Mr. R Gazvani, MD, FRCOG

Consultant Gynaecologist

Subspecialist in Reproductive Medicine and Surgery

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Telephone +44 (0)01244 506993

Email info@abbeyfertility.co.uk

 

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Adhesions

About Adhesions

The tissue reaction to any injury is known as inflammation. Depending on the type of tissue involved and the amount of damage, the tissue may be restored to normal or scar tissue may form. Tissue injury is generally the result of surgery, infection, haemorrhage (heavy internal bleeding) or trauma.

An adhesion is a thin or thick band of scar tissue that joins two or more internal body surfaces together, hence covering adjacent organs and cavities. Most adhesions are only diagnosed at the time of surgery. Adhesions that involve the uterus, ovaries, fallopian tubes, bowel and/or bladder can form and can lead to chronic pelvic pain, infertility, pain during intercourse (deep dyspareunia) and increased the risk of ectopic pregnancy.

Adhesiolysis involves cutting and releasing the adhesions in order to restore the normal anatomy of the involved organs. Treatment of adhesions can be carried out either by laparoscopy (keyhole surgery) or laparotomy (making a cut in the abdomen). Laparoscopy with gentle tissue traction, the use of non traumatic instruments and hydro-dissection (separation of the tissue using sterile water) is preferred as it appears to be associated with a lower rate of adhesions reformation. At the end of the operation, barriers can be inserted to prevent the healing tissue from sticking together with scar tissue. Barriers are like thin sheets of paper, which are gradually absorbed by the inside tissues.

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Fertility Clinics

Chester Fertility Clinic
6 Telford Court
Chestergates
Chester
CH1 6LT

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No10 Harley Street
London. W1G 9PF

What People Say!

Natural Killer Cells

Mr R Gazvani Consultant Gynaecologist Natural Killer Cells

Natural Killer Cells are a type of lymphocyte – an immune cell – normally circulating in blood. They make up a large part of the immune system. NK cells play a major role in the rejection of tumors and cells infected by viruses. They kill those cells by apoptosis (cell shrinkage)... 

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What is Menopause?

Mr R Gazvani MD FRCOG Consultant Menopause

The menopause is the brief time when a woman’s reproductive life comes to an end. The ovaries stop producing eggs, the hormone “oestrogen” is no longer secreted and the menstrual periods end.

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Recurrent IVF Failure

Mr R Gazvani Consultant Gynaecologist IVF Failure

For many couples experiencing infertility. IVF constitutes the last resort treatment, sometimes after other treatment options have also failed. In general, the underlying cause for IVF failure can be attributed to problems with the embryos, the uterine environment...

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What is Endometriosis?

Mr R Gazvani MD FRCOG Consultant Endometriosis

Endometriosis is a very common condition where cells of the lining of the womb (the endometrium) are found elsewhere, usually in the pelvis and around the womb, ovaries and fallopian tubes.

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What Is Infertility ?

Mr R Gazvani Consultant Gynaecologist What Is Infertility

If a couple is infertile, this means that they have been unable to conceive a child after 12 months of regular sexual intercourse without birth control. Primary infertility means they have never had a child.. Secondary infertility means that the infertile person has had one or more children in the past...

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Assisted Conception

Mr R Gazvani MD FRCOG Consultant Conception

Gynaecologist Mr Gazvani specialist in infertility and assisted conception treatment and pre-implantation genetic diagnosis.

Assisted Conception falls into three main areas.

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