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Auckland DHB Women's Health - Gynaecology

Public Service, Obstetrics and Gynaecology

Description

Please visit the National Women's Health website for more information 
nationalwomenshealth.adhb.govt.nz

The general gynaecology service provides care to women living in the Auckland DHB catchment of Central Auckland. National Women’s Health is also a major centre for Gynaecology Oncology, Urogynaecology and Fertility patients.

The service comprises:

  • One inpatient ward (Ward 97) at Auckland City Hospital (ACH)
  • Women’s Assessment Unit (WAU) at ACH for both Gynaecology and Obstetric patients
  • Day surgery at Greenlane Clinical Centre (GCC)
  • Outpatient services at GCC including:-
    • General and Specialty Gynaecology Clinics
    • Early Pregnancy Assessment Unit
    • Epsom Day Unit providing first trimester termination service
    • Colposcopy.

District Services

  • Secondary gynaecology, including menstrual disorders, pelvic floor dysfunction endometriosis, pelvic pain and sterilisation
  • Colposcopy and treatment of cervical and vulvo-vaginal epithelial abnormalities
  • Management of miscarriage and pregnancy failure
  • Complex hormone replacement therapy and family planning
  • Vasectomy consultation and procedures.
  • Contraception clinic

Regional Services

  • First and second trimester termination of pregnancy
  • Fertility services – Fertility Plus is one of three providers in the Auckland region. Services include reproductive endocrinology
  • Recurrent pregnancy loss diagnosis and management
  • Gynaecology Oncology
  • Vulval clinic provides an extended regional service for all vulval disorders. There are 3 centres in New Zealand – Auckland, Wellington and Christchurch
  • Female Multidisciplinary Clinics.

Wards and Clinics in the Gynaecology Service

Inpatient Services – Ward 97, Auckland City Hospital

Gynaecology inpatients is a 22 bed ward providing care for women with acute gynaecology problems, preoperative and postoperative care for General Gynaecology, Gynaecology Oncology and women following breast surgery . It also provides care to women with early pregnancy complications and medical terminations of pregnancy up to 20 weeks gestation.

The service has access to the ACH Level 8 High Dependency Unit (HDU) and the Critical Care Unit for those women requiring a higher level of care and monitoring.

Outpatient Clinics

The Gynaecological Outpatient Clinics are held at the Greenlane Clinical Centre and include:

  • General Gynaecology (i.e. menstrual disorders, pelvic floor dysfunction, sterilisation)
  • Contraception Clinic
  • Hormone replacement therapy and family planning
  • Endometriosis and pelvic pain
  • Urogynaecology
  • Pre-admissions clinic
  • Colposcopy
  • Gynaecology Oncology

Long Acting Contraceptive Clinic (LARC)

Free contraceptive service to all women living within ADHB. We offer an initial consultation and assessment and a range of contraceptives. We also offer pregnancy testing, STI testing and cervical screening.

Call 0800 527200 for enquiries or to book an appointment. If you need to, please leave a message and your contact phone number for us to get back to you.

Visit the National Women's Health website for more information.

Epsom Day Unit (EDU)

Epsom Day Unit (EDU) is the Auckland Regional Service for first trimester terminations (up to 12.6 weeks on day of referral) of pregnancy. The boundary for the Auckland region is from Mercer in the south to Warkworth in the north. 
Referral to EDU is made by a General Practitioner (GP), from a Family Planning Clinic, or self-referral by women. The appointment is made by telephone with the scan and referral letter sent through to the clinic. GPs and FPA clinics are aware of referral criteria to the clinic.
EDU provides a two-day service and it is important that women are aware of this before coming to the clinic.

Call (09) 631 0740 for enquiries.

Visit the National Women's Health website for more information.

Fertility Plus

NWH Fertility Plus offers a range of secondary and tertiary reproductive endocrinology, infertility and sub-fertility services to the women of the Northern Region. Fertility Plus is one of three public providers in the Auckland region. Private investigation and treatment is also available. Fertility is accredited by the Australasian Reproductive Technologies Accreditation Committee.

Publicly funded fertility treatment is available to women under 40 years of age, who are non-smokers and have a BMI under 32. If couples do not meet the criteria for publicly funded fertility treatment, private treatment is available.

Email for enquiries.

Visit the National Women's Health website for more information.

Early Pregnancy Assessment Unit (EPAU)

EPAU is a nurse-led outpatient service, with access to a pregnancy loss counsellor and medical support. This service is based at GCC and provided for women referred for the management of early pregnancy complications, including miscarriage, ectopic and molar pregnancy. Women are offered the options of Conservative (no intervention), Medical or Surgical management of miscarriage.

Gynaecology Oncology

NWH is the regional service provider for surgical gynaecology oncology, providing services to CMDHB, WDHB and Northland. An extended regional surgical service is offered to Gisborne, Waikato and the Bay of Plenty. This service has a close association with Blood and Cancer Services of ACH (chemotherapy and radiation therapy services).

