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Thomson Specialists

Thomson Medical offers convenient access to comprehensive specialist outpatient and surgical care for women, children, and families through Thomson Specialists. Our team is dedicated to addressing your unique needs and providing tailored treatment options. Take control of your health today by booking an appointment at any of our Thomson Specialists clinics and embark on a journey towards improved well-being.

Bringing Comprehensive Specialist Care Closer To You

Thomson Women's Clinic

At Thomson Women’s Clinics, we are committed to providing modern and comprehensive care for women of all ages. Our experienced team of O&amp;G specialists is dedicated to creating a caring environment where your health and well-being are our top priorities. Our specialists provide specialised services on preventive measures, accurate diagnosis, and personalised treatment plans.Whether you need specialised care for women-related conditions or navigating the journey of childbirth, seeking support for family planning and fertility treatments, or requiring compassionate care through menopause, we are here for you.

Our Expertise

Specialists in Women’s Health

We understand that managing your health appointments around work and family commitments can be challenging. For your convenience, we provides women's health consultations beyond standard hours at multiple locations across Singapore.Extended Hours LocationsWhile all 12 of our women's health clinics operate during standard clinic hours, the following locations offer extended consultation times:Northeast<ul><li>Woodleigh: Thursday, 6pm - 9pm</li><li>Sengkang: Tuesday &amp; Friday, 5:30pm - 7:00pm</li><li>Punggol: Tuesday, Thursday &amp; Friday, 12pm - 8pm</li></ul>East<ul><li style="text-align: justify;">Tampines: Monday, 7pm - 9pm</li><li style="text-align: justify;">Katong: Wednesday, 10am - 8pm</li></ul>West<ul><li style="text-align: justify;">Jurong: Monday &amp; Thursday, 6pm - 9pm</li><li style="text-align: justify;">Bukit Batok: Monday, Thursday &amp; Friday, 6pm - 8:30pm</li><li style="text-align: justify;">Choa Chu Kang: Monday, 6pm - 8pm</li></ul>Thomson Medical is committed to providing accessible healthcare that fits your schedule.

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Thomson Women’s Clinic

Thomson Paediatric Centre

At Thomson Paediatric Centres, our unwavering commitment is to treat your child with the same level of care and dedication as we would our own. We provide children's healthcare services to alleviate every parent's concerns and ensure the well-being of our next generation. Our experienced team of Paediatricians is devoted to cultivating a caring environment where your child's health is our top priority.Besides General Paediatrics services, we also offer specialised services in Neonatology and Paediatric Cardiology. Our specialist doctors are experienced in areas such as Nutrition, Respiratory, Growth &amp; Development assessment, and Paediatric Urgent Care for babies to young children and adolescents. Trust us to be your partner in safeguarding your child's health and ensuring a compassionate and comprehensive approach to their medical needs.

Specialists in Children’s Health

Our Paediatricians

Please click on the below links for our Paediatricians' availabilities.
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 <td>Paediatricians</td>
 <td>Clinic Location</td>
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 <td>Dr Ang Ai Tin</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
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 <td>Dr Eugene Han</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
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 <td>Dr Grace Lim</td>
 <td><a href="https://maps.app.goo.gl/obLpwmEFumMjMzRz8" target="_blank">Thomson Specialists (Woodleigh)</a> </td>
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 <td>Dr Kenneth Chua Yong Yeow</td>
 <td><a href="https://maps.app.goo.gl/Kp3TYWxzLXkfkkPYA" target="_blank">Thomson Paediatric Centre (Punggol)</a></td>
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 <td>Dr Leo Deng Jin</td>
 <td><a href="https://maps.app.goo.gl/NVzfb9zvkUMvvNxN8" target="_blank">Thomson Paediatric Centre (Bukit Panjang)</a></td>
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 <td>Dr Lim Yang Chern</td>
 <td><a href="https://maps.app.goo.gl/7Ex6ra4NmwHQUopS6" target="_blank">Thomson Paediatric Centre (Jurong)</a></td>
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 <td>Dr Ong Ian</td>
 <td><a href="https://maps.app.goo.gl/78WJoj482r35Af7T9" target="_blank">Thomson Paediatric Centre (Parkway Parade)</a></td>
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 <td>Dr Tan Kuanyang</td>
 <td><a href="https://maps.app.goo.gl/odint8UJmba6RBPbA" target="_blank">Thomson Paediatric Centre (TPC 4)</a></td>
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 <td>Dr Yang Linqi</td>
 <td><a href="https://maps.app.goo.gl/XcyrrQBgEW35Rw3f6" target="_blank">Thomson Paediatric Centre (TPC 1)</a></td>
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Refer to each paediatrician's <a href="https://www.thomsonmedical.com/centres/paediatric-centre/paediatricians-consultation-hours">consultation hours</a> for their availability.

