Specialist gynaecology and urogynaecology | Cape Town
Specialist care for women’s health, with clarity and continuity.
Careful assessment, clear explanation, and treatment plans that make sense.
Services
Areas of care.
Comprehensive care across gynaecology, urogynaecology, and pregnancy, from routine review to complex pelvic floor and surgical cases.
Gynaecology
Bleeding, pelvic pain, fibroids, ovarian cysts, contraception, cervical screening, fertility assessment, and minimally invasive surgery where appropriate.
Urogynaecology
Subspecialist care for pelvic floor and urinary disorders, including complex, recurrent, and post-surgical problems.
Pregnancy care
Structured antenatal care from early pregnancy through delivery planning, with continuity and clear communication throughout.
Complex cases
Especially helpful for recurrent or post-surgical problems.
For women with symptoms that have persisted, recurred, or not improved after previous treatment.
Failed previous treatment
When earlier management or surgery has not solved the problem.
Recurrent symptoms
For prolapse, bladder, pelvic floor, or pain symptoms that keep returning.
Post-surgical review
A more careful reassessment when recovery or outcomes are not straightforward.
Continuity and precision
For cases that need thought, nuance, and proper follow-through.
Conditions
Start with what you are experiencing.
Choose the path that fits best. Each section explains symptoms, what they may mean, what I assess, and common treatment options.
Bleeding, periods and hormones
Heavy, irregular, absent, or unexpected bleeding, hormonal shifts, and period patterns that need a clear explanation.
Explore bleeding and periodsBladder, leakage and prolapse
Pelvic floor symptoms affecting bladder control, urgency, prolapse, confidence, and daily life.
Explore urogynaecologyPelvic pain
Period pain, pelvic pain, or pain-related symptoms that need proper assessment and a stepwise plan.
Explore pelvic pain pathwaysCycles, ovulation and fertility planning
If cycles are absent, widely spaced, or ovulation feels uncertain, this is often the clearest place to start.
Start with cycles and ovulationPregnancy care
Structured antenatal care, early pregnancy concerns, and ongoing pregnancy support with clear next steps.
Explore pregnancy careMenopause and midlife symptoms
Perimenopause, hot flushes, sleep change, bleeding shifts, and symptom planning through the menopausal transition.
Explore perimenopause and menopauseAbout the practice
This practice is built for clarity when things feel uncertain.
Many women arrive having been told that their symptoms are “normal”, “just hormonal”, “just part of aging”, or something they must simply live with. If something feels wrong for you, it deserves proper assessment.
- You should leave a consultation with a plan that makes sense.
- Assessment is targeted, not vague or overcomplicated.
- Care should feel thoughtful, steady, and clear about what comes next.
Google Reviews
What patients say about Dr Jan Adlam
2 months ago
I cannot recommend Dr. Adlam highly enough. After taking me on as a remote patient for my second pregnancy, he immediately put me at ease. Every consultation was professional, thorough, and supportive. The birth of my daughter was truly magical – an incredibly peaceful and seamless experience. Dr. Adlam has a natural confidence that radiates calm, making me feel completely safe and empowered throughout. I honestly can’t fault a single thing about my care; he made what could have been a stressful transition feel effortless.
2 months ago
Absolutely the best gynaecologist! Dr J.Adlam is incredibly kind, humble, and respectful, which immediately puts you at ease. He was clearly made for this profession and is extremely professional in every way. He genuinely cares about his patients, and I felt heard, safe, and well looked after. An outstanding doctor, I couldn’t recommend him more. Thank you so much.
2 months ago
Dr. Adlam was extremely professional and compassionate while treating my daughter Jané. He took the time to explain everything clearly and made us feel comfortable and well cared for. We are very grateful for his expertise and kindness, and I would highly recommend him.
What to expect
Precision, clarity, and continuity.
Consultations are thorough, evidence-based, and structured to give you a clear plan forward from the first visit.
Precision
Focused history-taking, targeted examination, and investigations that answer a real clinical question.
Clarity
Plain-language explanations and a written plan you can refer back to after your appointment.
Continuity
Stepwise management, shared decisions, and thoughtful escalation when it is needed, especially for more complex problems.