercise is to maintain a good level of fitness without trying to reach peak fitness levels.
Women can aim for the Australian Physical Activity Guidelines of 150 minutes of moderate intensity exercise per week. A useful test is the “talk test” – if a woman can hold a conversation during exercise, she is exercising at a comfortable intensity.
Remember, weight gain and changes to your heart rate and blood pressure can change your exercise tolerance, and that contact sports and sports with a high risk of falling should be avoided. Aerobic and strength-conditioning exercises are preferred.
If you have a high-risk pregnancy or pre-existing medical condition, you should seek individual advice about exercising in pregnancy from your obstetrician.
General advice includes, avoidance of overheating, exhaustion and rapid posture changes, and maintaining hydration. Exercise should be stopped immediately if any of the following occur:
- Abdominal or pelvic pain, including contractions
- Vaginal bleeding or fluid loss
- Calf pain or swelling
- Chest pain
- Shortness of breath before exertion, or excessive shortness of breath generally
- Dizziness or presyncope (feeling as if you will “pass out”)
- Excessive fatigue
- Decreased fetal movements.
The following is a helpful document for women, produced by Sports Medicine Australia
Will you definitely be present at the delivery of my baby?
I cover my own patients Monday to Friday. However, as patient safety is of my utmost concern, and to reduce the chance of fatigue and medical errors, there may be some times when a colleague will provide cover for me. I am part of a weekend and public holiday on-call roster, shared with my colleagues at Greenslopes Obstetrics and Gynaecology.
In addition, until February 2017, I will be working part-time in public Obstetrics and Gynaecology at the Mater Hospital, South Brisbane. There may be times when I am working at the Mater and cannot attend to my patients urgently, but please rest assured that at these times one of my colleagues will be at your side until I am available
Periods: What is “normal” in teens?
Young women should start having periods by the age of 15, and should seek medical advice if they don’t meet this milestone of puberty. Most young women have irregular menstrual cycles for the first year or two after menarche (the first period), and a woman will usually establish her normal cycle length by the age of 18.
As mentioned, teenage menstrual cycles can be somewhat irregular – below is a guide to what is considered “normal” for a young woman’s menstrual cycle:
- Frequency: every 21-45 days
- Regularity: approximately monthly
- Duration of flow: 3-7 days
- Volume: 3-6 pads per day
- Menstrual bleeding that falls outside of these ranges, particularly long cycles, increased number of days of bleeding, or heavy bleeding, should be evaluated by a doctor, as these may be signs of an underlying medical or gynaecological problem – they should never be put down to normal adolescence.
Due to my interest in adolescent gynaecoIogy, I am happy to advise and treat young women with problematic periods – there are many safe interventions to help with menstrual issues, and I believe that a young woman should never have to suffer during her periods!
What does adolescent gynaecology encompass?
Adolescent women (those in the teenage years and early adulthood) can, unfortunately, suffer from the same gynaecological problems as older women. In addition, there are some gynaecological issues that are unique to adolescents – I am happy to help you with all of them.
At your visit, I will talk to you about your concerns with your parents or carers present, and then separately. Please don’t be scared about your visit – a lot of the time, I won’t need to examine you at all, and I certainly won’t perform a pelvic (“internal”) examination when a woman isn’t yet sexually active.
Some of the problems in adolescent years that I can help with include:
- Problematic periods
- Menstrual suppression, e.g. for young women with intellectual or physical disabilities
- Contraceptive counselling and prescribing, e.g. for young women with chronic medical issues
- Pelvic pain
- Ovarian and other cysts
- Vaginal discharge, vulvovaginal conditions, STIs
- Abnormal pap smears
- Polycystic ovarian syndrome
- Congenital anomalies of the genital tract
- Disorders of sexual development, other chromosomal problems
- Delayed or early puberty
Some of these conditions can be quite complex, and should ideally be managed by a team including an adolescent endocrinologist and psychologist. If your condition requires the expert input of other specialists, I can organise the appropriate referrals when you visit me.