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Dr Grisham Smotra FRCOG | One-stop Gynaecology Consultant-Connecting the dots for Endometriosis|Periods|Perimenopause|PMDD|Cysts|Fibroids| Complex Early pregnancy|Miscarriage
Consultations•Specialist ultrasounds•Treatment
Book: [email protected]

31/10/2026

Two blue lines on a pregnancy test? 🩷

Excited? Nervous? Overwhelmed? Perhaps all three?

As a consultant obstetrician and gynaecologist, these are FIVE things I’d want you to know right from the start.

And here’s a little extra advice: you don’t need to Google every symptom, book every test or have everything figured out today.

One step at a time.

And remember, if you have a history of ectopic pregnancy, or develop pain or bleeding, please seek early medical advice.

Save this for yourself or share it with someone who has just seen those two little lines. 🩷

Dr Grisham Smotra
Consultant Obstetrician & Gynaecologist
Your Gynae Health

From her arms to my dreams. 🩷That little girl in the photograph is me, in my mama’s arms. She could never have imagined ...
11/10/2026

From her arms to my dreams. 🩷

That little girl in the photograph is me, in my mama’s arms. She could never have imagined the journey ahead — or perhaps she dreamed of possibilities even bigger than I did.

Today, I am a woman, a mother and a consultant gynaecologist, passionate about making women’s health better for the generations to come.

On this International Day of the Girl, I celebrate the women who came before us, who nurtured our dreams and opened doors — sometimes without having those opportunities themselves.

But celebrating girls must mean more than encouraging their ambitions.

It means investing in their health, education, safety and choices. It means taking menstrual health, PCOS, endometriosis, mental health, menopause and violence against women seriously — through research, awareness, access to care and meaningful change.

Because of the women before us, we are. Because of us, the girls after us will be. 🩷

Here’s to the girls of today and the extraordinary women they will become.

05/10/2026

Endometriosis doesn’t disappear at menopause- may be not just not causing as any symptoms!

2 stories of 2 post menopausal women I treated recently - Two women. Same disease. Completely different stories.

First - I operated on for a post menopausal ovarian cyst.
At surgery, had advanced endometriosis — yet she had lived most of her life with virtually no symptoms.
She was pleasantly surprised when I showed her the laparoscopy pictures of the advanced endometriosis.

Second- known advanced endometriosis , previous excision surgery and continuing progesterone coil - came with new buttock pain.
On performing the tv scan, noted significant disease involving the space between the uterus and bowel. Investigated further with MRI which confirmed it.
But here’s the interesting part, she went on to have pelvic physiotherapy which settled her pain — she chose not to have further surgery.

Learning from the 2 case scenarios- endometriosis isn’t just about what we see on a scan. It isn’t automatically surgery. It isn’t automatically hormones.

It’s about the woman in front of us — her symptoms, her goals, her pain system, her quality of life.

The scan matters. The diagnosis matters.
But the woman in front of us matters the most. 🩷

SAME DISEASE.
VERY DIFFERENT STORIES.

Endometriosis severity ≠ symptom severity

Tell me your story ?

02/10/2026

A coffee and a little gynae thought… ☕️🩷

I’m a hysteroscopist, and I value hysteroscopy enormously.

It allows us to look inside the womb, take targeted biopsies and treat problems when needed.

But good medicine isn’t about doing more procedures.

It’s about doing the right investigation for the right woman.

WID-easy is a simple vaginal swab looking at DNA methylation markers associated with endometrial cancer, which may help us better triage women presenting with abnormal bleeding.

So yes, I’ll recommend hysteroscopy when my patient needs it.

But I’ll be equally pleased if better diagnostics mean another woman can safely avoid a procedure she didn’t need.

That, for me, is progress in women’s healthcare. 🩷

A coffee and a little gynae thought… ☕️🩷I’m a hysteroscopist, and I value hysteroscopy enormously.It allows us to look i...
01/10/2026

A coffee and a little gynae thought… ☕️🩷

I’m a hysteroscopist, and I value hysteroscopy enormously.

It allows us to look inside the womb, take targeted biopsies and treat problems when needed.

But good medicine isn’t about doing more procedures.

It’s about doing the right investigation for the right woman.

WID-easy is a simple vaginal swab looking at DNA methylation markers associated with endometrial cancer, which may help us better triage women presenting with abnormal bleeding.

So yes, I’ll recommend hysteroscopy when my patient needs it.

But I’ll be equally pleased if better diagnostics mean another woman can safely avoid a procedure she didn’t need.

That, for me, is progress in women’s healthcare. 🩷

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78 Francis Road Edgbaston
Birmingham
B168SP

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