OMNI provides ultrasound assessment of women with heavy periods, bleeding between periods and absent or irregular periods.

Heavy Periods or menorrhagia

Many women are troubled by heavy periods with or without clots known as menorrhagia. In young women these symptoms are not always investigated but tend to be treated symptomatically, for example by taking the oral contraceptive pill. In some cases bleeding will be due to an underlying problem, and an ultrasound scan may be performed to exclude or diagnose some of these conditions. Probably the most common disorder leading to bleeding problems is uterine fibroids, but other problems include polyps inside the cavity of the uterus and abnormalities of the lining of the uterus itself (endometrium). It must be remembered that for most women with bleeding problems there is no serious underlying problem.

Fibroids and polyps within the cavity of the uterus and polyps, known as focal lesions, can be demonstrated using Saline Infusion Sonohysterography (SIS). SIS can replace hysteroscopic (keyhole) surgery for seeing intra-cavitary focal lesions like fibroids and polyps. At our clinics in St Leonards and Penrith, OMNI can provide your Gynaecologist with the appropriate pre-operative information in order to plan any hysteroscopic (keyhole) procedure to remove them.


The treatment of heavy periods varies. For many, reassurance that there is no serious underlying problem is enough. For others simple tablet treatment will be all that is needed (combined oral contraceptive pill).

More recently a type of hormonal coil called the IUS has been shown to be very effective at making periods lighter. This coil contains the hormone progesterone which acts locally to keep the lining of the womb thin. If a polyp or fibroid has been shown in the cavity of the uterus then keyhole surgery to remove them may solve the problem.

For larger fibroids in the wall of the uterus conventional “open” surgery or laparoscopic (keyhole) surgery may be appropriate depending on their size and position. This operation is called myomectomy.

Bleeding between periods or intermenstrual bleeding

Women with this complaint tend to be more likely to have an underlying problem than women with heavy bleeding at the time of an expected period. Typically an endometrial polyp may be present in the cavity of the uterus, and this may be demonstrated by an ultrasound scan. This is like a small “skin tag” that grows slowly within the lining of the womb (endometrium). However abnormalities of the cervix or infection may also be associated with this symptom and should be excluded. Again, SIS can provide your Gynaecologist with the appropriate pre-operative information in order to plan any hysteroscopic (keyhole) procedure to remove them.

Absent or irregular periods

There are several reasons why periods may stop or become irregular. Some can be clarified on the basis of blood tests to measure the levels of circulating hormones. One condition called polycystic ovaries can be demonstrated using vaginal ultrasonography. This is probably one of the most common causes of irregular and absent periods.

Polycystic ovaries is an unfortunate term as it implies the ovary contains cysts – which it does not. The ovaries contain several follicles and the condition represents a disorder of ovarian physiology and in some cases metabolism.

OMNI Ultrasound & Gynaecological Care

Condous performs Advanced Endosurgery procedures for women needing intervention for pelvic masses, adnexal pathology, severe endometriosis or hysterectomy. He also runs ‘Hands on’ Live Sheep Laparoscopic Workshops for gynaecologists at Camden Veterinarian School.
Having completed an undergraduate degree with the University of Adelaide, he left Australia in 1993 and moved to London where he completed his training in Obstetrics and Gynaecology. From 2001 to 2003 Condous worked as a Senior Research Fellow at St George’s Hospital, London. At St George’s he set up the Acute Gynaecology Unit, the first in the United Kingdom. It was also during this time that he developed an interest in Early Pregnancy and especially the management of pregnancies of unknown location (PULs). Condous has developed many mathematical models for the prediction of outcome of PULs which have been featured in numerous peer review journals. In 2005, he returned to Australia where he completed his Laparoscopic Fellowship at the Centre for Advanced Reproductive Endosurgery, Royal North Shore, Sydney.

Condous was appointed as a Consultant Gynaecologist and Senior Lecturer at Nepean Hospital in 2006 and soon was made Associate Professor. In 2010, he was made Departmental Head of Obstetrics and Gynaecology at Nepean Hospital. He obtained the MRCOG in 1999 and was made FRANZCOG in 2005. In 2009, he was awarded his Doctorate in Medicine (MD), University of London, for his thesis entitled: “The management of pregnancies of unknown location and the development of new mathematical models to predict outcome”.

Condous has edited three books including the “Handbook of Early Pregnancy Care”, published over 100 papers in international journals and is internationally renowned for his work in Early Pregnancy. He is the Associate Editor for Gynaecologic Obstetric Investigation, which is a European based journal, as well as the Australasian Journal of Ultrasound in Medicine (AJUM). He is on the organising committee and is an invited speaker at the International Society of Ultrasound in Obstetrics and Gynaecology (ISUOG) Scientific meeting in Sydney 2013. His current research interests relate to the management of ectopic pregnancy, 1st trimester growth, PULs and miscarriage and the use of transvaginal ultrasound (in particular sonovaginography, to predict posterior compartment deep infiltrating rectovaginal endometriosis).Condous is also actively involved with post-graduate education including the annual running of the Early Pregnancy and Gynaecological Ultrasound Interactive Courses for Sonologists, Radiologists, Sonographers and Gynaecologists in Australia.