Women’s Health
Dr Barshall holds a postgraduate Diploma in Obstetrics and Gynaecology and has a longstanding interest in women’s health.
She provides medical care for women across different stages of life, from adolescence and contraception through to menopause and later-life health.
Services include:
Well Woman health checks
Individualised health screening
Cervical smear tests
HPV testing
Referral for mammography and breast assessment
Contraception
Sexual health checks
Menstrual and hormonal concerns
Adolescent health
Gardasil HPV vaccination
Perimenopause and menopause care
Hormone replacement therapy
Fertility assessment and referral
Referral to gynaecologists and obstetricians where appropriate
Menopause and HRT
Dr Barshall has considerable experience in the management of perimenopause and menopause.
Consultations consider symptoms alongside medical history, family history, lifestyle and individual risk factors.
Where clinically appropriate, treatment may include hormone replacement therapy, with regular review and adjustment according to the patient’s response and needs.
Further investigation or specialist gynaecological advice can be arranged where necessary.
Family Medicine
Dr Barshall is a Member of the Royal College of General Practitioners and has practised family medicine for more than thirty years.
She sees adults, children and adolescents and often looks after several members of the same family.
Family medicine services include:
General medical consultations
Child health
Adolescent health
Paediatric developmental checks
Routine childhood vaccinations
Mental health
Anxiety and depression
Preventive healthcare
Health screening for men and women
Review and management of ongoing medical conditions
Specialist referrals
Adolescent Health
Adolescent wellbeing is one of Dr Barshall’s particular areas of interest. She provides a confidential setting in which teenagers and young adults can discuss concerns including:
General health
Menstrual and hormonal concerns
Sexual health
Contraception
Skin concerns
Weight
Mental health
Anxiety and depression
Sleep
Lifestyle and wellbeing
Where specialist medical or psychological support is appropriate, Dr Barshall can arrange referral through her wider professional network.
Mental Health
Dr Barshall has a longstanding interest in the relationship between physical and psychological health. She assesses and supports patients experiencing anxiety, depression, stress, sleep difficulties and changes in mood or wellbeing.
Mental health is considered as part of the patient’s broader medical picture rather than in isolation. When further support is required, Dr Barshall can refer to trusted psychiatrists, psychologists and psychotherapists.
Men’s Health
Dr Barshall is also very experienced in providing general and preventive healthcare for men, with particular emphasis on identifying and managing potential health risks early.
Services include:
Annual health checks
Advice on appropriate screening
Blood pressure monitoring
Cholesterol testing
Blood glucose testing
General blood profiles
Cardiovascular and metabolic risk assessment
Lifestyle advice
Preventive medicine
Where further investigation is required, Dr Barshall can refer to experienced urologists, cardiologists and other appropriate specialists.
Health Screening
Dr Barshall provides individual health assessments for men and women at different ages and stages of life.
Rather than applying an identical package of tests to every patient, screening can be tailored according to:
Age
Medical history
Family history
Existing symptoms
Lifestyle
Individual risk factors
A health assessment may include physical examination, blood pressure, blood tests and other investigations where clinically indicated.
Dr Barshall can then review the results with the patient and arrange further testing, imaging or specialist referral if required.
Weight Loss
Dr Barshall has a particular interest in supporting patients who want to achieve and maintain a healthier weight. Weight is considered in the context of the patient’s overall health rather than as an isolated measurement.
Assessment may take into account:
Medical history
Metabolic health
Nutrition
Exercise
Sleep
Stress
Lifestyle
Other factors contributing to weight change
Depending on the individual patient, management may include blood testing, nutritional and lifestyle advice.
Dr Barshall can also refer patients to experienced nutritionists or personal trainers for exercise programmes when more specialised support would be useful.
Immunisations
Dr Barshall provides a wide range of vaccinations. Vaccinations available through the practice include:
Seasonal influenza
Routine travel vaccinations
Routine childhood vaccinations
Diphtheria, tetanus and polio
Hepatitis A
Hepatitis B
Pneumococcal vaccination
Chickenpox vaccination
Meningitis B
Meningitis ACWY
Gardasil HPV vaccination
Shingles vaccination
Some vaccinations need to be ordered specifically for the patient and may require at least 48 hours’ notice.
Please contact the practice in advance if you require a particular vaccine.