During my elective placement in women’s units, I acquired knowledge of various treatment methods in the gynaecology speciality. I will be reflecting on my clinical experiences in colposcopy, hysteroscopy, endometriosis, and ectopic pregnancy during an elective placement, which can offer valuable insights into patient care, clinical skills, and personal growth.

During my elective placement, I had the opportunity to observe and participate in various procedures related to colposcopy, hysteroscopy, endometriosis, and ectopic pregnancy.

In the colposcopy clinic, I observed the procedure in which a colposcope was used to examine the cervix for abnormalities following an abnormal human papillomavirus (HPV) test. The speciality nurses emphasised patient comfort and clear communication to alleviate anxiety.

While in the hysteroscopy clinic, I assisted in preparing a patient for a hysteroscopy. This procedure involves examining the uterus using a hysteroscope and is typically performed when a woman experiences menstrual problems such as postmenopausal or irregular bleeding, polyps, and fibroids. The consultant explained the procedure to the patient and stressed the importance of managing pain and discomfort.

In endometriosis, I encountered a patient suffering from severe endometriosis, requiring both pain management and psychological support. The experience highlighted the chronic nature of the disease and the importance of long-term care planning. The patient has various birth control options to treat endometriosis, including mini pills, Mirena coils, patches, and surgery.

At the early pregnancy unit, we provide care for women who are 16 weeks pregnant and experiencing severe pain and heavy bleeding. Additionally, we provide support for women who have had previous early pregnancy complications such as recurrent miscarriage, ectopic pregnancy, and molar pregnancy.

During a critical ectopic pregnancy, quick decisions and teamwork by healthcare professionals were crucial in managing this life-threatening emergency.

At first, I was worried about taking part in these complicated procedures and handling serious conditions such as ectopic pregnancy. However, I was also excited about the chance to learn and help with patient care. Watching the team’s expertise reassured me, but I also felt the emotional burden of seeing patients in distress, especially those dealing with chronic conditions like endometriosis or facing emergencies such as ectopic pregnancies.

The experiences reinforced the importance of patient-centred care, particularly in maintaining clear communication and providing emotional support. The practical exposure to these procedures enhanced my understanding of the technical aspects and patient management.

The emotional impact of dealing with serious conditions was significant. Additionally, the complexity of procedures like colposcopy and hysteroscopy highlighted areas where I need further learning and practice.

These experiences have demonstrated the critical importance of balancing technical skills with compassionate care. For instance, in colposcopy and hysteroscopy, patients often experience high levels of anxiety, and the way healthcare professionals communicate can significantly impact patient comfort and cooperation. While managing cases of endometriosis and ectopic pregnancy, I have witnessed the significance of a multidisciplinary approach, which involves integrating pain management, surgical intervention, and psychological support.

I have learnt the importance of being prepared, not only technically but also emotionally, for the challenges presented by these conditions. I have recognised the need for continuous learning, particularly in developing communication skills and gaining a deeper understanding of the conditions that affect women’s reproductive health.