Gynaecology Services

Dr Gary Sykes, as well as being a highly qualified and very experienced obstetrician, is also a very skilled gynaecologist.

Dr Sykes has been a gynaecologist as long has he has been an obstetrician and has successfully managed thousands of women over many years for a considerable range of gynaecology matters.

Dr Sykes’s medical practice bias now pregnancy can with over 90% of patients who see him do so because they are pregnant and want me to be their obstetrician.

Because of our  medical management practice bias, we suggest if you have a gynaecology problem you should phone the office before making an appointment so we can decide if it appropriate to see Dr Sykes. Dr Sykes’s secretary will tell you whether it is appropriate to see Dr Sykes, and if not will suggest a gynaecologist colleague who has a special interest in the management of the gynaecology problem you have. This gynaecologist doctor suggested does not do obstetrics. If you have referral to Dr Sykes but don’t see Dr Sykes then this gynaecologist will accept it, and so you won’t need a second referral.

Below are gynaecology conditions when Dr Sykes is available to see you and gynaecology (in-office and in-hospital) procedures done by Dr Sykes:

Office consultations and procedures

  • Gynaecology well-women check-ups
  • Cervical screening check
  • Abnormal vaginal / uterine bleeding assessment
  • Abnormal cervical screening management
    • assessment by colposcopy
    • follow -up
  • Dysmenorrhoea – assessment and management
  • Endometriosis – medical treatment only
  • Genital warts treatment
  • Contraception assessment, advise and management re options including
    • Diaphragm fitting
    • Oral contraception prescription
    • Implanon rod insertion and removal
    • IUCD (Intrauterine contraceptive device – both Mirena and Multiload Cu 375) – insertion or removal if appropriate as office procedure
  • ‘Hormone problems’ management
  • Hormone replacement therapy management
  • Menopause symptoms management
  • Miscarriage – assessment and prevention
  • Pain of suspected gynaecology origin assessment and management
  • Pregnancy planning assessment and advice
  • Polyp – cervical and endometrial removal.
  • Postmenopausal bleeding assessment and management
  • Prolapse assessment and management including ring pessaries fitting and management but not surgery
  • Sexual intercourse problems management
  • Subfertility assessment and management (not IVF)

Hospital theatre procedures

  • Bartholin’s cyst marsupialisation or excision
  • Cervical dilatation for cervical stenosis
  • Cervical incompetence management by cervical suture insertion (to prevent miscarriage)
  • CIN or Cervical Intraepithelial Neoplasia (abnormal Pap smears) treatment by
    • LLETZ (Large Loop Excision Transformation Zone of Cervix)
    • Cervical diathermy
    • Cone biopsy Cone biopsy of cervix
  • Contraception
    • IUCD (Intrauterine contraceptive device – both Mirena and Multiload Cu375) – insertion or removal if appropriate as hospital procedure
    • Sterilisation Laparoscopic and open
  • Dilatation of cervix and curettage of uterus (D&C)
  • Ectopic pregnancy – management of laparoscopic and open surgery
  • Endometriosis – surgical treatment
  • ERPC- evacuation of retained products of conception
  • Fenton’s procedure for excision of perineal scar tissue or to open vaginal entrance
  • Fibroids management
    • Intramural and subserosal  removal
    • sub mucous – hysteroscopic removal
  • Genital warts treatment
  • Hysterectomy – open not laparoscopic.
  • Hysteroscopy with and without dilatation and curettage
  • Infertility (subfertility) assessment by laparoscopy including tubal patency checking
  • Laparoscopy – some procedures and surgery
  • Miscarriage – management
  • Oophorectomy (ovary removal) open surgery
  • Ovarian cysts – management of including laparoscopic and open surgery
  • Polyp
    • cervical – removal  if appropriate rather than in-office
    • endometrial  polyp – hysteroscopic removal