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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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Specialists in Women’s Health

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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.

Our Paediatricians' Leave Schedule

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

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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 is menopause?Menopause is a natural ageing process and marks the end of your reproductive years, indicated by a consecutive 12 months with no menstruation. Most women become menopausal naturally between 45-55 years old*. Some common symptoms that may occur before, during and after menopause include hot flashes and night sweats, body aches and pains, dry skin, vaginal dryness, loss of libido, urinary frequency and sleeping difficulties.*If you are above the age of 45 and are experiencing signs of menopause, which do not affect your daily life, it is perfectly normal and educating yourself on the transition is a starting point. However, if menopause affects the quality of daily life with the symptoms above (non-exhaustive), please consult a doctor.Meet our dedicated O&amp;G teamAt Thomson,&nbsp;our dedicated team of O&amp;G is committed to providing quality care and expert guidance to age gracefully and healthily together. Whether you are seeking guidance on lifestyle changes or managing the symptoms of menopause, our team is here to provide personalised care and treatments.&nbsp;

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Gynaecologists for Menopause

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

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 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 Tan Eng Loy is a board-certified obstetrician and gynecologist in Singapore.He completed undergraduate studies at the National University of Singapore and earned his post-graduate qualifications with the National University of Singapore as well as the Royal College of Obstetricians &amp; Gynaecologists (RCOG) in the UK. He is recognised as a specialist obstetrician and gynaecologist by the Specialist Accreditation Board, Ministry of Health, Singapore. He was admitted as a Fellow of the Royal College of Obstetricians &amp; Gynaecologists in 2018 for advancing the science and art of obstetrics and gynaecology.&nbsp;Experienced in pregnancy care, natural deliveries, caesarean sections ("C-sections"), management of breech babies at term (including external cephalic version, ECV), general women’s health, women's health screening, menopause-care, contraception &amp; benign gynaecological surgery, Dr Tan also has a special interest in&nbsp;high-risk pregnancy&nbsp;care.&nbsp; An obstetrician dedicated to providing personalised maternity care, he is a strong advocate for maternal choice and strives to help expectant mothers go through their childbirth experience in a safe, positive and life-enhancing manner.&nbsp;

Dr Tan Eng Loy

Dr Hii is a senior Obstetrician and Gynaecologist. He practices General Obstetrics dealing with antenatal care and conducts delivery. His master degree in Genetics helps in the area of counseling with reference to foetuses with genetic disorders. He also practices General Gynaecology, performs gynaecology cancer screening, manages menstrual cycle disorders, menopause transition and menopause, contraception advice and operates on Fibroids and Ovarian cysts.

Dr Hii Hoi Chin

Dr Chua Yang is the Director and Specialist Obstetrician and Gynaecologist at A Clinic For Women. Other than managing O&amp;G conditions, she has a special interest in pregnancy, menopause, and aging health issues.Dr Chua graduated from the National University of Singapore. She is a fellow of the Royal College of Obstetricians &amp; Gynaecologists, FRCOG (UK), and a Fellow of the Academy of Medicine, Singapore (FAMS). She also holds graduate diplomas in acupuncture and in mental health.She is also the founding director and head of women’s health for Global Clinic, a non-profit organisation. This organization represents a group of medical and dental doctors who volunteer their time and resources to provide healthcare services in remote areas around the world. Her passion in providing medical care for under-served women has brought her to different cultures and communities.She is the President of the Asia Pacific Menopause Federation (2013-2017), after completing two terms as president of the Menopause Research Society of Singapore. She is the medical advisor of “Woman to Woman” Menopause Support Group and has also completed two terms in the council of the Obstetrical &amp; Gynaecological Society of Singapore. She is an active member of the Association of Women Doctors (Singapore) and Osteoporosis Society of Singapore.Dr Chua is accredited at various hospitals including Thomson Medical Centre.

