Services

Experiencing multiple pregnancy losses or repeated embryo implantation failures after assisted reproduction can be devastating for those patients affected and requires special attention and expertise. I investigate the possible causes (genetic, immunological, hormonal, or uterine) very thoroughly, to develop a bespoke treatment plan. My goal is to offer cutting edge treatment protocols, some of which I have developed personally, and to guide you through this delicate process with empathy and scientific expertise.Recurrent miscarriage→Implantation failure after IVF→

Some women have abnormal immune responses that can interfere with conception, embryo implantation or pregnancy development. I specialise in diagnosing and treating these conditions by analysing potential thrombophilia, autoimmunity, chronic inflammation or other immunological disorders. This approach can make a real difference in cases of unexplained infertility or recurrent miscarriages and implantation failures.

Choosing the right contraceptive method is essential for living your sexuality with peace of mind. I offer personalised consultations to help you choose the option best suited to your medical history, lifestyle, and personal preferences with a wide range of possible options that include the pill, IUD, vaginal ring, implant, natural methods, or permanent solutions. Every woman deserves a clear and informed choice.

PCOS is a condition that may cause irregular cycles, acne, weight gain, hormonal imbalances and ovulation difficulties. I provide a comprehensive approach that includes clinical evaluation, targeted diagnostic tests and personalised treatment options to improve your quality of life, restore regular cycles, and support fertility.

Ovarian cysts and menstrual irregularities can severely affect quality of life and in some cases, fertility. I offer a thorough diagnostic path through ultrasound and hormonal evaluation to understand the root cause of the issue and propose an effective solution which can be medical or surgical when necessary. The aim is to relieve symptoms, restore cycle balance, and prevent further complications some of which can affect fertility.

Heavy, frequent, prolonged, or absent periods may indicate hormonal imbalances or other underlying conditions. I provide a detailed clinical assessments to identify the cause and develop a tailored treatment plan. Menstrual well-being and regularity is a vital part of gynaecological health and deserves proper care and attention.

Genital and urinary tract infections are common conditions that can cause discomfort such as burning sensation, itching or pain. I diagnose and treat infections like vaginitis, bacterial vaginosis, yeast infections, and UTIs, offering a prompt and effective care. Education on hygiene and prevention is also an integral part of my approach.

The transition to menopause is a natural phase in every woman’s life but can be accompanied by symptoms like hot flashes, insomnia, mood swings, vaginal dryness, and metabolic changes. I offer comprehensive support to help you navigate this stage with confidence, through careful symptom evaluation and personalised treatment options to restore balance and well-being.

Pelvic and transvaginal ultrasound is a non-invasive, essential examination to assess the anatomy of the female reproductive organs, including the uterus and the ovaries. It helps diagnose conditions such as cysts, fibroids, endometriosis, adenomyosis and other endometrial abnormalities, playing a key role in prevention and follow-up of gynaecological issues.

Ovarian reserve is one of the most important indicators of a woman’s reproductive potential. Through transvaginal ultrasound to count antral follicles and blood testing for Anti-Müllerian Hormone (AMH), we can accurately assess fertility potential and develop a bespoke plan either through natural conception or assisted reproduction. This approach is also of paramount importance for those women considering fertility preservation and egg freezing.

Semen analysis, or sperm test, is the first step in evaluating male fertility. Alongside this standard test, I offer additional investigations (hormonal male profile, sperm Dna fragmentation) and bespoke counselling to identify any underlying abnormal condition and to discuss the most suitable treatment, often in collaboration with andrology specialists. The aim is to restore or improve natural male fertility whenever possible or to increase the chances of success when assisted conception is recommended.

ERA, EMMA and ALICE are endometrial tests sometimes considered in IVF when embryos repeatedly fail to implant. ERA (Endometrial Receptivity Analysis) analyses gene expression in a small endometrial biopsy to estimate the window of implantation and the best day for embryo transfer; the HFEA currently gives endometrial receptivity testing a red rating for most fertility patients, so we only consider it in specific circumstances and explain the evidence first. EMMA (Endometrial Microbiome Metagenomic Analysis) evaluates the microbial environment of the uterus, checking for imbalances such as an overgrowth of harmful bacteria, which can guide treatment with probiotics or antibiotics. ALICE (Analysis of Infectious Chronic Endometritis) uses molecular tests on endometrial tissue to detect chronic endometrial infection, which is a recognised and treatable cause of implantation problems and can be cleared with targeted antibiotics before IVF.

