Changes in bleeding, persistent pelvic symptoms or an abnormal screening result can be worrying. A gynaecological assessment helps establish what further investigation is appropriate. These findings do not automatically mean cancer, but they should be discussed rather than ignored.
Screening and investigation are different
Screening is intended for people without symptoms in the relevant screening group. Investigation looks into symptoms or an abnormal result. Ask which applies to you and what the recommended test can and cannot tell you. A cervical screening test is not a general test for every gynaecological cancer.
Assessment may involve reviewing your history, an examination with consent, imaging or a sample for laboratory assessment where indicated. The tests recommended depend on the concern being investigated.
Bring the original reports
- Previous screening, imaging and pathology results, where available.
- A summary of symptoms and when they began.
- A current medicine list and relevant family history.
- Details of any previous cancer diagnosis, treatment or surgery.
You can ask the practice how records should be shared before the visit. Do not send detailed medical records through a general enquiry form unless you have been given instructions for doing so.
Coordinating the next stage of care
If cancer is suspected or confirmed, care may require a gynaecological oncologist and other specialists. The appropriate referral and treatment pathway depend on the findings. This page does not imply that chemotherapy, radiotherapy or every oncology procedure is delivered at the consulting rooms.
Ask when results are expected, how you will receive them and who is responsible for arranging any referral. See our cervical screening information for related reading.
Arrange a consultation
Dr Timmal consults at Isipingo Hospital and St Augustine’s Hospital. Call 060 971 1251 for bookings or contact the practice. Confirm the consulting room when booking. For urgent or severe symptoms, seek immediate medical care rather than waiting for a website reply.
Further reading
Sources checked on 18 September 2026. General patient information; individual assessment may lead to different advice.