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Latest share price, financial performance, and other materials relevant to investors.Read about our <a href="https://assets.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt5a13f1dd33c615fa/651e7a9aecf48b6d54c38b23/TMG-Investor-Relations-Policy-3Sep2020.pdf?branch=uat_release_3" target="_self">Investor Relations Policy</a>For Investor Relations matters, please email us at <a href="mailto:ir@thomsonmedical.com">ir@thomsonmedical.com</a> Thomson Medical Group Limited 101 Thomson Road #20-04/05, United Square Singapore 307591 Tel: +65 6331 0188 Fax: +65 6331 0180

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<table><tbody><tr><td>Stock symbol</td><td>A50.SI</td></tr><tr><td>Listing</td><td>Singapore Exchange </td></tr><tr><td>Financial Year End</td><td>June 30</td></tr><tr><td>Total issued shares as at 30 June 2023</td><td>26,441,066,807 ordinary shares</td></tr><tr><td>Market capitalisation as at 30 June 2023</td><td>S$1.6 billion</td></tr></tbody></table>

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What You Should Know about Dental Insurance in Singapore

Thomson Medical - Medical Concierge Services

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Thomson Medical Concierge<ul><li>8.30am - 5.30pm</li><li>WhatsApp: <a href="https://api.whatsapp.com/send/?phone=6591472051&text=I+was+browsing+the+Thomson+Medical+website+and+would+like+to+make+an+enquiry.&type=phone_number&app_absent=0" target="_self">9147 2051</a><a href="tel:+6562501965"></a></li></ul><hr/>Need help finding the right specialist or booking for a group?Our Medical Concierge is here to help you. Simply fill in our form, and we'll check and connect you with the right specialist promptly.Notice:The range of services may vary between Thomson clinic locations. Please contact your preferred branch directly to enquire about the current availability.

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Dental Surgery

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Maintaining good oral health can help make you feel confident, but the cost of dental care can quickly mount up, especially for complex treatments or orthodontic procedures (a dentistry speciality that focuses on aligning your bite).Understanding your dental insurance options in Singapore helps you access quality dental care while keeping your expenses in check. From government schemes to private insurance plans, various coverage options cater to different needs and budgets.<h2>What is dental insurance?</h2>Dental insurance is a specialised healthcare coverage designed to help manage the costs associated with oral health maintenance and dental treatments. Unlike general medical insurance, dental coverage focuses specifically on preventive care, routine treatments, and various dental procedures that support optimal oral health.In Singapore, dental insurance operates through multiple channels, including government-supported schemes, employer-provided benefits, and private insurance plans. These coverage options recognise that dental treatments can have substantial costs, particularly for complex procedures or orthodontic care.Dental insurance typically covers a spectrum of services ranging from routine cleanings and check-ups to more complex treatments such as fillings,&nbsp;<a href="https://www.thomsonmedical.com/blog/dental-crown" target="_blank">dental crowns</a>, root canals, and surgical procedures. Some plans may also provide coverage for orthodontic treatments, cosmetic procedures, and specialised dental care necessitated by accidents or medical conditions.The coverage operates on various models, including direct billing arrangements with dental providers, reimbursement systems where you need to pay upfront and claim expenses, or hybrid approaches that combine elements of both systems. Understanding how your specific coverage works helps you maximise benefits and minimise out-of-pocket expenses.<h2>What does dental insurance cover?</h2><img alt="illustration image of what does dental insurance cover" src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/bltac74c3dadf07bcb1/68b1cd1936f57e49e6e77d65/blog-image_insurance_what-dental-insurance-cover.png?branch=production"/>A thorough dental insurance coverage encompasses various categories of dental care, each serving different aspects of oral health maintenance and treatment. Understanding these coverage categories maximises your benefits and allows you to plan your dental care needs effectively.<h3>Preventive care</h3>Most plans usually cover preventive dental care, including routine examinations and check-ups. These examinations typically involve a thorough assessment of your oral health, dental charting, and personalised recommendations for ongoing care. Coverage in this category tends to be the most generous, often with minimal or no co-payments required.Dental cleanings and scaling procedures are generally fully covered in this category, as they play a crucial role in preventing gum disease and maintaining overall oral health. Many plans cover two cleanings per year, though some plans may provide coverage for more frequent cleanings for patients with specific oral health needs.<h3>Restorative treatments</h3>Restorative dental treatments address existing dental problems, helping to restore the normal function and appearance of damaged teeth. Coverage for these treatments varies significantly between different insurance plans and often involves co-payments or coverage limitations.<ul><li>Dental fillings:<ul><li>Dental fillings for treating cavities are one of the most commonly covered restorative treatments, though coverage levels may vary based on the type of filling material used.</li><li>Amalgam fillings&nbsp;typically receive higher coverage percentages than&nbsp;composite or aesthetic filling&nbsp;options.</li></ul></li><li>Crown and bridge:<ul><li>Crown and bridge work for severely damaged or missing teeth often receives partial coverage, though these treatments typically involve higher co-payments due to their complexity and cost.</li><li>Coverage may depend on whether the treatment is deemed to be for medical reasons or for cosmetic enhancement.</li></ul></li><li>Root canal treatments:<ul><li><a href="https://www.thomsonmedical.com/dental/services/root-canal-treatment" target="_blank">Root canal treatments</a>&nbsp;for infected or severely damaged teeth are generally covered under restorative care, though coverage levels vary and may require pre-authorisation from the insurance provider.&nbsp;</li><li>These treatments are typically considered medically necessary to preserve natural teeth and prevent more serious complications.</li></ul></li><li>Dentures:<ul><li>Dentures and partial dentures for replacing missing teeth may be covered under restorative care, particularly for patients who have lost teeth due to injury, disease, or medical conditions.&nbsp;</li><li>Coverage often includes both the initial fitting and subsequent adjustments or repairs.</li></ul></li></ul><h3>Surgical procedure</h3>Surgical dental procedures encompass more complex treatments that may be required for serious dental conditions, injuries, or medical necessities. Coverage for surgical procedures often requires pre-authorisation and may involve higher co-payments than routine treatments.<a href="https://www.thomsonmedical.com/blog/tooth-extraction" target="_blank">Tooth extractions</a>, both simple and surgical, are typically covered when medically necessary, though coverage for wisdom tooth removal may depend on whether the procedure is deemed necessary or preventive. Emergency extractions due to infection or trauma generally receive full coverage consideration.Oral surgery procedures,&nbsp;such as jaw surgery or treatment of oral cancers, may be covered under some dental plans, though these treatments often require specialist referrals and extensive pre-authorisation processes.Periodontal surgery&nbsp;for treating advanced gum disease, including pocket reduction procedures and gum grafts, may be covered when medically necessary to preserve oral health and prevent tooth loss. These treatments often require documentation of failed conservative treatment attempts.Dental implant procedures&nbsp;may be covered under some comprehensive plans, particularly when implants are required due to injury or medical conditions rather than general tooth loss. Coverage for implants varies significantly between plans and often involves substantial co-payments.<h3>Orthodontic treatments</h3>Orthodontic coverage addresses treatments designed to correct tooth alignment, bite problems, and jaw positioning issues. This category often has specific limitations, waiting periods, and lifetime maximum benefits that differ from other dental coverage categories.<a href="https://www.thomsonmedical.com/blog/braces" target="_blank">Traditional braces</a>&nbsp;for correcting significant bite problems or severe misalignment are often covered under a more thorough plan, particularly for children and adolescents. Adult orthodontic coverage might be more restricted and frequently necessitates proof of medical necessity, not just cosmetic enhancement.<a href="https://www.thomsonmedical.com/blog/clear-aligners" target="_blank">Clear aligner</a>&nbsp;treatments such as Invisalign may be covered under some plans, though coverage levels often differ from traditional braces and may involve higher co-payments or more restrictive eligibility criteria.Orthodontic coverage typically includes ongoing adjustments, monitoring visits and retention devices necessary for maintaining braces or clear aligners. However, replacement of lost or damaged orthodontic appliances may involve additional costs not covered by insurance.Pre-orthodontic treatments such as palatal expanders or space maintainers for children may be covered when deemed medically necessary to support proper dental development and prevent more complex orthodontic problems in the future.If you wish to undergo dental treatment but are unsure whether your insurance covers the treatment you need, please contact our&nbsp;<a href="https://www.thomsonmedical.com/form/medical-concierge-services" target="_blank">medical concierge services</a>&nbsp;for further information.

