Book Mr Venkatesh Subramanian

What Mr Venkatesh Subramanian treats at LSDC Healthcare

Fertility assessment and treatment planning

For couples and individuals who are trying to conceive, the first step is understanding what, if anything, is affecting fertility.

Mr Subramanian provides structured fertility assessments covering both partners, with a clear explanation of findings and a personalised treatment plan.

His fertility assessments include:

• Ovarian reserve testing (AMH, antral follicle count)
• Hormonal profiling (FSH, LH, oestradiol, prolactin, thyroid)
• Advanced pelvic ultrasound to assess the uterus and ovaries
• HyCoSy for fallopian tube patency assessment (see below)
• Semen analysis review and male factor assessment
• Review of previous investigations and treatment cycles

For patients who have been trying to conceive for some time, or who have had unsuccessful treatment elsewhere, a structured consultant-level review of the full clinical picture is often where a clear path forward starts to emerge.

IVF and assisted conception

Mr Subramanian provides IVF consultations, investigation and planning, and ongoing care through the treatment process.

His accreditation from the British Fertility Society in ART procedures reflects hands-on clinical competence, not just academic familiarity.

He advises on and manages:

• IVF (in vitro fertilisation), including assessment, stimulation planning, and cycle review
• IUI (intrauterine insemination), including ovulation induction where appropriate
• Donor egg and donor sperm pathways, including assessment and referral coordination
• Ovulation induction for women with anovulatory disorders including PCOS
• Embryo transfer and luteal phase support
• Failed IVF review and investigation of factors that may not have been addressed

For patients who have been through IVF without success, Mr Subramanian takes a systematic approach to understanding why, and whether a different strategy is likely to improve outcomes.

Egg freezing and fertility preservation

Egg freezing is an option for women who want to preserve fertility for later childbearing, or who are facing medical treatment that may affect future fertility.

Mr Subramanian advises on:

• Suitability and ovarian reserve assessment
• Realistic expectations based on individual circumstances and age
• The egg freezing process from stimulation to egg collection and storage
• Medical fertility preservation for patients undergoing chemotherapy or other treatments that affect the ovaries

He is clear about what egg freezing can and cannot offer, which is an important basis for making an informed decision.

Hysteroscopy

Mr Subramanian is Clinical Lead for Hysteroscopy at King’s College Hospital and the South London Regional Preceptor for hysteroscopy training. He performs hysteroscopy at a level beyond most private gynaecology consultants and trains other specialists in the procedure.

Hysteroscopy is a camera examination of the inside of the womb, performed either as an outpatient procedure or under a short general anaesthetic.

Mr Subramanian performs:

• Diagnostic hysteroscopy to investigate abnormal bleeding, recurrent miscarriage, or uterine abnormalities
• Operative hysteroscopy to remove polyps, fibroids inside the uterine cavity, uterine septa, and adhesions
• Hysteroscopy as part of fertility investigation and preparation for IVF
• Coil (IUD/IUS) fitting, including where previous attempts have been difficult

Patient reviews specifically note how clearly he explains what to expect during hysteroscopy and how well he manages comfort during the procedure.

Advanced gynaecological ultrasound

Mr Subramanian’s advanced ultrasound skills are certified by both the Royal College of Obstetricians and Gynaecologists and the British Fertility Society, an uncommon combination that reflects genuine subspecialty depth in this area.

He offers:

• 3D gynaecological ultrasound for detailed assessment of uterine shape, fibroids, and uterine abnormalities
• Advanced pelvic ultrasound for ovarian assessment, endometriosis mapping, and follicle tracking
• HyCoSy (hysterosalpingo-contrast sonography) for tubal patency testing without X-ray (see below)
• Fertility ultrasound including antral follicle count and cycle monitoring

Advanced ultrasound in the right hands reduces the need for multiple separate appointments and often answers diagnostic questions that standard scanning cannot.

HyCoSy (fallopian tube patency testing)

HyCoSy uses a contrast agent passed through the cervix during an ultrasound to check whether the fallopian tubes are open. It is an alternative to hysterosalpingography (HSG) that avoids X-ray exposure and can usually be completed in the clinic at the same visit as the consultation.

Mr Subramanian has specific certification in HyCoSy from the British Fertility Society. Patient reviews describe him as reassuring and clearly expert during the procedure. If you need tubal assessment as part of a fertility workup, this is one of the procedures where his specific accreditation matters.

Endometriosis

Endometriosis causes pelvic pain, painful periods, painful intercourse, and fertility problems. It is frequently diagnosed late. Mr Subramanian’s advanced ultrasound training specifically includes ultrasound mapping for endometriosis, which can identify endometriomas and deep endometriosis without requiring surgery.

He assesses and manages:

• Suspected and confirmed endometriosis
• Endometriosis-related pelvic pain and fertility concerns
• Endometrioma (ovarian cysts related to endometriosis)
• Medical management and surgical planning for endometriosis
• Endometriosis and IVF planning

PCOS

Mr Subramanian manages PCOS including hormonal assessment, metabolic considerations, cycle regulation, and fertility concerns.

His research has specifically included the relationship between PCOS and fertility treatment outcomes, including the effect of BMI on IUI results.

Recurrent miscarriage

Recurrent miscarriage affects approximately one in fifty couples and often goes without thorough investigation.

Mr Subramanian provides structured assessment covering:

• Uterine abnormalities (assessed via 3D ultrasound and hysteroscopy)
• Hormonal and thyroid factors
• Antiphospholipid syndrome and clotting conditions
• Chromosomal assessment
• Evidence-based management in subsequent pregnancies

Fibroids, polyps, and ovarian cysts

Mr Subramanian assesses and manages:

• Uterine fibroids, including surgical planning for those causing symptoms or affecting fertility
• Endometrial polyps, assessed via ultrasound and treated hysteroscopically
• Ovarian cysts, including endometriomas, surveillance, and surgical management where indicated

Menstrual disorders and abnormal bleeding

• Heavy menstrual bleeding and irregular periods
• Intermenstrual and postcoital bleeding
• Postmenopausal bleeding (which should be assessed promptly)
• Assessment of the uterine cavity for structural causes

Pelvic pain

Unexplained pelvic pain, cycle-related pain, and pain that has not been satisfactorily diagnosed after previous investigation are common reasons to seek a private gynaecology consultation.

Mr Subramanian’s advanced ultrasound expertise and fertility-focused surgical training means he can investigate pelvic pain more comprehensively than a general gynaecology clinic, including ultrasound mapping for endometriosis.

Early pregnancy care

Mr Subramanian has specific accreditation in early pregnancy complications and manages early pregnancy concerns including:

• Early pregnancy ultrasound assessment
• Pregnancy of uncertain location
• Management of miscarriage
• Assessment after recurrent pregnancy loss

Second opinions

Second opinions are actively welcomed for:

• IVF plans or unexplained treatment failure
• Recurrent miscarriage without a clear cause
• Endometriosis diagnosis or management
• Hysteroscopy findings and surgical recommendations
• Advanced ultrasound findings requiring specialist interpretation
• Any gynaecological or fertility diagnosis where you want a clear, independent view