Gynaecology FAQ
Minimally Invasive Gynaecological Surgery Sydney North Shore
Gynaecology & Surgery FAQ with Dr David Krones
Dr David Krones is a specialist gynaecologist providing comprehensive women’s health care in Sydney’s North Shore, with a particular focus on advanced minimally invasive (laparoscopic/key-hole surgery and hysteroscopic) surgery.
This page answers common questions about gynaecological conditions, treatment options and what to expect from consultation and surgery.
Booking & Getting Started
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Yes. A GP referral is required to see a private gynaecologist in Australia. This allows access to Medicare rebates for consultations, investigations and possible surgeries.
A GP referral lasts 12 months from when you see me for the first time.
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You can contact the rooms directly by phone (02 9053 1245), email (admin@drdavidkrones.com.au) or enquiry form. A referral from your GP is required prior to your first consultation.
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Your first appointment involves a detailed discussion of your symptoms, medical history and any previous investigations and surgeries. I recommend to bring any previous investigation results (ultrasounds, MRIs, blood tests etc) and operation reports and histopathology reports to this appointment.
If required, a pelvic examination or ultrasound referral may be arranged. The focus is on understanding your concerns clearly and outlining appropriate management options.
Common Gynaecological Concerns
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A wide range of benign gynaecological conditions are managed, including:
Pelvic pain and suspected or previously diagnosed endometriosis
Heavy or irregular periods
Adenomyosis
Fibroids and ovarian cysts
Abnormal cervical screening results
PMOS (previously PCOS) and fertility concerns
Perimenopause and menopause symptoms
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You should consider seeing a gynaecologist if you experience:
Intermittent or Persistent pelvic pain
Heavy or prolonged bleeding
Irregular menstrual cycles
Pain with or after intercourse
Infertility
Abnormal cervical screening results
Ongoing hormonal or menopause symptoms
Minimally Invasive Gynaecological Surgery
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Minimally invasive surgery uses small incisions and specialised instruments (laparoscopy or hysteroscopy) to treat gynaecological conditions.
Compared to traditional open surgery, this approach typically results in:
Less pain
Smaller scars
Shorter hospital stay
Faster recovery
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Common minimally invasive procedures include:
Excision of Endometriosis
Hysterectomy (Removal of uterus)
Myomectomy (fibroid removal)
Ovarian cystectomy
Hysteroscopic removal of polyps and fibroids
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Most women are suitable candidates for minimally invasive surgery, although this depends on the condition being treated and individual factors.
This is discussed in detail during your consultation, including risks, benefits, and alternative options.
Endometriosis & Pelvic Pain
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Endometriosis is often suspected based on your symptoms. Definitive diagnosis can be achieved with some ultrasounds scans however sometimes it may require laparoscopy (key-hole surgery).
Treatment options include:
Medical (hormonal) management
Pain management strategies
Surgical excision of endometriosis
Care is individualised depending on symptoms, fertility goals, and disease severity.
Click the links for more information:
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Not always. Many patients can be managed without surgery.
Surgery is considered when:
Symptoms are severe or persistent.
Medical treatment is ineffective.
There is a need for definitive diagnosis or fertility optimisation.
Click for more on Endometriosis Treatment
Fibroids, Cysts & Bleeding
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Treatment depends on symptoms, size and impact on quality of life.
Options may include:
Observation
Medical management/Hormonal management
Surgical treatment (often minimally invasive)
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Common causes include hormonal imbalance, fibroids, polyps or other uterine conditions.
Assessment typically involves history, examination and imaging to guide appropriate treatment options.
Surgery & Recovery
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Recovery is usually faster than with open surgery. Most patients:
Go home the same day or after one night
Return to normal activities within 1–2 weeks
Resume full activity within a few weeks
Recovery varies depending on the procedure and individual factors.
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All surgery carries some risk, including bleeding, infection or injury to surrounding structures.
These risks are discussed in detail during your consultation so you can make an informed decision.
Costs & Planning
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Costs depend on the procedure, hospital fees and your private health insurance.
A clear explanation of expected costs, including Medicare rebates and any out-of-pocket expenses is provided before proceeding with the procedure.
