Women's Screening & Treatment of Preinvasive Diseases
We provide a comprehensive suite of services for the screening, detection and diagnosis of pre-cancerous conditions of the female reproductive system such as the cervix, vagina and vulva. We access the newest prevention techniques, technology and treatment interventions to ensure that you receive the most comprehensive and up-to-date care possible.
Through early detection, we can prevent cancer.
Well women screening
We provide general preventative health screening for women in the clinic. This includes blood tests, pap smear or primary HPV screening as well as mammogram and ultrasound of the pelvis.
Gynaecological cancer screening and prevention
Gynaecological cancers are common among women in Singapore hence early detection is critical to prevent or cure the condition. Reliable screening is available for cervical cancer in the form of a pap smear or HPV test. The pap smear is a test in which cells from the cervix are examined under a microscope for abnormalities that may indicate cancer or pre-cancer. The HPV test is the current new standard for screening in recent years where the woman is tested for the presence of an infection with the human papilloma virus (HPV) — the cause of most cervical cancers — either as a standalone test or in combination with a pap test. However, the HPV test is recommended only for women above 30 years of age.
Cervical cancer can also be reliably prevented with the HPV vaccine. Besides cervical cancer, the HPV vaccine protects against the types of HPV that most often cause vaginal, and vulvar cancers as well. HPV vaccination prevents new HPV infections, but does not treat existing infections or diseases. The HPV vaccine works best when given before any exposure to HPV. You should get screened for cervical cancer regularly, even if you received an HPV vaccine.
Women with a strong family history of breast, ovarian, colorectal cancers or are confirmed BRCA1, BRCA2 or Lynch syndrome (HNPCC) are at an increased risk of ovarian or uterine cancer. There are guidelines on risk management including screening and preventative surgery for such individuals. For more information, please make an appointment.
A colposcopy is a diagnostic procedure whereby the cervix is examined under magnification and a biopsy is done if an area of abnormality is found. Common indications for a colposcopy include an abnormal pap smear, positive HPV test, an abnormal looking cervix or unexplained bleeding from the cervix or vagina. The procedure generally takes about 10 minutes and you will be provided with a printed report after the procedure.
Treatment of Cervical preinvasive disease, LEEP and Laser surgery
Treatment maybe required if a precancer is found and this could be in the form of an ablative surgery or excision surgery. Ablative surgery such as laser vaporisation of the cervix burns way the abnormal cells on the cervix whereas an excision surgery such as a cone biopsy or loop electrosurgical excision procedure (LEEP) removes the abnormal cells by cutting out a piece of cervix tissue. The type of treatment and surgery will depend on several factors including type of precancer, age, co-morbidities, etc.
Management of vulvar disease
Vulvar disease is any condition that affects the health of the woman’s genitals and this can range from sexually transmitted diseases to cancer and include infections and autoimmune disorders. Vulvar conditions can be debilitating as women often not seek help early due to embarrassment. Common symptoms include itch, pigmentation, lumps, ulcers and pain. Please visit the clinic for further assessment and information.
Management of Gestational Trophoblastic Disease
Vaginal intraepithelial neoplasia (VAIN) means that there are abnormal cells in the lining of the vagina and when these changes are severe they could turn into vagina cancer. VAIN is rare and generally has no symptoms but it can be detected by the presence of abnormal cells in a pap smear. Infection with certain types of the HPV virus may be associated with up to 80% of cases of VAIN. Treatment may be in the form of medication or surgery. Please visit the clinic for further assessment and information.