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Dr Jan AdlamGynaecologist & Urogynaecologist

SERVICES · CAPE TOWN

Gynaecology &
pelvic-floor services

Consultations, investigations and treatment for gynaecological and pelvic-floor concerns. We start with your symptoms and priorities, then agree on the next step.

CONSULTATIONS & ONGOING CARE

Care for your concerns.

Browse areas of care →

Fertility & pregnancy planning

Initial assessment and planning, with fertility-specialist referral when needed.

Fertility & planning →

Pregnancy & postpartum care

Early pregnancy, antenatal care, birth planning and recovery after childbirth.

Pregnancy care →

TESTS & PROCEDURES

Investigations with a clear purpose.

We discuss which tests could help and what they involve. Examinations take place with your consent; you can ask to pause or stop.

Ultrasound & pelvic-floor assessment

Gynaecological ultrasound and selected perineal ultrasound assessments. Bladder tests or urodynamics can be arranged when they may change the plan.

Cervical screening & colposcopy

Pap smears, assessment of abnormal screening results, colposcopy and cervical biopsy when indicated.

Investigation of bleeding

Assessment may include an endometrial biopsy or hysteroscopy to examine the lining or cavity of the uterus, depending on your symptoms and findings.

Intrauterine contraception

Advice on suitable contraception, intrauterine device insertion and removal, and review of bleeding or discomfort with a device.

Some procedures need a separate booking or hospital setting. We explain preparation, comfort options and costs beforehand. Procedures, devices and laboratory services may have separate charges. See fees & medical aid →

TREATMENT WITHOUT SURGERY

Practical options, with follow-up.

Medicines & hormonal treatment

Options for bleeding, pain, bladder or menopausal symptoms, chosen for your health and preferences, with review of response and side effects.

Pessary fitting & care

A vaginal support device can help manage prolapse. Fitting, comfort, cleaning and ongoing review are part of care.

Bladder & pelvic-floor support

Bladder training and practical strategies, with referral to pelvic-floor physiotherapy when helpful for muscle function, pain or recovery.

Dr Jan Adlam in theatre during laparoscopic surgery, with the operative screen visible.
Dr Jan Adlam in theatre.

SURGICAL EXPERTISE

Surgery at Life Kingsbury Hospital

I offer advanced laparoscopic surgery and pelvic-floor reconstruction. We discuss the procedure, alternatives and the approach best suited to your condition, health and goals.

Pelvic-floor reconstruction

Prolapse repair, with bladder symptoms and previous surgery considered in the plan.

Prolapse surgery →

Robotic-assisted surgery

Da Vinci hysterectomy and prolapse repair are available when this approach suits your needs.

Robotic surgery →

Choosing the right approach

Suitable keyhole procedures may allow smaller incisions and a shorter recovery than open surgery. Vaginal or open surgery may be the better choice in other circumstances. Every operation carries risks, and recovery depends on the procedure and your health.

COORDINATED CARE

The right expertise around you.

I work with physiotherapists, colorectal surgeons and fertility specialists when their expertise can help. Together, we consider how overlapping symptoms or previous treatment affect your next steps.

You are welcome to come for another opinion. Previous reports or operation notes can be helpful, but you can request an appointment without them.

BEFORE YOUR VISIT

A few practical questions.

Do I need to know which treatment I need?

No. We start with your symptoms, concerns and priorities, then discuss assessment and options. You do not need to choose a procedure before booking.

Will I have a procedure at my first visit?

That depends on what is needed and what has been arranged. Some tests or procedures require preparation or a separate appointment. We explain the options, seek your consent and discuss costs before proceeding.

Where will my consultation take place?

At Room 311, Library Square, opposite Life Kingsbury Hospital in Claremont, or in Simon’s Town on selected Mondays. Reception confirms your date, time and venue.

Locations & directions →

YOUR NEXT STEP

Let’s work out what will help.

Request a consultation for a new concern, ongoing care or a further opinion. Reception responds within one working day to arrange your appointment.