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Dr Chua Yang

Dr Low is an obstetrician &amp; gynaecologist. After graduating from the National University of Singapore in 1988, Dr Low received her O&amp;G training in KK Women’s &amp; Children’s Hospital where she completed her Master of Medicine (Singapore) and became a member of The Royal Australian College of Obstetricians and Gynaecologists in 1996 and a Fellow of the Academy of Medicine of Singapore (O&amp;G) in 1999. Dr Low's service as a consultant at KK Hospital, one of the busiest maternity and women’s hospitals in Southeast Asia, has provided her with many years of experience in the management and treatment of gynaecological issues (including endometriosis, uterine fibroids, ovarian cysts, pelvic/genital infections, etc), Pap smear abnormalities, colposcopy and fertility challenges and treatment. Dr Low is experienced in laparoscopic surgery, and she has a special interest in the management of menopausal issues. She played a pivotal role in organising the Menopause department in KK Hospital before she left public practice in 2003. Dr Low’s warm and amicable personality has earned her several Certificates of Service Commendation from KK Hospital and the Ministry of Health. She is a current member of the Obstetrical and Gynaecological Society of Singapore, the Asia Pacific Menopause Federation and the Society of Colposcopy and Cervical Pathology Singapore.

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Dr Brenda Low Wen Yong

Dr Ng is experienced in antenatal and gynaecological ultrasound scans, prenatal screening, antenatal risk assessment and care, natural childbirth, instrumental vaginal deliveries and caesarean section, colposcopy, cystoscopy and management of patients with menopausal and fertility problems. He is accredited in advanced laparoscopic surgery and has an interest in surgery for urinary incontinence and utero-vaginal prolapse.

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Dr Christopher Ng

Dr. Chen Lin Han has more than 30 years of experience in Obstetrics and Gynaecology. He is experienced in all aspects of Obstetrics and Gynaecology, and received training in high-risk obstetrics, antenatal invasive diagnostic procedures and medical condition management in pregnancy. He has a special interest in the management of menopause.

Dr Chen Lin Han

Dr. Heng Tung Lan graduated from National University of Singapore before starting her traineeship in Obstetrics &amp; Gynaecology at KK Women’s and Children’s Hospital. She went on to obtain her Master of Medicine in Obstetrics &amp; Gynaecology, and was admitted to the Academy of Medicine, Singapore in 2004. She specialises in pregnancy care and delivery, female health screening, menopause, and female wellness enhancement. Having established her private practice in September 1993, Dr. Heng has built a solid reputation as a renowned physician — well-liked and respected by her peers and patients. With an illustrious career spanning more than 30 years, she was well-positioned to co-found Singapore O&amp;G Ltd.She currently practises at SOG – Heng Clinic for Women (PEH), located at Parkway East Medical Centre.

Dr Heng Tung Lan

Dr. Choo Wan Ling’s clinical expertise includes antenatal care and risk assessment, vaginal assisted and caesarean delivery, and treatment of gynaecological issues such as endometriosis, uterine fibroids, fertility challenges and ovarian cysts.Dr. Choo Wan Ling is an Obstetrician &amp; Gynaecologist with more than 20 years of experience. She graduated from National University of Singapore in 1994 with a Bachelor’s Degree in Medicine and Surgery, and returned to obtain her Masters in Obstetrics and Gynaecology in 2000.Her clinical expertise includes antenatal and gynaecological scans, antenatal care and risk assessment, prenatal screening, as well as vaginal assisted and caesarean delivery. She is well-versed in the management and treatment of gynaecological issues such as infections, endometriosis, uterine fibroids, fertility challenges, and ovarian cysts.Moreover, she is qualified to treat pap smear abnormalities and perform colposcopies. In a personal capacity, Dr. Choo has a special interest in menopausal care and female sexual dysfunction. She is also a huge advocate of natural birth.

Dr Choo Wan Ling

Dr Freda Khoo is a Consultant Obstetrician and Gynaecologist. She believes that every woman deserves quality and dedicated women’s healthcare throughout her entire lifetime — from puberty, through conception, pregnancy, till menopause and beyond. Apart from a rich experience in obstetrics and gynaecology, Dr Khoo has also worked in various departments such as emergency medicine, general surgery and internal medicine. Her exemplary patient care has been shown through the multiple accolades that she has won in the course of her work. Being a mother of three herself, Dr Khoo understands the challenges faced by women through the different seasons of life. She strives to be able to walk every patient through each phase of womanhood with strength, dignity and joy.

