Fast access to expert gynaecology care, led personally by Prof. Mohamed Otify.
Heavy or irregular periods, pelvic pain, endometriosis, PCOS, fibroids and other gynaecological symptoms deserve a proper assessment, not months on a waiting list.
Every consultation is led personally by Prof. Mohamed Otify, our Consultant Gynaecologist and Gynaecological Oncology Surgeon, who will take the time to understand your symptoms, investigate the underlying cause and explain your options clearly, in a calm and discreet clinical setting.
We understand these appointments can feel daunting. You’ll be treated with sensitivity and respect throughout, at a pace that feels right for you.
Many investigations, including ultrasound scans, can be carried out on-site, and appointments are often available within 14 days.
If you’re unsure whether your symptoms need a specialist opinion, here’s how we can help with some of the most common concerns.
Includes heavy, irregular or unpredictable periods, bleeding between periods or after sex, and any bleeding after the menopause. Specialist assessment can help identify the cause and appropriate treatment.
Pelvic pain can stem from period-related conditions, ovarian cysts, endometriosis, fibroids and other gynaecological conditions. If pain is persistent or worsening, a specialist assessment can help establish the cause.
Endometriosis and adenomyosis can both cause painful or heavy periods, pelvic pain and pain during sex. Specialist assessment can help confirm a diagnosis and discuss treatment options.
Polycystic ovary syndrome is often associated with irregular periods, hormonal symptoms and ovulation difficulties. A specialist assessment can help identify the cause and plan for treatment.
Fluid-filled sacs on the ovary are common and often harmless, but some can cause pain or need monitoring or treatment. A specialist assessment, often with an ultrasound, can determine the right approach.
Non-cancerous growths in or around the womb that can cause heavy periods, pelvic pressure or pain. Specialist assessment can confirm a diagnosis and discuss suitable treatment options.
Prof. Otify’s expertise includes the screening, diagnosis and surgical treatment of gynaecological cancers, including ovarian, womb and cervical cancer. Early assessment of concerning symptoms is important.
There’s no single symptom that means you must see a gynaecologist, but if something has changed, is persistent, or is affecting your day-to-day life, it’s worth getting it checked. That includes:
Heavy or painful periods are not simply something to put up with. If they’re affecting your work, exercise or wellbeing, specialist assessment and treatment can help.
From your first consultation through to any diagnostics and next steps, here’s what to expect.
What you’ve been experiencing, when it started, how often, and how it affects your day-to-day life.
Your usual pattern, any recent changes, bleeding and pain, where relevant.
Previous diagnoses, treatments, medications, contraception, pregnancies and relevant family history.
What you’re hoping to understand or achieve from the appointment.
An examination will take place where appropriate, and diagnostics such as ultrasounds and blood tests may be carried out during your initial consultation if suitable, with everything explained and agreed with you beforehand.
Any diagnostic findings are discussed with you, along with the cause and recommended next steps, so you leave knowing exactly what happens next.
Depending on your symptoms and assessment, your clinician may recommend one or more of the following.
Combines abdominal, pelvic and gynaecological assessment in one appointment, useful for pain, bloating or unusual bleeding needing a broader examination.
A wider assessment of your abdominal and pelvic organs, useful for unexplained abdominal or pelvic pain, bloating or other symptoms.
Checks for high-risk types of HPV that can cause changes to cervical cells. We offer cervical screening appointments, including smear testing with a GP.
We offer a range of biopsies to investigate gynaecological symptoms, including vulval, vaginal, cervical, endometrial (Pipelle) and ovarian biopsies. Your clinician will explain which type is appropriate and what to expect.
Removal of a polyp, often carried out following a hysteroscopy where a womb-lining or cervical polyp has been identified.
May be recommended to investigate menstrual, hormonal or reproductive concerns. The specific tests depend on your symptoms and medical history.
Allows a consultant to look directly inside the womb to investigate abnormal bleeding and identify polyps, fibroids or lining abnormalities. Small problems may be treated during the same procedure.
We offer coil (IUD/IUS) insertion, replacement and removal for contraception or as part of managing certain gynaecological conditions.
30-minute appointment with our friendly and approachable women's health specialist Dr Julia Dancy. Appointment includes a medical history review and the removal of the implant.
This comprehensive ultrasound combines abdominal, pelvic and gynaecological assessment in one appointment. You may choose this scan when symptoms such as abdominal or pelvic pain, bloating, unusual bleeding or other concerns require a broader examination. Depending on your clinical needs, the scan can assess the liver, gallbladder, kidneys, spleen, pancreas and bladder, together with the uterus, cervix, ovaries and surrounding pelvic structures.
A combined scan providing a wider assessment of your abdominal and pelvic organs. It can be useful for unexplained abdominal or pelvic pain, bloating or other symptoms. Depending on your needs, it can examine the liver, gallbladder, kidneys, spleen, pancreas, bladder and pelvic structures.
Every gynaecology consultation at Enigma Healthcare is led personally by Prof. Otify, the same consultant from your first appointment through to any investigation, procedure or treatment.

Consultant Gynaecologist & Gynaecological Oncology Surgeon
FRCOG, MSc, MRCOG · NHS Clinical Lead for Robotic Surgery
Prof. Otify is a substantive Consultant Gynaecologist and Gynaecological Oncology Surgeon at Liverpool Women’s Hospital and an Honorary Clinical Lecturer at the University of Liverpool. He is a nationally recognised expert in advanced laparoscopic and robotic gynaecological surgery, with accreditations from ESGO, BIARGS and SERGS.
He specialises in the diagnosis, investigation and management of gynaecological conditions including fibroids, endometriosis, uterine anomalies, PCOS, abnormal and heavy bleeding, pelvic pain and ovarian cysts, along with the screening, diagnosis and surgical treatment of gynaecological cancers.
Looking for menopause care? Our GPs with a special interest in menopause see patients separately. visit our Menopause Clinic.
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Private gynaecology is for non-emergency assessment. If you have severe or rapidly worsening pelvic pain, very heavy vaginal bleeding, feel faint or dizzy, or believe you have an urgent medical problem, seek urgent medical attention rather than waiting for a routine private appointment.
Any bleeding after menopause should be assessed by a healthcare professional, even if it happens only once or is very light.
For urgent advice in the UK, contact NHS 111 or, in an emergency, call 999.
Not ready to book yet, or want to know which appointment is right for you? Send us your question and a member of our women’s health team will get back to you personally.
Prefer to talk straight away? Call us on 01829 863 331.