Dr Ashley Thean is a dentist at <a href="https://www.thomsonmedical.com/centres/dental-centre" target="_blank">Thomson Dental Centre</a>, with a special interest in <a href="https://www.thomsonmedical.com/dental/children-dental" target="_blank">children's dentistry</a>.Dr Thean, an alumna of the University of Melbourne, is deeply committed to the comfort and care of her patients. As she has a special interest in children's dentistry, she consistently employs a kind and gentle approach with her young patients, ensuring their experiences are positive and comforting. During her undergraduate years, she was awarded the William J. Tuckfield Prize for her outstanding performance in restorative dentistry. She further distinguished herself by making the Dean's List for High Achievement. Topping that accolade, one of Dr Thean's research papers, submitted as an undergraduate, was selected to be published in the Australian Dental Journal.Dr Thean began her career in private practice in rural Australia, where she provided dental care to a diverse range of patients across various socio-economic backgrounds. Committed to her professional development, she regularly participates in continuing education, including programmes like the 35th Australian Dental Congress in Melbourne. Dr Thean's primary goal is to ensure each of her patients has a positive dental experience.

Dr Ashley Thean

Dr Chua Chee Haow is a dentist at <a href="https://www.thomsonmedical.com/centres/dental-centre" target="_blank">Thomson Dental Centre</a>, bringing over two decades of expertise to his practice.Dr Chua earned his dental degree from the National University of Singapore in 1990. He has served as the Clinical Director and managed multiple clinics for over 20 years. Dedicated to continuing professional development, Dr Chua was awarded a Fellowship from the prestigious Royal Australasian College of Dental Surgeons (FRACDS) for demonstrating his commitment to the highest standard of care for his patients. Subsequently, he was also awarded a Fellowship with The International Congress of Oral Implantology for his in-depth knowledge of implantology and exceptional interest in the advancement of implant dentistry.Dr Chua also keeps up to date with the latest in technology in dentistry and was one of the first in Singapore to introduce computer-aided design and computer-aided manufacturing in dental ceramic restorations. Dr Chua is particularly skilled at treating nervous patients and is well-known by his patients for his caring and gentle personality.Dr Chua has a keen interest in treating bite and jaw problems, often helping patients alleviate symptoms of migraines and tension headaches with successful outcomes. He is also experienced with interceptive orthodontics for children which involves the correction of teeth position as soon as they develop. This allows the development of well-aligned and straight teeth as the child grows into adulthood.Dr Chua believes in giving back to the community. He volunteers at his alma mater, Gan Eng Seng School, and participates in medical-dental missions abroad, providing free dental services in countries like Thailand and Cambodia.In his downtime, he travels to California, USA to spend time with his three adorable nieces, Megan, Naomi, and Kenzi.

