Tag Archives: female gynaecologist

How are fertility problems diagnosed?

For couples with fertility problems, trying to start a family can be a very distressing time. The fact that one in seven couples need medical assistance of some sort may not be of direct comfort when you are suffering yet another disappointment, but it does mean that a great deal of research is being done into infertility, and there are experienced specialists ready to help you through the process. Your first step is to see your GP who will then recommend a specialist, such as female gynaecologist Miss Amanda Tozer, to investigate the cause.

What will happen at the initial fertility consultation?

Before undergoing any tests at Amanda Tozer’s London fertility clinic, you will first talk about your medical history. Miss Tozer will then conduct a physical examination and run several diagnostic tests. These may include: semen analysis; a pelvic ultrasound to check for abnormalities such as fibroids; tubal patency tests whereby the Fallopian tube is checked for any blockages that would obstruct the egg’s movement from ovary to uterus; hormone tests to check ovulation and for imbalances; and saline sonography. Saline sonography is a means of detecting uterine abnormalities and is conducted using a transvaginal catheter through which saline is injected; the saline distends the uterine cavity, allowing abnormalities to become visible on the ultrasound. The results of this test are available immediately.

Individualised care in fertility treatments

A highly experienced female gynaecologist, Miss Amanda Tozer has helped many couples who have had repeated setbacks in either getting pregnant or carrying a baby to term. At her London fertility clinic, couples receive specialist, attentive and personal care; Miss Tozer personally conducts the tests, she talks through each step of the process at length and encourages her patients to ask questions no matter how small – and she can always contacted via her personal phone.

Can polycystic ovarian syndrome affect fertility?

Polycystic ovarian syndrome (PCOS) is a very common menstrual disorder affecting around 1 in 10 women. It is diagnosed when a woman has two of the three following symptoms: ovaries with many small cysts, a raised level of the male hormone testosterone and irregular periods.

Why is my fertility affected?

The exact cause of polycystic ovarian syndrome is not known; several factors are likely to be involved including insulin resistance and a high level of luteinising hormone. What is known is that one symptom is the abnormal development of the follicles in the ovaries: they often fail to develop fully, causing problems with ovulation and therefore irregular periods. Ovulation is essential to the conception process: a reduction in periods tends to result in reduced fertility.

What are my treatment options?

Polycystic ovarian syndrome is often associated with being overweight or obese. If this is the case, then the first step is to lose weight as this can significantly improve your chances of regular menstruation. After this point, you may be a suitable candidate for fertility treatment or, in some cases, surgical intervention.

During a consultation at the London Clinic, female gynaecologist Miss Amanda Tozer will take your full medical history before conducting a pelvic ultrasound and running blood tests. Diagnosing your individual case, Miss Tozer will then advise you on the most appropriate treatment. Many women with polycystic ovarian syndrome respond well to fertility drugs such as Clomiphene whereby a more predictable window for conception is created by inducing ovulation.

Miss Tozer is a Consultant Gynaecologist and Sub-Specialist in Reproductive Medicine. She has treated the whole spectrum of menstrual disorders, helping many women to achieve the family they desire. Testimonials from her previous patients in London credit her for her attentive, personal and encouraging care.

What does egg freezing involve?

For women who wish to delay having a child until their late thirties, be it for financial or social reasons, egg freezing is becoming an increasingly viable option.

How successful is egg freezing?

To improve the chances of the process being a successful one, a woman will ideally be under 35 years old when she freezes her eggs. While there are limited good studies that look at live birth rates from frozen eggs, what we do know is that approximately 90 per cent survive the process, and of those 70 per cent will fertilise, producing embryos.

The age of the woman at this stage remains an important factor as it does with any pregnancy: live birth rates from frozen eggs decline with age. In terms of potential risks, there are no increased risks in chromosomal abnormalities or development problems.

How does the process work?

Women attending female gynaecologist Miss Amanda Tozer’s London clinic will first have a pelvic ultrasound. This enables Miss Tozer not only to assess the accessibility of the ovaries, but also to check the antral follicle count, an indicator of remaining egg supply (the ovarian reserve).

The treatment of egg collection itself involves daily injections that stimulate the ovaries to produce more eggs; the level of stimulation will be adjusted according to your age and your ovarian reserve. Over the next fortnight, you will have two or three scans, before the eggs are collected on approximately days 14 to 16. Miss Tozer will perform the collection herself; the procedure takes around 30 minutes during which you will be sedated. You may experience mild bloating but this should settle within five days of the eggs being collected.

At Amanda Tozer’s London fertility clinic you will benefit from personal, one-to-one care with all aspects of the egg freezing process being explained, assessed and performed by Miss Tozer herself.

What is the value of a Well Woman screening?

The good news is that awareness of female diseases such as breast and cervical cancer has increased, with more women being vigilant with their health. However, the reality is that most women’s lifestyles are too busy to accommodate much more than a cursory self-check and attendance of routine screening appointments. Whether a woman is in her reproductive or menopausal years, a check-up at a Well Woman clinic can be invaluable, either providing early diagnosis or indicators about required changes in lifestyle.

What will I be screened for at the Well Woman Clinic?

There are frequent developments in screening technology, and tests can detect early signs of female cancers – breast, uterine, ovarian and cervical – and non-cancerous illnesses including osteoporosis, heart disease and diabetes.

At female gynaecologist Miss Amanda Tozer’s London clinic, a full medical history will be taken before the following tests are run: full blood count, liver and renal function, fasting glucose and cholesterol levels, body mass index, blood pressure, urinalysis, breast examination and cervical smear.

Miss Tozer can also run hormone tests to check ovarian and pituitary function and conduct a gynaecological pelvic ultrasound to assess the pelvis for abnormalities such as endometrial polyps, uterine fibroids and ovarian and para-ovarian cysts. There is also the option of a CA125 test; rather than a diagnostic test, a CA125 can be used to monitor high-risk women with a family history of ovarian cancer.

Can you screen for osteoporosis?

Osteoporosis is relatively common, affecting around 3 million people in the UK to some degree. It usually, but not exclusively, affects post-menopausal women. Miss Amanda Tozer offers bone densitometry tests to women attending her London Well Woman Screening clinic. This test involves performing a scan of the hip and spine to assess bone density, detecting the presence of bone loss, be it mild or severe.

To find out more, call 020 7034 6240 or click here. Here’s a link to clinic times at Miss Tozer’s Well Woman Clinic.