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Guideline for the management of pregnancy conceived after assisted reproductive treatments. Keywords: Infertility, IVF, ovulation induction.

All clinical staff working in the Women and Children Care Group to provide evidence based guidance in the management of the bladder in the postoperative period following uncomplicated benign gynaecological surgery. Keywords: Post operative, voiding, gynaecology, bladder care.

This guideline applies to all patients referred to for assessment of their uterine cervix, and the staff involved in their healthcare. The provision of a dedicated clinic for patients with possible abnormalities of the cervix (some of which may represent serious pathology such as cervical cancer) ensures that patients at higher risk of cervical pathology are seen in the most appropriate setting. Triaging patients at very low risk of cervical pathology to general gynaecology clinics means that consultations are more responsive to patients' concerns and needs, whilst protecting scarce healthcare resource. Keywords: abnormal cervix/ post-coital bleeding/ cervical assessment/ colposcopy/ rapid access clinic/ two-week wait clinic

Cervical sample taker requirements. Keywords: Cervical samples/ sample taker requirements/ NHSCSP

This guideline applies to Consultant Gynaecologists and details the process for referring patients to the Cornwall Endometriosis Centre. Keywords: Cornwall Endometriosis Centre/ referral/ endometriosis.

This standard operating procedure (SOP) focuses on the opportunity to expand the use of laparoscopic hysterectomy techniques, predominantly in the treatment of conditions such as endometriosis, fibroids, heavy menstrual bleeding, and prolapse or in those not responding to more conservative measures in a day case setting.Keywords: Day case hysterectomy/ TLH/ benign gynaecology.

Guidance on the aim of the NHS Cervical Screening Programme (CSP) and the RCHT cervical screening drop-in clinic. Keywords: Drop-in/ drop in

All clinical staff working in the Women, Children and HIV Care Group to provide evidence based guidance in the management of ectopic pregnancy. Keywords: Ectopic pregnancy/ methotrexate/ salpingectomy

This guideline applies to all patients diagnosed with endometrial hyperplasia, and the staff involved in their healthcare. The provision of a dedicated clinic for patients with endometrial hyperplasia ensures that all patients are seen swiftly after diagnosis, achieving equality of access for all, regardless of the route of referral. Ensuring that patients are seen by clinicians with an appropriate skill set means that consultations are responsive to patients' concerns and needs. The one-stop model reduces fragmentation of care and delay, whilst promoting efficiency and protecting scare healthcare resource.Endometrial Hyperplasia; PMB; Post Menopausal Bleeding.

All clinical staff working in the Women's and Children's Division to provide evidence based guidance in the management of excessive vaginal bleeding.Keywords: Excessive vaginal bleeding, menorrhagia.

Outpatient Hysteroscopy Quality StandardsKeywords: hysteroscopy/ ambulatory/ endometrial ablation/ polypectomy/ myomectomy/ endometrial biopsy

Guidance for health care professionals on the inpatient management of women with suspected advanced ovarian cancer. Keywords: Ovarian cancer.

Guideline for all clinical staff working in the Women and Children's Care Group to provide evidence based guidance in the management of miscarriages.Keywords: Couples treatment/ recurrent miscarriage

Gynaecology outpatient procedure standards. keywords: outpatient/ LocSSIP

The management of benign adnexal cysts in pregnancy.Keywords: ovarian cyst/ ovarian cysts/ adnexal cysts/ adnexal cyst

All clinical staff working in the Women and Children Division to provide evidence-based guidance in the management of miscarriages.Keywords: Miscarriage, MVA, ERPC, bleeding, early pregnancy, misoprostol.

All clinical staff working in the Women, Children and HIV Care Group to provide evidence based guidance in the management of pain & bleeding in early pregnancy.Keywords: early pregnancy/ miscarriage/ ectopic/ pain/ bleeding

All clinical staff working in the Women and Children Care Group to provide evidence based guidance in the management of MVA for miscarriage and retained pregnancy tissue.Keywords: MVA, Miscarriage, retained pregnancy tissue.

Local guidance for the management of Gynaecology Oncology patients when transferring them to a PIFU pathway.Keywords: patient initiated follow up/ PIFU/ oncology

For all clinical staff working in the division of women, children and HIV to provide evidence based guidance on the management of pelvic inflammatory disease.Keywords: Pelvic, inflammatory, PID, gynaecology, genitourinary medicine.

To give guidance for the safe and appropriate use of Penthrox in ambulatory procedures in gynaecology.Keywords: Penthrox/ methoxyflurane/ ambulatory

All clinical staff working in the Women's and Children's Division to provide evidence based guidance in the management of persistent bleeding following pregnancy.Keywords: Bleeding, persistent, pregnancy, postpartum.

This guideline applies to patients presenting to with suspected endometrial cancer in Primary and Secondary Care. It encompasses their management from presentation through to the point of excluding or diagnosing endometrial cancer.Keywords: Post-Menopausal Bleeding.

All clinical staff working in the Women and Children's Division to provide evidence based guidance in the management of pregnancies of unknown location.Keywords: PUL, pregnancy unknown location, miscarriage, ectopic.

Guidance for managing pre operative MSU testing for gynaecology patients undergoing cystoscopic and ureteric investigation or treatment in the inpatient or outpatient setting.Keywords: Gynaecology, MSU, pre-operative.

This standard operating procedure aims to provide a coordinate approach to enabling a clinic appointment to be generated electronically without using paper diary.Keywords: EGU/ EPU/ Appointment booking

Guidance for staff on the safe entry and quality standards for gynaecological laparoscopy.Keywords: Gynaecology, laparoscopy.

SOP for sending pregnancy tissue for cytogenetic testing. Keywords: Human Tissue Authority

Guidance for sentinel lymph- node biopsy in endometrial cancer.Keywords: Endometrial cancer. Sentinel lymph- node biopsy.

To ensure that Gynaecological and Urology patient's undergoing elective and emergency procedures are nursed on Eden Ward so care is delivered by staff trained in the aspects required for their specialist care and allow the trust to maintain the safety and quality of care for gynaecological and urology patients, whilst recognising the need to support flow throughout the hospital. Keywords: Eden

Operational clinical guideline for surgical abortion.Keywords: Abortion, manual vacuum aspiration, MVA, surgical termination of pregnancy, TOP.

Quality Standards for Surgical Abortion. Keywords: manual vacuum aspiration/ MVA/ termination of pregnancy/ TOP

Guidance for follow-up strategy for gynaecological cancer dependent on type, stage and grade.Keywords: Gynaecology cancer.

The initial management of benign vulval disease.Keywords: Benign, vulval, disease.

The Initial Management of Ovarian Cysts After the Menopause. Keywords: ovarian cysts/ post menopausal

The management of two-week wait referrals for suspected ovarian cancer

This guideline will provide evidence based guidance on the Use of "Word" Catheters for the treatment of Bartholin's abscesses/cyst. Keywords: Catheter, Bartholin's, abscess, cyst.

Guidance for clinicians on the investigations and surgical management of women with gynaecological malignancy. Keywords: gynaecology cancer/ staging/ surgical management