Dr Chua Chee Haow

Our dentist with insurance panels

<h2>What are the different types of dental insurance?</h2>Singapore offers multiple dental insurance options through government schemes, private insurance providers, and employer-sponsored plans. Understanding these different coverage types helps you choose the most appropriate option for your specific needs and circumstances.<h3>MediSave for dental treatments</h3>MediSave provides coverage for specific dental treatments through Singapore's mandatory healthcare savings scheme, focusing primarily on medically necessary procedures rather than routine maintenance or cosmetic treatments. This coverage forms part of the broader healthcare framework designed to ensure essential medical care accessibility.Eligible dental procedures under MediSave include surgical extractions, treatment of oral cancer, corrective jaw surgery, and other complex procedures deemed medically necessary. These treatments typically require specialist referrals and must meet specific medical criteria to qualify for MediSave coverage.The coverage operates through approved healthcare providers and involves specific claim limits and procedures that patients must follow to access benefits. Understanding these requirements helps ensure proper coverage access when eligible treatments are needed.MediSave coverage for dental treatments often requires pre-authorisation and documentation of medical necessity, distinguishing between treatments required for health reasons versus those sought for cosmetic or convenience purposes.<h3>MediShield Life and dental care</h3>MediShield Life, Singapore's basic universal health insurance, provides limited coverage for dental treatments, primarily focusing on emergency procedures and medically necessary treatments that may be required due to accidents or serious medical conditions.Emergency dental treatments resulting from accidents or trauma may be covered under MediShield Life's emergency care provisions, particularly when immediate treatment is required to address serious medical complications or prevent further health deterioration.Dental treatments that are integral to other covered medical procedures, such as dental work required before radiation therapy or treatments necessary due to medication side effects, may receive coverage consideration under the broader medical treatment framework.The coverage operates within public healthcare facilities and follows the same co-payment and deductible structures as other MediShield Life benefits, making it accessible but potentially limited in scope compared to dedicated dental insurance plans.<h3>Private dental insurance plan</h3>Private dental insurance plans offer the most thorough coverage options, providing flexibility in provider choice, treatment options, and coverage levels that extend well beyond government scheme limitations. These plans cater to individuals seeking enhanced dental care options and broader coverage scope.Comprehensive private plans usually pay for regular check-ups, repairs, and surgeries, and they might also cover braces with different levels of benefits and co-payments. These plans often provide annual benefit maximums and may include waiting periods for certain treatments.Premium private dental plans may include coverage for cosmetic procedures, advanced treatment options, and access to specialist dental providers that may not be available through government schemes. These enhanced options come with correspondingly higher premium costs.Private plans often feature direct billing arrangements with network dental providers, reducing upfront payment requirements and simplifying the claims process for covered treatments. Some plans also offer global coverage for emergency dental care while travelling.<h3>Employee benefits and corporate plans</h3>Many employers in Singapore provide dental coverage as part of comprehensive employee benefit packages, offering group insurance rates and often more generous coverage than individual plans. These benefits recognise dental health as an important component of overall employee wellbeing.Corporate dental plans typically provide coverage for employees and may extend benefits to family members, offering convenient access to dental care through employer-negotiated rates and simplified administration processes.Group coverage often includes preventive care and basic restorative treatments and may include more extensive benefits for senior employees or management positions. The coverage details vary significantly between employers and may be enhanced through voluntary additional coverage options.Employee dental benefits may include access to specific dental provider networks, direct billing arrangements, and simplified claims processes that make accessing care more convenient than individual insurance plans.For further information about which dental insurance type is suitable for your specific needs, contact our&nbsp;<a href="https://www.thomsonmedical.com/form/medical-concierge-services" target="_blank">medical concierge services</a>&nbsp;for further consultation.<h2>How much does dental insurance cost?</h2>The cost of dental insurance in Singapore varies considerably based on coverage scope, provider choice, age factors, and specific benefit selections. Understanding these cost factors helps in budgeting for dental insurance and comparing different coverage options effectively.It is best to directly consult your insurance providers on the cost of the dental insurance plans and how different tiers of coverage may vary in price.<h2>Complementing your dental insurance</h2><img alt="image of dentist checking the patient's teeth" src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt081e4b4811cef908/68b1ced0981e967afa2a1334/blog-image_insurance_dental-procedures.png?branch=production"/>Although dental insurance provides essential financial protection, partnering with dental providers ensures optimal oral health outcomes and makes the most of your coverage investment.At Thomson Dental Care, we provide dental services that seamlessly integrate with a variety of insurance plans. We focus on preventive care, early intervention, and patient education to maximise health outcomes and insurance benefits.Our dentists work closely with insurance providers to facilitate direct billing arrangements, pre-authorisation processes, and treatment planning that optimises coverage benefits while ensuring you receive the necessary care. This collaborative approach minimises administrative burdens and helps you understand your coverage options clearly.<ul><li>Our diagnostic services include&nbsp;<a href="https://www.thomsonmedical.com/blog/dental-x-ray" target="_blank">dental X-rays</a>, intraoral cameras, and oral health assessments. These tools can help identify potential dental issues at an earlier stage, when treatment options are less invasive and more cost-effective.</li><li>Our treatment planning takes into account both immediate dental needs and long-term oral health. Patients are supported with information to make decisions about their care, including cost estimates and an explanation of insurance coverage before treatment begins.</li><li>Where specialised care is needed, you may be referred to orthodontists, oral surgeons, or other dental professionals. This ensures that more complex conditions can be managed appropriately in collaboration with trusted partners.</li></ul><h2>FAQ</h2><h3 class="faq-qns">Is dental covered by AIA insurance?</h3><div class="faq-ans">AIA offers various health insurance plans in Singapore, some of which include dental coverage as part of comprehensive health insurance packages or as optional riders that can be added to basic health policies.The extent of dental coverage varies significantly between different AIA plans and policy configurations. It is best to directly contact AIA and ask them about their dental coverages.</div><h3 class="faq-qns">Is dental insurance mandatory in Singapore?</h3>Dental insurance is not mandatory in Singapore, unlike MediShield Life which provides basic health insurance coverage for all residents. Individuals are free to choose whether to purchase dental insurance based on their personal circumstances, dental health needs, and financial preferences.<h3 class="faq-qns">Can you claim insurance for dental?</h3>Yes, dental treatments can be claimed through insurance provided you have appropriate dental coverage, whether through private dental insurance, employer-provided benefits, or government schemes that include dental provisions. The claimability depends on your specific coverage and the type of treatment received.<h3 class="faq-qns">Can I use a CHAS card for dental?</h3><div class="faq-ans">Community Health Assist Scheme (CHAS) cards provide subsidised healthcare access for Singaporean citizens, including basic dental services at participating dental clinics. CHAS cardholders can access subsidised dental care based on their household income and CHAS tier level.CHAS Orange and Blue cardholders can receive subsidies for basic dental treatments, including consultations, cleanings, fillings, and extractions at participating private dental practices. The subsidy amounts vary based on the specific treatment and CHAS tier level.To use CHAS benefits for dental care, you need to visit CHAS-registered dental providers and present your valid CHAS card during treatment. The subsidies are typically applied directly at the point of care, reducing the immediate out-of-pocket expenses.CHAS dental benefits have annual limits and may not cover all types of dental treatments, with coverage typically focusing on basic dental care rather than cosmetic procedures or advanced treatments. You should verify coverage details and annual limits before seeking treatment.</div><h3 class="faq-qns">How to get a subsidy for dental?</h3><div class="faq-ans">Several subsidy programmes are available in Singapore to help make dental care more affordable, particularly for lower-income residents and vulnerable populations. Understanding these options helps ensure access to necessary dental care regardless of financial circumstances.<ul><li>Community Health Assist Scheme (CHAS):<ul><li>CHAS provides the most comprehensive dental subsidies for eligible Singaporean citizens based on household income levels.</li><li>Eligible residents can apply for CHAS cards through community centres or online platforms, with subsidies applied directly when visiting participating dental providers.</li></ul></li><li>Pioneer generation and Merdeka generation:<ul><li>Pioneer Generation and Merdeka Generation schemes provide additional healthcare subsidies for eligible seniors, including enhanced dental care subsidies that can be combined with CHAS benefits.</li><li>These programmes recognise the specific healthcare needs of Singapore's founding generations.</li></ul></li><li>Polyclinic subsidies:<ul><li>Polyclinics offer subsidised dental care for Singaporean citizens and permanent residents, with fees determined by income assessment and subsidy eligibility.</li><li>These services focus on basic dental care and emergency treatments at significantly reduced costs compared to private dental providers.</li></ul></li><li>School dental programmes:<ul><li>School dental programmes provide subsidised dental care for students, with regular screenings and basic treatments available through school-based dental services.</li><li>These programmes emphasise preventive care and early intervention to promote lifelong oral health habits.</li></ul></li></ul></div>Disclaimer: The information provided is intended for general guidance only and should not be considered medical or financial advice. For personalised recommendations and tailored advice on pricing and services,&nbsp;<a href="https://www.thomsonmedical.com/form/medical-concierge-services" target="_blank">contact us</a>&nbsp;at Thomson Medical today.

