My Specialism

 

Chronic Pelvic Pain
Chronic Pelvic Pain (CPP) is defined as an intermittent or constant pain in the pelvis or the lower abdomen of at least 6 months duration.   It is a common condition affecting 1 in 6 women of reproductive age.....more 

Adenomyosis
A condition where the endometrial glands [lining of the womb] are present in the myometrium [muscle layer of the womb] of the uterus.  It is a benign condition but the symptoms may have a negative impact on a woman’s quality of life.  It may present in 10% of women.....more

Endometriosis
Endometriosis is a common condition where tissue that behaves like the endometrium  [the lining of the womb] is found outside the womb.....more

Adhesion
Abdominal adhesions are fibrous strands or scar tissue that may commonly form following abdominal or pelvic surgery. Pelvic adhesions may involve any organ within the pelvis, such as the uterus, ovaries, fallopian tubes, or bladder.  They may be caused by surgery, infection, inflammation or endometriosis.  They may lead to multiple conditions such as chronic pelvic pain and infertility.....more

Postmenopausal Health and HRT
The menopause refers to that time in every woman’s life when her periods stop and her ovaries lose their reproductive function. Usually, this occurs between the ages of 45 and 55. In the UK the average age is 51.....more

Intermenstrual Bleeding [IMB]
IMB refers to vaginal bleeding [other than postcoital] at any time during the menstrual cycle other than during normal menstruation. It can sometimes be difficult to differentiate true IMB bleeding from metrorrhagia [irregularly frequent periods]......more

Postmenopasual Bleeding
Postmenopausal bleeding refers to unexpected vaginal bleeding in a woman who has reached the menopause, taken as at least 12 months’ amenorrhoea. Urgent evaluation is required as 5% of cases the underlying cause is life-threatening endometrial cancer.....more

Postcoital Bleeding [PCB]
PCB is non-menstrual bleeding that occurs immediately after sexual intercourse.  Mostly associated with cervical cause......more

Fibroids
Fibroids are non-cancerous growths that develop in or around the uterus [womb]. The growths are made up of muscle and fibrous tissue and vary in size. They're sometimes known as uterine myomas or leiomyomas. Many women are unaware they have fibroids because they don't have any symptoms.  One in three women will experience symptoms.....more

Cervical Polyp
Cervical polyps are usually non cancerous growth on the cervix. Most polyps are small, about 1 to 2 centimetres long. Because rare types of cancer can look like polyps, all polyps should be removed and examined for signs of cancer.....more

Endometrial Polyp
Endometrial polyps are non cancerous growth of the endometrium [lining of the womb].  Polyps should be removed and sent for histology.....more

Vaginal Prolapse
Prolapse is a condition in which one or more of the pelvic organs comes down or bulges into or out of the vagina, often with the sensation of ‘something coming down below’. The pelvic organs consist of the uterus, bowel and bladder. Pelvic organ prolapse occurs when the network of supporting tissues that holds these organs in their correct positions become weakened.....more

Ovarian Cysts
An ovarian cyst is a fluid-filled sac [more than 3cm in diameter] that develops on a woman’s ovary. There are two main types of ovarian cyst - functional and pathological. Functional ovarian cysts are the cysts which develop as part of the way the normal ovary works. They are extremely common. They are harmless and usually disappear without treatment. They are always benign and often go unnoticed.....more

Ovaries
Bilateral salpingo-oophorectomy” [BSO] refers to the surgical removal of both ovaries and both tubes. In women at increased risk for ovarian cancer, bilateral prophylactic oophorectomy has been shown to be a highly effective tool to lower the risk for both ovarian cancer and breast cancer.....more

Adolescent Gynaecology
Adolescent gynaecology is increasingly recognized as an area in which specific knowledge and expertise is required to ensure that patients achieve the best outcome.....more