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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.

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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.

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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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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.

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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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<ul><li><a href="https://www.thomsonmedical.com/women-health/gynaecology/pelvis-ultrasound?utm_campaign=norraleads" target="_blank">Test and scans: Pelvis Ultrasound</a> and <a href="https://www.thomsonmedical.com/women-health/gynaecology/pap-smear?utm_campaign=norraleads2.0" target="_blank">specialized Pap Smear</a></li><li>Management of common gynaecological problems such as abnormal bleeding, menstrual disorders, pelvic pain, uterine fibroids, ovarian cysts, endometriosis, urinary prolapse and urinary complaints, urinary tract infection (UTI), and polycystic every syndrome (PCOS).</li><li>Contraceptive/birth control services</li><li>Family planning and fertility treatments</li><li>Management of unplanned pregnancies</li><li>Management of menopause</li><li>Removal of fibroids</li><li>Colposcopy and cervical biopsy</li><li>Minimally invasive surgery (MIS)</li><li>Gynaecological cancer screening: PAP smear, HPV, endometrial cancer, ovarian cancer screenings</li></ul>

Gynaecology

<ul><li>Early pregnancy assessment</li><li><a href="https://www.thomsonmedical.com/test-and-scans-during-pregnancy" target="_blank">Test and scans</a>: <a href="https://www.thomsonmedical.com/prenatal-scans" target="_self">Prenatal scans</a> like ultrasound and First Trimester Screening, <a href="https://www.thomsonmedical.com/non-invasive-prenatal-tests" target="_blank">Non-Invasive Prenatal Testing (NIPT)</a></li><li>Antenatal care (before birth) and routine check-ups</li><li>Intrapartum care (during delivery)</li><li>Postnatal care (after birth)</li><li>High-risk pregnancy management</li><li>Ectopic pregnancy management</li><li>Medical conditions during pregnancy: diabetes, hypertension, and other health concerns.</li></ul>

Obstetrics

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reproductive health for women

Dr Ryan Lee is an Obstetrician and Gynaecologist at <a href="Thomson Specialists" target="_self">Thomson Specialists</a> Woodleigh.Dr Lee graduated with an intercalated bachelor of medical science degree (Honours) at Imperial College London and obtained MBBS (Distinction) in Medical Sciences, Clinical Science, and Clinical Practice at St Bartholomews and the Royal London, University of London. He further obtained a Masters of Medicine (O&amp;G) and was conferred a member of the Royal College of Obstetrics and Gynaecology (MRCOG). Subsequently, he graduated from the Clinician-Scientist residency and became a fully qualified Obstetrician and Gynaecologist with the Specialist Accreditation Board of the Ministry of Health, Singapore.Dr Ryan’s practice encompasses general gynaecology, high-risk obstetrics with a special interest in maternal medicine. He advocates a holistic approach to the care of pregnant mothers through optimisation of medical conditions in pregnancy. He is also the co-lead for the SingHealth Maternal Medicine Network to promote joint collaborations among various medical sub-specialties for multi-disciplinary care. Dr Ryan received several service awards including the Singhealth Silver Quality award twice, ‘Service from the Heart’ award, ‘COVID Team Award', and 'Resilience Medal’ for excellent clinical service rendered in patient care.His main research interests focus on interventional lifestyle changes in improving obstetric outcomes in women with gestational diabetes and enhancing pregnancy outcomes. He is an Integrated Platform for Research in Advancing Metabolic Health Outcomes in Women and Children (IPRAMHO) investigator to develop excellent models of metabolic care. He was previously awarded the NMRC health research scholarship, graduating with a Masters of Clinical Investigation from the National University of Singapore. He was also awarded the Duke-NUS academic medical grant and National Medical Research Council New Investigator Grant (NIG) studying the ‘Functional roles of plasma micronutrients in obese women receiving nutrition intervention during preconception and early pregnancy. He presented at numerous international conferences and published numerous papers in reputable peer-reviewed journals.Besides research, Dr Ryan has an incessant passion for teaching and was previously awarded the Inspiring Resident-Educator award. He was appointed as a SingHealth residency physician facilitator and Duke-NUS Clinical assistant professor where he receives commendable accolades from students. He is happily married with 2 children whom he cherishes spending quality time with.Media:<ul><li><a href="https://www.channelnewsasia.com/commentary/singapore-unplanned-pregnancies-abortions-contraceptive-pill-4032436" target="_blank">CNA Commentary: What’s behind the rise in unplanned pregnancies in Singapore?</a></li><li><a href="https://www.8world.com/singapore/christmas-baby-2659341" target="_blank">8world: 凌晨零点零分诞生 新手父母喜迎圣诞宝宝</a> (New Parents Welcome Christmas Baby at 12am)</li><li><a href="https://www.zaobao.com.sg/realtime/singapore/story20241225-5646319" target="_blank">Lianhe Zaobao: 本地首个圣诞宝宝零时零分报到</a> (First Christmas Baby Arrived at Midnight)</li></ul>

