A Gynaecologist is a doctor who treats medical conditions and diseases that affect women and female reproductive organs, including Menstrual problems, Menopause, Endometriosis, and many other issues.

Menstrual disorders

Menstrual disorders can include: abnormal uterine bleeding (AUB) which may include heavy menstrual bleeding, no menstrual bleeding (amenorrhea), bleeding between periods (irregular menstrual bleeding), dysmenorrhea (painful menstrual periods), premenstrual syndrome (PMS), or premenstrual dysphonic disorder (PMDD).


You may be transitioning into menopause if you begin experiencing some or all the following symptoms:

  • Hot flashes (a sudden feeling of warmth that spreads over the body)
  • Night sweats and/or cold flashes
  • Vaginal dryness; discomfort during sex
  • Urinary urgency (a pressing need to urinate more frequently)
  • Difficulty sleeping (insomnia)
  • Emotional changes (irritability, mood swings, mild depression)
  • Dry skin, eyes or mouth

Women who are still in the menopause transition (perimenopause) may also experience:

  • Breast tenderness
  • Worsening of premenstrual syndrome (PMS)
  • Irregular periods or skipping periods
  • Periods that are heavier or lighter than usual


Endometriosis is a condition that affects a woman’s reproductive organs. It occurs when cells similar to those that line the uterus are found in other parts of the body.

If you happen to experience many of the following symptoms, there is a strong chance that you may have Endometriosis, and it may be worth seeing a Gynaecologist.

Pain: (please rate pain severity from 1 to 10)

  • during period
  • during ovulation
  • during or after intercourse
  • low back pain
  • when passing urine or opening bowels

Abnormal bleeding:

  • heavy menstruation
  • irregular bleeding
  • premenstrual spotting


  • primary or secondary infertility
  • endometriosis may contribute to unsuccessful IVF treatment
  • endometriosis may be responsible for up to 30% of women with infertility

Bowel or urinary symptoms:

  • cyclical painful bowel or bladder movements especially during menstruation
  • cyclical bowel or bladder disturbance – constipation or diarrhea, urinary frequency, urgency, hematuria
  • abdominal bloating
  • cyclical rectal bleeding
  • symptoms thought to be due to irritable bowel syndrome but with a cyclical pattern

Other symptoms:

  • Chronic fatigue
  • Premenstrual tension
  • Anxiety, depression

Dr Zainab Sabri, Obstetrician and Gynaecologist


I have served women in the Ballarat and surrounding areas for several years, providing extensive services in obstetrics, gynecology and minimally invasive laparoscopic surgery.

Dr Iruka Kumarage, Specialist Gynaecologist


I manage and treat a broad range of gynaecological problems including menstrual disorders, pelvic pain, ovarian cysts, endometriosis, fibroids, and menopausal problems, and perform both open and minimal access (key-hole) surgery.

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