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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.

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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.

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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.

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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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Connect with your preferred Mt Elizabeth gynaecologist, who can deliver at Thomson Medical Centre.

Find a doctor

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>

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Dr Anupriya Agarwal

Dr. T.C. Chang is an Obstetrician and Gynaecologist who practices at SWC Gynae Associates, Thomson Medical Centre, Singapore. Dr. Chang has been in medical practice since 1986, with more than 25 years of experience as a specialist in <a href="https://www.thomsonmedical.com/speciality/obstetrics-gynaecology" target="_blank">Obstetrics and Gynaecology</a>.Dr. Chang started his undergraduate medical student days at Guy's Hospital Medical School, University of London in 1980. He graduated in 1985 and worked at various London teaching hospitals (Guys, Lewisham, Hammersmith, Charing Cross, Kings College and University College Hospital London) for 8 years, between 1985 and 1993. In 1990, having successfully passed examinations in Obstetrics and Gynaecology, as well as Surgery, he was admitted as a Member of the Royal College of O &amp; G, UK, and Fellow of the Royal College of Surgeons, Glasgow, UK. Between 1991 and 1993, he did obstetric ultrasound research at University College Hospital, London, which led to his submission of a Doctorate (MD) thesis on "Serial Ultrasound Assessment of the Growth Restricted Fetus". He was awarded the MD by the University of London, in April 1994.Dr. Chang has been working in Singapore since 1994 at the KK Women's Hospital from (1994-1998) and in Thomson Medical Centre since 1998. He was made a Consultant Obstetrician and Gynaecologist, Department of Maternal Fetal Medicine, KK Hospital in 1997 and was a Visiting Consultant to that Department from 1998 to 2006. From 1998 - 2020, he was the Head of the Fetal Assessment Unit (Centre for Prenatal Diagnosis and Obstetric Ultrasound) at Thomson Medical Centre. In 2005, Dr Chang spent time as an Associate Professor in Obstetrics and Gynaecology at the University of Auckland, New Zealand and worked as a Consultant in National Women's Health, Auckland City Hospital. Between 2007 and 2009, Dr Chang was the President of the College of Obstetricians and Gynaecologists, Singapore. Dr Chang was also recently appointed as the Medical Director for Fetal Assessment Unit (FAU), Thomson Medical Centre, effective from 1 Feb 2024.His interests are in the medical and surgical management of <a href="https://www.thomsonmedical.com/find-a-doctor/high-risk-pregnancy" target="_blank">high-risk pregnancies</a>, ultrasound assessment of the at-risk fetus, invasive prenatal diagnostic procedures and gynaecological laparoscopic surgery. Dr Chang has admitting rights to 6 private hospitals in Singapore but does most of his obstetric deliveries and surgical operations at Thomson Medical Centre.

Dr Chang Tou Choong

Graduated in 2003 from medical school of National University of Singapore, Dr Chin pursued her specialist training locally and obtained her postgraduate qualification from Royal College of Obstetrics and Gynaecology, United Kingdom in 2008. She is a Fellow of the Royal College of Obstetricians & Gynaecologists (London) and a Fellow of the Academy of Medicine (Singapore).

Having worked in KK Hospital for many years prior to setting up her own practice, she has vast experiences in managing various obstetric and gynaecological cases including deliveries and gynaecological surgeries.
She has a special interest in minimally invasive surgery especially advanced hysteroscopic surgery for which she did her HMDP (human manpower development plan award) in Japan in mid-2014. She is accredited for advanced minimally invasive surgeries. She is familiar with hysteroscopic ligation and has extensive experiences in hysteroscopic myomectomies. 
She also takes an interest in pre-invasive diseases, for which she obtained colposcopic and laser accreditations. She set up the molar clinic for the KK hospital during her time there to better look after the special needs of this group of patients.

Apart from her clinical roles, she is passionate about teaching and imparting clinical and surgical skills to the juniors. She was appointed as clinical lecturer and MBBS examiner at NUS Yong Loo Lin School of Medicine and currently still holds Clinical Physician Faculty Member at SingHealth Residency Program as part of her role to train future specialists. She is also actively involved in clinical research. She has published on several scientific journals and presented in many international conferences. She is an editor to several international journals. 

Being a mother of three and having gone through both caesarean and vaginal deliveries herself, she can closely relate to her patients each and every experience. As each pregnancy is unique, she believes in providing individualised step-by-step care and holistic support for all her patients. 

Dr Chin delivers and operates at Thomson Medical Centre, Mount Elizabeth Novena Hospital, Mount Elizabeth Orchard Hospital, Gleneagles Hospital, Parkway East Hospital and Mount Alvernia Hospital.

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Dr Crystal Chin Hsuan

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.

