?

Central Auckland, East Auckland, North Auckland, South Auckland, West Auckland > Private Hospitals & Specialists >

Endometriosis Ascot

Private Service, Obstetrics and Gynaecology

Today

Description

Michael East came to New Zealand from the United Kingdom in 1980 as a house surgeon and in 1983 started working as a registrar at Christchurch Women’s Hospital. He undertook specialist training in Christchurch and the UK, including a Masters degree in Obstetrics and Gynaecology at Liverpool University. 
 
Michael is known for his dedication and passion for his work. His areas of specialisation include advanced laparoscopic techniques for endometriosis, robotic surgery and hysterectomy.  Since 2020, Michael has increasingly used the Da Vinci Robotic system for minimally invasive operations.
 
In 1996 Michael was a founding member of Oxford Women's Health, Christchurch (then known as Oxford Clinic).  He splits his consulting and surgical time between Christchurch and Auckland.  He welcomes new patient referrals. 
 
Michael has been at the forefront of developing and introducing new advanced laparoscopic techniques in New Zealand and has been involved in surgical instrument design to help perform laparoscopically assisted vaginal hysterectomy (LAVH).
 
Michael is married to Jane and together they have four adult children. He enjoys sailing, reading and road cycling.

What is Gynaecology?
Gynaecology is the area of medicine that deals with health issues and conditions that are specific to women. This generally includes the female reproductive organs and genitalia. The reproductive organs consist of the ovaries that release an egg every month, the fallopian tubes that lead from the ovaries, the uterus (womb), which is where a baby will grow if the egg is fertilised during sexual intercourse, the cervix (opening of the uterus) and the vagina.

Laparoscopy
Many gynaecological investigations are performed by laparoscopy. This is a procedure to view the inside of the abdomen (stomach) through a specially lit type of mini telescope (laparoscope) that is inserted through a small cut in the abdomen. The laparoscope also contains a small camera that sends pictures to a screen that the doctor can watch.
Sometimes surgical procedures (keyhole surgery) can be performed at the same time. A laparoscopy is performed under a general anaesthetic (you are asleep).

Consultants

Referral Expectations

A referral is required.  Patients are usually referred to our practice by their General Practitioner or Specialist.

When you phone for an appointment, Linda (our Practice Secretary) will be your first point of contact.  She will discuss the process with you.

On the day of your consultation you may be asked to fill out a registration form.

Hours

Mon – Fri 9:00 AM – 5:00 PM

Languages Spoken

English

Procedures / Treatments

Endometriosis

The endometrium is the name of the tissue that lines your uterus (womb). Endometriosis is a condition where tissue, like the endometrium, grows in other parts of the body. Usually these growths occur inside the pelvic cavity in places such as the ovaries, bowel, or a lining of the pelvic cavity and abdomen called the peritoneum. Each month, as the endometrial lining of the uterus builds up with blood that will be lost during your period, these other growths of endometrial tissue get bigger and can bleed and cause inflammation and adhesions (internal scarring). Some women with this condition do not have many symptoms, whereas others suffer severe pain and problems such as infertility and tiredness. Treatment includes medication that will help control the pain and inflammation, and some women may need surgery to remove the tissue growths.

The endometrium is the name of the tissue that lines your uterus (womb). Endometriosis is a condition where tissue, like the endometrium, grows in other parts of the body. Usually these growths occur inside the pelvic cavity in places such as the ovaries, bowel, or a lining of the pelvic cavity and abdomen called the peritoneum. Each month, as the endometrial lining of the uterus builds up with blood that will be lost during your period, these other growths of endometrial tissue get bigger and can bleed and cause inflammation and adhesions (internal scarring).
 
Some women with this condition do not have many symptoms, whereas others suffer severe pain and problems such as infertility and tiredness.
 
Treatment includes medication that will help control the pain and inflammation, and some women may need surgery to remove the tissue growths.
Laparoscopy
Adenomyosis
Hysterectomy

A hysterectomy is an operation to remove your uterus (womb). Some types of hysterectomies include the removal of other organs as well, and this will depend on the reason for the operation. A hysterectomy is a treatment for many different diseases and conditions and it can be done through the vagina or through a cut in the abdomen.