Dr Khoo Wan Yu Freda

Dr Candice Wang is a dedicated Obstetrician and Gynaecologist practising at <a href="https://www.thomsonmedical.com/find-a-doctor/acj-womens-clinic" target="_blank">ACJ Women's Clinic</a>. With her warm approach and extensive experience, she provides comprehensive care for women across all life stages.Dr Wang offers a full spectrum of <a href="https://www.thomsonmedical.com/speciality/obstetrics-gynaecology" target="_blank">obstetric and gynaecological services</a>, including <a href="https://www.thomsonmedical.com/blog/pregnancy/antenatal" target="_blank">antenatal care</a>, ultrasound scanning, <a href="https://www.thomsonmedical.com/prenatal-scans" target="_blank">prenatal screening</a>, and <a href="https://www.thomsonmedical.com/delivering-at-thomson" target="_blank">delivery</a> services encompassing both vaginal deliveries and caesarean sections. Her practice also covers general gynaecological care, addressing menstrual disorders, <a href="https://www.thomsonmedical.com/fertility-services" target="_blank">fertility concerns</a>, <a href="https://www.thomsonmedical.com/blog/womens-health/menopause-treatments" target="_blank">menopausal management</a>, and gynaecological surgeries.Dr Wang graduated from the National University of Singapore, where she earned her medical degree in 2006. She subsequently completed her Masters of Medicine in Obstetrics and Gynaecology from NUS in 2012. Dr Wang's expertise is recognised through her memberships with the Royal College of Obstetricians and Gynaecologists (United Kingdom) and as a Fellow of the Academy of Medicine Singapore. She is also a member of the Obstetrical and Gynaecological Society of Singapore (OGSS).Before entering private practice, Dr Wang honed her clinical skills through years of training at KK Women's and Children's Hospital and Singapore General Hospital. During her specialist training, she was awarded the Best Advanced Specialist Trainee award in 2014.Beyond her clinical work, Dr Wang has contributed significantly to medical education as a Clinical Lecturer at NUS and as part of the Physician Faculty for the Transitional Year Residency Programme. She has also been actively involved in research, with publications in local and international journals, and has presented at international conferences.Dr Wang is accredited to perform surgical procedures at Thomson Medical Centre.

Dr Candice Wang

Dr Geraldine Tan Pei Lin is an Obstetricians &amp; Gynaecologist, with the Singapore Women’s &amp; Children’s Medical Group, practicing at Eunice &amp; Geraldine OBGYN Associates. Her practice includes management of pregnant women and childbirth, with focus on women’s choice for mode of delivery. Dr Geraldine also manages gynaecological conditions such as menstrual problems, menopausal issues, abnormal Pap smears, and <a href="https://www.thomsonmedical.com/fertility-services" target="_self">fertility</a> issues.Dr Geraldine has more than 20 years of experience in the field. She obtained her Bachelor of Medicine and Bachelor of Surgery (MBBS) from the National University of Singapore in 1994 and she pursued her specialist training at the National University Hospital (NUH) where she obtained her MRCOG from The Royal College of Obstetricians and Gynaecologists (RCOG) in London and MMED (O&amp;G) from the National University of Singapore. She was an Associate Consultant in the Department of O&amp;G in the National University Hospital. Besides clinical work, she was involved in the teaching of medical students and residents in the specialty until she left for private practice in 2005. Prior to joining SWC Medical Group, Dr Tan was practicing at Thomson Women’s Clinic (Katong) for almost 18 years before moving to her current clinic at Mount Alvernia Hospital. Her clinic Eunice &amp; Geraldine OBGYN Associates Pte. Ltd. is located at Medical Centre A at Mount Alvernia Hospital. Dr Geraldine is accredited to perform surgical procedures at both Thomson Medical Centre &amp; Mount Alvernia Hospital.

