English: I very much thank the Conservatives for tabling this motion, because women's health gets much less attention from the NHS, from medical research and the pharmaceutical industry, so anything that shines a light on women's health is really welcome. And we should all be concerned that less than a third of gynaecological referrals are seen within 62 days, but having talked to some of the gynaecologists and obstetricians working in England, I appreciate that this is not something that is facing Wales alone; it's also a major concern across the NHS. I think one of the things we need to do when we look at why gynaecological referrals - . Obviously, waiting lists are much longer than we currently have capacity to see. Are they appropriate, these gynaecological referrals, or are people in primary care not dealing with issues themselves, when they ought to be? Now, we need to start, of course, with prevention, and I think that the mandatory relationships and sexuality education helps all citizens be aware of how their body works and what is normal and what is not normal, and when they should be seeking advice. That's a really important issue. We need to operate prudent healthcare in primary care, and I recall, for example, that the UK Government had to be dragged kicking and screaming into making telemedical abortions a permanent feature of sexual health provision, which was something that Wales took a bold decision about. That's clearly the right thing, particularly for people who've got caring responsibilities or live in rural areas, where getting to a clinic is going to be way more difficult than if you live in an urban constituency like mine. Equally, we need to ensure that people have access to contraception so that they are not needing abortions in the first place. That's all part of prudent healthcare. I know we have C-Cards for under-25-year-olds, so they can get condoms, and that obviously helps prevent unwanted pregnancies and also sexually transmitted infections, both of which are seriously important in preventing gynaecological problems later on. This week, I heard from a consultant in women's health in the women's hospital in Liverpool that long-acting - LARCs - long-acting reproductive - . I can't remember what they're called, but they're basically an injection to enable you to not get pregnant, with a long-acting release to do that. They were the most effective public health intervention. I wrote it down because I thought it was a really bold statement. But she said that in England, anyway, it's made very difficult to get hold of, and we know from earlier work done by the Welsh Government that this is a really effective prevention for vulnerable groups - teenagers who have become pregnant, and then who obviously want to ensure that they don't get pregnant again. So, we need to ensure that all people who are sexually active have access to the appropriate consultation for their needs, and also to protect themselves from sexually transmitted infection. Chlamydia is one of the major sources of infertility, which then causes huge referrals to gynaecologists, and a very complicated and lengthy journey to try and reverse the problems that may have been created by sexually transmitted diseases that haven't been dealt with effectively and early enough. Now, we also know that, more recently, there have been major advances in how we support people with the menopause, as a result of campaigns by people like Fair Treatment for the Women of Wales, the Wales TUC's 'The menopause in the workplace', and the training for employers offered by people like Jayne Woodman, which includes support from the Welsh Government through Academi Wales. I was really interested to see that Hywel Dda University Health Board has been piloting a questionnaire to everybody who turns up for cervical screening over 40, to alert them to the menopause symptoms they may or may not be experiencing. This helps build women's own knowledge of their bodies, and allows them to visit their GP with a starter for 10, so they've got a little list of things that are relevant to the issue, which reduces the length of the consultation and increases the effectiveness of that consultation.
