Community Gynaecology Service

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Hello and welcome to our Community Gynaecology Service page.

Community Gynaecology provides specialist gynaecology services from the Ivy Centre at St Leonard's Hospital 

There is also a new community gynaecology pilot which is bringing the care into primary care, improving our learning and how we work together.

Please email Anita Coutinho, if you would like to be involved in improving training and education in Women's Health.




Eligibility criteria


  • Heavy Menstrual Bleeding 
  • Other bleeding problems (where no indication for hysteroscopy or colposcopy)
  • Secondary Amenorrhoea and Oligomenorrhoea
  • PCOS
  • Dysmenorrhoea and/or Pelvic pain  (consider need for referral to hospital endometriosis service)
  • Advice regarding Fibroids or Adenomyosis where patient does not require or desire surgery
  • Complex Menopause care including Iatrogenic Menopause
  • Premature Ovarian Insufficiency (POI) / Premature Menopause
  • Pre-Menstrual Syndrome (PMS)
  • Cervical polyp
  • Difficult Cervical Smear
  • Vulval pain



  • Under the age of 16
  • Suspected cancer
  • Pregnancy problems and/or requests for abortion
  • Patients requiring fertility treatment
  • Colposcopy