We aim to offer a wide range of gynaecology services performed by acknowledged experts under one roof.

Gynaecology services

The London Women’s Clinic offers a rapid access service to all women experiencing a wide range of gynaecological symptoms.

We have some of the most highly-trained Gynaecologists in the UK available to rapidly diagnose and treat common gynaecological problems whether or not patients are also seeking assisted conception treatment.

Clinical problems that we can diagnose and treat at The London Women's Clinic include:

  • Early pregnancy complications such as miscarriage, ectopic pregnancy, foetal viability and pregnancy dating.
  • Abnormal uterine bleeding such as very heavy, irregular or complete absence of periods.
  • Pelvic pain such as painful periods, painful intercourse, pain outside of normal menstruation.
  • Endometriosis.
  • Fibroids.
  • Polycistic ovaries.
  • Tubal blockage.

In many cases diagnosis is made through a gynaecology ultrasound scan which is immediately available. Our aim is to supply a diagnosis, a treatment plan and, where possible, treatment itself as quickly as possible. Many procedures can be performed at the London Women’s Clinic and where treatment requires in- patient stay the LWC gynaecologist will look after patients at a high quality private hospital.

Procedures we can offer here at London Women’s Clinic to treat the above conditions include:

Transvaginal Ultrasound (pelvic) scanning
This is a painless procedure in which a small probe
is used to display the pelvic structure on a screen. From this image we can identify a range of potential problems and decide the most appropriate
treatment plan.

Out Patient Hysteroscopy
This is a surgical procedure in which a thin telescope is inserted into the cervix so that we can see the lining of the uterus. This procedure allows us to perform surgery within the cavity of the womb as well as confirm diagnosis.

Endometrial Biopsy
This is a relatively painless procedure in which we obtain a sample of tissue from the lining of the womb by inserting a thin tube through the cervical canal.
There are other procedures which may be required that need to be performed in an operating theatre under general anaesthetic. Your London Women’s Clinic Gynaecologist will perform these procedures
at nearby hospitals. Examples include:

  • Laparoscopy
  • Hysteroscopic surgery
  • Myomectomy
  • Tubal surgery
  • Endometrial ablation

As with our assisted conception programme we
aim to offer a wide range of gynaecology services performed by acknowledged experts under one roof. Please get in touch if you want to know more.

 

Common male infertility problems

A single sperm consists of a head, which contains the man's genetic information, and its tip (acrosome) which will help the sperm penetrate the outer shell of the egg; a midpiece, which supplies the energy needed for movement; and the tail which propels the sperm forward.

In order for sperm to be “normal”, the sperm count, motility and appearance must be within certain parameters. Male subfertility can occur due to oligospermia (low sperm count), asthenospermia (poor motility) or teratospermia (high incidence of abnormal forms).

Immunological factors can also affect male fertility. Anti-sperm antibodies may occur following surgery, trauma or infection of the genital tract. These antibodies impair sperm motility and affect the sperm’s ability to penetrate and fertilise and egg.

In some cases, azoospermia (the absence of sperm) can occur. This may be due to an obstruction in the vas, epididymis, or even the testes, or to a bilateral congenital absence of the vas. Azoospermia could also be due to testicular failure caused by hormonal or chromosomal abnormalities, previous infection such as mumps or undescended testes.

Assisted reproductive techniques for male infertility

Intrauterine Insemination (IUI) combined with superovulation using washed sperm is often effective in the case of mild abnormalities in sperm parameters.

In Vitro Fertilisation (IVF) requires fewer motile sperm because natural transport barriers are bypassed, and sperm come in contact with multiple oocytes from superovulation.

Intacytoplasmic Sperm Injection (ICSI) has revolutionized the treatment of severe male factor problems, especially when the sperm is surgically retrieved. One single sperm is injected into each egg, with a fertilisation rate of around 70%.

In severe cases of male factor infertility, azoospermia, or genetically transmitted diseases, Donor Sperm Insemination (DI) is an option.

Surgical Sperm Retrieval (SSR) is a technique for collecting immature sperm directly from the vas, epididymis or testes. Sperm retrieval may be performed under local anaesthetic or under general anaesthetic, especially during an operation to repair an obstruction in the vas. The sperm are withdrawn from the vas, epididymis and the testes using a fine needle and gentle suction.

Percutancous Epididymal Sperm Aspiration or Testicular Sperm Extraction may be used in cases where sperm are not found. A sample of tissue (testicular biopsy) can be taken from the testes through a small incision. Once the sperm have been collected fertilisation is achieved using ICSI. Excess sperm can be frozen for future use.

Counselling

Counselling is available to all patients at The London Women's Clinic, and can be arranged for individuals or couples. The HFEA considers counselling to be a key element in the provision of infertility services, and has made implication counselling a requirement in the case of sperm or egg donation. We offer support counselling at all times. Appointments can be booked via the nurses.

Please get in touch if you want to know more. Use the information on our contact page to get in touch by phone or email.

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