Learn more about dental insurance in Singapore, from coverage options, costs, benefits, and how to choose the right plan for your conditions.

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Breast lumps during pregnancy are very common. The expectant mother will experience many normal physiological changes ― an increase in breast size, more obvious sweat glands around the nipples, a darkening of the areola ― all of which will prepare her body for breastfeeding.Common non-cancerous variations to breasts include hormonal changes (fibrocystic changes), fibroadenomas, cysts, lipomas, accessory (extra) breast tissue. Pregnancy-related breast cancers make up about 3 per cent of all breast cancers.Whenever a pregnant woman feels a lump, she should see a doctor to get their opinion, keeping in mind that most times it will turn out to be nothing serious!<h2>What the doctor will do</h2>When you see the doctor, she will ask details as to how you detected the lump, how long it has been present and if you have detected any changes, so as to get an idea what the lump is likely to be.Next, the doctor will conduct a breast examination to confirm the presence of the lump, and check for any other symptoms such as skin changes or nipple discharge.Most patients will then be recommended to get an ultrasound scan ― this will give additional information as to whether this lump is benign or cancerous. If there is any concern that the lump may be cancerous, your doctor will advise you as to the pros and cons of having a biopsy, which can be done safely even during pregnancy.“If a pregnant women detects a lump, I would advise them to have a thorough consultation and a physical examination, followed by an ultrasound. If necessary, I would then perform a biopsy.”<h2>Breast cancer screening during pregnancy</h2>A screening checks for cancer even when a patient is feeling well and has absolutely no cancer signs or symptoms. For breast cancer screening, most countries, including Singapore, recommend mammogram screening from age 50 onwards. For women who are at higher risk, this may start at 40. Some specialists will recommend a supplementary ultrasound as well.If a pregnant women detects a lump, I would advise them to have a thorough consultation and a physical examination, followed by an ultrasound. If necessary, I would then perform a biopsy.<h2>Screening methods (Mammograms/Ultrasound)</h2>Ultrasound, the same technology used to monitor the baby during pregnancy, is safe and useful in detecting lumps, and to check if it’s solid or cystic. Most specialists do not use ultrasound as a screening method as the majority of such lumps it detects are not cancerous.A diagnostic ultrasound can still be performed safely on pregnant women to assess their breast lump. If a subsequent biopsy confirms a cancer, she may then need a baseline mammogram, after discussing the pros and cons with her doctor. This is because early stage breast cancer may not form a lump yet, but may attract calcium spots, which can be detected using a mammogram. An abdominal lead apron may be used to reduce the baby’s exposure to radiation.<h2>Breast cancer treatment</h2>If the biopsy shows that the lump is non-cancerous (benign), then it may be left alone.However, if the biopsy shows that it is cancerous, the breast cancer treatment protocols will be modified for the expectant woman. Staging* has to be conducted to find out if the cancer has spread to other parts of the body, but only with liver ultrasound and chest X-ray. Depending on which trimester of the pregnancy she is in, the breast surgeon, oncologist and the ob-gyn will discuss what is best for the patient and her baby.Chemotherapy may be administered from the second trimester onwards, followed by surgery after she deliver the baby. As such management of the patient’s treatment is complex, it will involve good multidisciplinary care by experienced doctors.*Staging is a way to describe where the cancer is located, how much the cancer has grown, and if or where it has spread.

