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Gynaecology
We offer comprehensive gynaecological care tailored to your specific needs. The initial consultation is an opportunity to discuss your history and decide on the treatment that best suits your circumstances.
Our experienced team works to provide clinically excellent yet compassionate treatment.
Dr Mandapati and her team have extensive experience in treating all gynaecological concerns.
A Pap smear is a procedure that involves collecting cells from your cervix — the lower part of your uterus, above the vagina.
Detecting cervical cancer early with a Pap smear increases the chances of successful treatment. A Pap smear can also detect cervical cells that may develop into cancer in the future. Detecting these abnormal cells early with a Pap smear is the first step in preventing cervical cancer from developing in the first place.
Contraception includes hormonal therapies such as Depot Provera, Implanon, Mirena, and the oral contraceptive pill, and non-hormonal therapies such as intrauterine devices. Laparoscopic sterilisation is another possible treatment.
Depending on the pap smear results further detailed examination such as a colposcopy may be necessary to diagnose pre-cancerous changes called dysplasia.
The causes of abnormal menstrual bleeding include hormonal disturbances and uterine problems such as fibroids and polyps. Investigation usually involves a combination of clinical assessment, measurement of hormonal levels, and ultrasound. Treatment may include hormonal therapies (contraceptive pill, Mirena), hysteroscopic surgery (removal of fibroids/polyps or endometrial ablation) and laparoscopic/open surgery (removal of fibroids or hysterectomy).
Menopausal symptoms are varied and can be distressing for some women. The topic of hormone replacement therapy has become controversial and confusing. We aim to advise and inform in an unbiased manner that empowers you to make the right decision in regards to symptom management.
The causes of pelvic pain include endometriosis, pelvic infection, ovarian cysts, and non-gynaecological causes. Examination usually consists of clinical assessment and specialised ultrasound. Management may include antibiotics, hormonal therapies, and laparoscopy.
Pelvic floor weakness, particularly after childbirth may cause vaginal prolapse and/or urinary incontinence. While often distressing, prolapse can be addressed through therapies ranging from physiotherapy to surgery.
Urinary incontinence is the loss of bladder control. The two most common types of urinary incontinence that affect women are stress incontinence and urge incontinence, also called overactive bladder. Incontinence affects twice as many women as men. This may be due to pregnancy, childbirth, and menopause. Urinary incontinence is not a normal part of aging, and it can be treated.
Areas of Expertise
Dr Mandapati specialises in managing gynaecological concerns including:
- Irregular cycle
- Abnormal pap smears - Colposcopy
- Mirena IUD
- Contraception advice
- Fibroids
- Hysterectomy
- Menorrhagia (heavy bleeding)
- Menopause
- Ovarian pathology
- Pelvic Pains & Endometriosis
- Uterovaginal prolapse
- Urinary incontinence
Specialisation and Surgical Procedures
Dr Mandapati offers a broad range of treatments while specialising in pelvic floor reconstructive surgeries and bladder sling procedures.
If you require an in-patient procedure, Dr Mandapati operates out of the Gosford Private Hospital. For less complex procedures such as a colposcopy or Mirena IUD, our clinic is fully equipped to provide treatment.
Hysteroscopy is a minor day surgery procedure where the inside of the uterus is visualised using a fine camera inserted through the cervix. Saline solution is then run into the uterus to allow a good image to be obtained. It does not involve any incision on the abdomen and normally has a quick recovery time. It is performed for a variety of reasons but most commonly for the investigation of infertility or abnormal uterine bleeding. In this case a small biopsy of the lining is also performed (commonly described as a D&C or Dilatation and Curettage). When fibroids and polyps are seen within the uterus these can be removed or resected if necessary.
Hysterectomy is surgery to remove the uterus. It can be necessary for a variety of reasons such as: management of severe endometriosis and to remove uterine fibroids when fertility is no longer desired; management of pre-cancerous or early cancer cells in the lining of the uterus; management of abnormal periods where other less invasive attempts at management have not worked. Hysterectomy can be performed vaginally, laparoscopically or at open surgery. The reason for the hysterectomy will dictate which type of surgery should be undertaken. A common misconception is that the ovaries must be removed at the time of a hysterectomy. Most of the time this is not necessary and for women before the age of menopause it is unusual to remove the ovaries as they are important for the maintenance of healthy hormone levels.
Laparoscopic (keyhole) surgery is where the abdomen is entered through small incisions (typically 5mm). A tiny camera is introduced and the inside of the abdomen is inflated with carbon dioxide to allow a clear view of all abdominal and pelvic organs so surgery can be performed. Laparoscopy is often performed to investigate infertility, removal of endemetriosis, fibroids or ovarian cysts and hysterectomy. Laparoscopy is normally a day surgery but patents will subsequently require a few days of rest.
Procedures performed in-room
- Biopsy
- Pap smear
- Colposcopy
- Mirena insertion