Referrals to our clinics
All patients need to be referred to the department by a GP or other medical doctor. If you feel you need to be seen in one of our clinics, please visit your GP and ask him/her to refer you to us.
If you already have an appointment, you can view your appointment details online at my.drdoctor.co.uk.
General outpatients clinic
This clinic provides consultation and management for women experiencing general gynaecological problems such as heavy or painful periods, fibroids and pelvic pain. We also have an advanced endometriosis clinic.
Patients may need to have investigations such as blood tests or a pelvic scan before coming to this clinic.
These clinics are nurse-led. They run alongside the general gynaecology clinic.
The clinic nurses assess women booked for surgery shortly before their surgery date. They check that there have not been any significant changes since your last appointment. They also make sure that you are physically fit for surgery and understand what it involves.
Any investigations and blood tests needed before surgery will be done in this clinic. The clinic is also an opportunity to identify patients who are more likely to develop complications due to the anaesthetic. A specific plan is then drawn up to lower their complication risk.
Research shows that patients who are pre-assessed before being admitted for surgery are less anxious and have a better relationship with the medical staff. Because of this, they generally recover quicker.
We offer a ‘one stop’ preassessment clinic for the day surgery unit, so we can assess you and perform ant tests on the same day as your clinic visit.
This clinic is run by experienced nursing staff and offers counselling to women considering sterilisation as a contraception method. It aims to make sure that you fully understand the advantages and disadvantages of the procedure. If you decide against sterilisation, you are given advice so you can make an informed decision about the best long-term contraception method for you.
Menopause and early menopause clinics
These clinics are run by a medical consultant and a nurse consultant. They see women who have a wide range of menopausal problems, such as severe symptoms, early menopause, problems finding the correct hormone replacement therapy (HRT), bleeding while taking HRT and women who need specialist care as they have other medical conditions.
There are also facilities available to investigate abnormal bleeding within this clinic.
Minor procedures clinic
These are one-stop clinics for consultation, diagnosis and treatment. You will see either a nurse or a doctor who will carry out any investigations needed to diagnose your problem, explain what could be wrong and offer advice and/or treatment. The clinics see women with:
- abnormal or heavy vaginal bleeding, such as bleeding in between periods
- cervical polyps (small growths of tissue on the neck of your womb)
- heavy or offensive (bad) smelling vaginal discharge
- problems with their vagina/vulva
- problems with coils (a method of contraception)
While you are at this clinic and depending on your specific symptoms, you may be offered:
- an ultrasound scan - this involves placing a small ultrasound probe into your vagina, so your doctor or nurse can see an ultrasound ‘picture’ of your ovaries and womb
- a physical examination, blood tests, swab tests and a cervical smear test
- a hysteroscopy – this is where a small instrument with a camera on the end is passed through your vagina and the neck of your womb (cervix) to look inside your womb
- a biopsy (tissue sample) of the lining of your womb and your cervix
- a biopsy and removal of any polyps/skin tags (small growths of skin) found on the vulva or cervix
- cauterisation of your cervix (removal of a layer of cells that bleed easily by heat).
We will send you a detailed information leaflet explaining your treatment with your appointment.
This multi professional clinic is specifically for women experiencing urinary and prolapse problems. It is headed by a consultant urogynaecologist. A continence clinic and a ring pessary clinic run alongside the urogynaecologyclinic:
Conservative continence clinic
A specialist nurse with an interest and experience in promoting healthy bladder and bowel function, runs the conservative continence clinic. Advice is given for all types of urinary incontinence - most commonly stress urinary incontinence and over activity of the bladder. Stress incontinence is where you accidentally leak urine, for example when you sneeze, laugh or exercise. The following treatments and advice are given:
- pelvic floor exercises
- vaginal cones
- electrical stimulation and biofeedback
- bladder retraining
- advice on fluids
- bowels – advice on constipation and general bowel problems
- health promotion
- teaching women who have problems emptying their bladders how to catheterise themselves
- preoperative classes for those waiting for prolapse or incontinence surgery
- support for women after urogynaecological surgery.
Ring pessary clinic
The ring pessary clinic is run by a nurse and is for women who need a pessary inserted or changed. Pessaries are a treatment to manage prolapse (where an organ in your pelvis drops down from its normal position). This clinic offers the women attending - most of who are elderly - the benefit of seeing the same nurse at each visit, helping them to feel more relaxed and less anxious about their appointment.
Tel: 020 7188 7188
Colposcopy (surgical examination of the vagina and cervix), is a central part of the NHS Cervical Screening Programme. This programme aims to reduce the number of people who develop invasive cervical cancer by detecting and treating early abnormalities.
The unit at Guy’s receives over 2,000 referrals every year, which is the highest number of referrals out of all the clinics in London. If you have an abnormal smear (cervical cytology test) result, you may be referred for a colposcopy examination so that the colposcopist can look at your cervix, identify any potential problem and treat it. About one in 12 smears come back as ‘abnormal’. However, an abnormal or positive smear test very rarely means that you have cancer.
There are 12 clinics during the day and two Tuesday evening clinics a month. Two nurse-led smear clinics also run each week. Nurses are always available to give advice or to discuss any concerns about your examination and/or treatment. We will offer you treatment at your first visit, if appropriate.
Female colposcopists are available, so please let us know if you would prefer to be examined by a female member of staff. A leaflet that explains the procedure is sent to you with your appointment letter.
If you need advice on the whereabouts of other clinics or advice about emergency contraception, please call NHS 111 hours a day.
This clinic is specifically devoted to endometriosis patients. We offer a specialist service for endometriosis and have two dedicated lead gynaecology consultants for endometriosis, Professor Janice Rymer and Mr Kumar Kunde. For more information, see the endometriosis clinic page.
Reproductive medicine clinic
This clinic gives advice to women and their partners who are experiencing difficulties conceiving or who have repeatedly experienced problems in early pregnancy. It is linked with the assisted conception clinic on the 11th floor of Tower Wing at Guy’s Hospital.
The clinic team consists of four consultant gynaecologists and other senior doctors who specialise in subfertility, a consultant andrologist (who specialises in male infertility).
Rapid access clinic
This clinic provides a one-stop assessment clinic for patients meeting the NICE (2004) referral criteria for urgent suspected cancer referrals.
All patients will be given an appointment within two weeks of receiving the appropriate GP referral.
This clinic also provides assessment service for suspected gynaecological malignancies from other sources of referral within Guy's and St Thomas' i.e. GUM clinic, A&E, other consultants within the Trust.
Bladder, bowel and pelvic floor muscle disorders