Gynecologist Services List: How the 31 Entries Are Grouped
The list is split by the stage of life a problem belongs to, not by department. The first group is for women who are already pregnant. It covers routine antenatal care and delivery, and the medical or placental problems that call for a closer watch. The second group is about the baby before birth. It covers scans done at fixed weeks, tests that give a definite diagnosis, and the few treatments given in the womb. The third group covers everything outside pregnancy, from period problems, PCOS and contraception to the menopause. It also lists the keyhole operations I perform. Some topics sit across two groups. A woman with fibroids who is planning a baby, for example, may want to read both the fibroid page and the pre-conception page. Each card gives a one-line summary only. The linked page explains who it is for, how I assess the problem and what the choices are.
Gynecologist Treatment for Pregnancy: Antenatal and High-Risk Care
From the first antenatal visit to delivery, including the conditions that need a closer eye.
- High-risk pregnancyFor mothers with hypertension, diabetes, a thyroid disorder, autoimmune illness, a past pregnancy loss or a placenta under watch.
- Twin and multiple pregnancyChorionicity confirmed on an early scan, scans every second week for monochorionic twins, and delivery timing agreed in good time.
- Recurrent pregnancy lossFor couples who have had repeated miscarriages: a structured search for causes and closer care next time.
- Pregnancy care and deliveryFrom the booking visit through labour: vaginal birth, VBAC, caesarean section, epidural analgesia and water birth.
- Gestational diabetesScreening with the glucose tolerance test, sugar targets, meal advice, medicines if required, and planning for the birth.
- High BP and pre-eclampsiaRisk screening, preventive aspirin, regular BP readings and well-judged timing of delivery.
- Placenta praevia and accretaFor a low-lying or abnormally attached placenta: follow-up scans, measures against bleeding and a planned birth.
- APLA and lupus in pregnancyFor antiphospholipid syndrome and SLE: planning before pregnancy, anticoagulant treatment, scans and delivery.
- Fetal growth restrictionFor a baby measuring small: growth and Doppler scans to judge the placental supply and choose the time of birth.
- Preterm birth preventionFor a short cervix or an earlier premature birth: measuring the cervix on scan, progesterone, and cerclage where it is indicated.
- Normal delivery and VBACFor women hoping for a vaginal birth, also after a previous caesarean; the plan is agreed beforehand and the hospital's labour team covers labour.
- IVF pregnancy and pregnancy after 35More frequent early scans, suitable screening and a delivery plan for assisted-conception pregnancies and older mothers.
- Thyroid and anaemia in pregnancyTesting and treatment of an underactive or overactive thyroid and of low haemoglobin while you are pregnant.
Fetal Medicine Services: Pregnancy Scans and Procedures Before Birth
Scans at set weeks, diagnostic tests when screening raises a question, and treatment in the womb in selected cases.
- Fetal medicine and scansThe complete scan pathway of pregnancy, from the NT and level II anomaly scans to growth and Doppler checks, with fetal echo when indicated.
- Amniocentesis, CVS and fetal proceduresInvasive tests that give a definite chromosomal or genetic diagnosis, along with fetal reduction and intrauterine transfusion.
- NT scan (11–13+6 weeks)Nuchal translucency measurement with an early anatomy check, combined with blood markers to estimate chromosomal risk.
- Level II anomaly scanUsually done at 18–22 weeks to examine the baby's organs and limbs, as well as the placenta, amniotic fluid and cervix.
- Fetal echocardiographyFor higher-risk pregnancies: a dedicated scan of the baby's heart chambers, valves, vessels, flow and rhythm.
- Growth and Doppler scansScans in the second half of pregnancy that track the baby's size and the blood flow in the cord, placenta and fetal vessels.
- NIPT and genetic counsellingA maternal blood screen based on cell-free DNA from 10 weeks, plus counselling on what results can and cannot tell you.
- Intrauterine transfusion and fetal therapyTransfusion for a baby who is anaemic in the womb, and reduction of higher-order multiple pregnancies.
Gynecologist Treatment List Beyond Pregnancy: Gynecology and Keyhole Surgery
Gynecological problems at any age, and the laparoscopic and hysteroscopic operations I perform. I do not carry out open surgery; when it is needed, I refer.
- Laparoscopic and hysteroscopic surgeryKeyhole and telescopic operations for endometriosis, fibroids, ovarian cysts and ectopic pregnancy, and for hysterectomy.
- Gynecology clinicEveryday gynecology: menstrual problems, PCOS, infections, birth control, pre-pregnancy checks and the menopause.
- PCOS / PCODConfirming the diagnosis, then ongoing care for irregular cycles, weight, acne, hair growth and fertility.
- Uterine fibroidsOptions range from watchful waiting and medication to laparoscopic myomectomy aimed at keeping the uterus.
- Ovarian cystsUltrasound to type the cyst, a decision on whether it needs treatment, and keyhole surgery that aims to preserve the ovary if an operation is required.
- Laparoscopic hysterectomyKeyhole removal of the uterus for women whose symptoms have not settled with other treatment, or for whom it is unsuitable.
- HysteroscopyA narrow telescope through the cervix to inspect the uterine cavity and remove polyps, a septum, adhesions or submucous fibroids.
- Menopause careSymptoms around the menopause, such as flushes, broken sleep, low mood and vaginal discomfort, with an honest look at HRT and long-term bone and heart health.
- Pre-conception counsellingA pre-pregnancy review of folic acid and vitamins, blood tests, vaccinations and current medicines.
- Contraception and Copper-TCounselling on each contraceptive option, with Copper-T and hormonal IUD insertion or removal in the OPD.
Obstetrics and Gynecology Services: Which Page to Open First
If you are not sure where your problem fits, a few simple rules help. A newly positive pregnancy test with no special history belongs under pregnancy care and delivery. Start with the high-risk pregnancy page instead if you already have a medical illness or have lost a pregnancy before. The same applies if you have been told the placenta or the baby's growth needs watching. For a question about a scan date or a report, the fetal medicine pages are the right place. The due date calculator shows which weeks your scans fall in. Outside pregnancy, the gynecology clinic page is the general starting point. Go straight to a condition page if you already have a diagnosis such as PCOS, fibroids or a cyst. If an operation has been suggested to you elsewhere, the laparoscopic surgery page explains which problems I treat by keyhole methods. What you read here is general information; the decision about your own care is made at a consultation.