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Mr David Ogutu MRCOG
Specialist in IVF, Key-hole surgery & Cosmetic Gynaecology. Clinics in Hertfordshire & London. DM for further details. gynaecare.uk.com

Social Media Profiles:-

Linkedin- https://www.linkedin.com/company/gynaecareuk
Doctify- https://www.doctify.com/uk/specialist/mr_david_ogutu

21/11/2025

Kind words from a patient who had egg transfers.
See more here- https://www.doctify.com/uk/specialist/mr-david-ogutu

20/11/2025

Hope for premature births

The Guardian recently reported on a pioneering project from Eindhoven University of Technology is exploring a radical idea: a device to transfer a premature baby from a natural womb to an artificial womb. Juliette van Haren and Frank Delbressine are developing this transfer system to bridge the gap between birth and the intensive care needed in an artificial womb, a concept that could redefine neonatal care and survival prospects for extremely preterm infants. See the news story here: https://www.theguardian.com/world/2025/nov/05/baby-alive-outside-womb

16/11/2025

Treatment options following a fertility assessment

Join Mr Ogutu for an overview of potential treatment options available and recommended following a fertility assessment.

12/11/2025

Can Twins Show on a 12-Week Ultrasound Scan?

If you’re pregnant and wonder whether a 12-week ultrasound can reveal twins, the answer isn’t always clear-cut. A 12-week scan can sometimes detect twins, but not all twin pregnancies are identified this early. The baby's position, amniotic fluid, ultrasound quality and the technician’s experience can affect detection. Some twins may be seen later in the first trimester.

Understanding twins helps set expectations. Identical twins come from one fertilised egg that splits and usually share one placenta, though they may have separate sacs. Fraternal twins come from two eggs and two s***m, with their own placenta and sacs. The ultrasound can sometimes distinguish these scenarios, but may require follow-up imaging.

If you don’t see a second baby at 12 weeks, don’t panic as many twin pregnancies are confirmed later. Conversely, a single baby at 12 weeks doesn’t guarantee there won’t be twins identified later. Your healthcare obstetrician will guide you on what the images mean and whether additional imaging is needed.

For further information about twins, see the NHS guidance: https://www.nhs.uk/pregnancy/finding-out/pregnant-with-twins/

Or for further information contact: https://gynaecare.uk.com/contact/

10/11/2025

Is It Safe to Take Paracetamol During Pregnancy?

There has been much debate in the US over the last few weeks about the use paracetamol (acetaminophen) in pregnancy. It’s important to note that these discussions do not change the UK position.

In the UK, Paracetamol is considered safe in pregnancy when used at the recommended dose and duration. It is important however that you do not exceed the prescribed dose or use multiple products that contain paracetamol.

We also strongly recommend that for any ongoing concerns, pain or fever, if you are over 6 months pregnant or if you have other health conditions or are taking other medicines, you talk to your GP as a matter of urgency.

For more information on EU/UK context guidance, see the European Medicines Agency statement: https://www.ema.europa.eu/en/news/use-paracetamol-during-pregnancy-unchanged-eu

If you have specific questions, contact a UK healthcare professional: https://gynaecare.uk.com/

09/11/2025

Reasons IVF May Not Work and What to Do Next

If you’ve been through IVF or are considering it, it’s important to know that a successful outcome isn’t guaranteed, and there are several reasons why an IVF cycle might not work. Sometimes the factors are medical, such as poor embryo quality, chromosomal abnormalities, or other underlying health conditions that affect implantation or early pregnancy. Other times response to stimulation isn’t optimal, leading to fewer and/or poorer-quality eggs. Age, previous pregnancies and certain fertility diagnoses can also influence success rates.

Experiencing a failed cycle can be incredibly tough, but there are constructive steps you can take moving forward. First, speak with your fertility specialist to understand what may have limited success in your specific case. Ask about the quality and fate of embryos, any potential uterine or endometrial factors and whether there are adjustments to the stimulation protocol or lab techniques that could improve outcomes in future cycles.

We always recommend a second opinion if you’re unsure about the recommendations you’ve received. It can also be helpful to discuss lifestyle factors that might support fertility such as maintaining a healthy weight, managing stress, avoiding smoking and ensuring you’re taking any recommended supplements or medications as directed.

Beyond medical considerations, emotional support is essential. IVF can be emotionally demanding, so seeking support from trusted friends, family, or a fertility counsellor can help you navigate the rollercoaster of emotions and decision-making.

If you’d like more information, please check out this artilce:

https://www.hfea.gov.uk/treatments/explore-all-treatments/coping-if-treatment-doesnt-work/. Or to speak to one of our fertility specialists go to: https://gynaecare.uk.com/contact/

03/11/2025

Patient seen for IVF, s***m injections and egg collection.

