We offer the highest standard of personalised care, ranging from simple health checks to management of complex conditions.  Management plans may involve referral into the NHS.

Transvaginal ultrasound scan

A transvaginal ultrasound scan is a type of pelvic ultrasound used to examine the uterus, fallopian tubes, ovaries and cervix. The ultrasound probe is inserted into your vagina.

A transvaginal ultrasound may be recommended to investigate:

  • Heavy periods
  • Abnormal bleeding
  • Pelvic pain
  • Abnormal pelvic or abdominal examination
  • To check for ovarian cysts
  • Confirm the location of your IUS


A hysteroscopy is a procedure used to examine the inside of the womb (uterus). This is a common procedure, usually carried out on an outpatient basis under local anaesthetic. A hysteroscope is a narrow telescope with a light and camera at the end. It is passed into your womb through your vagina and cervix.

A hysteroscopy may be recommended to:

  • Investigate heavy periods, abnormal bleeding (including bleeding after the menopause)
  • Diagnose and treat conditions such as polyps and fibroids (non cancerous growths in the womb)
  • Remove/replace intrauterine devices

Mirena® / Intrauterine system (IUS)

The IUS is a small plastic device which is fitted into your womb. It slowly releases the hormone progesterone. This prevents the lining of your womb growing quickly.

The IUS may be recommended to:

  • Treat heavy and or painful periods
  • Provide contraceptive
  • Form part of hormone replacement therapy

Endometrial Ablation

Endometrial ablation is a surgical procedure that destroys (ablates) the lining of your womb. This procedure can be carried out either under local anaesthetic, sedation or general anaesthetic. A hysteroscopy is performed as part of this procedure.

An endometrial ablation may be recommended to:

  • Treat heavy periods

Cervical Smear

A smear test is performed as part of the national cervical screening programme. A small sample of cells are taken from your cervix during a pelvic examination. This is then checked for certain types of the human papillomavirus (HPV) that cause changes to the cervix.



A colposcopy is a procedure used to look at the cervix. A microscope with a light is used to look at your cervix. Liquids are used to help identify abnormal areas which can then be biopsied.

A colposcopy may be recommended if:

  • an abnormality is found on your smear
  • an abnormality is seen on your cervix during an examination


A laparoscopy (keyhole surgery) is a surgical procedure performed to help diagnose and treat certain conditions. A laparoscope (small telescope) is inserted through small cuts in your abdomen so that the doctor can see inside your pelvis and abdomen. This procedure is performed under general anaesthetic and you can usually go home the same day.

A laparoscopy may be recommended to:

  • investigate pelvic pain
  • investigate abnormal examination or scan findings
  • treat conditions such as endometriosis and ovarian cysts
  • to perform a hysterectomy


A hysterectomy is a surgical procedure to remove the womb (uterus). It is performed under general anaesthetic usually as keyhole surgery.

A hysterectomy may be offered:

  • to treat heavy periods and or abnormal bleeding
  • to treat fibroids

Vaginal pessaries

A vaginal pessary is a device inserted in to the vagina to support a pelvic organ prolapse (vagina or womb prolapse). They come in different shapes and sizes and need to be removed, cleaned and replaced regularly.

A vaginal pessary may be recommended if:

  • You have pelvic organ prolapse