Dr Ryan Lee Wai Kheong

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Dr Geetha Visvalingam is a Consultant Obstetrician and Gynaecologist at <a href="https://www.thomsonmedical.com/centres/women-clinic">Thomson Women's Clinic</a> (Katong Branch). She specialises in general <a href="https://www.thomsonmedical.com/speciality/obstetrics-gynaecology">obstetrics and gynaecology</a> and provides services including <a href="https://www.thomsonmedical.com/blog/pregnancy/antenatal">antenatal</a> and <a href="https://www.thomsonmedical.com/blog/postnatal">postnatal care</a>, early pregnancy care and management of various gynaecological conditions.Her clinical interests include endometriosis, <a href="https://www.thomsonmedical.com/blog/ovarian-cysts">ovarian cysts</a>, <a href="https://www.thomsonmedical.com/blog/fibroids">uterine fibroids</a>, menstrual disorders and <a href="https://www.thomsonmedical.com/blog/heavy-menses-menorrhagia">heavy menstrual bleeding</a>. Dr Geetha also provides family planning services, contraceptive counselling, <a href="https://www.thomsonmedical.com/blog/menopause-treatments">menopause management</a> and sexually transmitted infection (STI) screening for women and their partners.Dr Geetha completed her medical training at Trinity College Dublin, Ireland, where she obtained her MB BCh BAO in 2004. She then completed her basic training in obstetrics and gynaecology in Dublin and her specialist training at the KK Women's and Children's Hospital in Singapore. Dr Geetha became a Fellow of the Royal College of Obstetricians and Gynaecologists (MRCOG) in the UK in 2010 and remains a Fellow to this day.Prior to joining Thomson Women's Clinic, Dr Geetha was a member of the Department of General Obstetrics and Gynaecology at KK Women's and Children's Hospital (KKH), where she developed a special interest in sexually transmitted infections (STIs). She went on to head the STI clinic, where she significantly improved operations by establishing streamlined referral processes, workflow pathways for STI results management, and the creation of patient information leaflets.Dr Geetha has a strong commitment to education and mentoring. She has held clinical teaching positions at the Yong Loo Lin School of Medicine and Lee Kong Chian School of Medicine and as an adjunct instructor at Duke-NUS Medical School. Dr Geetha has been actively involved in training and mentoring junior doctors and senior residents, as well as working on quality improvement projects to enhance patient care.&nbsp;She was also involved in the establishment of the Rapid Response Team workflow in the O&amp;G wards at KKH, which was successfully implemented with quarterly multidisciplinary meetings. Her contributions have been recognised through numerous awards, including the SingHealth Quality Service Silver Award in 2018/2019, the 10 Years Long Service Award from KKH and SingHealth in 2023, and the Covid-19 Resilience Medal in 2023.Dr Geetha Visvalingam is accredited to perform surgical procedures at the Thomson Medical Centre.

