Information Regarding Gynaecological Conditions

• Heavy or Abnormal Periods

• Period Pain

• Abnormal Pap Smears

• Ovarian Cysts

• Endometriosis

• Adenomyosis

• Pelvic Pain

• Pelvic Organ Prolapse

• PCOS

• Fertility assessment and management

• Ovulation induction

• Insertion of IUD

While mild discomfort during periods can be normal, severe or ongoing period pain is not something you should have to live with. We understand how deeply period pain (dysmenorrhoea) can affect daily life—physically, emotionally, and socially—and Dr. Dahiya is committed to providing compassionate, tailored care to help you find relief.

Whether the pain is due to common causes like hormonal changes, or more complex conditions such as fibroids, endometriosis or adenomyosis, Dr Dahiya takes a thorough and thoughtful approach to diagnosis and management. This may include a detailed history, pelvic examination, ultrasound, and other investigations where needed.

In Australia, the Pap smear screening program has been replaced with the National Cervical Screening Program (NCSP), which uses a more effective test called the HPV (Human Papillomavirus) test.

The new guidelines, introduced in December 2017, recommend that women and people with a cervix between the ages of 25 and 74 undergo cervical screening every five years, starting at age 25.

The HPV test detects the presence of high-risk HPV strains, which are known to cause cervical cancer.

Unlike the previous Pap smear, which primarily identified abnormal cells on the cervix, the HPV test focuses on detecting the virus responsible for most cervical cancers. If high-risk HPV is detected, further investigations, such as a colposcopy, may be recommended to assess the cervix for abnormalities.

A colposcopy is a more thorough assessment of the cervix, done in a similar way to a cervical screening test. This requires the use of certain stains on the cervix and closer assessment with a magnifying glass/light (colposcope) and may require a small biopsy. 

Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. They are relatively common and can occur in women of all ages. Most ovarian cysts are benign (non-cancerous) and do not cause symptoms. In fact, many women with ovarian cysts may not even realize they have them, as they often go undetected until routine pelvic exams or imaging.

There are different types of ovarian cysts, with the most common being functional cysts, which develop during the menstrual cycle. These typically resolve on their own without treatment. However, in some cases, cysts may cause symptoms such as pelvic pain, bloating, or changes in menstrual cycles. Larger cysts or cysts that do not go away may require medical attention.

While most ovarian cysts are harmless, some may be more concerning. In rare cases, ovarian cysts can become large, rupture, or cause ovarian torsion (twisting of the ovary), leading to intense pain and requiring immediate medical attention. In some instances, cysts may be linked to conditions like endometriosis or polycystic ovary syndrome (PCOS), which may require ongoing management.

Treatment for ovarian cysts depends on the size, type, and symptoms. In many cases, if the cyst is small and asymptomatic, monitoring may be all that is needed. For larger or problematic cysts, treatments may include hormonal therapy or surgery to remove the cyst.

If you experience persistent pelvic pain, bloating, or any other unusual symptoms, it’s important to consult a gynaecologist for further evaluation.

Adenomyosis is a condition that can cause heavy, painful periods and ongoing pelvic discomfort, often affecting women in their 30s to early 50s. Many patients experience symptoms such as prolonged or heavy bleeding, cramping or pain during periods (dysmenorrhoea), persistent pelvic pain, and discomfort during intercourse. These symptoms can be distressing and may significantly impact daily life and wellbeing.

Adenomyosis is more common than many realise—up to 30% of hysterectomy specimens show signs of it under the microscope. However, it can be difficult to diagnose, as its symptoms often overlap with other conditions like fibroids and endometriosis. At your consultation, we take the time to understand your individual symptoms and how they affect you. Diagnosis may involve a detailed history, pelvic examination, ultrasound, or MRI scan. While the only definitive way to confirm adenomyosis is by examining the uterus after a hysterectomy, we can often make a working diagnosis based on your symptoms and imaging.

Pelvic pain refers to discomfort or pain that occurs in the lower abdomen or pelvis, which can affect women of all ages. It may be acute (sudden and severe) or chronic (lasting for six months or more) and can be caused by a variety of conditions. It can be difficult to diagnose the exact cause of pelvic pain and sometimes there are multiple contributing causes.

