Dr Tan is a unique Obstetrician and Gynaecologist in that he is qualified to perform gynaecological ultrasounds on his private patients. This allows Dr Tan to be able to assess, monitor and treat each patient at the one location and often in the same consultation, saving patients time and money. As Dr Tan is mainly focusing on obstetric cases, he is seeing patients for basic gynaecology only, however seeing Dr Tan for advice and a quality ultrasound will help patients in need of specialist care to decide which treatment is best and to help determine if surgery is actually needed. Dr Tan is able to refer onto Doctors who specialise in the area of concern for each patient.
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Dr Tan offers pre-pregnancy consultations to couples prior to conceiving. This helps couples prepare for a pregnancy and get the best advice regarding pre-conception testing, monitoring of pregnancy and delivery. Dr Tan is able to perform investigations for the couple to provide them with all of the information they need for a healthy pregnancy. Some of these include:
- Pelvic ultrasound to assess pelvic pathology and health of the ovaries
- Antenatal blood work-up to ensure all immunisations are up to date
- Genetic testing (in the form of a blood test) for both partners to screen for genetic disorders/conditions such as cystic fibrosis, lung disease, muscle disease, developmental disorders and blood disorders.
- Dr Tan discusses the results with you and your partner and will talk you through any questions and future plans.
- Dr Tan also manages investigations for recurrent miscarriages and perinatal loss. This is normally in the form of blood tests, ultrasounds and counselling sessions with both partners.
Dr Tan treats only general gynaecology cases, so that he is able to concentrate on the obstetric and ultrasound side of his practice. He manages and treats the following:
- Pelvic pain
- Abnormal bleeding
- Abnormal pap smear
- Contraception/birth control management – Mirena, Implanon and contraceptive pill
One of the first investigations to be carried out for a gynaecology concern is a pelvic ultrasound. This gives your Doctor insight into the nature and pathology of the pelvic area. Dr Tan is the only Obstetrician Gynaecologist in Canberra with a Diploma of Diagnostic Ultrasound, which allows him to be able to provide an ultrasound and counselling session combined. Dr Tan is then able to discuss with you the best option of treatment and management for your condition/issue.
Pelvic ultrasound with saline infusion
A pelvic ultrasound with saline infusion is performed to assess fertility and the pathology of the uterus. A small volume of saline (salt solution) is inserted into the uterus vaginally, using a small catheter that passes through the cervix. This allows the lining of the uterus (endometrium) to be clearly seen on ultrasound examination. This type of scan is used to show any thickening of the endometrium of the uterus and if there are any polyps present.
There is no need to do any water preparation prior to this ultrasound, as it is performed vaginally. The scan is best performed after your period and finished (for most women this is day 8-9 of your cycle). Dr Tan will discuss your results with you at the consultation and will send a report out to your referring Doctor the same day of your scan.
Pelvic ultrasound with Antral follicle count
A pelvic ultrasound with Antral Follicle count may be ordered from your specialist or Doctor to assess fertility, ovarian reserve and follicle tracking. This ultrasound is performed trans-vaginally in order to obtain the best view of the uterus and ovaries. Dr Tan will discuss your result with you at the time of your consultation and will send a report to your referring Doctor the same day of your ultrasound.
A HyCoSy procedure, otherwise known as Hysterosalpingo-Contrast-Sonography, is an ultrasound procedure that Dr Tan performs at the Canberra Fetal Assessment Centre (CFAC). It is an outpatient procedure performed to assess the patency of the fallopian tubes and to detect any abnormalities of the uterus and endometrium (lining of the uterus). This scan helps your specialist to assess your fertility and can show them areas of concern. They can then adjust ort plan the right fertility treatment for you.
A HyCoSy is similar to a pelvic ultrasound with Saline infusion. It combines the use of a saline (salt solution) and a trans-vaginal ultrasound. The saline is inserted vaginally through your cervix, into your uterus and fallopian tubes using a catheter. This procedure shows Dr Tan whether you have any blockages or abnormalities with either of your fallopian tubes or your uterus. The HyCoSy is a simple and well tolerated procedure that is best performed after your period and before ovulation (for most women this is between days 5-14). Dr Tan will discuss your results with you at the time of the procedure and will send the report to your referring Doctor the same day.
It is recommended that you bring a support person with you to the procedure who can then drive you home. Some women experience cramping and mild right sided shoulder pain. It is also recommended that you take 2 x Paracetamol and 2 x oral Anti-inflammatory (such as Nurofen if tolerated) 1 hour prior to your ultrasound, as this helps abate some of these symptoms.