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Dr Choo Wan Ling

Dr Irene Chua is a Senior Consultant Obstetrician and Gynaecologist.Dr Chua received her MBBS from the National University of Singapore and is a Member of the Royal College of Obstetricians and Gynaecologists (London) and a Fellow of the Academy of Medicine, Singapore.Prior to setting her up her private practice, Dr Chua was a Senior Consultant in the Minimally Invasive Surgery Unit, KK Women’s &amp; Children’s Hospital (KKH). Previous position held includes Head of the 24-Hour Women's Clinic in KKH. Dr Chua is also a Senior Clinical Lecturer for Yong Loo Lin School of Medicine, NUS and was awarded the Top 10 NUS Clinical Faculty Teacher for the year 2007-2008. In addition, she has also been awarded the CEO Heart award in 2010, Singapore Health Quality Service Superstar Award in 2011 as well as the prestigious PS21 Star Award in 2011.Being a patient and understanding obstetrician, Dr Chua has performed many deliveries over the years. Apart from that, she also specializes in gynecological endoscopy (otherwise known as key-hole surgery) and surgery. Dr Chua was the first female gynaecologist to be awarded the HMDP scholarship in 2004 for Advanced Laparoscopic Surgery in Gynaecology sub-specialising in Excision of Severe Endometriosis and Pelvic Floor Support at the IRCAD/ European Institute of TeleSurgery (EITS), Strasbourg, France under world-renowned laparoscopic surgeon, Professor Arnaud Wattiez.Apart from being an advocate for minimally invasive surgery, Dr Chua is also actively involved in the teaching and training of O&amp;G specialists both locally and regionally, being a Level 3 accredited laparoscopic trainer in KKH. She is also an appointed teaching faculty at the Asian Institute of Telesurgery (AITS) in Taiwan and conducts lectures and surgeries in Indonesia, Malaysia and Brunei.In addition to clinical practice, Dr Chua has published in numerous scientific journals and is invited to speak regularly at conferences and seminars both locally and internationally.

Dr Irene Chua Sze Yuen

Dr Lee Lih Charn is a Senior Consultant Obstetrician and Gynaecologist and a Medical Director at LC Lee Urogynaecology Centre and Agape Women's Specialists.Dr Lee has more than 20 years of experience in the management of Obstetrical and Gynaecological (O&amp;G) conditions, and she sub-specialises urogynaecology, which is the prevention &amp; management of female bladder and prolapse problems. Her clinical focus includes recurrent urinary tract infections, pelvic organ prolapse, and female urinary incontinence.Dr Lee graduated from National University of Singapore, School of Medicine in 1988. Subsequently, she received her subspecialty training in urogynaecology at St Vincent's Hospital in Sydney, Australia.&nbsp;Before going into private practice, Dr Lee was a senior consultant at KK Women &amp; Children's Hospital (KKH) for over 20 years. During her tenure, she served as the Director of the KK Urogynaecology Centre and the Head of the Ambulatory and Urodynamics Unit in the Department of Urogynaecology.In her professional field, Dr Lee has given several lectures and has published articles in her specialty extensively.Dr Lim is accredited at several hospitals including Thomson Medical Centre.

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Dr Lee Lih Charn

Dr Ong graduated from the National University of Singapore in 2006. She completed her specialist training in Obstetrics and Gynaecology, and obtained her postgraduate degrees from the Royal College of Obstetrics and Gynaecology, London in 2012 as well as the Masters of Medicine in Obstetrics and Gynaecology from the National University of Singapore in 2012. She is a fully qualified Obstetrician and Gynaecologist with the Specialist Accreditation Board of the Ministry of Health, Singapore. She is a Fellow of the Academy of Medicine, Singapore. She is also an accredited Colposcopist with the Society for Colposcopy &amp; Cervical Pathology of Singapore. Prior to her private practice, Dr Ong was an examiner for the MBBS degree and a Clinical Lecturer for the NUS Yong Loo Lin School of Medicine. She was previously also a visiting consultant at Ng Teng Fong General Hospital. Dr Ong has also published in both local and international peer-accredited journals and has presented her research papers in various conferences in Singapore and overseas. Dr Ong is accredited to practice at the following hospitals : Thomson Medical Centre, Mount Alvernia Hospital and all Parkway hospitals (Mount Elizabeth Hospital, Mount Elizabeth Novena Hospital, Gleneagles Hospital, Parkway East Hospital).

Dr Ong Aihui Clara

Dr Nurhidayati graduated from NUS, Singapore in 1996. She completed her training mainly in NUH for her specialist degree from the Royal College of O&amp;G, UK. She is a dedicated doctor who wants the best for her patients. When she is not working, she is involved in different organisations, working towards uplifting the community for better health outcomes.

