Bladder, Vulval & Vaginal Health

Led by Dr. Shilpa McQuillan — women’s health GP, gynaecologist & menopause specialist — we provide expert bladder, vulval & vaginal health care in a confidential, supportive, calm setting. Your care is always personalised, delivered with sensitivity and respect. 

Dr Shilpa McQuillan Dedicated Women's Health Clinic Specialist

How we can support your Bladder, Vulval & Vaginal Health

We support you at every stage of life — whether you’re experiencing urinary symptoms like incontinence, or prolapse, or suffering cystitis, vaginal dryness, and low libido around menopause.

We ensure all options are clearly explained — from non-hormonal approaches, pessary fittings to hormonal therapies  — alongside personalised lifestyle and nutrition guidance, so you feel confident and in full control of your health.

 

Common conditions we support:

  • Stress or urge incontinence, prolapse, overactive bladder
  • Chronic urinary infections or frequent urination
  • Vulval and vaginal dryness, soreness, pain, or discomfort during intercourse
  • Vulval skin conditions
  • Sexual wellbeing (libido, comfort, intimacy)
  • Changes around menopause

Booking Your Appointment

Consultations

If you think you may need an examination, please book an in-person Introductory Consultation.

At your appointment, we will:

  • Explore your symptoms, concerns, and suitable treatment options together
  • Create a personalised treatment plan, including any prescriptions
  • Perform an examination if necessary
  • Provide a pessary fitting during the appointment if required (Price of pessary fee applies)
  • Provide a written summary
  • Liaise with your NHS GP if you wish to continue treatment via the NHS
  • Recommend or refer you for further treatments or investigations (including surgery, if appropriate)

 

 Fee: £250 (Introductory Consultation)
Duration: 40 mins
Booking: Online
Available: Virtual and In-person at our Henley-on-Thames clinic

Pessary Fittings

Patients due for a replacement or new fitting who have already discussed treatment options in a prior consultation:

Appointment type: Pessary fitting
Fee: £155 plus cost of pessary
Duration: 30 mins
Booking: Email or telephone
Available:
 In-person at our Henley-on-Thames clinic

New patients seeking a pessary as an option for prolapse or incontinence:

Appointment type: In-person consultation
Fee: £250 (standard consultation) plus cost of pessary

Duration: 40 mins
Booking: Online
Available: At our Henley-on-Thames clinic

Browse our women’s health resource library for practical, supportive guidance on bladder, vulval & vaginal health — created to help you feel informed, confident, and cared for.

women’s health resource library

Ready to take the next step in your care?

Book your appointment online today. If you have any questions, please call us — our team is here to help and will ensure you feel comfortable and supported at every step.

Bladder, Vulval & Vaginal Health FAQs

Can menopause affect bladder and vulval health?

Yes. Hormonal changes can lead to vaginal dryness, thinning and increased susceptibility to infections. They can also affect bladder health causing urine infections, and urinary symptoms such as loss of bladder control , prolapse, incontinence and comfort during intercourse.


Can I manage vulval or vaginal discomfort?

We provide personalised guidance based on your symptoms, including topical treatments, lubricants, lifestyle measures, and, when needed, medications for underlying skin conditions.  We recommend an in-person examination so we can understand your symptoms fully and suggest the most suitable, safe treatment for you. 


What treatments are available for bladder or prolapse issues?

Your treatment will be tailored to your individual symptoms and needs. This may include lifestyle advice, physiotherapy, medications, or devices such as pessaries find out more). Surgery can be considered when it’s the right option for you, and we’ll guide you through every step so you feel informed and supported.


I keep getting urinary tract infections (UTIs). What can be done?

Recurrent UTIs are common in women, and we focus on treating both the infection and the underlying causes, as well as managing any urinary symptoms. We consider lifestyle, nutrition, bladder, and vaginal health, using antibiotics only when necessary to protect gut and vaginal balance. Treatments may include over-the-counter measures, prescription medications, and topical vaginal oestrogen. Our goal is whole-person care that keeps you healthy and reduces recurrence. 


Our Henley-on-Thames Clinic is conveniently accessible to providing specialist women’s healthcare across Berkshire, Oxfordshire, and Buckinghamshire.