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Consultations are self-funded and tailored to your clinical needs. No rushed appointments. No generic protocols.
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Consultant-Led Adenomyosis, Endometriosis & Fertility Strategy
Many women arrive after years of heavy periods, pelvic pain, or fertility uncertainty — having tried multiple treatments without a clear plan or a coherent explanation.
This practice offers something different: a structured clinical assessment that identifies what is actually driving your condition, and a plan that follows from it.
Advanced diagnostics. Consultant-performed ultrasound. Integrative clinical reasoning. In-person in Manchester and online across the UK. Consultations in English and Russian.
This practice offers something different: a structured clinical assessment that identifies what is actually driving your condition, and a plan that follows from it.
Advanced diagnostics. Consultant-performed ultrasound. Integrative clinical reasoning. In-person in Manchester and online across the UK. Consultations in English and Russian.
This practice is designed for
women who have complex symptoms,
have usually tried more than one approach,
and are ready to understand the full picture — not just manage the next symptom.
- Persistent or worsening adenomyosis or endometriosis
- Heavy bleeding, pelvic pain, or symptoms that have not responded fully to treatment
- Fertility concerns — current or future — that need a coherent plan
- Recurrent miscarriage or implantation failure without a clear explanation
- A sense that something is being missed, but not knowing what
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STRATA Clinical Framework™
The STRATA Clinical Framework is a structured assessment approach developed by Dr Ksenia Alex. It evaluates each case across six layers — structure, timing, reproductive intent, activity, terrain, and action — to produce a complete clinical picture and a sequenced plan.
Available in person in Manchester and online across the UK. Consultations in English and Russian.
Available in person in Manchester and online across the UK. Consultations in English and Russian.
For women with complex adenomyosis or gynaecological conditions where standard approaches have not provided clarity or resolution.
Who this practice is for
- Heavy, irregular, or painful periods
- Chronic pelvic pain or persistent, unexplained symptoms
- Suspected or confirmed endometriosis or adenomyosis
- Recurrent miscarriage or recurrent implantation failure
- Subfertility and fertility investigations
- Fertility planning where adenomyosis or endometriosis is part of the picture
- Symptoms that have not fully resolved despite previous treatment
- Perimenopause with complex or unresolved gynaecological symptoms
- PCOS, thyroid disorders, and hormonal imbalance
Specialist Services — Manchester and Online
- Endometriosis, Adenomyosis & Pelvic Pain
- Consultant-performed ultrasound mapping for endometriosis and adenomyosis
- Structured assessment and early diagnosis
- Surgical guidance and referral where indicated
- Symptom-led management with integrative options where appropriate
- Fertility Assessment & Planning
- Consultant-led fertility investigations
- Adenomyosis and endometriosis impact on fertility — assessment and planning
- Hormone, thyroid, and metabolic optimisation
- Recurrent miscarriage and implantation failure evaluation
- Structured plan before, during, or instead of IVF
- Fertility is not always the primary concern — but it is always considered as part of the clinical picture, including in women approaching perimenopause.
- Integrative Clinical Assessment
- Functional medicine testing where clinically indicated
- Systemic and metabolic factors influencing gynaecological conditions
- Hormonal assessment and evidence-based supplementation guidance
- Integrative approach alongside conventional care — not instead of it
Why Women Choose VPB-Fertility
You are listened to — without rushing, judgement, or dismissal
- Consultant-led throughout
You are seen by Dr Ksenia Alex at every stage. Not a registrar. Not a nurse practitioner. - Advanced diagnostic ultrasound
Endometriosis and adenomyosis mapping, fertility assessment, and recurrent miscarriage evaluation performed by the consultant. - Structured clinical reasoning
Findings are explained clearly, with a plan that follows from the assessment — not a list of options without direction. - Integrative expertise
Functional medicine assessment where it is clinically indicated, working alongside conventional care. - English and Russian
Consultations available in both languages, in person in Manchester and online across the UK. - Perimenopause &
Hormonal Transition- Adenomyosis and endometriosis behaviour through perimenopause
- Structured hormonal support — conventional and integrative where appropriate
Book Your Consultation
Your symptoms matter. Your fertility plan should feel personal.
Your care should feel human
Your symptoms matter. Your fertility plan should feel personal.
Your care should feel human
Reproductive medicine specialist
Personalised care and advanced treatments for fertility challenges, specialising in adenomyosis, endometriosis, PCOS, recurrent miscarraige and assisted conception or IVF.
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Fertility&Endometriosis
Diagnosis and treatment of infertility, including endometriosis, PCOS, and other reproductive issues. -
Advanced Ultrasound
Advanced fertility treatments to help you achieve your dream of parenthood. -
Gynaecological Endocrinology
Expert care for hormonal imbalances and other gynecological endocrine disorders. -
Functional medicine & Women's health
Latest technologies in diagnosis, monitoring and treating of adenomyosis, PCOS, amenorrhea and recurrent miscarriage -
Reproductive Medicine Surgery
Minimally invasive surgical techniques in inpatient and outpatient settings -
Education&Research
Strive to improve the education of young females as future mothers regarding women's health and to promote research on endometriosis
There Is Hope and Help Available
The good news is that understanding these challenges enables us to provide targeted, effective treatments. As experts dedicated to caring for women’s futures, we truly believe that with personalised help, hope and the right approach, you can overcome the obstacles of endometriosis and move closer to your dream of motherhood.
