Womens Health
We look after the following aspects of women's health:
| Cervical Screening | |
| Gardasil Vaccination (Cervical Cancer) | |
| Breast Check Sexual Health | |
| Contraception | |
| Ante and Postnatal care | |
| Unplanned Pregnancy | |
| Fertility Problems | |
| Menopause Well Woman Medical |
The Rowe Creavin Practice is registered with the National Cervical Screening Programme. If you are between the ages 25 - 44 years you are entitled to a smear once every three years.
If you are between 45 and 60 years ,you are entitled to a smear every five years.
The ideal time to have a smear test is midcycle i.e. 10 days 2 weeks after the first day of your last periods (unless you no longer are having periods, in which case you can book anytime).
You must bring your letter of invitation from Cervical Check on the day of appointment. In order to get this invitation letter you must register with Cervical Check on line now. You will neeed PRSI / PPS number to register. Click here to register with Cervical Check.
Breast Screening
It is important for all women to remain breast aware throughout their lives.
What changes should I be aware of?
A change in size or shape- if one breast becomes larger than the other
Changes in the nipple - In direction or shape, flattening , or pulling appearance
Changes around the nipple - Ongoing rash, crusting of surrounding skin
Changes in the skin - dimpling puckering or redness
A lump of any size in your breast
Constant breast pain
Swelling in armpit or above collar bone
The 5 point breast awareness code
1. Know what is normal for you
2. Know what changes to look and feel for (see above)
3. Look and feel your breasts regularly so you know if there is a change
4. If there is a change it is vital that you schedule an appointment with your GP
5. You should be invited for breast screening once you are 50 yrs of age
We provide a Full STI Screen includes samples taken and tested for Chlamydia, Gonorrhea, HIV, Hepatitis B, Hepatitis C, Syphilis and a cervical smear for women.
Contraceptive Services
Combined Pill
This is the popular form of contraception. Containing oestrogen and progestogen, the combined pill is greater than 99% effective when taken correctly. It is a prescription drug requiring attendance with doctor every 6 months for a blood pressure check.
Mini Pill
Progestogen-Only Pill There are also pills which have progestogen only and no oestrogen. The mini- pill is greater than 99% effective. The progestogen-only pill is ideal for women who for various medical reasons cannot take the combined pill. These include breast feeding mothers. Also it is a suitable alternative for older women.
Depo Provera
Injectable Contraception Only one type is available in Ireland, it is called Depo-Provera. It can be used by women who cannot use other methods of hormonal contraception. The Depo- Provera must be administered every 12 weeks.
Mirena Coil
The Mirena coil is an excellent form of contraception.It consists of a plastic T-shaped coil containing progestogen. The coil is inserted day 3-7 of your menstrual cycle. An added benefit is that the Mirena also is very effective at treating heavy painful periods In fact some women may have no periods at all. The Mirena is effective for 5 years after insertion.
Implanon
Implanon is a single rod implant providing up to 3 years contraceptive protection with greater than 99% effective in preventing pregnancy. Active ingredient of Implanon is the progestogen Etonogestrel.
If you are not using other forms of contraception Implanon should be inserted between Day 1-5, but at the latest on Day 5 of your cycle. (Day 1 being the 1st day of your period)
If changing from a combined hormonal contraceptive (combined oral contraceptive (COC), vaginal ring, or transdermal patch) Implanon should be inserted preferably on the day after the last pill.
If changing from a progestagen-only-method (minipill, injectable, a different implant, or from a progestagen-releasing intrauterine system [IUS])
Implanon may be inserted any day when the woman is switching from a minipill
Implanon may be inserted when another implant is due to be removed
Implanon may be inserted when you are due your next Depo- Provera or progesterone injection
Following childbirth Implanon should be inserted on day 21-28 after delivery. If the implant is inserted later than day 21- 28 then you need to use extra precautions for first 7 days after your implant is inserted. If you have been sexually active then a pregnancy test should be carried out or wait for your next period before the implant is inserted.
It is inserted subdermally in the inside of the upper arm by a trained healthcare professional. If you are right handed then the Implanon is inserted into your left upper arm. If you are left handed then it is inserted into the right arm. Local anaesthetic is injected to numb the area. Then the implant is inserted, the procedure is like an injection.
