location Clinic Locations Phone (02) 6642 2633

Comprehensive Gynaecology Care

Specialist women’s health services for patients in Grafton, Coffs Harbour and surrounding regions.

Women’s health concerns can impact comfort, confidence and quality of life. With over 25 years of specialist experience, Dr Kanewala Jayasekara (Dr Jay) provides thorough, compassionate and evidence-based gynaecological care for women at every life stage — from adolescence through to menopause.

Whether you’re experiencing pelvic pain, irregular bleeding, hormonal changes, fertility concerns or require surgical treatment, Dr Jay offers personalised care designed to diagnose the cause, provide clarity, and create a treatment plan that works for you.

Common Gynaecological Conditions Treated

Heavy Menstrual Bleeding

Heavy or prolonged periods can interfere with daily life and may be a sign of an underlying condition such as fibroids, polyps or hormonal imbalance. Dr Jay provides thorough assessment and tailored treatment options.

Pelvic Pain & Period Pain

Chronic pelvic pain may relate to endometriosis, adenomyosis, ovarian cysts or infection. A full assessment, supported by ultrasound, helps identify the cause and guide effective treatment.

Endometriosis & Adenomyosis

Dr Jay has extensive experience diagnosing and treating endometriosis and adenomyosis, offering both medical management and advanced laparoscopic surgery where required.

Fibroids, Ovarian Cysts & PCOS

Comprehensive investigation and treatment is available for common reproductive conditions that affect cycles, fertility, pain and wellbeing.

Menopause & Perimenopause

Tailored management for hot flushes, mood changes, sleep disturbance, irregular peri and postmenopausal periods and other symptoms — including hormone and non-hormone options.

Pelvic Organ Prolapse & Urinary Incontinence

Assessment and management of bladder, bowel and uterine prolapse, including conservative and surgical treatment pathways.

Gynaecological Procedures & Surgical Expertise

Advanced Laparoscopic (Keyhole) Surgery

Minimally invasive surgery provides faster recovery, less pain and smaller scars. Dr Jay performs advanced laparoscopic procedures including:

  • Endometriosis surgery
  • Treatment of ovarian cysts
  • Total laparoscopic hysterectomy
  • Diagnostic laparoscopy including tubal patency tests

Hysteroscopy Procedures

Hysteroscopy allows clear visualisation of the uterus using a thin camera and is often performed as a day procedure.

Procedures include:

  • Diagnostic hysteroscopy
  • Polyp removal
  • Fibroid resection (Myosure or Resectoscope)

Hysterectomy (Multiple Approaches)

Depending on diagnosis, anatomy and personal needs, hysterectomy options include:

  • Laparoscopic hysterectomy( TLH)
  • Laparoscopic assisted vaginal hysterectomy ( LAVH)
  • Vaginal hysterectomy ( VH&R)
  • Abdominal hysterectomy (TAH)

Prolapse Surgery

Surgical options are personalised and may include vaginal repairs, sacrospinous fixation, or laparoscopic-assisted procedures and vaginal hysterectomy and Manchester repair.

Contraceptive Procedures

  • IUD insertion or replacement (Mirena®, Kyleena®, Copper IUD)
  • Tubal ligation (laparoscopic)

Vulval & Cervical Conditions

Cervical Screening & Abnormal Pap Result Management

As an accredited colposcopist, Dr Jay provides detailed assessment and treatment for:

  • Abnormal Pap/HPV results
  • Cervical inflammation and precancerous changes
  • Follow-up monitoring and biopsies

Vulval Conditions

Diagnosis and management of:

  • Lichen Sclerosis
  • Vulval pain and irritation
  • VIN (Vulval Intraepithelial Neoplasia)

A sensitive, patient-centred approach ensures comfort and confidence throughout treatment.

On-Site Gynaecology Ultrasound (DDU Accredited)

Ultrasound is often essential for diagnosing menstrual concerns, pelvic pain, ovarian cysts, polyps, endometriosis and other conditions.

As a DDU-accredited ultrasound specialist, Dr Jay can perform many scans in-clinic, giving patients rapid results with clear explanations.

Gynaecology ultrasound services include:

  • Transvaginal Ultrasound for ovarian cyst assessment and endometrial assessment
  • Infertility scans
  • Endometriosis ultrasound
  • Saline infusion sonograms (Hyster sonogram)
  • HSG tubal testing (Hysterosalpingogram)

This allows faster diagnosis and more effective treatment planning.

In-Clinic Procedures (No hospital admission required)

Some procedures can be performed comfortably in clinic:

  • Colposcopy and Vulvoscopy
  • Biopsies
  • IUD insertion/change
  • Pippelle endometrial biopsy
  • Minor lesion excision

These procedures avoid hospital wait times and allow fast access to care.