Dr Nurhidayati Binte Mohamed Suphan

Dr. Cindy Pang’s main sub-specialty is in gynaecological cancers and complex pelvic surgeries. On top of that, she provides antenatal care to expectant mothers and manages a wide range of conditions related to the female reproductive system.Dr Pang graduated from National University of Singapore and obtained her membership to the Royal College of Obstetricians and Gynaecologists of the United Kingdom in 2008. In pursuit of her passion, she underwent further sub-specialty training at the renowned Western Australian Gynaecologic Cancer Services in Perth under the Health Manpower Development Plan, returning to practice in Singapore in 2013. She also won the prestigious Tony McCartney Surgical Innovation Award during her time in Australia. Dr. Cindy is an accredited colposcopist and trainer. Since 2009, she has been serving as a Council Member in the Society of Colposcopy and Cervical Pathology of Singapore. Concurrently, she is involved in the division of graduate medical studies at National University Hospital, where she assesses trainees for in-hospital clinical training modules on colposcopy. She offers cervical pre-cancer screening and management with colposcopy, laser and LEEP surgeries.Dr. Cindy currently practises at SOG – Cindy Pang Clinic for Women &amp; GynaeOncology, located at Mount Elizabeth Novena Specialist Centre.

Dr Cindy Pang

Dr Ng is a specialist in&nbsp;Obstetrics&nbsp;and&nbsp;Gynaecology,&nbsp;with special interest in minimally invasive surgery, especially in the application of single incision gynaecological laparoscopy. He graduated from the medical faculty, National University of Singapore (MMed) and holds a Diploma in advanced laparoscopy (Dip. Eur Gyn Endoscopy) from the renowned CHU Estaing laparoscopic centre, France. He is a fellow of the Royal College of Obstetrician &amp; Gynaecologist as well as the vice-president of Obstetrical &amp; Gynaecological Society of Singapore (OGSS).&nbsp; He believes in holistic care for his patients and has vast experiences in performing surgeries and deliveries. Alongside his compassionate patient-centred care approach, Dr Ng is passionate about offering the best surgical solutions for management of gynaecological conditions. Dr Ng is one of the pioneers in Singapore to develop the application of single incision laparoscopic surgery (SILS) in gynaecology since 2009. He has since then performed more than 1000 SILS surgeries successfully for gynaecological conditions such as fibroids,&nbsp;endometriosis&nbsp;and fertility regulation for family planning. Previously, he performed the first case of Single Site Robotic Surgery in Singapore (SSRS). Dr Ng is committed to providing&nbsp;obstetric care&nbsp;for all expectant mothers and advocates for natural delivery. He is an activist in promoting women’s health and as such, he enjoys organising public outreach programs to empower women in making informed decisions about their healthcare.

Dr Ng Ying Woo

Dr Ng Kai Lyn is a Consultant Obstetrician and Gynaecologist with sub-specialty expertise in urogynaecology and minimally invasive surgery. Prior to moving to private practice, she worked at National University Hospital, Singapore. She is the recipient of Healthcare Manpower Development Plan award from Singapore Ministry of Health and completed a prestigious Urogynaecology Fellowship at an International Urogynaecology Association accredited institution. Besides general obstetrics and advanced laparoscopy, she is well versed in managing pelvic organ prolapse, urinary incontinence, overactive bladder, uterine fibroids, ovarian cysts, endometrial polyps, endometriosis and fertility issues. Dr Ng’s philosophy in clinical practice lies in achieving the best standard of care for her patients through compassionate treatment, communication, patient empowerment and informed choice.

Dr Ng Kai Lyn

Dr Tan is an established OBGYN specialist and had delivered many babies throughout his career. Prior to founding O&amp;G The Women’s Medical Specialist, he was the Head of Department of Obstetrics and Gynaecology in KK Women’s and Children’s Hospital. He co-authored the book “Practical O&amp;G Handbook for the Clinician and General Practitioner” which won the British Medical Association Book Award in 2015. He also won numerous awards as outstanding clinician and educator. In 2016-2017, he co-developed the HealthHub Pregnancy Track, a new web portal and mobile app, with Health Promotion Board. He is also the Founder and Editor in Chief of Pregnancy Singapore (www.pregnancy.com.sg).