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Although common breast changes are normal in pregnancy, finding a lump can be worrying. Learn what are the recommended next steps, and when you should worry.

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Breast Lumps During Pregnancy: What to Expect and Do

“It all started with a persistent pain in the left breast, and I was referred by my General Practitioner for a mammogram and ultrasound. Both the mammogram and ultrasound results showed an abnormal lump, and I was further scheduled for a breast biopsy to determine if the lump was benign or malignant. Questions started to fill my mind. What is breast biopsy and how is it performed? And is it painful?”For many patients, pain is a very common symptom and is the most common complaint that brings them to see a doctor. For a small group, there happens to be an abnormal lump found that needs a biopsy. Most times, pain is not a sign of cancer, and any lumps found may not be the cause of the breast pain you experienced.Some of us may face a similar situation when a lump is detected. It is normal to have many questions. This article aims to address some of your preliminary questions while you arrange for a consult with a professional specialist. It is important to seek timely professional diagnosis and treatment.Here’s what you need to know about a breast biopsy and what to expect.<h2>What is a breast biopsy?</h2>A breast biopsy is a process where a small sample of breast tissue is removed through a special biopsy needle. The tissue samples removed from the breast lump will be further examined under a microscope. Typically, the breast biopsy is performed if there is an abnormality detected from your previous mammograms or breast ultrasounds. The goal of the biopsy is to determine what the abnormality is and the best treatment to move forward with.Although ultrasounds and mammograms are useful ways to identify breast lumps, a breast biopsy is the only way to confirm what the lump is. Breast screening is to be done, even if you are well and have no symptoms at all, and annual mammograms should start from age 40.If you experience any symptoms, please see a doctor for early diagnostic imaging tests:<ul><li>Breast lump</li><li>Changes in the colour or contour of the breast or nipple or dimpling of skin</li><li>Discharge from the nipple</li></ul>Most breast biopsies are quick and painless. Many of the breast lumps may turn out to be benign as there are a variety of conditions that can cause lumps in the breast. However, your doctor will usually want to take precautions and order breast screening tests to rule out early <a href="https://www.thomsonmedical.com/blog/breast-cancer" target="_blank">breast cancer</a>.<h2>How to prepare for a breast biopsy?</h2>Before your breast biopsy, you can prepare by informing your breast surgeon if you:<ul><li>Have any allergies</li><li>Are taking any blood-thinning medications</li><li>Have consumed aspirin in the last seven days</li><li>Not able to lie face down for more than an hour</li></ul>You will likely meet with your specialist prior to the procedure. Your doctor would be able to advise you on the procedure and give you advice such as:<ul><li>What type of breast biopsy procedure will be done?</li><li>What is the location of my biopsy?</li><li>Will a part or all of the lump be extracted?</li><li>Will it leave a scar?</li><li>How soon will I receive my results?</li><li>How soon can I resume normal activities?</li><li>What type of anaesthesia will be used?</li></ul>Make sure to wear a sports bra and loose clothing to have ease in dressing after the procedure. You may also want to have a designated driver or someone to accompany you home safely.<h2>What are the different types of breast biopsies and how are they performed?</h2>Once your breast surgeon decides that a biopsy is needed, they will determine the best type of biopsy for your situation. There are a few breast biopsy procedures to obtain samples of a patient’s breast lumps. Your breast surgeon will recommend based on the location, size, and other characteristics of the breast abnormality.Your breast surgeon will take a tissue sample either through a minimally invasive biopsy procedure or surgery. Minimally invasive procedures are ideal because they offer:<ul><li>Less pain</li><li>Less scarring</li><li>Faster recovery time</li><li>Lower risk of infection</li><li>Lower hospital costs</li><li>Able to return to usual activities quickly</li></ul><h3>Ultrasound-guided breast biopsy</h3>This procedure is performed through ultrasound guidance. An ultrasound is a method that utilises high-frequency sound waves to generate precise images.The breast surgeon will locate the lump within the patient’s breasts using the breast ultrasound device before a small incision is made for the biopsy needle to retrieve tissue samples. With an ultrasound-guided breast biopsy, the breast surgeon can identify <a href="https://www.radiologyinfo.org/en/info/breastbius" target="_self">lumps near the chest wall or under the arms</a>.It can be used in conjunction with vacuum-assisted core biopsy, core needle biopsy, or fine needle aspiration biopsy. This ultrasound-guided breast biopsy procedure is also more cost-effective than other methods like open surgical biopsy.<h3>Stereotactic biopsy</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/bltdc27a561fa0c5072/6545217008cc0104077ce311/Stereotactic_Biopsy.jpeg?branch=uat_release_3" height="auto"/>With a stereotactic biopsy, a 3D image of the breast is created from the mammogram results. The doctor uses the image to pinpoint the exact location of the suspected breast lump and guides the needle there. The patient will lay <a href="https://www.healthline.com/health/breast-biopsy-stereotactic#procedure" target="_self">facing down on a padded biopsy table</a> with one of the breasts positioned in the hole in the table. The patient’s breast will be compressed with two plates while the biopsy site is located using a targeted mammogram. The breast surgeon or radiologist will then create a small incision into the biopsy site and insert a large core needle to remove tissue samples.<h3>RI-guided core needle biopsy</h3>Instead of using an ultrasound device, a biopsy can be performed under the guidance of an MRI. This imaging device captures cross-sectional images of the breast so that the hollow needle can be guided to the site of the breast lump. This procedure can be used with core needle biopsy, vacuum-assisted core biopsy, or wire localisation.he different types of breast biopsy vary in terms of how invasive the procedure it can be. Your breast surgeon will advise on the procedure that is the best for you.<h3>Open (surgical) biopsy</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt4155c1fcecc004d3/654521990970dd001bd16e10/Open_(Surgical)_Biopsy.png?branch=uat_release_3" height="auto"/>The breast surgeon will remove part or the entire lump. If the lump is small and deep, a very thin needle and a thin wire will be placed inside the breast before the operation to help guide the breast surgeon.Generally, a surgical biopsy is performed in an operating room usually under general <a href="https://en.wikipedia.org/wiki/Anesthesia" target="_blank">anaesthesia</a>.