Women’s Health Clinic

Dr. Saoussen Sayhi-Kouteich

Dr. Saoussen Sayhi-Kouteich          Consultant Gynaecologist and Obstetrician

Obstetrics & Gynaecology – Fertility – Women’s Health

Our Gynaecology and Women’s Health Clinic at the Irish Medical Clinic aims to enable you to discuss any health concerns you may have in a comfortable and relaxed environment.

Our Consultant Gynaecologist & Obstetrician, Dr. Saoussen Sayhi-Kouteich specialises in infertility (diagnosis & treatment), Pre-pregnancy care, Menopause, Sexual Health, Menstrual Disorders, Cervical Screening, Poly-cystic Ovaries and Endometriosis.

Offering routine check-ups and treatment for specialty conditions, IMC women’s health clinic offers quality health care for women of all ages.

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Gynaecology & Obstetrics

Pelvic Exam and Pap Smear

All sexually active women from the age of 21 should have pap smears carried out every 1-2 years. Your doctor will first address any concerning symptoms and then carry out a pelvic exam checking the womb and ovaries for any abnormalities. During the exam they will take a sample from the cervix using a small soft brush. This is called a pap smear and can detect early precancerous cell changes.

Hormone Testing for Menstrual Disturbances

Menstrual cycles vary greatly amongst women and will often change throughout a woman’s life. Common causes of irregular bleeding include contraceptive pills, weight changes, childbirth, hormonal imbalances and stress. Less common causes include infections and gynaecological cancers. Please bring a record of your cycle dates and details so your doctor can make a thorough assessment. Blood testing for hormone levels such as thyroid, prolactin and testosterone may be necessary.

Sexual Health Screen

All sexually active women should have regular sexual health screens to detect for infections such as chlamydia, which often go undiagnosed. Some pelvic infections can lead to chronic pelvic pain and fertility problems later in life. Your doctor will sensitively address your concerns and carry out a simple swab for pelvic infection as well as a blood test for blood borne infections. Male screens are also encouraged and involve only a urine sample and blood test. Any positive results with be treated in a confidential manner with full support and follow up.

Fibroids

Endometriosis/Poly-cystic Ovaries Treatment

Genital Tract Prolapse

Colposcopy

 

Fertility Clinic

Preconception Counselling

When deciding to start a family it is advisable to see your doctor approx. 3 months prior to assess your reproductive health, particularly if you have any medical conditions like asthma or epilepsy. Your doctor will review your medical history and check BMI, blood pressure and urinalysis. A pap smear and STD screen are advised if not recently performed. Blood work will detect anaemia, thyroid dysfunction, liver and kidney health as well as immunity to viruses such as rubella and chicken pox; all of which are harmful to infants during pregnancy. Vaccination is recommended pre conception if you are not immune. Your doctor will advise on nutrition, exercise, folic acid supplementation and family planning.

Fertility Assessment and Semen Analysis

About 1 in 7 couples will find themselves waiting longer than expected to conceive. This can be a difficult time, putting strain on both partners. However over 80% of couples will conceive within a year and over 90% within 2 years. Your doctor will take a full history checking your menstrual cycles and gynaecological history. Hormone levels, pap smear and STD screen are usually advised. Often simple causes can be diagnosed and treated like thyroid dysfunction or high prolactin levels. If necessary your doctor will arrange a pelvic ultrasound and gynaecology consultation. Men are also offered fertility assessment, blood work and semen analysis.

 

Womens Health

Breast

During the consultation your doctor with firstly assess your risk of breast cancer from your family history. They will check for any concerning symptoms and demonstrate how to perform a proper breast examination. Mammograms are recommended every 1-2 years from the age of 45 years, depending on your level of risk and personal preferences. Younger women at very high risk may need breast ultrasound, MRI or genetic testing.

Contraceptive Pill check

Finding the right pill for you can take time. Some women have specific concerns such as acne, weight gain or mood changes. During the pill consultation your BMI and blood pressure are checked and your doctor will assess for any risk factors for blood clots such as smoking, family history and obesity. They will then, taking into account your own preferences, help to select a hormone combination that suits you. Options include combined pills (estrogen & progesterone), mini pills (progesterone only), vaginal rings and patches.

Menopause Symptoms Management

The menopause is a natural life stage which most women pass through without medical intervention. However, for some, symptoms can be severe enough to interfere with quality of life. There are a variety of hormonal and non-hormonal treatments that can help to control symptoms. During the consultation your doctor will also assess other areas of preventative medicine like bone health, cardiovascular risk factors and breast cancer screening. 

Cardiovascular Health and Cholesterol Check

Heart disease is the number one cause of death in women but is often overlooked while assessing other woman’s health issues. During the consultation your doctor will assess your cardiovascular risk factors and check your blood pressure, pulse, heart and BMI. Our nurse will take a fasting blood sample for cholesterol levels and if indicated carry out an electrocardiogram (ECG). Following your assessment your doctor will use the QRisk score to predict your risk of a cardiovascular event over the next 10 years. A cardiovascular check is recommended for all over the age of 40 and earlier in those with a strong family history.

Diabetes Screen

Type 2 Diabetes Mellitus develops later in life, usually in the fourth decade, and often goes undiagnosed for months or even years. Screening for diabetes can catch the disease early; preventing organ damage and improving blood sugar control. Your doctor will assess for risk factors like family history, gestational diabetes, polycystic ovaries and obesity. A fasting blood glucose level is taken in the morning and if this is elevated a repeat sample along with a more specific HbA1c blood test will confirm the diagnosis.

Colon Screen

Colon cancer screening can detect cancer in people with no symptoms. Early detection carries a much better chance of successful treatment. Screening should begin at age 50 and continue every 2 years. Testing involves checking a stool sample for traces of blood which cannot be seen. The sample is collected at home with an easy to use kit. About 5 in 100 samples will come back positive and require further testing with a colonoscopy.