Dr Geraldine Tan Pei Lin

Dr Anupriya Agarwal is an award-winning senior obstetrician and gynecologist.Dr Anupriya came to Singapore as a trailing spouse having attained her membership to the Royal College of Obstetricians and Gynecologists, UK in 2002.She worked at the National University Hospital for 17 years and was a senior IVF specialist and the Head of Benign Gynecology Department before leaving for private practice in 2021.She has over 25 years of experience in doing high-risk obstetrics and complex gynecological surgeries and is one of the most sought-after IVF practitioners in Singapore, having helped women with complex gynecological issues, like polycystic ovarian syndrome (PCOS) and endometriosis, achieve their dream of motherhood.Dr Anupriya is an accomplished advanced laparoscopic and hysteroscopic surgeon. She led the fertility preservation program in Singapore and gained recognition for having successfully performed Asia’s first ovarian tissue cryopreservation and reimplantation in a menopausal cancer patient, resulting in two spontaneous pregnancies and livebirths and for this, was awarded the prestigious “Hind Rattan” award, given to distinguished select Non-Resident Indians every year.A firm believer of holistic care in pregnancy and natural birthing, over the years she has helped women achieve their dream of a natural birth, including water birth.She is passionate about giving back to the society and received the President’s Volunteerism and Philanthropy Award in October 2020 from the honorable President of Singapore for her untiring philanthropic work for healthcare and migrant workers during the COVID pandemic.Clinical interests:<ul><li>Infertility</li><li>Advanced laparoscopic and hysteroscopic surgery</li><li>Recurrent pregnancy loss</li><li>Polycystic ovarian syndrome</li><li>Endometriosis</li><li>High-risk obstetrics </li></ul>

Dr Anupriya Agarwal

Dr Ho Weng Yan is an Obstetrician and Gynaecologist, and Oncologic Surgeon who practices at STO+G Practice, Thomson Medical Centre, Singapore. Dr Ho graduated from National University of Singapore, School of Medicine in 2009. She completed her post-graduate training under the SingHealth Obstetrics &amp; Gynaecology Residency programme from 2011 to 2017 and was awarded the Best Resident award yearly. She obtained her specialist accreditation and was conferred membership with the Royal College of Obstetrics and Gynaecology (UK). She is also a Fellow of the Academy of Medicine, Singapore.Dr Ho was a Consultant in the Department of Gynaecologic Oncology in KK Women’s and Children’s Hospital since 2017. She is skilled in minimally invasive/laparoscopic surgeries and open surgeries for both benign and cancer conditions. She is a certified colposcopist and a member of the Society for Colposcopy &amp; Cervical Pathology of Singapore. An advocate for education, Dr Ho was active in both undergraduate and postgraduate medical training. She was an Adjunct Associate Professor for undergraduate medical education, clinical lecturer for Family Medicine Residency, and Core Faculty of the O&amp;G Residency training programme. As a mother of two, Dr Ho believes in the holistic care of women throughout their life journey. This includes tailoring advice and treatment to individual needs and circumstances from puberty to pregnancy to cancer prevention and screening to menopause. She is a keen patient advocate, and in recognition was awarded the SingHealth Quality Service Gold award in 2022 and Star award in 2023.

Dr Ho Weng Yan

Dr Liana Koe is an Obstetrician and Gynaecologist, at STO+G Women's Health Specialists, located in Mount Alvernia Hospital.Dr Koe obtained her medical degree from the National University of Singapore, and trained in Obstetrics and Gynaecology (O&amp;G) under the SingHealth cluster. She subsequently attained her specialist accreditation in Obstetrics and Gynaecology by the Singapore Accreditation Board (Ministry of Heath), is a member of the Royal College of Obstetrics and Gynaecology (UK), and a registered specialist with the Singapore Medical Council.Prior to joining STO+G practice, Dr Koe was a specialist at KK Women's and Children's Hospital. As an Obstetrician, she believes in caring for her patients holistically, with compassion and a listening ear, to deliver the best possible medical care. She strives to create an enjoyable pregnancy journey for her patients and supports mothers in their choice of delivery method, including vaginal birth, vaginal birth after caesarean section (VBAC), and caesarean sections.Besides managing general gynaecological conditions such as fibroids and cysts, with proficiency in key-hole (laparoscopic) surgery, Dr Koe has a special interest in cervical cancer screening, colposcopy, and treatment of pre-invasive cervical disease, and is a member of the Society for Colposcopy &amp; Cervical Pathology of Singapore (SCCPS).In addition, Dr Koe dedicated her time to nurture current and future generations of doctors as Physician Faculty for SingHealth O&amp;G residents, and Clinical Teacher/Lecturer for the 3 medical schools in Singapore (Lee Kong Chian School of Medicine, Duke-NUS Medical School, and Yong Loo Lin School of Medicine).Dr Koe is active in clinical research too, having presented research findings at local and international conferences, including Australia, Japan, South Africa, Austria, and France. In 2013, she received the SingHealth Duke-NUS O&amp;G Academic Clinical Programme (ACP) Grant Award for her research on improving osteoporosis screening in menopausal women. Being passionate about the community, she also actively volunteers in overseas on medical trips.Her philosophy as a doctor is to empower patients while supporting their choices and is dedicated to serving her patients with respect and understanding.

