Dr. Andrew McIntyre

BSc MBBS FRANZCOG MSurg
AGES Fellow

I am an experienced obstetrician and gynaecologist, with a special interest and expertise in minimally invasive surgery.

During your consultation at the Norfolk Centre, I will listen to your concerns and discuss treatment options that best suit your lifestyle and individual circumstances. I believe in shared, informed decision making and respecting your choice.

I have appointments at Bendigo Health, St John of God Bendigo, Bendigo Day Surgery and Echuca Regional Health.

After obtaining a science degree (BSc) from the University of Melbourne, I studied medicine and surgery (MBBS) at the Australian National University in Canberra.

I had the privilege of completing specialist training at Westmead Hospital in Sydney, achieving Fellowship of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (FRANZCOG).

I was selected for the highly coveted two-year accredited fellowship with the Australasian Gynaecological Endoscopy & Surgery Society (AGES), during which time I developed skills in minimally invasive gynaecological surgery with the Sydney West Advanced Pelvic Surgery unit (SWAPS), and completed a masters degree in surgery at Western Sydney University.

I moved to Bendigo with my wife and two sons in 2020. I have always been interested in rural health, and I am pleased to offer a comprehensive gynaecological service to the region, applying the skills that I have developed during advanced fellowship training.

As an obstetrician, gynaecologist, husband and father, I understand and appreciate the importance of women’s health.

SERVICES

GYNAECOLOGY

Endometriosis and pelvic pain

Abnormal uterine Bleeding

Ovarian cysts

Investigation of Infertility

Abnormal pap smears

Prolapse

Urinary incontinence

Menopause

+ - WHAT IS GYNAECOLOGY?

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - What is endometriosis?

The uterus (womb) has a cavity in which a baby grows. Part of this lining (called endometrium) is shed every month and results in menstruation (a period). When this lining grows outside the uterus, we call it endometriosis. One in ten women (10%) of menstruating age have endometriosis, so it is considered common. It can occur from the age of puberty until the menopause.

Endometriosis causes scar tissue and can result in the uterus, ovaries, fallopian tubes and bowel becoming stuck to each other and to the lining of the tummy. Here are some photos of what endometriosis looks like and photos of endometriosis that has been excised (cut out) for treatment.

+ - What are Fibroids?

Fibroids are the most common benign (non-cancerous) growth of muscle and fibrous tissue that grow in the uterus and form a hard ball shaped mass.

Fibroids that grow inside the cavity of the uterus usually cause the most problems with heavy bleeding. Fortunately they are also the easiest to remove. Fibroids that are on the outside of the uterus, on the other hand, rarely cause a problem.

Fibroids shrink after the menopause when the ovaries stop producing the hormone oestrogen. Fibroids are more common in obese and African women.

The possibility of cancer in a fibroid is very small. This occurs in only about 7 out of 1000 fibroids. This increases as a woman gets older and the risk doubles if a woman is postmenopausal. The small risk of cancer does not justify surgery or a hysterectomy for all women with fibroids. However, unexplained rapid enlargement of a fibroid, particularly in a postmenopausal woman, raises the possibility of cancer and surgery is needed.

+ - Aenean lacinia sapien ac orci congue luctus.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Curabitur rutrum arcu nec vulputate euismod.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

MINIMALLY INVASIVE SURGERY

LAPAROSCOPY

Hysterectomy

Excision of endometriosis

Ectopic pregnancy

Myomectomy (removal of uterine fibroids)

Removal of ovaries and ovarian cysts

Adhesiolysis

HYSTEROSCOPY

Resection of endometrial polyps and submucous fibroids

Division of adhesions and uterine septum

Retrieval of intrauterine devices

Endometrial ablation

VAGINAL SURGERY

Prolapse repair (anterior, posterior and sacrospinous ligament fixation)

Mid-urethral sling

Insertion and removal of intrauterine devices

COLPOSCOPY

LLETZ and cone biopsy

+ - What is laparoscopy?

Laparoscopy is a minimally invasive technique of performing a surgery through smaller incisions. A thin fibre-optic instrument called laparoscope is inserted into the abdomen through a small cut. It allows visualisation of pelvic organs and also treatment of problems if detected.

