We perform a wide range of investigations in our practice which may then lead onto surgical management to resolve the outstanding symptoms.

Smear Abnormalities

Urinary Incontinence

Prolapse

Menstrual Disorders

Pelvic Pain and Endometriosis

Hysterectomy

Infertility

Contraception

Endometrial Ablation

Non-Invasive Prenatal Testing

Infertility

Subfertility is a failure to conceive after one year of unprotected regular intercourse. One in six couples have an unwanted delay in conception. Conception is most likely to occur in the first month of trying (about 30% conception rate). The chance then falls steadily to about 5% by the end of the first year.

Common causes of reduced fertility include ovulation disorder, low egg reserve, tubal damage, endometriosis, fibroids, and male sperm factors.

Investigations are normally undertaken after a year, although for some couples it may be appropriate to start investigations sooner. An early assessment i.e. less than one year of trying to become pregnant, may be appropriate where a woman is over the age of 35 years, has a history of endometriosis or significant pelvic pain or a previous ectopic pregnancy. Scanty or absent periods, ovarian cysts or a history of pelvic/abdominal surgery would be relevant factors in considering early assessment.

Prompt investigation and appropriate referral to a specialist will allow couples to receive advice and treatment to help them reach their goal of a pregnancy more quickly, and may alleviate some of the distress associated with infertility. Working alongside infertility specialists with advanced infertility surgical skills is of paramount importance to afford the high standard of care with optimum outcome.