31/10/2025

Remembering Jean Purdy, the IVF Pioneer

Jean Purdy was a key figure in the development of in vitro fertilisation, working alongside Robert Edwards and Patrick Steptoe. She contributed extensively to the science, care and meticulous record-keeping that helped turn IVF from a dream into a clinical reality. Purdy’s work underpinned the early breakthroughs that gave hope to countless families struggling with infertility, and her dedication and scientific rigour helped ensure that IVF progressed with both compassion and precision.

If you’re interested in learning more about Jean Purdy and the IVF journey, you can read the story from the Science Museum: Jean Purdy: The Forgotten IVF Pioneer: https://blog.sciencemuseum.org.uk/jean-purdy-the-forgotten-ivf-pioneer/

If you are struggling with fertility issues and would like advice please contact on of the of our fertility experts at Gynaecare: https://gynaecare.uk.com/contact/

28/10/2025

Understanding Vaginismus and What Causes It?

Vaginismus occurs when the muscles around the va**na tighten involuntarily, which can make pe*******on painful or impossible. The causes are often a mix of physical, psychological, and emotional factors which can vary from person to person. Common contributors include past painful medical experiences or va**nal infections that create fear of pain, anxiety or stress related to s*x or intimacy that build up tension, relationship issues or lack of trust with a partner, or a history of s*xual trauma can influence the muscle response and pain. Medical conditions such as infections, va**nal dryness, hormonal changes, endometriosis, or pelvic floor disorders can also make in*******se uncomfortable.

Often vaginismus results from multiple factors rather than a single cause, and it’s possible to have a combination of psychological and physical influences. If you’re seeking answers, talking with a healthcare professional who specialises in s*xual health or pelvic floor disorders can help identify potential physical causes.

Treatment is typically multidisciplinary, addressing physical muscle relaxation training, psychotherapy, and guided gradual exposure to reduce fear and improve comfort with s*xual activity.

For more information, you can explore:
Cleveland Clinic overview on vaginismus: https://my.clevelandclinic.org/health/diseases/15723-vaginismus

For personalised guidance please contact us at: https://gynaecare.uk.com/contact/

24/10/2025

Fertility test results – what they mean

Mr Ogutu demystifies fertility test results and what they mean
https://youtube.com/shorts/IDsfB6GEOng?feature=share

22/10/2025

What is Loop Excision (LEEP)?

Loop Electrosurgical Excision Procedure, or LEEP, is a minimally invasive treatment that uses a thin, circular wire (loop) with electric current to remove abnormal or precancerous cells from the cervix. It’s commonly used to treat early cervical changes detected on screening tests.

It’s typically recommended after cervical abnormalities are found on a cervical screening, especially when there are signs of precancerous changes or cervical dysplasia. The loop gently removes the abnormal tissue, and the area then heals over time. Your doctor will monitor your cervix afterward to ensure everything looks as it should be.

Benefits include a quick in-office procedure (often a same-day treatment), targeting only the abnormal tissue to preserve healthy tissue, and it can be done with local anaesthesia.

After the procedure, you may experience some light bleeding or discharge for a few days, temporary pelvic cramping or tenderness and follow-up visits to confirm healing and check for any remaining abnormal cells.

If you’d like more detailed information, you can check out:
https://my.clevelandclinic.org/health/treatments/4711-loop-electrosurgical-excision-procedure-leep

Or if you have personal questions or need guidance, please contact us at: https://gynaecare.uk.com/contact/

20/10/2025

When should you have a s***m test?

Deciding whether a couple should have a s***m analysis is a common step on the path to understanding fertility challenges. Semen analysis can provide valuable insights into male fertility including s***m count which helps your healthcare team tailor next steps. It’s important to know that fertility is a shared journey and having an open conversation with both partners, as well as your clinician, can reduce uncertainty and guide you toward the most effective plan.

A semen analysis is usually recommended after a period of trying to conceive without success, and it can be part of a broader fertility assessment. Your clinician will discuss what the test involves, how to prepare, and how to interpret the results in the context of both partners’ health, lifestyle and fertility goals. It’s also worth noting that a single test doesn’t tell the full story; sometimes multiple samples are needed to get an accurate picture.

If you’d like to learn more from a trusted medical resource, the Cleveland Clinic offers clear information on semen analysis here: https://my.clevelandclinic.org/health/diagnostics/21520-semen-analysis

If you’re ready to take the next step or simply want to discuss your options, we’re here to help. Reach out to our team to start a conversation, plan your next steps and explore the best course for you and your partner. You can contact us here: https://gynaecare.uk.com/contact/
***mtest

Address

Circle Cavell Hospital Cavell Drive, Uplands Park Rd, Enfield
London
EN27PR

Telephone

+441992661410

Website

https://gynaecare.uk.com/

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