Common causes include endometriosis, ovarian cysts, pelvic inflammatory disease (PID), fibroids, and irritable bowel syndrome (IBS). In some cases, pelvic pain may also be linked to issues like pelvic organ prolapse or interstitial cystitis.

Pelvic pain can vary greatly in its nature, from sharp or stabbing to dull or aching, and it may be constant or intermittent. It is often associated with the menstrual cycle, but it can also occur outside of menstruation. Symptoms may include pain during intercourse, difficulty with urination, or changes in bowel movements.

If you are experiencing pelvic pain, it’s important to consult a healthcare provider for an accurate diagnosis. The treatment for pelvic pain depends on its underlying cause and can range from lifestyle changes and pain management to more advanced treatments, such as hormonal therapy or surgery.

Management of pelvic pain can sometimes require multiple specialties and require a multi-disciplinary approach to effectively manage the symptoms. Early diagnosis and proper treatment can greatly improve quality of life and help manage the symptoms effectively.

Pelvic organ prolapse (POP) occurs when the pelvic organs—such as the bladder, uterus, or rectum—drop from their normal position and bulge into the vaginal canal. This condition is most common in women, particularly after childbirth, during menopause, or as a result of aging. Factors like heavy lifting, chronic constipation, obesity, or a family history of prolapse can also increase the risk.

Symptoms of pelvic organ prolapse can vary, but common signs include a feeling of fullness or pressure in the pelvic area, urinary incontinence, difficulty with bowel movements, or a noticeable bulge in the vaginal area. Some women may also experience discomfort or pain during sexual intercourse.

Polycystic Ovarian Syndrome (PCOS) is a complex hormonal condition that can impact periods, fertility, skin, weight, and emotional wellbeing. Dr Naman Dahiya understands that every woman’s experience with PCOS is unique and takes a compassionate, individualised approach to diagnosis and management.

As a specialist gynaecologist, Dr Dahiya works closely with each patient to develop a tailored treatment plan—whether the focus is on regulating cycles, improving fertility, managing symptoms like acne or excess hair, or addressing metabolic concerns. He takes the time to listen, explain options clearly, and coordinate care with other specialists when needed, ensuring patients feel supported at every step.

Struggling to conceive can be an emotional and overwhelming journey. Dr Naman Dahiya provides compassionate, evidence-based fertility care tailored to each individual or couple’s needs. He takes the time to listen, understand your story, and guide you through a thorough fertility assessment—looking at factors such as cycle patterns, hormone health, ovarian reserve, uterine and tubal anatomy, and male partner considerations where relevant.

With extensive experience in both medical and surgical fertility management, Dr Dahiya offers a range of options, from ovulation support to minimally invasive surgery for conditions like endometriosis, fibroids, or tubal disease that may impact fertility. When needed, he works closely with fertility specialists to ensure seamless, multidisciplinary care.

For women who are not ovulating regularly—often due to conditions like Polycystic Ovarian Syndrome (PCOS)—ovulation induction can be a safe and effective way to support fertility. Dr Naman Dahiya offers personalised treatment plans using medications such as Letrozole or Clomiphene (Clomid) to gently stimulate ovulation and improve the chances of conception.

Each treatment is tailored to your specific needs, considering your hormone levels, menstrual cycle, and fertility goals. Careful monitoring ensures that the process is both safe and effective, with adjustments made as needed to optimise outcomes. 

Dr Dahiya takes a compassionate and collaborative approach, ensuring you feel supported and informed throughout your journey. With a strong focus on individualised care, he is committed to helping you navigate each step with clarity, confidence, and hope.

Intrauterine Devices (IUDs) are a highly effective, long-acting form of contraception that can also be used to manage heavy or painful periods. Dr Naman Dahiya offers personalised guidance on the most suitable type of IUD for your needs—whether hormonal (such as the Mirena or Kyleena) or non-hormonal (copper IUD).

IUD insertion can be safely performed either in the clinic setting or under anaesthetic in theatre, depending on your preference, comfort level, and medical needs. When performed in clinic, Dr Dahiya takes great care to optimise your comfort—using local anaesthetic and gentle techniques to make the experience as smooth and manageable as possible. You will be fully supported and informed at every step.