Dr Geetha Visvalingam

Dr Sharon Foo is a Maternal Fetal Medicine Consultant with <a href="https://thomsonspecialists.com/" target="_self">Thomson Specialists</a> (Paragon). While her present clinical practice encompasses all aspects of Obstetrics and <a href="https://www.thomsonmedical.com/women-health/gynaecology" target="_blank">Gynaecology</a> (O&amp;G), she has a special interest in <a href="https://www.thomsonmedical.com/blog/pregnancy/high-risk-pregnancy" target="_blank">high-risk obstetrics</a>, operative obstetrics, peri-partum and maternal medicine.Dr Foo graduated from University College London (UK) in 2009 and has more than 12 years of experience in O&amp;G. She obtained her Masters qualification in O&amp;G from Royal College of Obstetricians and Gynaecologists (MRCOG) in the UK in 2016.Before joining Thomson Medical, Dr Foo was a Maternal Fetal Medicine specialist at KK Women's and Children's Hospital (Singapore).Beyond her clinical commitments, Dr Foo is actively involved in multi-disciplinary obstetrics simulation training. Initially focusing on OBGYN-centric teams, she extends and refines the program to encompass Emergency Medicine and Family Medicine physicians. Integrating her passion for simulation training and operative obstetrics, she orchestrates instrumental simulation workshops that cover clinical decision-making and safe operative techniques. Additionally, Dr. Foo is deeply engaged in teaching and mentoring medical students from Yong Loo Lin, Duke-NUS, and Lee Kong Chian Medical schools, serving as a Physician Faculty for PGY1s.In addition to her expertise in O&amp;G, Dr Foo is passionate about Global Health. She actively pursues the enrichment of her knowledge and experience within this field, exploring its implications on everyday medical practices and identifying opportunities for research and development. She has also been an integral part of multi-disciplinary medical mission teams conducting healthcare professional training in obstetrics emergencies and resuscitation, spear-heading multiple mission trips to Kampong Chnang, Cambodia.She is a firm believer in workplace civility, and was responsible for initiating a campaign, The GRACE Movement, which creates awareness and discourse on workplace culture, and promotes positive workplace behavior. This initiative garnered interest at cluster level at SingHealth Services. She has a strong sense of public ethos and continues to be deeply vested in innovative healthcare solutions to improve maternal and neonatal outcomes for underprivileged mothers.Dr Sharon Foo is accredited to perform surgical procedures at Thomson Medical Centre.Articles:<ul><li><a href="https://www.thomsonmedical.com/news/meet-dr-sharon-foo" target="_blank">Dr Sharon Foo's Q&amp;A</a></li></ul>

Dr Sharon Foo Anqi

Dr Adrian Benedict Woodworth is an established consultant physician with over 20 years of experience in Obstetrics &amp; Gynaecology. He practices at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women’s Clinic</a> in Choa Chu Kang, Punggol, and Sengkang, as well as Thomson Medical Centre.A medical graduate from the National University of Singapore, Dr Woodworth underwent speciality training in Obstetrics and Gynaecology at the KK Women's Hospital and obtained his post-graduate degrees from Australia, Singapore, and the United Kingdom.He is an accredited Obstetrician and Gynaecologist with the Specialist Accreditation Board, Ministry of Health in Singapore, and is a member of the Royal College of Obstetricians and Gynaecologists (UK) as well as the Royal Australian and New Zealand College of Obstetricians and Gynaecologists.He has vast experience in providing antenatal care to expectant mothers and managing maternal complications during pregnancy and childbirth. He is also well-versed in gynaecological surgery with a special interest in laparoscopic surgery for cysts and fibroids.His main focus is to provide the best possible solutions and outcomes tailored specifically to patients' medical and social needs with high regard for individualised and holistic patient care.

Dr Adrian Woodworth

Dr Claudine Tan is a Specialist in Obstetrics and <a href="https://www.thomsonmedical.com/women-health/gynaecology" target="_blank">Gynaecology</a> (O&amp;G), at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women’s Clinic</a> (Serangoon).She has dedicated her entire career to the care of <a href="https://www.thomsonmedical.com/during-your-pregnancy" target="_blank">pregnancy</a> and women’s health. After receiving her degree in Medicine and Surgery, she completed her internship and residency at various hospitals, including KK Women’s &amp; Children’s Hospital and National University Hospital. Following which, she was accepted into the Royal College of Obstetricians and Gynaecologists in London. She has experience in clinical and surgical obstetrics that include antenatal ultrasound, natural childbirth, and assisted delivery.She is extensively trained in gynaecological surgery such as keyhole surgery. Her O&amp;G expertise and interest expand beyond pregnancy and <a href="https://www.thomsonmedical.com/blog/pregnancy/baby-delivery" target="_blank">childbirth</a>. She believes wholeheartedly in adopting a holistic approach towards women’s health; prevention and early detection of gynaecological cancers constitute a significant part of this belief.She advocates vaccination (against cancer-associated viruses), routine women’s health screening including <a href="https://www.thomsonmedical.com/gynaecology-services/pap-smear" target="_self">Pap smear</a>, pelvic ultrasound, and <a href="https://www.thomsonmedical.com/blog/womens-health/breast-screening-mammogram-ultrasound" target="_blank">mammogram</a>, as well as healthy eating and leading an active lifestyle. Her other areas of expertise are <a href="https://www.thomsonmedical.com/blog/womens-health/contraception-birth-control" target="_blank">birth control</a>, family planning, <a href="https://www.thomsonmedical.com/fertility-services#fertility-counselling" target="_self">fertility counselling</a>, and <a href="https://www.thomsonmedical.com/blog/womens-health/menopause-treatments" target="_blank">menopause treatment</a>.