Take the Next Step
If you’re ready to explore your options and get tailored support, contact us today. We’re here to guide, support and help you achieve your dreams of a healthy pregnancy. Together, we can make your hopes a reality.
The good news is that understanding these challenges enables us to provide targeted, effective treatments. As experts dedicated to caring for women’s futures, we truly believe that with personalised help, hope and the right approach, you can overcome the obstacles of endometriosis and move closer to your dream of motherhood.
Take the Next Step
If you’re ready to explore your options and get tailored support, contact us today. We’re here to guide, support and help you achieve your dreams of a healthy pregnancy. Together, we can make your hopes a reality.
ENDOMETRIOSIS AND ADENOMYOSIS MAPPING SCAN: Advanced Ultrasound for Early and Accurate Diagnosis&Fertility assessment
At our clinic, we utilise state-of-the-art ultrasound technology to offer comprehensive Endometriosis and Adenomyosis Mapping Scans. These advanced scans enable early detection and precise assessment of these conditions, which are often diagnosed late but can significantly impact quality of life.
This non-invasive, high-tech approach ensures a thorough understanding of your pelvic health, guiding personalised treatment strategies to alleviate symptoms and protect overall organ function.
Why Choose Our Advanced Ultrasound Scans?
Both endometriosis and adenomyosis frequently cause complex changes within the pelvic region, including chronic inflammation, muscle tension, nerve injuries, and impaired motor functions. The pelvis is an intricate structure composed of muscles, ligaments, nerves, blood vessels, and organs. Damage or alterations to any part can trigger a cascade of issues affecting overall pelvic health.
Early diagnosis is crucial. Many cases of adenomyosis, in particular, are diagnosed late due to subtle or overlapping symptoms. An early, detailed scan allows for prompt identification of these conditions, enabling timely treatment.
At our clinic, we utilise state-of-the-art ultrasound technology to offer comprehensive Endometriosis and Adenomyosis Mapping Scans. These advanced scans enable early detection and precise assessment of these conditions, which are often diagnosed late but can significantly impact quality of life.
This non-invasive, high-tech approach ensures a thorough understanding of your pelvic health, guiding personalised treatment strategies to alleviate symptoms and protect overall organ function.
Why Choose Our Advanced Ultrasound Scans?
Both endometriosis and adenomyosis frequently cause complex changes within the pelvic region, including chronic inflammation, muscle tension, nerve injuries, and impaired motor functions. The pelvis is an intricate structure composed of muscles, ligaments, nerves, blood vessels, and organs. Damage or alterations to any part can trigger a cascade of issues affecting overall pelvic health.
Early diagnosis is crucial. Many cases of adenomyosis, in particular, are diagnosed late due to subtle or overlapping symptoms. An early, detailed scan allows for prompt identification of these conditions, enabling timely treatment.
Key Symptoms Which Should Prompt an Early Ultrasound Assessment:
The Assessment Process
Our comprehensive evaluation includes:
- Severe dysmenorrhea (painful periods)
- Heavy menstrual bleeding
- Chronic pelvic pain
- Bowel symptoms
The Assessment Process
Our comprehensive evaluation includes:
- Review of your medical and family history
- Gynaecological history assessment
- Fertility assessment for women or couples.
- Symptom analysis
- Physical examination
- Pelvic region mapping scan — a critical element providing detailed insights into the presence, extent, and severity of endometriosis, adenomyosis, and ureteral involvement (quiet obstructions or compression caused by endometriosis can impair urine flow, potentially leading to kidney damage).
If healing happened and I am not needed as your doctor my job is done
Services
Providing comprehensive and personalised care for women's health and couple's reproductive health
Ultrasound mapping of endometriosis involves a detailed, compartmentalised assessment of the pelvis to identify, locate, and characterise endometriotic lesions, adhesions, and associated pathologies. This mapping is essential for individualised management of endometriosis.
The pelvic ultrasound scan evaluates:
The pelvic ultrasound scan evaluates:
- Uterus (adenomyosis, uterine morphology)
- Ovaries (endometriomas, adhesions)
- Anterior Compartment (bladder, uterovesical fold+/-ureters)
- Soft Markers (organ mobility, site-specific tenderness)
- Advanced Techniques (3D, elastography, contrast enhancement)
- +/-Dopplers (uteine artery, ovaries, endometrium)
A comprehensive fertility ultrasound includes a detailed assessment of the uterus, endometrium, ovaries (with antral follicle count), follicular development The pelvic ultrasound scan evaluates:
- Uterus (size, shape, fibroids, polyps, adenomyosis, endometrial lining)
- Ovaries (size, morphology, cysts, antral follicle count)
- Follicular Monitoring (number, size, and development of follicles).