A hysterectomy is an operation to remove your uterus (womb). Some types of hysterectomies include the removal of other organs as well, and this will depend on the reason for the operation. A hysterectomy is a treatment for many different diseases and conditions and it can be done through the vagina or through a cut in the abdomen.
Robotic Surgery
Fibroids

Fibroids are noncancerous growths or tumours on the muscular part of the uterus (womb); sometimes they are also called myomas. Fibroids may be very small (about 5mm) or can grow to be quite large (about 100mm). Many women with fibroids do not notice any symptoms and will not need treatment, whereas others may experience problems such as painful and heavy periods. Treatment includes medication to shrink the fibroids and, in some women, surgical removal.

Fibroids are noncancerous growths or tumours on the muscular part of the uterus (womb); sometimes they are also called myomas. Fibroids may be very small (about 5mm) or can grow to be quite large (about 100mm).
 
Many women with fibroids do not notice any symptoms and will not need treatment, whereas others may experience problems such as painful and heavy periods. Treatment includes medication to shrink the fibroids and, in some women, surgical removal.
Ovarian Cysts

An ovarian cyst is a fluid-filled sac or pouch in the ovary. In most cases, the cyst grows as a result of ovulation (when the egg is released from the ovary), and it will usually shrink over time. Sometimes, the ovarian cyst may cause pain. The best way to check for an ovarian cyst is by ultrasound examination, and the treatment will depend on how troublesome the symptoms are. Sometimes it is best to leave the cyst alone and just check it regularly with ultrasound. In other cases it may need to be removed by laparoscopic surgery.

An ovarian cyst is a fluid-filled sac or pouch in the ovary.  In most cases, the cyst grows as a result of ovulation (when the egg is released from the ovary), and it will usually shrink over time. Sometimes, the ovarian cyst may cause pain.
 
The best way to check for an ovarian cyst is by ultrasound examination, and the treatment will depend on how troublesome the symptoms are. Sometimes it is best to leave the cyst alone and just check it regularly with ultrasound. In other cases it may need to be removed by laparoscopic surgery.
Oophorectomy

An oophorectomy is an operation to remove one or both ovaries. It is done for many reasons including ovarian cancer, ovarian cysts or to remove the source of the hormone oestrogen that is produced by the ovaries and can stimulate some cancers. If both ovaries are removed, your periods will stop and you will not be able to have children. Sometimes an oophorectomy is done together with a hysterectomy.

An oophorectomy is an operation to remove one or both ovaries. It is done for many reasons including ovarian cancer, ovarian cysts or to remove the source of the hormone oestrogen that is produced by the ovaries and can stimulate some cancers. If both ovaries are removed, your periods will stop and you will not be able to have children. Sometimes an oophorectomy is done together with a hysterectomy.
Endometrial Ablation

The endometrium is the lining of your uterus (womb). Endometrial ablation is the surgical removal or destruction of this lining. There are different methods of destroying the endometrium including electricity, laser therapy or freezing. A specialist performs the operation and it is done through the vagina, so there is no need for the abdomen to be cut open. The endometrium will heal leaving scarring, which usually reduces or stops menstrual periods. In women who have very heavy periods (menorrhagia), an endometrial ablation can be done instead of a hysterectomy as it is an easier procedure than a hysterectomy and is quicker to recover from. Endometrial ablation is only performed in women who no longer wish to have children.

The endometrium is the lining of your uterus (womb). Endometrial ablation is the surgical removal or destruction of this lining. There are different methods of destroying the endometrium including electricity, laser therapy or freezing.
 
A specialist performs the operation and it is done through the vagina, so there is no need for the abdomen to be cut open. The endometrium will heal leaving scarring, which usually reduces or stops menstrual periods.
 
In women who have very heavy periods (menorrhagia), an endometrial ablation can be done instead of a hysterectomy as it is an easier procedure than a hysterectomy and is quicker to recover from. Endometrial ablation is only performed in women who no longer wish to have children.
Hysteroscopy and Dilatation and Curettage (D&C)

This is an operation where the cervix (entrance to the uterus) is dilated and a hysteroscope (small lighted mini telescope) is inserted into the uterus through the vagina and cervix so the specialist can see the inside of the uterus. If no cancer is present, a small spoon-like instrument with a long handle, called a curette, is inserted and the lining of the uterus is scraped off and sent to the laboratory for examination. This procedure can be done under a general (you are asleep) or local (you are awake but the area being investigated is numb) anaesthetic.