Laparoscopy in gynaecology is used to check for any abnormalities in the uterus, ovaries, fallopian tubes, and other organs which are not evident by other diagnostic procedures such as X-rays and other scans. Laparoscopy is used to diagnose and treat the conditions of pelvic pain, infertility, fibroids, cysts, tumours, endometriosis, ectopic (tubal) pregnancies, pelvic inflammatory disease, and other gynaecological problems.

+ - What is endometriosis?

The uterus (womb) has a cavity in which a baby grows. Part of this lining (called endometrium) is shed every month and results in menstruation (a period). When this lining grows outside the uterus, we call it endometriosis. One in ten women (10%) of menstruating age have endometriosis, so it is considered common. It can occur from the age of puberty until the menopause.

Endometriosis causes scar tissue and can result in the uterus, ovaries, fallopian tubes and bowel becoming stuck to each other and to the lining of the tummy. Here are some photos of what endometriosis looks like and photos of endometriosis that has been excised (cut out) for treatment.

+ - What are Fibroids?

Fibroids are the most common benign (non-cancerous) growth of muscle and fibrous tissue that grow in the uterus and form a hard ball shaped mass.

Fibroids that grow inside the cavity of the uterus usually cause the most problems with heavy bleeding. Fortunately they are also the easiest to remove. Fibroids that are on the outside of the uterus, on the other hand, rarely cause a problem.

Fibroids shrink after the menopause when the ovaries stop producing the hormone oestrogen. Fibroids are more common in obese and African women.

The possibility of cancer in a fibroid is very small. This occurs in only about 7 out of 1000 fibroids. This increases as a woman gets older and the risk doubles if a woman is postmenopausal. The small risk of cancer does not justify surgery or a hysterectomy for all women with fibroids. However, unexplained rapid enlargement of a fibroid, particularly in a postmenopausal woman, raises the possibility of cancer and surgery is needed.

+ - Aenean lacinia sapien ac orci congue luctus.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Curabitur rutrum arcu nec vulputate euismod.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

OBSTETRICS

To maintain a balanced lifestyle and focus on my interest in laparoscopic surgery, I am currently limiting my obstetric practice to public patients delivering at Bendigo Health.

I am happy to offer the following services at the Norfolk Centre.

Pre-conception counselling

Aneuploidy screening

Post-natal check up

Antenatal shared care (Bendigo Health)

Management of miscarriage and ectopic pregnancy

+ - WHAT IS OBSTETRICS?

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Ut ut mauris et lectus aliquam pharetra quis quis.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Proin blandit massa et nisl sollicitudin pulvinar.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Aenean lacinia sapien ac orci congue luctus.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

+ - Curabitur rutrum arcu nec vulputate euismod.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut.

YOUR APPOINTMENT

Here you’ll find all you need to know prior to attending for your appointment with Dr. Andrew McIntryre.

Referral

The referral letter that has been provided to you by your general practitioner or other doctor.

Reports and Scans

Reports of any ultrasound, CT scan, MRI scan and X-rays that have been performed.

Pathology Tests

Reports of all pathology tests including blood tests and urine tests that have been performed.

Healthcare

Medicare or Department of Veterans’ Affairs (DVA) card. Private health insurance details.

Medications

List of current medications that you may be taking.

Your Consultation

Priority will always be given to emergency presentations and hospital emergencies that may require Dr. Andrew McIntyre to attend in person. In such a situation, we will try and contact you if you have not yet arrived to let you know if we can reschedule you to a later time or the soonest appointment that is mutually convenient. If you have already arrived at our practice, we will keep you up-to-date on the likely time delay and discuss alternative arrangements if required. If you are unable to make your appointment on the day, your telephone call will allow us to allocate that time to another client.

Cancellation Policy

Any appointment not confirmed via SMS or phone call by 12:00pm the working day prior will automatically be cancelled. This time will then be reallocated to another client accordingly. Late cancellations will be considered as anyone who cancels their confirmed appointment after 12:00pm the working day prior – a charge of 50% of the normal consultation fee will apply. A “Did Not Attend” (DNA) is someone who misses a confirmed appointment without cancelling it – a charge of 100% of the normal consultation fee will apply. This may also affect you making an appointment with our service in the future.

