A hysteroscopy is a procedure used to inspect the inside of the womb using a narrow telescope with a light and camera at the end. Because it is performed through the vagina and cervix, it does not require any incisions on your abdomen. It enables our specialist doctors to directly visualise the lining of the womb and take biopsies if necessary. It is performed to investigate or treat a number of different symptoms such as heavy periods, irregular bleeding, pelvic pain or to investigate recurrent miscarriage or problems becoming pregnant. It can diagnose and treat a number of problems such as polyps, fibroids, scar tissue or abnormalities within the womb or narrowing of the cervix, all of which may be affecting your fertility

Fibroids are benign (non-cancerous) growths inside the womb. If they grow in or indent the lining of the womb, they can cause heavy and painful periods, or irregular bleeding and can impact fertility. These can be diagnosed by ultrasound and  confirmed using hysteroscopy. Transcervical resection of fibroids (TCRF) entails the remove of this type of fibroid using a hysteroscope. it is performed through the vagina and cervix, it does not require any incisions on your abdomen. Sometimes, with large fibroids, it is necessary to perform as a two-stage procedure.

Ovarian cysts are fluid filled sacs within the ovary. Whilst most of the time they resolve on their own, sometimes they need to be removed. The removal of ovarian cysts is performed using a procedure called ovarian cystectomy. Most of the time it can be performed using keyhole surgery, which is called laparoscopy, but occasionally requires an incision on the abdomen. Removal of excess ovarian tissue can impact ovarian reserve and future fertility, our specialists often use novel techniques such as intra-operative ultrasound guidance, to minimise the removal of healthy ovarian tissue. Once the cyst is removed, it is sent for assessment in the laboratory to confirm the diagnosis

Polyps are usually benign (non-cancerous) growths inside the womb, or on the cervix. They can cause heavy periods, or irregular bleeding and can have an impact on fertility. They are usually diagnosed by ultrasound and are confirmed using hysteroscopy. Once the location is confirmed using hysteroscopy, removal of the polyp, which is known as polypectomy, can be performed at the same time. As it is performed through the vagina and cervix, it does not require any incisions on your abdomen. Once the polyp is removed, it is sent for assessment in the laboratory to confirm the diagnosis. This is important as occasionally polyps can be cancerous and therefore further treatment may be necessary.

Whilst preserving your fertility is at the forefront of our minds when we treat each patient, occasionally it is necessary to remove fallopian tubes of ovaries. Most of the time it can be performed using keyhole surgery, known as laparoscopy, but occasionally necessitates an incision on the abdomen. In this scenario there are still fertility preserving modalities that we offer to give you the very best chance of having children in the future.

Fibroids are benign (non-cancerous) growths inside the womb. They can grow to become very large and cause a variety of different symptoms including needing to pass urine more frequently, constipation, bloating, abdominal pain and heavy menstrual bleeding. They can also affect fertility and can cause problems during pregnancy and childbirth. Fibroids are diagnosed by ultrasound. Sometimes they can be managed conservatively but if the symptoms are particularly troublesome they can be removed by an operation referred to as a myomectomy. The operation is performed through a bikini line incision in the abdomen. Once the fibroids are removed, they are sent for assessment in the laboratory to confirm the diagnosis

A hysterectomy is an operation to remove the womb. Whilst we always aim to preserve your fertility if it is still desired, sometimes there is no safe option other than remove the womb. Hysterectomy is most commonly performed for heavy periods, fibroids, chronic pelvic pain or gynaecological cancer. The operation can be performed using keyhole surgery (laparoscopy), through a bikini line incision in the abdomen or through a cut in the top of the vagina. Once the womb is removed, it is sent for assessment in the laboratory to confirm the diagnosis. After the womb has been removed you are unable to become pregnant, but there are ways to have biologically related children in the future through surrogacy

A trachelectomy is a fertility preserving treatment for early stage cervical cancer. It includes the removal of the cervix and the tissue that lies either side of the cervix, along with the top part of the vagina. It can be performed using keyhole surgery (laparoscopy) or through a bikini line incision in the abdomen. Once the cervix is removed, it is sent for assessment in the laboratory to confirm the diagnosis, and that the operation removed all of the cancerous tissue. After this operation pregnancy is possible, although a stitch will be needed around the neck of the womb to support it during pregnancy