I provide Pap smears and HPV testing including full typing of high and low risk strains to ensure early detection, which is key to timely and effective treatment. Cervical screening is a vital part of preventative gynaecological care.

An early pregnancy ultrasound is very important to confirm implantation, rule out ectopic pregnancies, assess pregnancy viability and determine gestational age. It is a very delicate and emotional step for the couple which needs to be carried out with sensitivity and professionalism to provide reassurance during the early stage of the pregnancy.

Ovulation induction involves the use of medication to stimulate the development of ovarian follicles and trigger ovulation. Regular monitoring through ultrasound scans and hormone blood tests ensures an optimal response and precise timing.

Intrauterine insemination (IUI) involves placing prepared sperm directly into the uterus around the time of ovulation. It is a minimally invasive procedure suitable for selected couples as a first-line assisted conception treatment.

In vitro fertilisation (IVF) involves stimulating the ovaries to produce multiple eggs, retrieving them under sedation, and fertilising them in the laboratory. The resulting embryos are cultured and the best one is transferred into the uterus.

Intracytoplasmic sperm injection (ICSI) involves injecting a single sperm directly into each egg to achieve fertilisation. The optional use of Zymot technology allows the selection of sperm with the lowest level of DNA fragmentation, improving embryo quality and the chances of a successful pregnancy.

Preimplantation genetic testing for aneuploidy (PGT-A) screens embryos for chromosomal abnormalities before transfer, so that embryos with the wrong number of chromosomes can be identified. It is not right for everyone: the HFEA, the UK fertility regulator, currently gives PGT-A a red rating for most fertility patients as a way of improving the chance of having a baby. We therefore look at your age, how many embryos you have and your history before recommending it, and explain the evidence so you can decide. Where it is used, embryo development is monitored with Caremaps, an AI-assisted system that helps the embryology team rank embryos.

Egg and sperm freezing allows individuals to store their reproductive cells for future use. This option is recommended for patients who wish to delay parenthood, those facing medical treatments that may affect fertility, or anyone wishing to preserve their reproductive potential.

Frozen embryo transfer (FET) involves thawing and transferring a previously frozen embryo into the uterus during a carefully monitored cycle, allowing multiple attempts from a single egg collection without the need for further ovarian stimulation.

Egg donation is recommended for patients who cannot use their own eggs due to poor ovarian reserve, genetic conditions, or previous unsuccessful IVF cycles. Using donated eggs significantly increases the chances of achieving a pregnancy.

Donor sperm treatment is available for single women, same-sex couples, or couples where the male partner has no viable sperm. Treatment options include IUI or IVF/ICSI using carefully screened donor sperm.

Immune modulation offers the most advanced tests and therapies for the successful diagnosis and treatment of recurrent implantation failure and recurrent miscarriage, delivered in collaboration with the Rosalind Franklin Immunology Laboratory in Chicago.

Every woman has different needs and lifestyle, so contraceptive choices should be personalised. I offer comprehensive consultations to help you evaluate your options and identify the best fit for your physical needs, health profile, and long-term goals.

The transition to menopause is a natural phase in every woman’s life but can be accompanied by symptoms like hot flashes, insomnia, mood swings, vaginal dryness, and metabolic changes. I offer comprehensive support to help you navigate this stage with confidence, through careful symptom evaluation and personalised treatment options designed to restore balance and well-being.

This condition affects approximately 10-15% of women in reproductive age and can severely affect fertility, quality of life and psychological well being. It is therefore very important to diagnose it correctly through appropriate blood tests investigations and a pelvic scan. After an accurate diagnosis I then discuss with my patients the most appropriate therapeutic solution to their needs.

For full details on consultation fees and treatment costs, please visit our dedicated pricing page.