For referrers
For GPs and fertility units
Thank you for considering referring your patient to me. This page sets out where I am most useful, how to refer, and what you can expect to receive and when.
Where I am most useful
- Complex endometriosis, including deep disease affecting the bowel, bladder and ureters, managed with a multidisciplinary team.
- Large or complex fibroids, where robotic or laparoscopic myomectomy may be possible in place of open surgery.
- Hysteroscopic surgery for Asherman's syndrome (with ultrasound guidance for dense adhesions), caesarean scar niche, uterine septum and polyps.
- Second opinions where open surgery has been advised, or where a condition has been considered inoperable.
- Structural causes of miscarriage and implantation failure, including niche, septum, adhesions, polyps, fibroids and hydrosalpinx.
I also see the full range of general gynaecology, including heavy or painful periods, ovarian cysts, prolapse, menopause and HRT.
How to refer
- By email or letter to pa@migynaecology.com, marked for my attention.
- By telephone to Helen Wood, my private secretary, on 07757 310098.
- Insured patients should check whether their insurer needs your referral letter and obtain a pre-authorisation number before booking.
- Self-pay patients can book directly; a referral letter is welcome but not required.
Relevant scan reports, operation notes and blood results are very helpful with the referral. Patients can be seen at any of my clinics:
- Spire St Anthony's Hospital, Sutton: Monday, 9am to 11.30am
- Ashtead Hospital, Ashtead: Monday, 5.30pm to 8pm
- Nuffield Health Parkside Hospital, Wimbledon: Wednesday, 5.30pm to 8pm
- CRP Clinic, Epsom: Friday, 8am to 1pm
What you will receive, and when
- A detailed letter after every consultation, usually emailed within 30 minutes, setting out my findings, the options discussed and the plan.
- Operation notes and discharge information after surgery.
- A named point of contact: my secretary, Helen, who can answer questions about any patient I am seeing.
I am always happy to discuss a patient before or after referral; Helen can arrange a call.
My multidisciplinary endometriosis team
I lead the BSGE-accredited Endometriosis Centre at Epsom and St Helier University Hospitals NHS Trust. Women with deep endometriosis are cared for by a multidisciplinary team of gynaecologists, colorectal surgeons, a specialist endometriosis radiologist and specialist nurses, and I follow the same approach in my private practice. When a case calls for it, I operate alongside a colorectal surgeon, or a urologist when the bladder or ureters are involved, and imaging is reviewed with a specialist radiologist before surgery.
A note for fertility units
As an honorary consultant at King's Fertility and a consultant at the CRP Clinic, I am used to fitting surgery around treatment cycles. Hysteroscopic surgery is usually carried out in the follicular phase, after menstruation and before ovulation, when the endometrium is thin and the view is clearest; for patients on suppressive or downregulation regimens, timing can be more flexible.
After removal of a polyp, treatment can usually resume after the next menstrual period. After division of intrauterine adhesions, resection of a septum or hysteroscopic myomectomy, I usually recommend allowing time for the endometrium to heal before embryo transfer, often with a second-look hysteroscopy after adhesiolysis. Removal or occlusion of a hydrosalpinx should ideally be completed before transfer. I will give specific advice for each patient in my letter and am happy to agree timing with your team.
This note is general guidance; advice for each patient depends on the findings and the procedure.
Talks for GP practices and fertility units
I am glad to give talks and update sessions for GP practices, primary care networks and fertility units. Topics include:
- Endometriosis: recognition and referral
- Adenomyosis
- Fibroids
- Robotic and keyhole gynaecological surgery
- Asherman's syndrome and caesarean scar niche
- Fertility surgery
- Menopause update
- Outpatient hysteroscopy
- One-stop gynaecology
- Innovations in gynaecology