Why Choose Integra Healthcare?
UK tertiary consultant team
Advanced skills accreditations from RCOG
Over 50 years of combined gynaecology experience
Gynaecology Services Provided
Diagnostic Services
- Diagnosis of benign gynaecological problems
- Gynaecological ultrasound
- Trans-abdominal and trans-vaginal ultrasound scanning
- Diagnostic colposcopy
- Bleeding e.g. after intercourse, postcoital bleeding or post-menopausal bleeding
- Pelvic pain and painful intercourse
- Urogynaecological problems and incontinence
- Screening services including cervical smear tests
Conditions & Treatment
- Management of benign gynaecological problems
- Treatment of conditions causing bleeding
- Menopause
- Polycystic ovary syndrome (PCOS)
- Other hormonal disorders
- Vulval & vaginal disorders
- Paediatric and adolescent gynaecology services
- Gynaecology related to fertility treatment
- Ovarian cysts
- Pelvic pain
- Endometriosis
- Uterine fibroids
- Genital tract infections
- Vulva and vagina skin disorders
- Heavy menstrual bleeding
- Menstrual pain and irregularity
- Pre-menstrual syndrome (PMS)
Surgery
- Minimal access surgery, including laparoscopic surgery
- Urogynaecological problems such as prolapse
- Surgical treatment of 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
- Treatment colposcopy for benign gynaecological conditions

Gynaecology Ultrasound
Our gynaecology team has access to some of the best and latest ultrasound machinery, with exceptional image quality. More important though is the experience, training and accreditation of the gynaecologists behind the equipment. Our doctors are experienced in ultrasound and can conduct both transvaginal and transabdominal ultrasound for gynaecology issues. Additionally, Dr Manoharan also has Special Skills accreditation from the Royal College of Obstetricians & Gynaecologists for the use of ultrasound in managing gynaecological conditions.

Colposcopy
Colposcopy is a diagnostic technique using a microscope-like device called a colposcope, used for examining structures and pathology closely. It is utilised to help diagnose both benign and more serious conditions of the cervix, vagina and vulva, including helping to find or examine areas of abnormal or cancerous cells. Given the importance of accuracy and experience in this area, we are privileged to have Dr Madhavi Manoharan, who is accredited by the BSCCP (The British Society for Colposcopy and Cervical Pathology), and a university-hospital specialist.

Gynaecology Surgery
All of our gynaecologists are experienced surgeons, between them using a variety of minimally-invasive surgical techniques, including laparoscopic surgery, to address a wide range of benign gynaecological conditions or procedures. Additionally, open surgery is also undertaken for hysterectomy, removal of fibroids and large benign ovarian masses. They would be happy to discuss the various techniques and help you make informed choices based on current evidence.

Dr Madhavi Manoharan
MBBS, MD, FRCOG
Dr Manoharan has 23 years’ experience in obstetrics and gynaecology, including more than a decade at tertiary level, 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust and a number of years as Assistant Professor at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University.
Services
- Gynaecological Services
- Obstetric Services
- High-Risk Obstetric Service
- Fetal Medicine

Dr Laura Hole
MBBS BSc MRCOG
Dr Laura Hole is an Obstetrician and Gynaecologist in the Cayman Islands with 15+ years’ experience. She recently joined the team at Integra in June 2023. She has a host of experience and training particularly in gynae ultrasound, colposcopy (BSCCP accredited) along with numerous surgical procedures including: surgical gynae oncology, advanced laparoscopy and complex open surgical procedures.
Services
- Gynaecological Services
- Obstetric Services
- High-Risk Obstetric Service
- Gynae Oncology
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