<h3>Fine needle aspiration (FNA) cytology</h3>In this procedure, a thin needle attached to a syringe is inserted into the breast lumps. The syringe will collect the sample of fluid or cells from the lump and small tissue samples are removed. Your doctor will advise if this is suitable for you.<h3>Sentinel node biopsy</h3>This procedure removes the <a href="https://www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet" target="_self">sentinel lymph node</a> or the first node to which cancer cells are most likely to spread. The surgeon uses blue dye or a radioactive tracer to identify the node. Then, the node is removed and tested for cancer. Cancer could have spread to other lymph nodes if the sentinel node tests positive. However, if it is negative, the likelihood of cancer spreading to other lymph nodes is lower.<h3>Vacuum-assisted core biopsy</h3>This procedure is performed with an ultrasound or mammogram unit and can be seen as an upgraded form of the core needle biopsy. Like the core biopsy, a larger needle is used and allows for several tissue samples to be taken at one time.A probe or hollow tube is inserted into a cut made on the skin. Then, a vacuum-assisted device is used to pull the tissue into the needle while a rotating cutting device takes the sample. Using a suction device is beneficial because it can get more cells and fluid through the needle, which cuts down on the number of times the needle will need to be inserted to retrieve multiple samples.<h2>Benefits and risks of breast biopsy</h2>Before proceeding with breast biopsy procedures, you may want to discuss with the breast surgeon and weigh the benefits and risks to determine the suitable procedure that is right for you. Fortunately, most procedures are less invasive compared to surgical biopsy and some will leave minimal to no scarring. The biopsy results will indicate whether the breast lump is malignant or benign which would either allow you to rest easy or quickly get the treatment that you need.Although these procedures are generally safe, there are some risks involved. Possible complications that can incur from a breast biopsy include:<ul><li>Mild pain and bruising</li><li>Infection</li><li>Prolonged bleeding</li><li>Soreness at the biopsy site</li></ul>Many of these side effects are simply temporary. However, if they persist, contact your <a href="https://www.thomsonmedical.com/find-a-doctor/breast-surgeon-singapore" target="_blank">breast surgeon</a> for treatment. Generally, following the aftercare instructions will greatly reduce these risks and limit the odds of infection.<h2>FAQ</h2><h3>Why is a breast biopsy done?</h3>A breast biopsy can be done for several reasons:<ul><li>To identify any lumps in your breast</li><li>To check for the potential causes of any nipple problems such as bloody discharge</li><li>To evaluate whether the breast lump or breast mass is cancerous or non-cancerous.</li><li>To check the severity of a problem seen from the breast imaging results, such as a fluid-filled cyst or calcium deposits in breast tissue (microcalcifications)</li></ul><h3>How often are breast biopsies positive for cancer?</h3>&gt; 80% of the patients who undergo the biopsy procedure do not have cancer, while only &lt; 20% of breast biopsies are malignant. When the results are negative, the breast lump is benign.<h3>Does a breast biopsy hurt?</h3>The breast surgeon may use local anaesthesia to help numb the biopsy area during the procedure. It may be slightly uncomfortable, but most patients describe it as tolerable. Once the site is numb from the local anaesthetic, one should only feel pressure but no pain from the biopsy.Typically, only local anaesthesia is required. However, general anaesthesia may be used in severe cases, meaning the entire body is numbed.<h3>How long does it take to recover from breast biopsy?</h3>Biopsy procedures do not cause significant pain to your body. However, you may experience some bruising, tenderness, or soreness for a few days after the biopsy procedure. Patients can take non-aspirin pain relievers that contain acetaminophen and apply cold packs to help ease the pain and discomfort. However, it can take longer to recover from surgical removal procedures when compared to nonsurgical procedures.With all breast biopsy procedures, except for the surgical biopsy, you will be able to go home without a patient caregiver. You will likely have bandages and a cold pack over the biopsy site. Most patients can resume usual activities within a day after the procedure.Tell your breast surgeon if you notice the following problems after the biopsy:<ul><li>Pain that gets worse</li><li>Chills or fever</li><li>Swelling, redness, drainage, or bleeding</li></ul><h3>How soon should you expect to receive your breast biopsy results?</h3><img src="https://images.contentstack.io/v3/assets/blt5f400315f9e4f0b3/blt3ce74f2f0f705f43/654521d254447604077cfdc6/Breast_Biopsy.jpeg?branch=uat_release_3" height="auto"/>Once the procedure is done, the breast tissue samples are sent to the lab. A pathologist will evaluate the samples using specialised tools and then create a report to send to the breast surgeon, who will share the results with you.Generally, it takes a few days before the results are ready. However, it can take as long as two weeks before the test results are available if the lab needs more time to process your specimen.Sometimes a clear diagnosis is not possible based on the sample given. In this scenario, you may need another biopsy performed so that the breast surgeon can obtain more breast tissue for further evaluation.The results will share details about the consistency and size of the breast tissue samples, the location of the biopsy site, and whether there are cancer cells present. If it is malignant, the report will detail the type of breast cancer you have. Based on the findings, your breast surgeon will advise on the next steps for treatment.<h2>Book Your Appointment at Thomson Breast Centre</h2>Prevention is always better than cure! Our clinical team at <a href="https://www.thomsonmedical.com/breast" target="_blank">Thomson Breast Centre</a> offers different services for all <a href="https://www.thomsonmedical.com/blog/breast-screening-mammogram-ultrasound" target="_blank">breast screening</a> needs with the assurance that you will be well taken care of. It is important to detect signs of breast cancer early. The sooner it is detected, the faster the treatment can start. At Thomson Medical, our doctors will evaluate the lump and provide the appropriate tests for diagnosis.Most patients start with a specialist consultation for a personalised clinical breast assessment. We offer a wide range of biopsy procedures, from minimally invasive removal to more advanced surgical options if a biopsy is needed. Book a specialist consultation with Thomson Breast Centre and start your breast health journey today.

