COVID-19: VIDEO CONSULTATIONS & SPECIAL ARRANGEMENTS

We are now able to offer video or telephone consultation for in place of clinic visits. These can be booked through the system below. Please ensure you provide the phone or WhatsApp details you would like to use in the Details/Information box. There are two types of appointments:

 

  1. Medication Refill Video or Telephone Consultation (15 minutes) - ADULT PATIENTS ONLY
  2. Video or Telephone Consultation regarding illness or conditions (30 minutes) - ADULTS or CHILDREN
    (Children will need to be present with a parent for paediatric video consultations)

For clinic visits, please review our enhanced measures before attending:

TO BOOK A VIDEO OR TELEPHONE CONSULTATION YOU MAY PHONE THE CLINIC ON (345) 745 7450, EMAIL ON TEAM@INTEGRA.KY
OR BOOK ONLINE, SELECTING A VIDEO CONSULTATION WHEN YOU DO

Dr Lisa Joels

MB ChB, MD, FRCOG, FHEA
OBSTETRICIAN & GYNAECOLOGIST

Tel: +1 (345) 745 7450 (clinic)
Email: lisa.joels@integra.ky

Dr Joels has 34 years’ experience in obstetrics and gynaecology including 19 years as a Consultant working in Swansea (2001-11) and subsequently at the Royal Devon & Exeter NHS Foundations Trust in the UK (2011-20). These are both University teaching hospitals, each having more than 4,000 deliveries a year and providing tertiary obstetric and neonatal services as well as gynaecological services to their local population. Dr Joels has experience in management of complex obstetric and gynaecological problems including a multi-disciplinary approach and working closely with related specialties such as midwifery, neonatology, paediatrics and anaesthetics.
She believes in a woman-centred holistic approach to clinical management and is an advocate for patient choice and shared decision making.

She is proud mother of two daughters, both at University in the UK.

Read more about Dr Lisa Joels

More Information & Booking

Appointment Booking with Dr Joels

Please simply work through the steps on screen. Please note that even if you have previously seen Dr Joels, if this is your first visit to Integra, you need to tick ‘no’ with respect to Existing Patient. If you are using a smartphone, it helps to turn your screen sideways (landscape). Thank you.

Services, Conditions & Procedures

Gynaecological Services
  • Diagnosis and management of benign gynaecological problems
  • Menstrual disorders including bleeding after intercourse, postcoital bleeding or post-menopausal bleeding
  • Pelvic pain and painful intercourse
  • Urogynaecological problems including prolapse and incontinence
  • Hormone problems including menopause and polycystic ovary syndrome
  • Ovarian cysts and fibroids
  • Vulval disorders
  • Screening services including cervical smear tests
  • Gynaecological ultrasound
  • Minimal access surgery & advanced laparoscopic procedures for endometriosis, adhesions & benign ovarian cysts
  • Hysteroscopic surgery, including removal and resection of polyps and fibroids
  • Open surgery including hysterectomy, removal of fibroids and large benign ovarian masses
Paediatric and Adolescent Gynaecology
  • Pre-pubertal girls – vulvo-vaginitis, discharge and soreness of the vulva, skin tags and fusion of the labia
  • Problems of puberty – delayed puberty, early puberty, heavy periods, painful periods and pelvic pain
  • Laparoscopic surgery for benign ovarian cysts and endometriosis
  • Contraceptive advice
Obstetric Services
  • Pre-conception care, including advice about pre-existing medical conditions prior to pregnancy
  • Holistic antenatal care including screening for complications of pregnancy, monitoring fetal growth and more
  • Management of pregnancy related conditions and complications
  • Joint decision making regarding birth plans
  • Intrapartum care, including active management of labour
  • Normal vaginal delivery, instrumental delivery & forceps delivery
  • Repair of perineal tears or episiotomy
  • Caesarean sections both as a planned procedure and as an emergency if complications arise
  • Management of delivery of placenta and bleeding after delivery
  • Postnatal care until discharged home & thereafter
Fertility Services
  • Diagnostic assessment of both female and male partners experiencing a delay in conceiving
  • Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
  • Assessment and treatment of hormone disorders
  • Onward referral to assisted conception services where appropriate
  • Management of psychosocial consequences of a delay in conceiving

