Rapid Access Clinic
Gynaecology Rapid Access Clinic
The reason for reviewing women in the Rapid Access Clinic includes the following:
bleeding after the menopause/unscheduled bleeding on HRT
post coital bleeding (PCB) - bleeding after sexual intercourse
a clinical abnormality of your cervix, vulva or vagina has been noted, which requires further investigation
a pelvic abnormality ie an ovarian cyst which requires further investigation
These symptoms could be a sign of serious disease such as cancer, hence the need for urgent review. We aim to see you within a week of the referral. We always endavour to offer a one-stop service, performing investigations on the same day. Therefore, we may ask you to prepare yourself to be in the clinic for a lengthened time – this maybe up to a couple of hours.
Depending on the nature of your problem we may perform, Colposcopy Assessment, Hysteroscopy or other diagnostic services. This may involve taking biopsies on the day.
What can I expect to happen at my appointment?
This will depend on the reason for your referral but may include some of the following investigations:
Consultation: This is essential part where we will talk to you to determine the nature and seriousness of the problem. This may include an internal examination, a cervical smear or biopsy if appropriate.
Ultrasound scan: This investigation is used to provide images of the uterus and the ovaries. It may be carried out on the abdomen with a full bladder or using a vaginal probe (internal scan).
Endometrial biopsy: A biopsy to remove a sample of the endometrium (lining of the womb). This involves an internal examination and although it only takes a few minutes, it can be uncomfortable – you may experience crampy period type pains. You may wish to take paracetamol 1g and ibuprofen 400mg (assuming that you are not allergic or have any other contraindications to taking this medication) one hour before your appointment to help with any discomfort you may experience during the procedure).
Cervical biopsy: A small piece of tissue is taken from your cervix. Local anaesthetic is not usually needed. The procedure generally causes little discomfort.
Vulval biopsy: A small piece of tissue is taken under local anaesthetic. The procedure generally causes little discomfort.
Blood tests: If an ovarian cyst is found on ultrasound, a blood test called CA125 is recommended to help distinguish between a benign or malignant cyst. Other blood tests may also be requested.
General advice
You may bring a friend/relative with you for company and support.
If a biopsy is needed, an experienced nurse will assist the doctor and provide you with support and reassurance.
You may experience some bleeding after a biopsy. Sanitary towels are provided or you may prefer to bring your own.
Following a biopsy we would recommend you arrange to have the rest of the day off work.
If you are booked for an operation from clinic, you may need to attend the pre- assessment unit (PAU) on the same day.
Booking your appoinment:
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