Early Pregnancy Assessment Service (Bleeding And Pain)

The causes of bleeding and pain in early pregnancy include: miscarriage, ectopic pregnancy, and other gynaecological / non-gynaecological causes.
Investigation usually involves a combination of clinical assessment, measurement of hormonal levels, and ultrasound.

At MC&M, we offer a comprehensive early pregnancy assessment service:

  • A referral from a GP is required
  • Patients are seen Monday to Friday by appointment
  • Blood tests and ultrasounds are performed on site
  • The practice supports conservative, medical, and surgical management of miscarriage
  • Surgical procedures can be performed on the same day if necessary through the Genea Day Surgery (321 Kent Street, Sydney), The Mater Hospital, North Sydney, or North Shore Private Hospital, St Leonards
  • Patients receive contact details so that support is available 24-hours a day, 7-days a week

Abnormal Menstrual Bleeding

  • The causes of abnormal menstrual bleeding are numerous and range from hormonal disturbances to uterine problems such as fibroids and polyps
  • Investigation usually involves a combination of clinical assessment, measurement of hormonal levels, and ultrasound
  • Management may include hormonal therapies (e.g. oral contraceptive pill and Mirena), hysteroscopic surgery (e.g. removal of fibroids / polyps or endometrial ablation), and laparoscopic / open surgery (e.g. removal of fibroids or hysterectomy)

Pelvic Pain

  • The causes of pelvic pain include endometriosis, pelvic infection, ovarian cysts, and non-gynaecological causes
  • Investigation usually involves a combination of clinical assessment and specialised ultrasound
  • Management may include hormonal therapies, antibiotics, and laparoscopy

Reproductive Endocrinology (E.g. PCOS)

  • Endocrine disorders such as PolyCystic Ovarian Syndrome (PCOS) present in a variety of ways such as irregular cycles, excessive hair growth, and weight gain
  • These chronic disorders are often distressing to patients and require thorough investigation, explanation, and management in a sensitive manner
  • The doctors at MC&M offer a holistic approach to the management of these conditions


  • General practitioners are usually able to advise on most contraceptive needs
  • The doctors at MC&M are happy to consult on contraceptive issues where required
  • Methods may include hormonal therapies (e.g. oral contraceptive pill, Depot Provera, Implanon, and Mirena), non-hormonal intrauterine devices, and laparoscopic sterilisation


  • Menopausal symptoms are varied and distressing for some women
  • Due to media coverage, the topic of hormonal replacement therapy has become controversial and confusing
  • The doctors at MC&M aim to provide information in an unbiased manner in order to empower you to make the right decision for you in regards to symptom management.

Prolapse And Incontinence

  • Pelvic floor weakness may result in prolapse and/or urinary incontinence
  • The symptoms are often distressing but despite being common are not discussed
  • A wide range of therapies are available, these range from physiotherapy through to surgery