At Total Health clinic, women can find comprehensive, compassionate gynecological care. From endometriosis to pelvic floor problems to hormonal and menstrual disorders and vaginal reconstruction. You will receive personalized, coordinated, supportive care that fits your life. Total Health’s on-site laboratory, imaging and pharmacy allows for a quicker clinical decision making to get you back on track in no time.

Our services


Dr De Alwis is our senior gynecologist consultant who treats a range of conditions and symptoms, including:



A common condition, endometriosis is a painful condition that can impact your everyday life. When you have endometriosis, tissue similar to the lining of the uterus grows in other places within your abdomen and pelvic area. Endometriosis can cause painful and heavy periods, as well as be associated with fertility issues.


Pelvic floor dysfunction


Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement. Symptoms include constipation, straining to defecate, having urine or stool leakage, and experiencing a frequent need to pee. Initial treatments include biofeedback, pelvic floor physical therapy and medications.


Urinary incontinence


The experience of uncontrollably leaking urine can be an embarrassing issue for many people. Urinary incontinence is usually caused by problems with the muscles and nerves that help control the bladder hold or pass urine. Certain health condition unique to women, such as pregnancy, childbirth, and menopause can cause problems with these muscles and nerves.


Vaginal prolapse


Vaginal prolapse is a condition where your vagina slips out of position. It happens when the tissues and muscles in your pelvis weaken and overstretch. It’s more common in people who have had multiple vaginal deliveries during childbirth and have gone through menopause.


Heavy periods / Abnormal Bleeding


Abnormal uterine bleeding is bleeding between monthly periods, prolonged bleeding or an extremely heavy period. Possible causes include fibroids, polyps, hormone changes and — in rare cases — cancer.


Ovarian cysts


Ovarian cysts are common growths that develop on or inside your ovaries. There are several types of cysts. The most common kinds are harmless, don’t cause symptoms and eventually go away without treatment. Rarely, cysts can cause complications that require your provider’s attention. Getting regular pelvic exams can help reduce your chances of experiencing problems with a cyst.




Uterine fibroids are a common type of noncancerous tumor that can grow in and on your uterus. Not all fibroids cause symptoms, but when they do, symptoms can include heavy menstrual bleeding, back pain, frequent urination and pain during sex. Small fibroids often don’t need treatment, but larger fibroids can be treated with medications or surgery.




One in 6 couples may need treatment for infertility.


Infertility is commonly caused by problems with ovulation (the monthly release of an egg from the ovaries). Some problems stop an egg being released at all, while others prevent an egg being released during some cycles but not others. Ovulation problems can be a result of: polycystic ovary syndrome (PCOS).


Hormone replacement therapy


Norethindrone acetate is a synthetic form of the hormone progesterone. This medication is a hormone replacement to balance progesterone in your body. Norethindrone acetate treats endometriosis, uterine bleeding caused by abnormal hormone levels and secondary amenorrhea. Oestrogen, progesterone and testosterone are used in hormone replacement.




Post menopause is the time after you’ve been without a menstrual period for 12 months. During this stage, menopausal symptoms, such as hot flashes, get milder or go away. People in post menopause are at increased risk for osteoporosis and heart disease. Medication or healthy lifestyle changes may reduce the risk of these conditions.


Gynecology Ultrasound : Pelvic and Transvaginal


A pelvic ultrasound scan is the most effective imaging modality used to examine the uterus and ovaries. It may be used during pregnancy to monitor the health and development of the embryo and fetus.


Transvaginal ultrasound: Also called endovaginal ultrasound, usually used by doctors to examine the uterus, fallopian tubes, ovaries, and cervix. Unlike a regular abdominal or pelvic ultrasound where the ultrasound wand (rest )on the outside of the pelvis, this procedure involves your doctor inserting and ultrasound probe about 2 or 3 inches into your vaginal canal.

Comprehensive Women’s Health Check – $749

  1. Consultation with Gynaecologist
  2. Physician review
  3. PAP Smear
  4. Complete Blood Count (CBC)
  5. Blood Glucose
  6. Liver Function Panel
    • AST and ALT
    • Alkaline Phosphatase
    • Total Protein, Albumin, Globulin
    • GGT
  7. Kidney Function Panel
    • Creatinine
    • BUN
  8. Uric Acid
  9. Thyroid Panel- TSH, T3, T4
  10. Urine Analysis
  11. HIV/VDRL
  12. HBA1-C
  13. Lipid Profile
    • Total Cholesterol
    • HDL and Triglyceride, Cholesterol/HDL Ratio, LDL Cholesterol
  14. Vitamin D Test
  15. Treadmill Test
  16. Cancer Antigen (CA) 125

At Total Health we understand women’s health screening and vaccination play a key role in diseases prevention. Talk to one of our physicians about your lifestyle, medical and family history and together we will build a preventive health screening plan right for you. 

For more information book an appointment
Email: appointments@totalhealth.ky
Call: 333-2222

Our Healthcare Professionals