Leaflets to read before and after your appointment.

Each leaflet is written by Mr Subramanian for his own patients and explains why the test or treatment may be recommended, what it involves, the risks and alternatives, and what to expect afterwards. It is there to support the conversation at your appointment, not replace it.

Investigations

• HyCoSy and saline sonogramOutpatient ultrasound tests of the fallopian tubes and the inside of the womb as part of a fertility assessment: why they are recommended, and what happens before, during and after. PDF

Hysteroscopy and womb cavity surgery

• HysteroscopyLooking directly inside the womb for heavy, irregular or post-menopausal bleeding, or a polyp seen on a scan, with polyp removal, biopsy or coil insertion at the same time where needed. PDF
• Hysteroscopic adhesiolysisDividing scar tissue inside the womb under direct vision to restore the cavity, and what that can mean for fertility and IVF. PDF
• Hysteroscopic polypectomy for fertilityRemoving a polyp from inside the womb where it may be affecting implantation, as part of a fertility plan: why, how, and what to expect afterwards. PDF
• Transcervical resection of fibroid for heavy bleedingRemoving a fibroid that distorts the womb cavity to treat heavy, irregular or prolonged periods, without any cuts to the abdomen. PDF
• Transcervical resection of fibroid for fertilityRemoving a fibroid that protrudes into the womb cavity where it may be reducing implantation and pregnancy chances, including in fertility treatment. PDF

Minimally invasive surgery

• Laparoscopic ovarian cystectomyMinimally invasive removal of an ovarian cyst while preserving as much healthy ovary as possible: when it is recommended, the operation, and recovery. PDF
• Laparoscopic salpingectomyMinimally invasive removal of a blocked, fluid-filled fallopian tube (hydrosalpinx), and why doing so improves the chances of pregnancy and IVF success. PDF

Fertility treatment

• Ovulation inductionTablet treatment to help the ovaries release an egg when ovulation is irregular or absent, most often with PCOS, and how a cycle is monitored. PDF

Heavy periods and contraception

• Mirena coilThe hormone-releasing coil for heavy or painful periods, as the progestogen part of HRT, and as long-acting contraception: how it works and what to expect at insertion. PDF