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Worried about a breast lump? Don't panic. A breast biopsy is a simple procedure that can help determine if the lump is benign or malignant. Learn more about the process and what to expect from this article.

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Everything You Need to Know About Breast Biopsy

Just as there are skin issues that arise during pregnancy, skin conditions can also develop after you give birth. Fortunately, they are largely treatable, so there is no need to fret – your postpartum skin and hair will bounce back in no time. We take a look at some of the most common conditions.<h2>Acne</h2>Caused by an inflammation in the facial oil glands, acne may be aggravated by hormonal changes. Most of the time, acne clears within a few weeks or months, but medical treatment should be sought to prevent the risk of scarring. There are many topical agents that can be safely used even when breastfeeding. In more severe cases, oral medications such as antibiotics may be required.<h2>Melasma</h2>Also known as “the mask of pregnancy”, this pigmentation condition is due to increased melanin production and is caused by a combination of genetic and hormonal factors, as well as sun exposure. It tends to affect Asian skin more, appearing as brownish patches over the cheeks, forehead, temples, nasal bridge, upper lips and jawline.It is best controlled by avoiding the sun and with regular use of sunscreen, lightening creams and topical agents, although it can persist in some cases. Other treatments include chemical peeling, intense pulsed light therapy and certain forms of laser therapy. Inform your doctor if you are breastfeeding – certain ingredients such as tretinoin and hydroquinone that can be found in some skincare products should be avoided by breastfeeding mums.<h2>Dermatitis/eczema</h2>Eczema or dermatitis is a relatively common yet noninfectious condition, so it will not spread to your baby. Often it is an aggravation of an underlying sensitive skin condition that has been present for some time. For new mothers, it can also develop as a result of excessive water contact due to frequent handwashing.Use moisturiser regularly to soothe inflamed and itchy skin. Topical steroid creams are prescribed to calm inflamed skin and are safe to use even when breastfeeding. Use a gentle soap substitute and continue to moisturise even after the skin rash has settled.<h2>Stretchmarks</h2>Affecting at least 90 percent of pregnant women, stretchmarks are a form of scarring that appear red when fresh, but most will fade to white after delivery. During pregnancy, intensive use of moisturisers may help the condition, and there are specially formulated stretchmark creams on the market that you can continue using after delivery. For more severe cases, dermatologists may prescribe tretinoin cream to use postpartum when you are not breastfeeding. Some skin-tightening laser treatments are safe options to remove stretchmarks even if you are breastfeeding, but these usually require multiple sessions.<h2>Telogen effluvium</h2>This condition results in hair fall that usually occurs about three months after delivery. Though increased hair fall can be distressing to new mothers, it is almost always a self-limiting condition, and you will usually recover within six months. If you notice increased hair fall, consult a doctor to exclude other causes of hair loss (such as low iron levels). Topical medications can be used if you are not breastfeeding.

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Postpartum skin problems like acne, melasma, and stretch marks are common but temporary. Learn how to relieve and prevent the 5 most frequent postpartum skin woes.

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The 5 Most Common Postpartum Skin Issues and How to Treat Them