Dr Joels Career Highlights

  • Nearly 20 years as a UK Consultant Obstetrician and Gynaecologist working at tertiary level.
  • Fellow of Royal College of Obstetricians and Gynaecologists (RCOG).
  • Postgraduate Examiner, then Chairperson for the RCOG Examination and Assessment Committee (2015-18).
  • MOET Course prize-winner (course in obstetric safety & management of emergencies).
  • Doctorate in Medicine, University of Bristol, awarded for Fertility Research
  • Clinical Lead for Fertility in Exeter (2014-20).

Education, Training & Experience

Qualifications

Dr Joels has the following qualifications:

  • MB ChB – Bachelor of Medicine and Surgery
  • MD – Doctorate of Medicine
  • FRCOG – Fellow of the Royal College of Obstetricians and Gynaecologists
  • FHEA – Fellow of the Higher Education Academy

In addition to her explicit qualifications, Dr Joels has extensive additional training in the following areas:

  • Advanced laparoscopic surgery
  • Hysteroscopic surgery
  • MOET (Management of Obstetric Emergencies and Trauma)
  • Paediatric and adolescent gynaecology
  • Reproductive medicine and surgery including assisted conception
  • Contraception including insertion of contraceptive coils and implants
  • Clinical governance and risk management
Gynaecological Experience
Throughout my career, I have trained in and delivered gynaecology services, including as a tertiary consultant in University Hospital settings for the last 19 years.

I am confident in both abdominal and vaginal hysterectomy, open myomectomy, vaginal repairs and hysteroscopic resection of polyps and fibroids. I am trained in advanced laparoscopic surgery, including a focus on treating infertility and chronic pelvic pain. I currently undertake surgery for grade 4 endometriosis including, excision of endometriosis, ovarian cystectomy, bowel and ureteric dissection and other operative laparoscopic procedures including adhesiolysis, salpingo-oophorectomy and ectopic pregnancy. I have carried out LAVH and laparoscopic subtotal hysterectomies and total laparoscopic hysterectomies.

Additionally, I am trained in gynaecological ultrasound scanning and conduct this routinely in clinic. I can also carry out HyCoSy (tubal patency) scanning for appropriately selected patients.

Furthermore, I was the clinical lead for paediatric and adolescent gynaecology, a member of BritSPAG and I saw babies, girls and adolescents in the joint PAG clinic with a paediatric consultant colleague.

Diagnosis and management of benign gynaecological problems:

  • Menstrual disorders including bleeding after intercourse, postcoital bleeding or post-menopausal bleeding
  • Pelvic pain and painful intercourse
  • Urogynaecological problems including prolapse and incontinence
  • Fertility assessment
  • Hormone problems including menopause and polycystic ovary syndrome
  • Ovarian cysts and fibroids
  • Vulval disorders
  • Contraception
  • Screening services including cervical smear tests
  • Gynaecological ultrasound

Treatment of gynaecological problems

  • Minimal access surgery including advanced laparoscopic procedures to excise or treat endometriosis and adhesions and benign ovarian cysts
  • Hysteroscopic surgery including removal and resection of polyps and fibroids and investigation of postmenopausal bleeding
  • Open surgery including hysterectomy, removal of fibroids and large benign ovarian masses
  • Prescribing medications as appropriate where a surgical approach isn’t required

Paediatric and Adolescent gynaecology

 

  • Pre-pubertal girls – vulvo-vaginitis, discharge and soreness of the vulva, skin tags and fusion of the labia
  • Problems of puberty – delayed puberty, early puberty, heavy periods, painful periods and pelvic pain
  • Laparoscopic surgery for benign ovarian cysts and endometriosis
  • Contraceptive advice
Obstetric Experience
I have obstetric experience spanning 34 years, with 19+ years at consultant level, including the majority at tertiary level, with a heavy emphasis on obstetric safety, including being the Prize Winner on the Internationally-recognised obstetric safety course (called MOET).