- Pelvic Structures (cul-de-sac, fluid, adhesions, endometriotic lesions)
- Advanced Techniques (Doppler, 3D ultrasound, saline infusion)
Screening includes:
- Endometriosis screening
- Adenomyosis screening
- Fertility screening
- Gynaecological screening
- Vaginal, cervical infection screening
These include:
- Functional Medicine tests (Regenerus Laboratory, Genova Diagnostics)
- EMMA, ALICE, ERA (Igenomix)
- Other lab referrals
A comprehensive ultrasound for recurrent miscarriage includes high-resolution transvaginal imaging (with 3D assessment). This approach maximises detection of structural, vascular and underlying factors contributing to recurrent pregnancy loss.
The pelvic ultrasound evaluates:
The pelvic ultrasound evaluates:
- Uterine anatomy (congenital anomalies (septate, bicornuate, etc.), fibroids, polyps, adhesions, adenomyosis)
- Dopplers (uterine arteries, endometrium, ovaries)
- Endometrial cavity (thickness, polyps, synechiae (Asherman’s))
- Ovaries (cysts, polycystic morphology, endometriomas)
- Pelvic structures (adnexal masses, hydrosalpinges, other abnormalities)
This service includes:
- Cervical smear
- Endometrial Biopsy
- Hormonal IUD or Intrauterine Device (IUD) insertion/removal
- Pelvic Ultrasound (transabdominal or transvaginal)
- Ovarian Cyst Aspiration
- Hysterosonography (Saline Infusion Sonohysterography)
The surgical procedures include:
- Myomectomy (removal of fibroids)
- Salpingectomy (removal of fallopian tubes)
- Salpingectomy (removal of fallopian tubes)
- Tubal Ligation (permanent sterilisation by sealing or cutting fallopian tubes)
- Laparoscopy (minimally invasive procedure for diagnosis or treatment)
- Vaginal and Vulvar Surgery (e.g., excision of Bartholin cyst, vaginoplasty)
- Hysteroscopy and endometrial biopsy
- Hystreroscopy and division of adhesions (removal scraping of the uterine lining)
- Laparoscopy and dye test (minimally invasive procedure for diagnosis or treatment)
- Diagnostic laparoscopy
- Oral ovulation induction and follicular tracking
- Consultation for couple
How It Works
Book an appointment online or discuss your preferences via phone, text, or email.
Get a confirmation through email and text. You'll receive a welcome message with an e-questionnaire, consent, and appointment details.
Choose your appointment location
Initial consultation, which may include transvaginal ultrasound and/or additional investigations as needed.
Note: The Hadley Clinic appointments are for self-funded patients only.
Note: The Hadley Clinic appointments are for self-funded patients only.
Follow up appointment
Follow-up online appointment for questions, answers, and agreeing on the initial management plan. Further investigations considered if indicated.
Individualised plan
Finalising the individualised targeted treatment plan, monitoring, fertility timeline (if required), and support package.
About the doctor
Dr Ksenia Alex is a consultant gynaecologist and reproductive medicine specialist with a PhD and over 30 years of clinical experience. She specialises in adenomyosis, endometriosis, complex fertility, and gynaecological endocrinology — with an integrative approach to cases where standard pathways have not provided resolution.
Her clinical focus is on understanding what is actually driving a condition — not just treating its most visible symptom. She works with women who have complex, often long-standing gynaecological problems, and who are ready for a structured, reasoned approach to their care.
Consultations in English and Russian. In-person in Manchester and online across the UK.
.
Her clinical focus is on understanding what is actually driving a condition — not just treating its most visible symptom. She works with women who have complex, often long-standing gynaecological problems, and who are ready for a structured, reasoned approach to their care.
Consultations in English and Russian. In-person in Manchester and online across the UK.
.
Why choose this specialist?
-
Patient-centered approach
Individualised care tailored to your unique needs. -
Advanced expertise
PhD-qualified specialist in reproductive medicine, endometriosis, and fertility. -
Integrative medicine
Combines conventional and functional medicine approaches for comprehensive care. -
Subfertility expertise
Specialises in subfertility related to endometriosis, adenomyosis, PCOS, and reproductive surgery. -
IVF trained
Extensive experienced in assisted reproduction techniques. -
Focus on fundamentals
Care rooted in physiology, biology, and endocrinology for optimal results.
Credentials&Professional memberships&Licences
Certifications and examinations are integral to membership privileges.
Testimonials
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+447361231036
+447723201267
hello@vpb-fertility.com
+447723201267
hello@vpb-fertility.com
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Terms of Use
Legal Notice
STRATA Clinical Framework™
Note/Disclaimer: (1) The information provided on this website is for educational purposes only and is not intended to serve as medical advice. Please do not apply any of this information without first speaking with your doctor. (2) Statements not evaluated by the FDA, not intended to diagnose, treat, cure or prevent any disease.
Designed By: Dr Ksenia Alex
Privacy Policy
Terms of Use
Legal Notice
STRATA Clinical Framework™
Note/Disclaimer: (1) The information provided on this website is for educational purposes only and is not intended to serve as medical advice. Please do not apply any of this information without first speaking with your doctor. (2) Statements not evaluated by the FDA, not intended to diagnose, treat, cure or prevent any disease.
Designed By: Dr Ksenia Alex