Contraceptive Patch
Evra is the only contraceptive patch currently available on the market. A patch is applied every week for three weeks. Again it is very reliable, more than 99% effective.
Emergency Contraception - ''Morning after pill'' Levonelle
If you have had sex and did not use contraception, or if you think your contraception did not work you can use emergency contraception. This should be taken within 72 hours of unprotected sex. The earlier you take it the better. This is available after a consultation with your doctor.
Menopause and HRT Service
The term menopause means last menstrual bleed. During the menopause the production of the female hormone oestrogen declines.
The menopause can cause a range of the following symptoms
hot flushes and night sweats
Fatigue / tiredness
Insomnia
headaches
vaginal dryness
emotional symptoms
However, women can now be expected to live well into their eighties. Hand in hand with this increase in life expectancy comes a number of potential health risks that can serious affect women in the years after the menopause.
1. Osteoporosis - Bone loss which can cause crippling disease for older women
2. Heart disease - Women in Ireland have the highest incidence of heart disease in Europe
3. Breast cancer
We can offer a comprehensive menopausal assessment for women, determining their individual risk for osteoporosis, heart disease and breast cancer. We can also discuss the option of HRT as a symptomatic treatment for difficult menopausal symptoms on an individual basis.
What is Involved?
Prior to the consultation you will be given a medical questionnaire to complete at home, which helps to highlight any special concerns. The full consultation and examination including investigations only require one visit which lasts approximately one and a half hours. Subsequently a written health profile will be forwarded to you, outlining all results and recommendations made by your doctor.
Electrocardiograph (ECG)
Spirometry
Haematology profile (FBC)
Liver Testing (LFT)
Kidney Testing (U&E)
Thyroid function test
Cholesterol testing
Fasting Glucose for diabetes
Urine Analysis
Faecal Occult Blood Test Checking for blood in your stools
Cervical Smear Test
Breast Examination
Hearing Test
Full Lifestyle analysis with the doctor
Supplementary tests may be suggested and arranged in certain cases. These tests are carried out in the hospital setting and do carry an additional fee, for example:
Chest Xray
Stress/Exercise ECG
Ultrasound Scan
Mammogram
Why have a medical examination ?
Screening is the process of identifying a medical problem at its early stage, when treatment and management is much easier. A regular medical examination gives you useful information about your health and can sometimes also highlight familial conditions. Advice will be provided will regard to the management of any short-term and long-term medical problems. A full report is then sent to you regarding your results.
As you will need to fast for at least 14 hours beforehand, we encourage patients to book early morning appointments.
To make the appointment, please contact our reception staff on 051- 370057 and a copy of your pre-assessment questionnaire will be forwarded.
Please remember to bring the completed questionnaire with you to your appointment.
Telephone: (051) 370057
Open Monday- Friday.
Night time , Sat & Sun for the doctor on call please contact
CAREDOC 1850 334 999
Book an Appointment on line now...click here
LATEST NEWS
Waterford Health Park has been shortlisted for best health building at the World Architecture Awards 2010 which takes place in Barcelona. click here for more info
Welcome to Dr. Marina Vasileva
Dr. Marina is delighted to join the practice. She welcomes all her patients both new and old.
Dr. Marina has fluent Russian and English. Call 051 370057 to book appointment.
Planning a Trip abroad?
Click Here for further information on Travel Vaccines & Health Advice for travellers overseas.
Prof Brendan Drumm CEO of the HSE visited the facility on the 29th March. He praised the facility and all staff.
Ante Natal Classes 
Now being run by Claire Bulfin, a Cuidiu antenatal teacher and midwife. Couples welcome. The 1 day weekend course including lunch covers all you need to know for the arrival of your new baby!
Breastfeeding Support Group
Every 1st and 3rd Tuesday of the Month 10am -12noon. All welcome. Meet other breastfeeding mothers and enjoy refreshments from the on site cafe.
Mens Health Book
The Men's Health Book:
Written by Dr. Mark Rowe.
All royalties from the book go to the Marie Keating Foundation.
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