Dr Sam Holford consulting with a patient

What to Expect at Your Appointment

Visiting a gynaecologist can feel a little daunting — especially if it’s your first time, or if you’re coming in to talk about something personal. This page is here to give you a sense of what usually happens, what’s optional, and how to prepare.


A Warm Welcome

When you arrive, you’ll be greeted and given a few moments to settle in. If there’s anything specific you’d like to discuss or avoid during your appointment, just let me know—we’ll tailor the consultation to your needs.

There’s a private bathroom available if you need to freshen up, change, or have a moment to yourself before or after your appointment.


The Consultation

Your appointment starts with a chat. We’ll go through your concerns, relevant medical history, and any previous investigations or treatments. You’re encouraged to speak freely, whether it’s about heavy periods, pain with sex, pelvic pressure, mood or libido changes, or anything else on your mind.

There’s no pressure to cover everything in one go—we can prioritise what’s most important to you today.


Examinations: Optional and Individualised

Pelvic Exam

A pelvic exam may be suggested if it’s relevant to your symptoms—but it’s not always necessary, and it’s never done without your consent. You can say no, ask for more information, or defer it to another time. You can also request a support person or chaperone, or ask to stop at any point. Your comfort and control are the priority.

Transvaginal Ultrasound

In many appointments, I perform a transvaginal ultrasound (internal scan) to get detailed images of your uterus, ovaries, and pelvic structures. This is typically well tolerated and doesn’t take long. It’s done in the clinic room and doesn’t require a full bladder.

You’ll have privacy to get changed and a sheet to cover yourself during the scan. You are welcome to insert the probe into your vagina yourself if you prefer. I’ll explain what I’m seeing as we go and you’re welcome to ask questions at any time.


Procedures in Clinic

Some treatments or procedures can be done during your appointment, such as:

  • LLETZ or cervical biopsy
  • Insertion or removal of a Mirena, Jaydess, or Jadelle
  • Endometrial biopsy (Pipelle)
  • Vulval biopsy

You may have some spotting, bleeding, or cramping afterwards, especially with cervical or uterine procedures. It’s best to plan a lighter schedule for the rest of the day—maybe work from home or take it easy if you can.


Afterwards

You’ll have time to ask questions, discuss results (if available), and talk through next steps. If further treatment, imaging, or a follow-up is needed, we’ll make a plan together. You’re welcome to contact the clinic later if anything comes up that you forgot to mention or want to clarify.


What to Bring

  • Any relevant referral letters, imaging, or lab results (if not already sent)
  • Your medications or a list of them
  • A support person, if you’d find that helpful
  • A panty liner or spare underwear if you’re having a procedure

Questions? Nerves? Please Tell Me

It’s completely normal to feel anxious about a gynaecology appointment. You can ask questions at any time, request a break, or say no to anything you’re not comfortable with. I aim to make your visit as respectful, empowering, and positive as possible.


If you have specific access needs or cultural or gender preferences, please feel free to let us know ahead of time—or at your appointment. Your care should work for you.