Gynaecology Services 

Aga Khan University Hospital, Nairobi is home to a team of specialist gynaecologists who are dedicated to providing the comprehensive care required to maintain women's health. 

Gynaecology services at AKUH,N include:

General gynaecology co​​​nsultations

If you are experiencing menstrual problems, (such as abnormal bleeding, irregular bleeding or painful periods), pelvic pain or infections, or menopausal symptoms kindly book a consultation with one of our gynaecologists. We can provide a diagnosis and create a treatment plan, which may either be medical or surgical. We offer a range of procedures, including laparoscopy and hysteroscopy. Consultations with our gynaecologists are available from Monday to Saturday.

Gyn​aecologic oncology

AKUH,N recommends that all women above 25 years should have regular Pap smear screening in order to detect pre-cancerous changes in the cervix. Should your gynaecologist detect any abnormalities in your Pap smear , colposcopy may be recommended.  There is a colposcopy clinic every week. We also provide HPV vaccination​.
We provide expert care for women with gynecologic cancers, this refers to cancers that arise from the woman’s reproductive tract that include: cervical cancer, endometrial cancer, ovarian cancer, vaginal cancer, and Vulva cancer. 

Whether you are concerned about your cancer risk or are seeking treatment, our multidisciplinary team of cancer specialists which includes: Gynecologic Oncologist, Radiation Oncology, Palliative care, Chemotherapy nursing care, counseling and nutritionist services will work together to develop an individual treatment plan just for you. This collaboration provides patients and families with a combination of state-of-the-art diagnostic services, treatment plan and support for every stage of disease.

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Minimal invasive surgery

Minimal access surgery (MAS) or invasive surgery is undertaken with one or more small incisions instead of a large incision. The surgeon passes a telescope with a video camera through a small incision usually in the belly button into a body cavity. The surgeon then views the surgery on a TV monitor.

Surgical instruments are then passed through one or more other similar little incisions. The surgeon examines and operates on the area in question by viewing magnified images on a television. When the telescope is used to operate on the abdomen, the procedure is called laparoscopy.

The advantages of minimal access surgery include quick recovery and return to normal activities, less need for pain medications, less risk of hernia formation, early mobilization which reduces risk of blood clots, less chance of infection and is cost effective as the hospital stay is reduced.

 At AKUH, we undertake most of our operations through keyhole (minimal access) and we are a training centre in this type of surgery. Our residents (post-graduate students) have to achieve a certain minimum level of competence to be allowed to independently practice at the end of their training.

 Operations include laparoscopic for ectopic pregnancy, sterilization, removal of ovarian cysts, excision of endometriosis, removal of the womb and prolapse fixing.
Prior to the surgery patients are seen by faculty who discuss the merits and demerits of the various routes of surgery.
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Assessment and treatment for womens’ bladder problems, prolapse, and fistula
We run a weekly clinic and urodynamics session and have over time seen the number of patients and procedures increase.

Urogynaecology is the study of bladder and pelvic floor disorders. The disorders include urine incontinence, fecal incontinence, pelvic organ prolapse, recurrent urinary tract infections and perineal injuries sustained after delivery among others. These disorders are quite common but remain hidden because they cause considerable embarrassment and psychological stress to these “silent” sufferers. Often women take years before they seek help and sometimes they may present with unrelated complaints hoping for a wholesome solution.

 At the Urogynaecology clinic we make it easier for women to talk about these problems to our friendly and professional staff and have on offer a range of investigations and treatment including surgical options. We have a new state of the art urodynamics machine which enables us perform various tests on the bladder including uroflow, filling and voiding cystometry, urethral pressure profile, electromyography and in future we will be doing anorectal manometry. We work closely with other specialties including urology, colorectal and fistula surgeons, neurologists, physiotherapists and counsellors .

 F​ertility and reproductive endocrinology
 
About 1 in 6 couples may experience a delay in achieving a pregnancy. It may not immediately be obvious why this delay is happening and could be due to female or male factors . Common female related factors are lack of ovulation or damage to the fallopian tubes. Sometimes there is a problem with sperm production in the male partner. The fertility specialists are able to conduct bespoke tests and offer appropriate treatment.​
 
Fertility treatment depends on the cause that has been established during investigations. This is usually found to be very specific in individual couples. Treatment can include:

  • Ovulation induction
  • Intrauterine insemination
  • Assisted reproductive treatment
    • In Vitro Fertilization (IVF)
    • Intra-Cytoplasmic Sperm Injection (ICSI)
    • Frozen embryo replacement
    • Fertility preservation in women at risk of premature menopause
Early pregnancy assessment
 
A dedicated early pregnancy assessment service is available at Aga Khan University Hospital offering a one-stop shop that provides professional advice in a very sensitive manner during this difficult moment. 
 
Investigations and treatment of repeated pregnancy loss (miscarriage)

We have up a team of dedicated and specialised professionals to offer you this sensitive service. We ensure that a comprehensive plan is made to look after you for your next pregnancy.

Hormonal treatment
 
Where there is inadequate production of female hormones in young women or exhaustion during the menopause, replacement in a much-tailored fashion to restore health and wellness is recommended. We offer specialist hormone replacement service for women who feel the need. ​
 
For more information please contact:

Obstetrics and Gynaecology Clinic
Telephone: +254 20 366 2876
​​​​​+254 20 366 2888
or Email: patient.referral@aku.edu

To find a doctor, please click HER​E
To book an appointment, please click HERE