Reproductive Health

Our team has extensive experience in every aspect of women’s reproductive health. We specialise in treating:

  • Infertility
  • Family planning and birth control
  • Bladder and pelvic floor disorders
  • Pap smear abnormalities
  • Endometriosis


There are a number of causes of reduced fertility, and often with a good history, your gynaecologist can find answers for why you are not falling pregnant. Irregular periods, painful periods, discomfort during intercourse, a history of Pelvic Inflammatory Disease, or even a burst appendix are included in the list of possibilities that we will consider when finding an explanation for your fertility issues. We can also consider your partner’s fertility.

Dr Geraghty has decades of experience in managing infertility problems, including treatment for patients with ovulation disorders and advanced laparoscopic surgery for the treatment of endometriosis. Fertility is also Dr Samaratunga’s key area of interest.

Both doctors are actively involved in working with IVF Australia to ensure local patients do not have to travel large distances and face huge medical expenses in a bid to have a baby.

Family Planning and Birth Control

The method of contraception you choose will depend on your general health, lifestyle and relationships, your risk of contracting a sexually transmissible infection and how important it is that you don’t become pregnant.

Our specialist doctors can discuss your birth control options with you to help you find the alternative that works best for you and your circumstances. Solutions available include:

  • Oral contraceptive pill
  • IUD
  • Mirena device
  • Implanon device
  • Sterilisation.

Bladder and pelvic floor disorders

Bladder and pelvic floor problems are surprisingly common. Up to one in three women will experience significant urinary incontinence at some stage during their life. However, many women feel uncomfortable discussing these problems and either don’t tell their doctor or only tell them after they have been specifically asked.

Women can feel relaxed and at ease when discussing bladder and pelvic floor problems at Macquarie Women’s Health as these are issues we deal with every day.

There are a number of bladder function tests and also pelvic floor exercise that may be options to help determine the best course of treatment to suit your circumstances.

We also have access to a physiotherapist at our surgery who can work with you to develop a program to meet your specific needs.

Pap Smear Abnormalities

An abnormal pap test result can mean one of a number of things. The issues is usually that some of the cells of your cervix differ in some way from the normal cells. It rarely means cervical cancer is present.

Some low-grade abnormalities are associated with infections and sometimes after menopause. A high-grade abnormality will generally be confirmed with a colposcopy and biopsy and then the treatment options will be discussed.

Many women will need more frequent pap tests for a period of time after an abnormal result. During this time, the cells of the cervix may heal themselves. Regular pap tests will check for this and also pick up any further changes that might occur. The length of time between your repeat pap tests will depend on the type of problem you have.


Endometriosis is a condition where the tissue that lines the uterus is also found outside the uterine cavity, which can cause pelvic pain and infertility. It is believed to affect one in 10 women at some point during their menstruating years. It can be treated with medication or may require surgery. Either of our doctors has the skills and experience to help find the right path for you to better health if you are diagnosed with endometriosis.