Gynaecologist vs Urogynaecologist: Who Should You See — and Why It Matters

Understanding the key differences and recognising when expert care can change your life. When it comes to women’s health, many people assume that a gynaecologist covers it all. But if you’re struggling with issues like urinary incontinence, pelvic pressure, vaginal esthetic surgery or prolapse, you may need a more specialised expert — a urogynaecologist. So, […]

Understanding the key differences and recognising when expert care can change your life.

When it comes to women’s health, many people assume that a gynaecologist covers it all. But if you’re struggling with issues like urinary incontinence, pelvic pressure, vaginal esthetic surgery or prolapse, you may need a more specialised expert — a urogynaecologist.

So, what’s the difference between the two? And more importantly, when should you see a urogynaecologist like Dr. MC Conradie, one of South Africa’s leading specialists in this advanced field?

Let’s unpack it.

What is a Gynaecologist?

A gynaecologist focuses on the health of the female reproductive system. This includes care during puberty, menstruation, pregnancy, menopause, and more.

Common reasons to visit a gynaecologist include:

  • Irregular or painful periods
  • Pregnancy and contraception
  • Fertility advice
  • Pap smears and screenings
  • Menopausal symptoms
  • Hormonal imbalances
  • Endometriosis

They are vital for general reproductive health — but when pelvic floor or urinary issues arise, more specialised care may be required.

What is a Urogynaecologist?

A urogynaecologist is a medical doctor with specialised training in both gynaecology and urology, focusing specifically on reconstructive female pelvic floor surgery. This is also known as female pelvic medicine. These include conditions that affect the bladder, uterus, vagina, bowel, and the muscles and connective tissue that support them.

Think of a urogynaecologist as the bridge between urology and gynaecology — uniquely qualified to surgically treat complex pelvic floor and urinary disorders, especially in women who have had previous surgeries, childbirth trauma, or ongoing incontinence.

Conditions Treated by a Urogynaecologist:

  • Urinary incontinence (leaking urine)
  • Pelvic organ prolapse (bulging or pressure)
  • Overactive bladder and painful bladder syndrome
  • Recurrent urinary tract infections (UTIs)
  • Vesicovaginal Fistulas
  • Vaginal mesh complications
  • Post-surgical pelvic floor issues
  • Urethral diverticulum and vaginal reconstruction
  • Vaginal Esthetics

When Should You See a Urogynaecologist?

If you experience any of the following, a urogynaecologist is the specialist to see:

  • You leak urine when laughing, coughing, or exercising
  • You feel a bulge, pressure, or heaviness in the vaginal area
  • You’ve had pelvic surgery but still have symptoms
  • You’ve tried treatments for bladder or prolapse issues with no success
  • You’re considering reconstructive pelvic surgery
  • You need a second opinion before undergoing invasive procedures

Why Choose Dr. MC Conradie?

Dr. Conradie is one of South Africa’s few highly specialised urogynaecologists. Her unique expertise lies in minimally invasive laparoscopic and robotic-assisted surgery, allowing for faster recovery, reduced pain, and excellent long-term results.

She doesn’t just treat pelvic floor disorders — she transforms lives by restoring comfort, confidence, and dignity to her patients. Her approach is compassionate, precise, and tailored to each woman’s unique anatomy and lifestyle.

Whether you’re dealing with long-standing incontinence, a prolapse that limits your daily life, or complications after gynaecological surgery, Dr. Conradie offers the level of care and expertise you deserve.

Many women suffer in silence, thinking these symptoms are a normal part of aging or something they just have to live with. That’s simply not true.

If you’re experiencing any of the issues above, book a consultation with Dr. Conradie. You don’t need to suffer quietly. Expert help is available — and it could change everything.

Need clarity or a second opinion?
Dr. Conradie offers honest advice, advanced treatment options, and a full range of pelvic floor solutions — all with dignity, empathy, and surgical excellence.

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