Dr Liana Koe

Dr Serene Lim is a Consultant Obstetrician and Gynaecologist, and fertility and IVF specialist at SWC Serene Fertility &amp; Women’s Clinic. She specialises in a wide range of women’s health and fertility issues, such as menstrual abnormalities, menopausal symptoms, pelvic pain, fibroids, uterine polyps, ovarian cysts, endometriosis, hydrosalpinges or blocked tubes, and polycystic ovarian syndrome (PCOS). She is also skilled in gynaecological surgery, including hysteroscopy and laparoscopy or minimally invasive surgery. She provides care for each stage of pregnancy and is highly skilled at dealing with childbirth challenges.Dr Lim sub-specialises in fertility and is a fully accredited specialist in assisted reproduction by the Ministry of Health (MOH). She provides consultation and clinical services for the full range of fertility issues and treatments, such as ovulation induction and ovulation monitoring, intra-uterine insemination or artificial insemination, in-vitro fertilisation (IVF), as well as fertility preservation including egg freezing. Dr Lim underwent specialist training in obstetrics, gynaecology, reproductive medicine, and assisted reproduction at Singapore General Hospital (SGH) and KK Hospital. Her commitment to excellence was recognised with the prestigious Best Advanced Specialty Trainee (AST) Award in 2013, highlighting her as a top-performing specialist trainee. In 2019, Dr Lim was granted the Health Manpower Development Plan (HMDP) by the Singapore Ministry of Health, enabling her to pursue a one-year fellowship in Reproductive Medicine and Fertility Preservation at the renowned Royal Women’s Hospital in Melbourne. Dr Lim’s commitment to advancing medical knowledge is evident in her role as a Clinical Tutor at the Yong Loo Lin School of Medicine. Her contributions to postgraduate training programs and her appointment as Adjunct Assistant Professor in the Singhealth Duke-NUS Medical School underscore her dedication to nurturing the next generation of medical professionals. Passionate about empowering her patients, Dr Lim believes in providing detailed counselling and meticulous explanations, ensuring individuals and couples are informed and actively involved in their medical care. Her outstanding contributions to the field have been recognized through awards such as the Excellent Service Award Silver in 2009 and the Service with a Heart Award in 2017. As a mother of three herself, Dr Lim understands the profound joy of parenthood and strives to bring the joy of motherhood to every woman who desires to be pregnant. She is passionately committed to delivering the highest level of care to her pregnant patients. Dr Lim is an advocate for natural childbirth, including VBACs (Vaginal Births After Caesarean Section). Dr Lim is accredited at Thomson Medical Centre and Gleneagles Hospital.

Dr Serene Lim

Find a gynaecologist for menopause

Thomson Specialists Woodleigh (Women's Health)

Thomson Specialists Paragon (Women's Health)

Thomson Women's Clinic (Choa Chu Kang)

Thomson Women's Clinic (Tiong Bahru)

Thomson Women's Clinic (Serangoon)

Thomson Women's Clinic (Jurong)

Thomson Women's Clinic (Tampines)

Thomson Women's Clinic (Sembawang)

Thomson Women's Clinic (Punggol)

Thomson Women's Clinic (Sengkang)

Thomson Women's Clinic (Bukit Batok)

Thomson Specialists Woodleigh (TCM)

Thomson Chinese Medicine (Paragon)

Thomson Chinese Medicine (TCM Paragon Medical Centre)

Thomson Chinese Medicine (Waterway Point)

Thomson Chinese Medicine (TCM Waterway Point)

Thomson Chinese Medicine (Novena)

Thomson Chinese Medicine (TCM Novena Specialist Centre)

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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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