FAQs

+ - What is Endometriosis?

Endometriosis affects 1 in 10 Australian women. It occurs when tissue similar to the lining of the womb grows outside of the uterus, most commonly within the pelvis. This tissue responds to circulating hormones to trigger an inflammatory reaction.

This can lead to a variety of symptoms, including painful periods (dysmenorrhoea), and pain that occurs during sex (dyspareunia) or bowel activity (dyschezia). Some women with endometriosis may not have symptoms but have difficulty falling pregnant. These factors can significantly affect your overall quality of life and wellbeing.

The only way to diagnose endometriosis is by having a laparoscopy. This type of minimally invasive surgery can help to relieve symptoms and enhance fertility. Studies have shown that the best results are achieved when the disease is completely removed at the first surgery. Endometriosis surgery can be complex and challenging, and requires specific surgical training and experience.

+ - What causes heavy periods?

One quarter of women of reproductive age experience heavy menstrual bleeding. This may relate to periods that are too heavy, too frequent, or too long.

For some women, this may relate to a structural cause within the uterus, such as polyps, fibroids, or adenomyosis. For others, there may be a hormonal imbalance due to conditions such as polycystic ovarian syndrome and hypothyroidism. Rarely, there may be an underlying bleeding disorder.

After taking a detailed history and determining the underlying cause, we can discuss a range of hormonal, non-hormonal and surgical treatment options.

+ - What are the benefits of laparoscopy?

Laparoscopy is commonly referred to as “keyhole” surgery, and is used to diagnose and treat a range of gynaecological conditions. The procedure is performed under general anaesthesia, generally with same-day discharge or an overnight stay. The benefits of this minimally invasive approach include:

  • Smaller incisions
  • Reduced post-operative pain
  • Earlier recovery
  • Reduced risk of surgical complications such as adhesions and wound infection
  • Improved cosmetic outcome

+ - What is colposcopy?

The purpose of the cervical screening test (pap smear) is to detect abnormal cells on the cervix and prevent cervical cancer. Abnormal results are investigated by colposcopy. This is a detailed speculum examination with a magnified view of the cervix to better identify any area of abnormality. A small biopsy may be required to provide a more accurate diagnosis, which can guide management towards treatment or further surveillance. Colposcopy is performed as an outpatient procedure at the Norfolk Centre. With a gentle approach and explanation, the examination is generally well tolerated.

+ - What do I need to bring to my appointment?

You will need a letter of referral from your GP, including a list of any health issues and regular medications. Please bring your Medicare card, along with your private health insurance details where applicable. It would be greatly appreciated if you could bring the results of any relevant investigations. These may include blood tests, urine tests, cervical screening test (pap smear), and imaging such as ultrasound, CT or MRI.

+ - How much will my treatment cost?

The Norfolk Centre is committed to ensuring informed financial consent. The cost of an initial visit (item 104) is $200, and follow-up (item 105) is $100. You will receive a rebate from Medicare for these consultation fees, along with any outpatient procedures. Surgical fees are set according to recommendations from the Australian Medical Association (AMA). There is usually an out-of-pocket ‘gap’ between this amount and what is covered by Medicare and private health insurance. Please note that this fee is separate to any hospital excess or anaesthetic fee.

CONTACT US

ADDRESS

THE NORFOLK CENTRE
3 Bayne Street
Bendigo, VIC 3550

TELEPHONE

(03) 5441 7888

FAX

(03) 5444 1903

EMAIL

office@thenorfolkcentre.com.au

NAME
Field is required!
Field is required!
PHONE NUMBER
Field is required!
Field is required!
EMAIL ADDRESS
Field is required!
Field is required!
Message
Field is required!
Field is required!

Dr Andrew McIntyre (BSc MBBS FRANZCOG MSurg AGES Fellow)

is a specialist Obstetrician, Gynaecologist and Laparoscopic Surgeon who has achieved Fellowship with the Australasian Gynaecological Endoscopy & Surgery Society (AGES).

The Norfolk Centre
3 Bayne Street, Bendigo, VIC 3550