Welsh: Diolch yn fawr i'r Ceidwadwyr am gyflwyno'r cynnig hwn, oherwydd mae iechyd menywod yn cael llawer llai o sylw gan y GIG, gan ymchwil feddygol a'r diwydiant fferyllol, felly mae croeso gwirioneddol i unrhyw beth sy'n taflu goleuni ar iechyd menywod. A dylem i gyd boeni bod llai na thraean o atgyfeiriadau gynaecolegol yn cael eu gweld o fewn 62 diwrnod, ond ar ôl siarad â rhai o'r gynaecolegwyr a'r obstetregwyr sy'n gweithio yn Lloegr, rwy'n derbyn nad rhywbeth sy'n wynebu Cymru'n unig yw hyn; mae hefyd yn destun pryder mawr ar draws y GIG. Rwy'n meddwl mai un o'r pethau sydd angen inni ei wneud wrth edrych ar pam fod atgyfeiriadau gynaecolegol - . Yn amlwg, mae rhestrau aros yn llawer hirach nag y mae gennym gapasiti i'w gweld ar hyn o bryd. A ydynt yn briodol, yr atgyfeiriadau gynaecolegol hyn, neu a yw'n wir nad yw pobl mewn gofal sylfaenol yn ymdrin â materion eu hunain, pan ddylent fod yn gwneud hynny? Nawr, mae angen inni ddechrau, wrth gwrs, gydag atal, ac rwy'n credu bod yr addysg cydberthynas a rhywioldeb orfodol yn helpu pob dinesydd i fod yn ymwybodol o sut mae eu corff yn gweithio a'r hyn sy'n normal a beth nad yw'n normal, a phryd y dylent ofyn am gyngor. Mae hynny'n bwysig iawn. Mae angen inni weithredu gofal iechyd darbodus mewn gofal sylfaenol, ac rwy'n cofio, er enghraifft, sut y bu'n rhaid llusgo Llywodraeth y DU gerfydd ei fferau i wneud erthyliadau telefeddygol yn nodwedd barhaol o ddarpariaeth iechyd rhywiol, rhywbeth y gwnaeth Cymru wneud penderfyniad beiddgar yn ei gylch. Mae'n amlwg mai dyna oedd y peth iawn i'w wneud, yn enwedig i bobl sydd â chyfrifoldebau gofalu neu sy'n byw mewn ardaloedd gwledig, lle mae cyrraedd clinig yn mynd i fod yn llawer anos nag i bobl sy'n byw mewn etholaeth drefol fel fy un i. Yn yr un modd, mae angen inni sicrhau bod gan bobl fynediad at ddarpariaeth atal cenhedlu fel nad oes angen erthyliadau arnynt yn y lle cyntaf. Mae hynny i gyd yn rhan o ofal iechyd darbodus. Rwy'n gwybod bod gennym gardiau-C ar gyfer pobl dan 25 oed, fel y gallant gael condomau, ac mae hynny'n amlwg yn helpu i atal beichiogrwydd diangen yn ogystal â heintiau a drosglwyddir yn rhywiol, ac mae'r ddau beth yn eithriadol o bwysig i atal problemau gynaecolegol yn nes ymlaen. Yr wythnos hon, clywais gan feddyg ymgynghorol ym maes iechyd menywod yn ysbyty'r menywod yn Lerpwl mai dulliau atalgenhedlu gwrthdroadwy hirdymor - LARCs - sef pigiad i'ch galluogi i beidio â beichiogi sy'n gweithio dros gyfnod hir, oedd yr ymyrraeth iechyd cyhoeddus mwyaf effeithiol. Fe wneuthum ei nodi oherwydd roeddwn o'r farn ei fod yn ddatganiad beiddgar iawn. Ond roedd hi'n dweud, yn Lloegr beth bynnag, ei bod hi'n anodd iawn cael gafael arno, a gwyddom o waith cynharach a wnaed gan Lywodraeth Cymru fod hwn yn ddull atal gwirioneddol effeithiol ar gyfer grwpiau bregus - pobl ifanc yn eu harddegau sydd wedi beichiogi ac sy'n amlwg eisiau sicrhau nad ydynt yn beichiogi eto. Felly, mae angen inni sicrhau bod pob person sy'n rhywiol weithredol yn gallu cael y cyngor priodol ar gyfer eu hanghenion, a hefyd i ddiogelu eu hunain rhag heintiau a drosglwyddir yn rhywiol. Clamydia yw un o brif achosion anffrwythlondeb, sydd wedyn yn arwain at nifer enfawr o atgyfeiriadau at gynaecolegwyr, a thaith gymhleth a hir iawn i geisio gwrthdroi'r problemau a allai fod wedi eu creu gan glefydau a drosglwyddir yn rhywiol na chafodd eu trin yn ddigon effeithiol ac yn ddigon buan. Nawr, fe wyddom hefyd, yn fwy diweddar, fod datblygiadau mawr wedi bod yn y gefnogaeth a roddwn i bobl gyda'r menopos, o ganlyniad i ymgyrchoedd gan bobl fel Triniaeth Deg i Fenywod Cymru, 'Y menopos yn y gweithle' TUC Cymru, a'r hyfforddiant i gyflogwyr sy'n cael ei gynnig gan bobl fel Jayne Woodman, sy'n cynnwys cefnogaeth gan Lywodraeth Cymru drwy Academi Wales. Roeddwn yn falch iawn o weld bod Bwrdd Iechyd Prifysgol Hywel Dda wedi bod yn treialu holiadur i bawb dros 40 oed sy'n mynychu sgriniad serfigol, i dynnu eu sylw at y symptomau menopos y gallent fod yn eu profi. Mae hyn yn helpu i gynyddu gwybodaeth menywod am eu cyrff, ac yn eu harfogi â rhywfaint o wybodaeth cyn iddynt ymweld â'u meddyg teulu, fel bod ganddynt restr fach o bethau sy'n berthnasol i'r mater dan sylw, gan leihau hyd yr ymgynghoriad a chynyddu effeithiolrwydd yr ymgynghoriad hwnnw.