This is an operation where the cervix (entrance to the uterus) is dilated and a hysteroscope (small lighted mini telescope) is inserted into the uterus through the vagina and cervix so the specialist can see the inside of the uterus. If no cancer is present, a small spoon-like instrument with a long handle, called a curette, is inserted and the lining of the uterus is scraped off and sent to the laboratory for examination.
 
This procedure can be done under a general (you are asleep) or local (you are awake but the area being investigated is numb) anaesthetic.
Menstrual Problems

Menstruation is the medical name for your monthly period. This is when blood and tissue from the lining of the uterus (womb) is shed through the vagina and out of the body. Menstruation starts at puberty and it is stimulated by hormones that make a girl’s body able to become pregnant. This usually happens anytime between the ages of 9 and 16 years. Menstruation will recur about every 28 days (the menstrual cycle), unless interrupted by pregnancy, and will stop at menopause, which occurs at about 50 years of age. There are a number of problems that can occur with menstruation ranging from mild to severe. More than half of all women will have cramps (dysmenorrhoea) during the first day or two of their period. Other problems include very heavy or long periods (menorrhagia) or no periods (amenorrhoea).

Menstruation is the medical name for your monthly period. This is when blood and tissue from the lining of the uterus (womb) is shed through the vagina and out of the body.
 
Menstruation starts at puberty and it is stimulated by hormones that make a girl’s body able to become pregnant. This usually happens anytime between the ages of 9 and 16 years. Menstruation will recur about every 28 days (the menstrual cycle), unless interrupted by pregnancy, and will stop at menopause, which occurs at about 50 years of age.
 
There are a number of problems that can occur with menstruation ranging from mild to severe. More than half of all women will have cramps (dysmenorrhoea) during the first day or two of their period. Other problems include very heavy or long periods (menorrhagia) or no periods (amenorrhoea).
Polycystic Ovarian Syndrome (PCOS)

Polycystic ovarian syndrome (PCOS) is a hormonal disorder that can cause you to have a variety of symptoms, including no periods or irregular periods, increased hair growth on the face and body, acne (pimples) and increased bodyweight. PCOS is also one of the main causes of infertility in women. The ovaries of women with PCOS often contain many small cysts (fluid-filled sacs), but this does not seem to be the cause of the condition. For women who have not reached menopause, the most common treatment is the birth control pill, which will regulate your periods. There are also other medicines that can help control the symptoms.

Polycystic ovarian syndrome (PCOS) is a hormonal disorder that can cause you to have a variety of symptoms, including no periods or irregular periods, increased hair growth on the face and body, acne (pimples) and increased bodyweight. PCOS is also one of the main causes of infertility in women. The ovaries of women with PCOS often contain many small cysts (fluid-filled sacs), but this does not seem to be the cause of the condition.
 
For women who have not reached menopause, the most common treatment is the birth control pill, which will regulate your periods. There are also other medicines that can help control the symptoms.

Refreshments

The Resus Cafe is located to the rear of the building on Level 2 of the main Ascot Hospital building

Parking

PARKING: There is limited 90 minute parking available in front of the main Ascot Hospital behind the stone wall, entrance via Ascot Avenue. 

 Alternatively, there is a large carpark at the rear of the hospital operating on a ‘pay by plate’ basis.  On arrival, please enter your vehicle’s licence plate into one of the pay machines located throughout the carpark along with your credit card details, or use the Parkiwi app.  The first 30 minutes are free, and thereafter it costs $2.00 per 30 minutes.  

Dr East's rooms are located on Level 2 in the main Ascot Hospital building.  Follow the signs for Dr Michael East / Endometriosis.

Pharmacy

Ascot Pharmacy is located on the ground floor (Level 1) of the main Ascot Hospital building.

Contact Details

Level 2, Suite 3
Ascot Integrated Hospital
90 Greenlane Road East
Remuera
Auckland 1051

Information about this location

View on Google Maps

Get directions

Street Address

Level 2, Suite 3
Ascot Integrated Hospital
90 Greenlane Road East
Remuera
Auckland 1051

This page was last updated at 10:07AM on May 20, 2024. This information is reviewed and edited by Endometriosis Ascot.