Dr Claudine Tan

Dr Lawrence Ang is an Obstetrician and Gynaecologist at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women's Clinic</a> (Sembawang), providing specialised care in the field of general O&amp;G.Dr Ang has over 20 years of experiences. In the year 1990, he completed and obtained his MBBS from the National University of Singapore. Subsequently, in 1996, he completed his MRCOG from the Royal College of Obstetricians and Gynaecologists, United Kingdom. In the same year, he also completed his M Med (O&amp;G) from the National University of Singapore. Dr Ang obtained his MRACOG from the Royal Australian College of Obstetricians and Gynaecologists, Australia the following year.His passion is to care for women during pregnancy (antenatal care) and after birth (postnatal care). Dr Ang manages complex or high-risk pregnancies and births and can perform interventions and caesareans.Dr Ang has a special interest in laparoscopic surgery, and specialises in removing Cysts and Fibroids. He is open to any new modalities of treatment and is prepared to tailor the treatment to suit your needs and condition to achieve the optimal outcome for you and your family. He strongly believes in holistic care for the patient and her immediate family and regards the latter as an integral part of the patient-doctor relationship.

Dr Lawrence Ang

Dr Tan Toh Lick is a Consultant Obstetrician and Gynaecologist at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women's Clinic</a> (Jurong).Dr Tan graduated from King's College School of Medicine and Dentistry, the University of London in 1997. He undertook his Obstetrics and Gynaecology Specialist Training in London, Kent, Surrey, and Sussex Deanery, and has worked with numerous prominent specialists in King's College Hospital, St George's Hospital, Kent &amp; Canterbury Hospital, University Hospital Lewisham, Princess Royal University Hospital, and Guy's &amp; St Thomas' Hospital.He completed his specialist training in 2008 and was appointed Consultant Obstetrician and Gynaecologist at Ealing Hospital NHS Trust, London in 2008. Before relocating to KK Women's and Children's Hospital, Singapore in 2013, he also consulted at private London hospitals including Clementine Churchill Hospital, Lister Hospital, and Portland Hospital.As a consultant, he held a number of lead roles and brought about significant improvements in service development, patient care, and staff training. These contributions were widely recognised and he has been awarded 3 Clinical Excellence Awards in 2010 and 2012 in the United Kingdom, and Singapore Health Quality Service Award in 2015, Singapore.Dr Tan has also won many awards and prizes for his academic work presented at international and regional conferences. He has participated in several research and audits in early pregnancy loss, preterm delivery, labour induction, and menstrual disorders. He has also published and reviewed in several peer-reviewed medical journals.Dr Tan is on the United Kingdom's General Medical Council's and Singapore Medical Council's specialist registers. He is a member of the Royal College of Obstetricians and Gynaecologists and has RCOG special skills accreditation in minimally invasive surgery, gynaecological ultrasound, and subfertility management.

Dr Tan Toh Lick

Dr Wong Heng Fok is an Obstetrician and Gynaecologist at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women's Clinic</a> (Tampines), providing specialised care in the field of general O&amp;G, with a sub-specialty interest in urogynaecology.Dr Wong graduated from the University of Singapore in 1999 (MBBS), and worked in National University of Singapore, KK Hospital and Singapore General Hospital. He undertook his postgraduate training at KKH, and obtained his specialist degree in 2004 and was admitted to the Royal College of Obstetricians and Gynaecologists (MRCOG - London, UK).During his 13 years of practice in KKH, Dr Wong served as the Consultant Obstetrician and Gynaecologist dealing with general <a href="https://www.thomsonmedical.com/blog/pregnancy/antenatal" target="_blank">antenatal</a> and gynaecology problems. He also served as a consultant urogynaecologist with interest in uterovaginal prolapse and urinary incontinence.

