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Gynaecological Procedures

Gynaecological Procedures

At Twenty-five Harley Street we offer a range of gynaecological procedures, including Colposcopy, MonaLisa Touch® Laser Therapy and Office Gynaecology for the treatment of fibroids and heavy bleeding.

What is a Colposcopy?

If you’ve had an abnormal smear tests you will need a colposcopy to ensure any cell changes are not at risk of becoming cancerous. A Colposcopy is similar to a smear test, but it gives a far more detailed look at the cervical area. A specialist microscope is used to check for any signs of cell changes with a high-powered microscope.

It is very important you don’t put off having your colposcopy, even if you feel fit and healthy. Three women out 100,000 die from cervical cancer every year in the UK. Early diagnosis of cervical cancer can make all the difference. Find out more about colposcopy here.

What is Office Gynaecology?

Office Gynaecology (also known as ambulatory gynaecology) is the term used when procedures are performed in a treatment room rather than in a surgical theatre.

Treatment for Fibroids and Heavy Periods

Office Gynaecology is the newest and most advanced treatment for the treatment of fibroids and heavy periods.

Myomectomy. Fibroids and polyps can be removed from the lining of the womb. This is done by first identifying the problem via a small camera. The fibroids and polyps can be removed using a the MyoSure system which can gently remove the fibroids and polyps without any cuts or scars.This is also known as hysteroscopic resection.

Endometrial ablation. This is an alternative to a hysterectomy which is often performed to treat heavy periods. It is far less invasive. An ablation treats just the womb lining, rather than removing the whole womb. At Twenty-five Harley Street, we use leading ablation method, the NovaSure Endometrial Ablation. Our skilled gynaecologists use a controlled radio frequency energy for a safe and reliable ablation which takes a maximum 120 seconds.

What Are the Advantages of Office Gynaecology?

Office gynaecology is a huge advance in the field of women’s health as it provides many of the advantages of hysterectomy without the risks. Women avoid having a General Anaesthetic and other risks , such as surgical complications, thrombosis and hospital-acquired infection are also considerably lessened with the minimally-techniques utilised in the field of ambulatory gynaecology. Office Gynaecology is highly cost-effective – these procedures are priced at a fraction of what a conventional hysterectomy costs – but most importantly, these ambulatory techniques have an excellent safety record with few of the risks associated with hysterectomy.

Patients recover for up to 2 hours, with most leaving the clinic within 30 minutes of the procedure.

What About Pain Relief?

Your doctor will prescribe painkillers for you to take an hour or two prior to the procedure and local anaesthetic is also applied. Research has shown that women experience minimal discomfort using these techniques. Afterwards, any cramping is managed easily with simple painkillers. The overall patient satisfaction with the procedure has been shown to be very high.

Most women who were surveyed said they’d be happy to recommend the procedure to a friend.

The Best Surgeons for Day Case Treatment of Fibroids and Gynaecology

Mr Francis Gardner has the most experience of hysteroscopic resection with MyoSure in Europe. He has performed more than 1500 procedures. Mr Gardner works closely with Mr Pandelis Athanasias, a highly-skilled and experienced surgeon who also performs office gynaecology procedures frequently and regularly within his clinics.

Am I a Suitable Candidate For Office Gynaecology?

Myomectomy using MyoSure is a suitable treatment for women who wish to become pregnant; the presence of fibroids may make conceiving difficult. An examination by a consultant gynaecologist skilled in office gynaecology will reveal whether this is the right procedure for you. NovaSure ablation is suitable for most patients – providing they have completed their family; it is not recommended for women who wish to conceive in the future. Polyps and submucous fibroids can be treated with MyoSure prior to NovaSure. This may be done separately or in the same treatment.

What Do Patients Think of NovaSure Ablation?

A study of the technique revealed that after three months of receiving the ablation, 70% of women reported that periods had ceased. The patients also reported a 95% reduction in menstrual dysfunction after having the NovaSure

Should You Consider Office Gynaecology?

If you are suffering from heavy periods want a treatment that is less invasive than a hysterectomy but has good evidence of effectiveness, you should consider MyoSure myomectomy and Novasure ablation. You’ll require a consultation with Mr Gardner or Mr Athanasias and once it’s established you’re a suitable candidate, the procedure(s) can be booked.

Mr Francis Gardner is part of the team at Twenty-five Harley Street. Mr Gardner and Mr Pandelis Athanasias Consultant Gynaecologists at Twenty-five Harley street are experts in office gynaecology.


  • Fibroids
  • Heavy periods
  • Heavy bleeding
  • Anaemia
  • Vaginal dryness
  • Menopause
  • Colposcopy
  • Cervical Cancer