Now consulting from Port Melbourne Medical, Dr Laura Chapman discusses IUD’s, Pelvic health (including Pelvic pain) & Incontinence.

My practice has evolved over the past few years to provide services that I noticed were not always readily available in primary care.  This has involved further study and practical training and has been a rewarding process. Three areas I have concentrated on more recently are detailed below. If you would like to discuss any of the below please call Port Melbourne Medical’s friendly reception staff for an appointment. Some of these services do have an additional charge.

 

Intra-Uterine Device

Australia has a low rate of Intra-Uterine Device (IUD) use compared with worldwide figures. Why is this significant? Well…. research shows that long acting contraceptives, like the IUD, are more effective in preventing unplanned pregnancy, (99.8% effective in the case of the Mirena IUD).

The Mirena IUD contains a small amount of slow releasing progestogen which mainly acts locally on the uterus. Other than an effective contraceptive, Mirena IUD can be used to reduce the heaviness of periods, often by up to 80%. This is good news for women with heavy menstrual bleeding. Many postmenopausal women on menopause hormone therapy find it more convenient to use a Mirena IUD rather than remembering to take oral progesterone daily.

Copper IUDs are 99.2% effective as a contraceptive. Although it can cause 50% more blood flow at the time of your period, they do not contain any hormone, and can be a good option for women keen to avoid this.

I have plenty of experience of inserting IUDs and at Port Melbourne Medical we strive to give you a positive experience.

  • Please book a 30 minute appointment if you are considering an IUD. This appointment will ensure you are fully prepared when you return for the fitting (60 minute appointment).

 

 Pelvic Health

The female pelvis contains many important organs and structures, as a result, there are many symptoms that can arise from the pelvis including pain, bloating, heaviness, incontinence, needing to go to the toilet frequently and symptoms of pelvic organ prolapse. Problems in the pelvic region can have a negative impact on a women’s emotional, physical and social wellbeing.

Many know that urinary incontinence can be caused by a weak pelvic floor, but a tight, over-active pelvic floor can too. A pelvic floor examination can differentiate the two. Prolapses can contribute to urinary incontinence and cause other symptoms including back pain, pelvic pain and vulval discomfort. Although some women with prolapse and incontinence issues may eventually opt for surgery, medical management, which I can provide at Port Melbourne Medical, is often successful.

Persistent pelvic pain (PPP) effects 15% of women worldwide and is the most common cause of days off work for women of child-bearing age. It is a complex problem that requires careful management with a multi-disciplinary team approach. This is currently a growing area of interest for me.

  • Please book an initial 15 minute appointment. Your second appointment will be 30 minutes in duration.

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