Gynaecology &
women’s health.

Laparoscopy is a keyhole surgical technique used in gynaecology both to diagnose and to treat a wide range of conditions affecting the pelvic organs — including endometriosis, ovarian cysts, fibroids, and pelvic pain of unclear cause. A tiny camera is inserted through a small incision near the navel, with additional small incisions used for specialist instruments.

Compared with traditional open surgery, laparoscopy offers smaller scars, less pain, a shorter hospital stay, and a faster return to normal activities. Most laparoscopic procedures at Optimised Care are day cases or a single-night stay, performed under general anaesthetic.

A hysteroscopy uses a thin camera passed through the cervix to look directly inside the uterus. It is the gold standard investigation for abnormal uterine bleeding, post-menopausal bleeding, suspected polyps or fibroids, recurrent miscarriage, and difficulty conceiving.

At Optimised Care, diagnostic hysteroscopies are often performed in the outpatient setting under local anaesthetic — a quick appointment that lets you go home the same day. Where treatment of a polyp or fibroid is required during the procedure (operative hysteroscopy), a short general anaesthetic may be used.

Endometriosis is a condition where tissue similar to the lining of the uterus grows outside it — most commonly on the ovaries, fallopian tubes, and pelvic lining. It can cause severe period pain, pelvic pain at other times of the month, pain during sex, and difficulty conceiving. Many women wait years for a diagnosis.

Our gynaecology team offers prompt assessment, imaging, and where appropriate laparoscopy — the only definitive way to diagnose endometriosis and to treat it surgically. Treatment is tailored to your symptoms, your fertility wishes, and the extent of disease. Hormonal and medical management options are also discussed in full alongside surgical options.