Delayed puberty is when a child's physical signs of sexual maturation, including breast development and menstruation, do not appear by the expected age.

Adolescent menstrual dysfunction describes irregularities or abnormalities in the menstrual cycle of young people, such as absent, irregular, or heavy periods.

A retained tampon or foreign body is an object such as a tampon or any other object that has been left inside the vagina for an extended time, and requires specialised medical care.

PMS and PMDD are conditions that cause physical and emotional changes in the time before a period starts.

The symptoms of vulval conditions in children range widely, and most require professional diagnosis to ensure the most appropriate and effective treatment is given.

Amenorrhea, or absence of periods, in children can be caused by complex underlying hormonal issues, requiring specialist diagnosis, treatment and care.

Premenarchal bleeding is vaginal bleeding that occurs before the age that a girl would typically start their period. While uncommon, the condition can be a sign of an underlying issue.

Endometriosis is a relatively common condition that may be associated with pelvic pain and difficulty conceiving.

Urinary incontinence is an involuntary loss of urine associated with urgency or strong desire to void.

Fibroids are benign growths of the muscle that makes up the womb. They are very common and may be present in up to 40% of women in the UK.

Pelvic pain is one of the most common symptoms experienced by women ranging from pain during the period to pain throughout the cycle.

Ovarian cysts are common and many resolve spontaneously. Most cysts are benign but its important to consider the possibility of cancerous change.

Heavy and/or irregular bleeding are relatively common problems and there are a number of potential causes most of which are benign and easily treated.

There are a range of factors that can affect a women’s ability to conceive, and several treatment options are available.

The average age for the menopause in the UK is 51 with a range from 45-55 and it heralds a number of changes to physiological mechanisms due to associated hormonal changes – principally reduction in oestrogen.