As a tertiary-trained and experienced consultant, I have a considerable experience in the management of complications of pregnancy including managing obstetric haemorrhage with Rusch balloons and B Lynch sutures, caesarean hysterectomy, severe pre-eclampsia and eclampsia. I have managed antenatal and postnatal care throughout my career and I believe in supporting women in shared decision-making about mode of delivery and encourage aiming for normal vaginal delivery and vaginal birth after caesarean section. I am experienced in caesarean section, instrumental vaginal delivery including ventouse, Neville Barnes forceps and rotational delivery with manual rotation and Kiellands forceps. I have experience of vaginal breech deliveries and vaginal twin deliveries.

Pre-conception care

  • Advice about pre-existing medical conditions prior to pregnancy working with specialist colleagues as necessary

Antenatal care

  • Holistic management of antenatal care throughout pregnancy including screening for complications of pregnancy, monitoring fetal growth and advice about vaccinations and medication as appropriate
  • Management of pregnancy related conditions and complications
  • Joint decision making regarding birth plans
  • Referral on to specialist services as necessary

Care in labour and delivery

  • Intrapartum care including active management of labour and working with midwifery colleagues
  • Normal vaginal delivery
  • Instrumental delivery including Ventouse (vacuum) and forceps delivery)including repair of perineal tears or episiotomy
  • Caesarean sections both as a planned procedure and as an emergency if complications arise in labour
  • Management of delivery of placenta and bleeding after delivery

Care after birth

  • Postnatal care until discharged home
  • Six week postnatal check and contraceptive advice
  • Support for problems arising after delivery

Fertility Services

  • Diagnostic assessment of both female and male partners experiencing a delay in conceiving
  • Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
  • Assessment and treatment of hormone disorders
  • Onward referral to assisted conception services where appropriate
  • Understanding of the psychosocial consequences of a delay in conceiving
Fertility Experience

For the last 6 years in the UK, I have been Clinical Lead for Exeter Fertility, a tertiary standalone service under the umbrella of Royal Devon & Exeter NHS Foundation Trust, a service renowned throughout the region. I was awarded a Doctorate of Medicine for my research into fertility issues, from University of Bristol.

In reproductive medicine I am experienced in diagnosis and management of infertility and manage patients undergoing ovulation induction, IVF and IUI. I have been trained to perform open tubal microsurgery including reversal of sterilisation, tubal surgery and cuff salpingostomy. I now carry out most of the tubal surgery laparoscopically.

 

  • Diagnostic assessment of both female and male partners experiencing a delay in conceiving
  • Investigations including ultrasound and laparoscopic assessment of the woman’s pelvis and tubal patency
  • Assessment and treatment of hormone disorders
  • Onward referral to assisted conception services where appropriate
  • Understanding of the psychosocial consequences of a delay in conceiving

Latest Communications from Dr Joels

Welcome to Lisa Joels OBGYN

Welcome to Lisa Joels OBGYN

Delighted to Welcome Dr Lisa Joels Obstetrician & Gynaecologist   Despite all of the odds thrown at her, Dr Lisa has not only made it here, but cleared mandatory isolation and is now accepting patients (with an early rush, it seems). We are so delighted to...

Meet our doctors

We are passionate about improving the quality of care available to those residing in Grand Cayman and that extends to an unwavering commitment to employ individuals with true expertise, as committed as we are.
Dr Sara Watkin

Dr Sara Watkin

Specialist Paediatrician & Neonatologist

Dr Jasmina Marinova

Dr Jasmina Marinova

Specialist Paediatrician & Neonatologist

Dr Francisco Martinez

Dr Francisco Martinez

Family Physician (General Practitioner)

Dr Sarah Newton

Dr Sarah Newton

Specialist General Paediatrician & Newborn Care

Dr Lisa Joels

Dr Lisa Joels

Obstetrician & Gynaecologist