Dr Tan Thiam Chye

Dr Jonathan Wee is a Consultant Obstetrician and Gynecologist.Dr Wee graduated from the National University of Singapore with the degree of MBBS and attained Membership in the Royal College of Obstetricians and Gynecologists in London, UK. He was also conferred the postgraduate degree of Master of Medicine in Obstetrics and Gynaecology (Singapore) and is a Fellow of the Chapter of Obstetrics and Gynaecology, Academy of Medicine (Singapore). He is also a member of the Obstetrics and Gynaecology Society of Singapore and a member of the Singapore Medical Association. He is also a certified Colposcopist and a member of the Society for Colposcopy &amp; Cervical Pathology of Singapore.Dr Jonathan Wee has a special interest in Minimally Invasive Surgery. He has worked in all 3 Restructured Hospitals with Maternity Units in Singapore, namely KK Women's and Children's Hospital, Singapore General Hospital and National University Hospital. Trained mainly in KK Hospital, Dr Wee was a member of the Minimally Invasive Unit and is highly proficient in both endoscopic and open surgery for a multitude of gynaecological conditions. He is also a Specialist Obstetrician, having managed many low-risk and high-risk pregnancies over the years. He is also an accredited IVF clinician and skilled in a wide range of fertility treatments including intrauterine insemination and In Vitro Fertilization(IVF).Dr Wee also has a keen interest in teaching, education, and research. He has participated and presented at numerous local and international workshops and congresses and has also published papers in several journals. He was a member of the Faculty organizing local courses for the MRCOG examinations and is also a member of the Yong Loo Lin School of Medicine Clinical Faculty and has been a Clinical Tutor to medical students and Residents since 2012. Aside from numerous compliments and commendations from colleagues and patients alike, Dr Wee was also given the Outstanding Faculty Award for his contributions to teaching Residents for the year 2013 at the RiSE (Residency in Singhealth Excels!) Awards ceremony 2014.A proud father of two, Dr Jonathan Wee is both a caring and compassionate Obstetrician and Gynaecologist with countless compliments and testaments to his quality of service.

Dr Jonathan Wee

Dr Benjamin Tham Wai Lum is an Obstetrician &amp; Gynaecologist, at OB Gynae Associates Women’s Clinic.Dr Ben graduated from University of Singapore in 1990. He worked in Alexandra Hospital (AH) and Tan Tock Seng Hospital (TTSH) during his housemanship year. He undertook his postgraduate training in the Kandang Kerbau Hospital (KKH), and obtained his specialist degrees in 1997. He subsequently joined the Department of Oncology &amp; Urology and was sent for overseas training with Medical Research Council (MRC), University of Sheffield and Northern General Hospital in UK for pre-invasive / oncologic gynecological conditions and cancer trials.During his 15 years of practice in KK Hospital, Dr Ben served as the head of the 24-hour Women’s clinic, Deputy Head of the General O&amp;G Unit, Consultant in Gynaecological Cancer unit, Consultant colposcopist for Gynaecologic Cancer Centre and Visiting Consultant to Changi General Hospital.He had been awarded numerous Service from the Heart awards for exemplary service to patients and won the coveted KKH CEO Heart award in 2009. He also received Excellent Service (EXSA) Gold &amp; STAR Award launched by SPRING Singapore.Dr Ben attends to deliveries at Thomson Medical Centre.

Dr Benjamin Tham

Dr Suresh Nair is an obstetrician and gynaecologist. Aside from general obstetrics and gynecology, his areas of subspecialities are reproductive endocrinology, infertility and assisted reproductive techniques (eg: IVF, ICSI, IUI) minimal access endoscopic surgery, and advanced robot-assisted reproductive surgeries. In 1991, Dr Nair obtained a training grant from the Singapore Government called the “Health Manpower Development Programme” (HMDP) where he spent two years training in endoscopic surgery from 1991 to 1993 in the United States, United Kingdom, France, and Germany. He completed the SGH Robotic-assisted Laparoscopic Surgery Training Course in October &amp; November 2004 at the Singapore General Hospital. He also earned a Masters in Reproductive Medicine in 2009 from the University of New South Wales, Australia. He completed an intensive hands-on advanced robotic surgery course at the Orsi Academy, Cadaveric Surgery workshop in 2018 in Belgium and on the latest Da Vinci Xi surgical platform in a hands-on surgical training programme in January 2020 in Sydney, Australia. Dr Nair was the past Medical Director for three fertility centres in Singapore: Parkway Fertility Centre, Mount Elizabeth Hospital (2008-2011), Pacific Fertility Institutes, Royal Square Novena (2018-2019) and Advanced Centre for Reproductive Medicine, Gleneagles Hospital (2020 – 2021). In addition, he is presently the Chairman of the Reproductive Medicine Section, of the College of Obstetricians and Gynaecologists, Singapore, Board Member of Robotic Surgery Society of Singapore, and Honorary Treasurer of Asian Society of Gynecological Robotic Surgeons.

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Dr Suresh Nair

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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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Thomson Breast Centre
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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/womens-health/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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Thomson Breast CentreCall: <a href="tel:+6562525535" target="_self">6252 5535</a>WhatsApp: <a href="https://api.whatsapp.com/send/?phone=6586688697&text=I+was+browsing+the+Thomson+Medical+website+and+would+like+to+make+an+enquiry.&type=phone_number&app_absent=0" target="_self">8668 8697</a>

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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