Conditions I Commonly Treat

Whether it’s something that’s been quietly bothering you for years or a new concern that’s suddenly taken over your life — I’m here to listen, investigate, and help. Below is a quick guide to the conditions I most commonly see and treat.

Endometriosis

Endometriosis is a chronic inflammatory condition where tissue similar to the endometrium grows outside the uterus, causing pain, fatigue, fertility challenges, and more. I offer expert ultrasound diagnosis, laparoscopic excision surgery (for all stages), and ongoing management in collaboration with pelvic physio, pain psychology, and fertility teams. You deserve care that takes your symptoms seriously and looks at the whole picture.

Abnormal Uterine Bleeding

Heavy, irregular, or unexpected bleeding can be frustrating, exhausting, and anxiety-inducing. Whether it’s heavy periods, bleeding between periods, postcoital bleeding, or bleeding after menopause - I’ll investigate the cause and walk you through the best treatment options, from medical management to surgical solutions.

Fibroids and Polyps

Fibroids and endometrial polyps are common non-cancerous growths that can cause heavy bleeding, pressure, or fertility issues. I offer detailed assessment with ultrasound and MRI when needed, and perform minimally invasive surgery — including laparoscopic and hysteroscopic myomectomy and polyp resection.

Ovarian and Adnexal Cysts

Ovarian cysts and other adnexal masses are often benign, but they can still cause pain, bloating, or hormonal symptoms. I provide comprehensive investigation (including ultrasound), surveillance, and laparoscopic cystectomy with ovarian preservation and reconstruction when surgery is required.

Adenomyosis

Adenomyosis is where tissue similar to the endometrium grows within the uterine muscle wall, often causing painful and heavy periods. It can be difficult to diagnose and is frequently overlooked. I offer accurate imaging, education, and treatment tailored to your goals — whether that’s symptom relief, fertility support, or long-term hormonal management.

Pelvic Pain

Pelvic pain is rarely straightforward — it might stem from endometriosis, adenomyosis, adhesions, nerves, pelvic floor tension, or something else entirely. My approach includes thorough assessment, pain education, medical and surgical options, and adjuncts like pelvic floor Botox and nerve blocks when appropriate. You’re not imagining it, and you don’t need to just put up with it.

CIN and Early Cervical Cancer

I’m a certified C-QuIP colposcopist and manage cervical abnormalities including CIN (cervical intraepithelial neoplasia), HSIL, AIS, and early cervical cancer. Whether you need colposcopy, LLETZ, or cone biopsy, I’ll make sure you feel informed and supported every step of the way.

Vulval Conditions

The vulva is still one of the most underdiagnosed and undertreated parts of gynaecology. I regularly assess and manage conditions such as lichen sclerosus, VIN, chronic irritation, pain, and itch. Surveillance, education, and biopsies are all done with care and clarity.

Other Conditions I Manage

• Perimenopause & Menopause – including MHT guidance and symptom management
• PCOS (Polycystic Ovary Syndrome) – metabolic, hormonal and fertility support.
• Contraceptive Advice – including Mirena, Jaydess, Jadelle and oral options
• Postmenopausal Bleeding – prompt investigation to rule out serious causes.
• Early Pregnancy & Miscarriage – scans, advice, and surgical or medical management
• Genetic Cancer Risk (e.g. BRCA) – risk-reducing laparoscopic surgery.
• Gender-Affirming Gynaecological Surgery – in collaboration with Hauora Tāhine.

Dr Sam Holford

Not Sure What’s Going On?

That’s totally okay. You don’t need a diagnosis — just curiosity and a desire to feel better. If something feels off, let’s figure it out together.

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