Dr Wong Heng Fok

Dr Wong Mun Tat is a Specialist in Obstetrics and <a href="https://www.thomsonmedical.com/women-health/gynaecology" target="_blank">Gynaecology</a> (O&amp;G), at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women’s Clinic</a> (Bukit Batok).Dr Wong has dedicated his career to the care of pregnancy and women's health. After receiving his degree in Medicine and Surgery, he completed his internship and residency at National University Hospital. Following which, he was accepted into the Royal College of Obstetricians and Gynaecologists in London.He has experience in clinical and surgical obstetrics that include antenatal ultrasound, natural childbirth and assisted delivery. He is extensively trained in gynaecological surgery. His O&amp;G expertise and interest expand beyond pregnancy and <a href="https://www.thomsonmedical.com/blog/pregnancy/baby-delivery" target="_blank">childbirth</a>.He believes wholeheartedly in adopting a holistic approach towards women's health; prevention and early detection of gynaecological cancers constitute a significant part of this belief. He advocates vaccination (against cancer-associated viruses), routine women's health screening including <a href="https://www.thomsonmedical.com/blog/womens-health/pap-smear" target="_blank">Pap smear</a>, pelvic ultrasound, and <a href="https://www.thomsonmedical.com/blog/womens-health/breast-screening-mammogram-ultrasound" target="_blank">mammogram</a>, as well as healthy eating and leading an active lifestyle.His other areas of expertise are managing high-risk patients and <a href="https://www.thomsonmedical.com/blog/womens-health/menopause-treatments" target="_blank">menopause treatment</a>.

Dr Wong Mun Tat

Dr Woo Bit Hwa is an Obstetrician and Gynaecologist, at <a href="https://www.thomsonmedical.com/centres/women-clinic" target="_self">Thomson Women’s Clinic</a> (Punggol and Tiong Bahru).Dr Woo obtained his basic medical degrees (MBBS) from National University of Singapore in 1990. He then served in Alexandra Hospital, Singapore General Hospital, and KK Hospital from 1990 to 2001. In 1996, he obtained his postgraduate degrees, MRCOG (United Kingdom) and MMed (O&amp;G)(Singapore). He left KK Hospital in 2001 to start his private practice.During his years in KK Hospital, he was extensively and deeply involved in the care of patients with high-risk pregnancies as well as pregnancies with antenatally diagnosed birth defects. He maintained and did research on both the KK Hospital Birth Defect Registry and the National Birth Defect Registry. He is equally experienced in the management of common gynaecological conditions such as fibroids, ovarian cysts, endometriosis, menopause, and menstrual problems.He is also proficient in gynaecological surgeries and minimally invasive (laparoscopic) surgeries. Dr Woo is highly regarded as a competent, caring, and dedicated doctor. He is also very meticulous in his work to ensure the best care for all his patients.

Dr Woo Bit Hwa

Thomson Specialists Paragon (Women's Health)

Thomson Specialists Woodleigh (Women's Health)

Thomson Women's Clinic (Choa Chu Kang)

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Thomson Women's Clinic (Sembawang)

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Thomson Women's Clinic (Tiong Bahru)

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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 <a href="https://www.mayoclinic.org/tests-procedures/breast-biopsy/about/pac-20384812" target="_self">only way to confirm</a> 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 breast cancer.<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 <a href="https://www.ucsfhealth.org/education/biopsy-for-breast-cancer-diagnosis-surgical-breast-biopsy" target="_self">blood-thinning medications</a></li><li>Have consumed <a href="https://www.ucsfhealth.org/education/biopsy-for-breast-cancer-diagnosis-surgical-breast-biopsy" target="_self">aspirin</a> 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 <a href="https://www.ucsfhealth.org/education/biopsy-for-breast-cancer-diagnosis-surgical-breast-biopsy" target="_self">sports bra and loose clothing</a> 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 <a href="https://www.radiologyinfo.org/en/info/breastbius" target="_self">vacuum-assisted core biopsy, core needle biopsy, or fine needle aspiration biopsy</a>. 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 <a href="https://www.radiologyinfo.org/en/info/breastbimr" target="_self">used with core needle biopsy, vacuum-assisted core biopsy, or wire localisation</a>.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 <a href="https://www.cancer.org/cancer/breast-cancer/screening-tests-and-early-detection/breast-biopsy/surgical-breast-biopsy.html" target="_self">placed inside the breast</a> before the operation to help guide the breast surgeon.Generally, a surgical biopsy is performed in an operating room usually under general anaesthesia.<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 href="https://www.insideradiology.com.au/vacuum-assisted-core-biopsy" target="_self">A probe or hollow tube is inserted into a cut made on the skin</a>. 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 breast surgeon 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>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.<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.

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Thomson Specialist Skin CentreCall: <a href="tel:+6563976006" target="_self">6397 6006</a>

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

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