Your gynaecological health is essential to your wellbeing, from routine checks and screening, to diagnosing and treating gynaecological problems. Our team of gynaecologists have a combined total of over 50 years’ experience in UK gynaecology, the majority of which at tertiary or university hospital level, with decades of experience at consultant-level. They provide comprehensive, sensitive,  treatment and surgery services, including the latest techniques in minimal access surgery, for a wide range of gynaecology conditions or problems.

Why Choose Integra Healthcare?

UK tertiary consultant team

Advanced skills accreditations from RCOG

Over 50 years of combined gynaecology experience

Gynaecology Ultrasound

Gynaecology Ultrasound

Our gynaecology team has access to some of the best and latest ultrasound machinery, with exceptional image quality. More important though is the experience, training and accreditation of the gynaecologists behind the equipment. Our doctors are experienced in ultrasound and can conduct both transvaginal and transabdominal ultrasound for gynaecology issues. Additionally, Dr Manoharan also has Special Skills accreditation from the Royal College of Obstetricians & Gynaecologists for the use of ultrasound in managing gynaecological conditions.



Colposcopy is a diagnostic technique using a microscope-like device called a colposcope, used for examining structures and pathology closely. It is utilised to help diagnose both benign and more serious conditions of the cervix, vagina and vulva, including helping to find or examine areas of abnormal or cancerous cells. Given the importance of accuracy and experience in this area, we are privileged to have Dr Madhavi Manoharan, who is accredited by the BSCCP (The British Society for Colposcopy and Cervical Pathology), and a university-hospital specialist.


Gynaecology Surgery

All of our gynaecologists are experienced surgeons, between them using a variety of minimally-invasive surgical techniques, including laparoscopic surgery, to address a wide range of benign gynaecological conditions or procedures. Additionally, open surgery is also undertaken for hysterectomy, removal of fibroids and large benign ovarian masses. They would be happy to discuss the various techniques and help you make informed choices based on current evidence.

Gynaecology Services Provided

Diagnostic Services

  • Diagnosis of benign gynaecological problems
  • Gynaecological ultrasound
  • Trans-abdominal and trans-vaginal ultrasound scanning
  • Diagnostic colposcopy
  • Bleeding e.g. after intercourse, postcoital bleeding or post-menopausal bleeding
  • Pelvic pain and painful intercourse
  • Urogynaecological problems and incontinence
  • Screening services including cervical smear tests

Conditions & Treatment

  • Management of benign gynaecological problems
  • Treatment of conditions causing bleeding
  • Menopause
  • Polycystic ovary syndrome (PCOS)
  • Other hormonal disorders
  • Vulval & vaginal disorders
  • Paediatric and adolescent gynaecology services
  • Gynaecology related to fertility treatment
  • Ovarian cysts
  • Pelvic pain
  • Endometriosis
  • Uterine fibroids
  • Genital tract infections
  • Vulva and vagina skin disorders
  • Heavy menstrual bleeding
  • Menstrual pain and irregularity
  • Pre-menstrual syndrome (PMS)


  • Minimal access surgery, including laparoscopic surgery
  • Urogynaecological problems such as prolapse
  • Surgical treatment of endometriosis, adhesions & benign ovarian cysts
  • Hysteroscopic surgery, including removal and resection of polyps and fibroids
  • Open surgery including hysterectomy, removal of fibroids and large benign ovarian masses
  • Treatment colposcopy for benign gynaecological conditions

Dr Madhavi Manoharan

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)
[email protected]

Dr Manoharan has 23 years’ experience in obstetrics and gynaecology, including more than a decade at tertiary level, 7 years as consultant at the prestigious Royal Free London NHS Foundation Trust and a number of years as Assistant Professor at the world-renowned Weil Cornell Medicine, located in their Qatar campus, part of Cornell University.


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Laura Hole

Dr Laura Hole

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)

Dr Laura Hole is an Obstetrician and Gynaecologist in the Cayman Islands with 15+ years’ experience. She recently joined the team at Integra in June 2023. She has a host of experience and training particularly in gynae ultrasound, colposcopy (BSCCP accredited) along with numerous surgical procedures including: surgical gynae oncology, advanced laparoscopy and complex open surgical procedures.


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Dr Mike SMith

Obstetrician & Gynaecologist
+1 (345) 745 7450 (Clinic)

Dr Mike Smith is a highly trained and experienced Obstetrician & Gynaecologist who joined us here at Integra Healthcare in the Cayman Islands in June 2023. Dr Smith is experienced in running busy Obstetrics Delivery Suites along with the antenatal and post-natal care of patients. He has completed the RCOG subspecialty training in Gynaecological Oncology and has advanced gynaecological surgical skills in both open and minimal access surgery.


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Clinic Location & Open Times

The Grand Pavilion Commercial Centre, Hibiscus Way, 802 West Bay Road.

  • Monday to Friday: 8.30am first appointment, 4.30pm last appointment
  • Saturday: 8.30am first appointment, 12.30pm last appointment

News, Views & Pertinent Pieces

Integra Expands Its Team!

Integra Expands Its Team!

We wish to extend a warm welcome to Dr Yammine, Dr Robinson and Allie Campbell! Dr Yammine is a Specialist in Otolaryngology (ENT) Head & Neck Surgery, Laryngology &...

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