Emily welcomes all patients with concerns related to gynaecology (‘women’s health’).

1. For example, she consults regarding the following and more:

• Endometriosis

• Chronic pelvic pain

• Painful periods

• Infertility

• Abnormal vaginal bleeding

  • Heavy menstrual bleeding

  • Abnormal discharge

  • Bleeding after menopause

• Contraception

  • Including permanent contraception counselling for patients who never want to conceive.

• Abnormal findings on ultrasound, including:

  • Thickening of the uterine lining

  • Uterine lining polyps

  • Fallopian tube swelling

  • Ovarian abnormalities eg cysts, masses

• Pain with sex

  • Vulvodynia/Provoked vestibulodynia

  • Deep dyspareunia (deep pelvic pain on penetration)

• Vulvar skin issues

  • Lichen Sclerosus

  • Vulvar intraepithelial neoplasia (VIN)

  • Lumps and bumps

• Fibroids

• Adenomyosis

• Polycystic ovarian syndrome

• Abnormal cervical smear/HPV testing results

• Symptoms of menopause

  • Including menopause after a cancer diagnosis

• Pelvic organ prolapse

• Pelvic inflammatory disease

Thanks to extra training and expertise in the field of Abdominal Wall Neuropathy. She welcomes referrals for non-gynaecological patients regarding Anterior Cutaneous Nerve Entrapment Syndrome.

2. Emily appreciates that patients often present having already decided what surgical treatments they would like to discuss. Here is a condensed list of the procedures she offers at an expert level, after appropriate counselling.

• Laparoscopy (keyhole surgery) for

  • Endometriosis

  • Hysterectomy*

  • Ovarian issues*

  • Fallopian tubal issues

  • Ectopic pregnancy
    

  *Emily is a level 6 laparoscopic surgeon (highest accreditation in Australia and New Zealand), but in the event that your procedure must be performed via the open route, she can confidently provide this.
  

• Laparoscopy or open surgery for particular fibroids.

• Hysteroscopy (telescopic treatment of issues within the uterine lining) for

  • Diagnosis for abnormal bleeding.

  • Removal of polyps.

  • Removal of fibroids

  • Endometrial ablation

  • Treatment of adhesions

  • Treatment for anatomical variations such as uterine septum.

  • Treatment of intrauterine device issues. 

• Cervix, vagina, vulva treatments

  • Colposcopy

  • Treatment of pre-cancerous lesions – e.g. Large Loop Excision of the Transformation Zone, cone biopsy, wide local excision.

  • Treatment of cysts – Bartholin’s, Gartner’s, Skene’s.

  • Vestibulectomy for provoked vestibuodynia or lichen sclerosus.

• Management of miscarriage, unplanned pregnancy or retained products of conception

• Colposcopy (microscopic assessment following abnormal cervical smear/HPV testing).

• Abdominal wall pain treatments

  • Ultrasound-guided transabdominal plane nerve blocks

    • Including in pregnancy.

• Minor operations in the clinic

  • Biopsies of the endometrium, cervix, vagina or vulva.

  • Insertion and removal of intrauterine device (eg Mirena, copper IUD)

  • Treatment of Bartholin’s cysts

If you have predetermined what treatment you want and cannot see it on this list, please call us or email dremilytwidale@gmail.com and we will see if we can help. Emily is enthusiastic about you getting a gold standard of care, if she does not think she is the best person to lead your treatment, she will likely have a recommendation for another gynaecologist who could suit you.