Visit the National Women's Health website for more information.

Women’s Assessment Unit (WAU)

This service is open 24 hours a day, 7 days a week and provides acute care for women experiencing pregnancy and gynaecological complications.

If an acute situation occurs and assessment is required immediately, a woman will be referred to the Women’s Assessment Unit by her General Practitioner. In WAU the patient will be seen by the Gynaecology on-call team to determine the most appropriate mode of treatment and the necessary investigations will be carried out. 

Consultants

Note: Please note below that some people are not available at all locations.

Referral Expectations

Referrals to the service are triaged by NWH gynaecologists so that patients are seen at the most appropriate clinic and in a timely way. Referrals can be urgent/acute or non-acute and may be from a General Practitioner (GP), from other hospitals in the region, or internally within Auckland City Hospital itself.

Urgent Referrals - If the problem requires immediate assessment, the patient is referred acutely to the Women’s Assessment Unit (as above).

Non-Urgent Referral - the GP requests an outpatient appointment with a gynaecologist and the patient is placed on the waiting list. Waiting times for different clinics vary, depending on the medical condition. 
 

Charges

Gynaecology services are free for New Zealand citizens/residents. Those that are not eligible for publicly-funded services, i.e. non-residents, can phone the Finance Department on (09) 638 0420 to find out the cost of services.

Proof of eligibility for free healthcare will be required (by all) at the first appointment e.g. New Zealand passport and/or a passport of country of origin with current working or residency visas for New Zealand.
 

Common Conditions / Procedures / Treatments

  • Abortion/ Termination of Pregnancy

    Click on the following link for patient information about abortion/termination of pregnancy at National Women's Health.… More

  • Cervical Dysplasia

    Cervical dysplasia is the growth of abnormal cells around the cervix (entrance to the uterus).… More

  • Colposcopy


    A colposcopy is a detailed examination of the cervix (entrance to the uterus) with a specially lit microscope (colposcope).… More

  • Endometriosis

    The endometrium is the name of the tissue that lines your uterus (womb).… More

  • Endometrial Ablation

    The endometrium is the lining of your uterus (womb). Endometrial ablation is the surgical removal or destruction of this lining.… More

  • Hormone Replacement Therapy (HRT)

    Hormone replacement therapy (HRT) is when female hormones (oestrogen by itself or with progesterone) are given to a woman during or after menopause when the production of oestrogen by the ovaries declines.… More

  • Hysterectomy

    A hysterectomy is an operation to remove your uterus (womb).… More

  • 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.… More

  • Infertility

    Infertility is when couples are unable to conceive a baby after one year of trying, or when the woman has been unable to carry a pregnancy to a live birth.… More

  • Intra Uterine Device (IUD) or Mirena

    The letters IUD stand for Intra Uterine Device. “Intrauterine” means “inside the uterus” (womb).… More PDF

  • In Vitro Fertilisation (IVF)

    This is the process of fertilising the woman’s egg with the male’s sperm outside of the woman’s body in the laboratory.… More

  • Menopause

    Menopause is also called the “change of life” and is the time when your periods will become irregular and stop.… More

  • Menstrual Problems (Period Pain or Bleeding)

    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.… More

  • Oophorectomy

    An oophorectomy is an operation to remove one or both ovaries.… More

  • 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.… More

  • Pap Smear

    A Pap smear is a test to check for signs of cancer on the cervix (entrance to the uterus).… More

  • 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.… More

  • Premenstrual Syndrome (PMS)

    Many women experience feelings of tension, anger, fatigue and depression just before and during the first days of their menstrual period.… More

  • Sterilisation Reversal

    Couples presenting with sterilisation reversal requests need to undergo standard scoring to determine their eligibility for publicly funded treatment.… More

  • Vaginal Infections

    The most common vaginal infections are yeast infections (also called candidiasis or thrush), trichomoniasis, or bacterial infections (also called bacterial vaginosis).… More

  • Urogynaecology services

    Urodynamics Bladder Test
    This is a test to assess female urinary incontinence and lower urinary tract dysfunction.… More

  • Fibroids

    Fibroids are benign tumours that grow in the muscle wall of the uterus.… More

Document Downloads

Other

Interpreters

If an interpreter is required the GP should request one in the referral letter, so an interpreter can be arranged by the service at the time of the appointment. This is a free service for eligible patients.
 

For more information about National Women’s, please visit our website OR click on the following links for other aspects of Women’s Health:

• Auckland DHB Women’s Health – Maternity/Pregnancy Care
• Auckland DHB Women’s Health – Fertility PLUS

Website

nationalwomenshealth.adhb.govt.nz

Contact Details

Greenlane Clinical Centre

Central Auckland

More details…

Auckland City Hospital

Central Auckland

More details…

This page was last updated at 11:40AM on March 8, 2022. This information is reviewed and edited by Auckland DHB Women's Health - Gynaecology.