Advanced Gynaecology Melbourne
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This website was designed by Assoc. Prof. Alex Ades to provide information and help you understand common gynaecological problems and available treatment options. Throughout the website you will find information about gynaecological problems and available treatment options. The information provided is a guide and is not exhaustive.

It is not meant to substitute consultation with a specialist, but to help you have an informed discussion when you see your doctor. Some pages also have a 'frequently asked questions' session. The website is always changing and we are happy to listen to suggestions and make modifications. Under each topic there is a description of the main aspects of the disease as well as frequently asked questions.
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Endometriosis
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Endometriosis is the presence of endometrium (the tissue that lines the uterine cavity) outside the uterus. The uterus has two main types of cells; muscular cells that make the uterine walls known as myometrium and glandular cells that make the lining of the uterine cavity known as endometrium.

Endometriosis is a condition where patches of endometrial cells grow in other organs in the body, most commonly in the pelvis near or over the back of the uterus, the ovaries, bladder and bowel.Endometrial cells have a very specific function, which is to provide the grounds for a fertilised embryo to attach at the beginning of the pregnancy.
Hysteroscopy
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A hysteroscopy is a diagnostic or surgical procedure done using a hysteroscope. The hysteroscope is an instrument that consists of a long and thin optical lens attached to a camera. It is used to provide vision inside the uterine cavity. In a similar manner a gastroscopy looks inside the stomach, an arthroscopy looks inside joints and a laparoscopy looks inside the abdomen.
Hysterectomy
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Hysterectomy is the surgical removal of the uterus. There are several reasons why this may be required. These include benign conditions such as fibroids, endometriosis, excessive menstrual bleeding, prolapse and malignant ones such as cancer of the ovaries, uterus or cervix. To remove the uterus the surgeon needs to tie or ligate all the vessels and ligaments that provide blood supply and support to the organ.
Hysteroscopic Resection of Fibroids
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Fibroids can be located in different places within the womb. The location of the fibroid and the symptoms determine which method is used to remove a fibroid when required. Fibroids located within the cavity of the uterus or impinging into it, known as submucosal fibroids, may cause heavy bleeding or difficulty conceiving.
Oophorectomy
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An oophorectomy is a surgical procedure to remove one (unilateral) or both (bilateral) ovaries. Similarly to removing the uterus or any other organ, the main vessels providing blood supply to the ovary are secured using a suture or diathermy energy and the organ is then removed. From a technical point of view, an oophorectomy is a fairly simple surgical procedure as the ovaries are relatively easy to access.
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