Dr. Uloma Nkeiruka Okwuosa

Consultant Obstetrician, Gynaecologist & Reproductive Medicine Specialist

Quick Facts About Dr Uloma

  • The Clinician: Dr. Uloma Nkeiruka Okwuosa is a UK-trained Consultant Obstetrician and Gynaecologist, Fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG), and Member of both the British Menopause Society and the International Menopause Society. She brings over 20 years of clinical experience to her practice at Menovivre.

  • The Breadth: Her clinical scope spans complex gynaecology, fertility and reproductive medicine, endometriosis and chronic pelvic pain, minimally invasive gynaecologic surgery, high-risk pregnancy, menopause care, and sexual health across all reproductive life stages.

  • The Approach: Diagnosis-led and clinically precise. Dr. Uloma identifies the structural, hormonal, infectious, or metabolic root cause behind each presentation before building a treatment plan, and does not normalise symptoms that significantly affect quality of life.

  • Her Role at Menovivre: Dr Uloma is often the first point of care for women with complex or long-standing gynecological symptoms, including pain, irregular cycles, abnormal bleeding, and fertility concerns. She leads the diagnostic process, identifying the root cause of symptoms and defining a clear, personalised treatment plan in collaboration with the wider Menovivre team.
There is a pattern that runs through the stories of many women who come to Menovivre. They have been experiencing significant symptoms for months, sometimes years. They have been told their pain is normal, that their cycles will settle, that nothing abnormal was found. And yet the symptoms remain, and the impact on their daily life, their fertility, or their sense of themselves continues to grow.
Dr. Uloma Nkeiruka Okwuosa’s clinical work begins precisely where that pattern ends. A Fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG) with over 20 years of experience, she specialises in complex gynaecology, fertility, endometriosis, minimally invasive gynaecologic surgery, Menopause care, and high-risk pregnancy.
She is a Member of the British Menopause Society and the International Menopause Society, reflecting a clinical commitment to evidence-based women’s hormonal health that spans from reproductive medicine through to menopause care.
Within the Menovivre Team, Dr. Uloma bridges reproductive medicine, gynaecological pathology, surgical intervention, and hormonal transition care, making her a central figure in the diagnosis and management of conditions that span more than one system.

Education, Certifications
& Memberships.

Education

Micronised Progesterone

Professional Memberships

What Does Dr. Uloma
Specialise In?

Dr. Uloma’s clinical focus spans the full spectrum of women’s reproductive and gynaecological health, with particular depth in conditions that are frequently misdiagnosed, under-investigated, or dismissed.
Endometriosis and Chronic Pelvic Pain
Suspected or confirmed endometriosis, painful intercourse (dyspareunia), cyclical bowel or pelvic pain
Fertility and Reproductive Medicine
Difficulty conceiving, ovulation assessment, ovarian reserve evaluation, recurrent miscarriage work-up
High-Risk Pregnancy and Obstetrics

High-risk pregnancy management, early pregnancy assessment, recurrent miscarriage evaluation, complex obstetric monitoring

Menstrual Disorders
Irregular cycles, heavy or prolonged bleeding, severely painful periods, absence of menstruation (amenorrhoea)
Abnormal Uterine Bleeding
Intermenstrual bleeding, post-coital bleeding, post-menopausal bleeding
Sexual and Vaginal Health
Unusual discharge, recurrent infections, vulvar symptoms, pain or dryness during intercourse
High-Risk Pregnancy and Obstetrics
High-risk pregnancy management, early pregnancy assessment, recurrent miscarriage evaluation, complex obstetric monitoring
Minimally Invasive Gynaecologic Surgery
Surgical management of endometriosis, fibroids, ovarian cysts, and other gynaecological pathology via minimally invasive approaches
Hormonal and PCOS Related Conditions
Hormonal imbalance, PCOS, androgen excess, cycle dysregulation
Menopause and Perimenopausal Gynaecology
Hormonal transition affecting cycle, bleeding, pain, and sexual health; integrated with Menovivre’s HRT programme
Dr. Uloma is particularly focused on not normalising symptoms that significantly affect quality of life. Severe menstrual pain, persistent bleeding changes, and fertility delay all warrant thorough clinical investigation, not reassurance and observation.

What Brings Patients
to Dr. Uloma?

Patients typically present with one or more of the following, often after being managed for individual symptoms rather than the underlying pattern connecting them.
  • Menstrual and cycle concerns: periods that are irregular, absent, excessively heavy, or associated with severe cramping, back pain, or nausea that disrupts daily functioning.
  • Pelvic pain: chronic lower abdominal or pelvic pain, cyclical pain, sharp unilateral pain associated with ovulation or cysts, and pain that has not resolved with standard treatment.
  • Endometriosis symptoms: painful or deep intercourse, cyclical bowel symptoms, bloating or pelvic heaviness around menstruation, and a history of unexplained pelvic pain. For many patients, Dr. Uloma is the first clinician to connect these symptoms to an underlying diagnosis.
  • Fertility concerns: difficulty conceiving after a period of trying, concerns about ovulation, unexplained miscarriage, or a desire for early reproductive assessment ahead of planned conception.

  • Abnormal bleeding: bleeding between periods, bleeding after intercourse, or any post-menopausal bleeding, which is always clinically significant and requires prompt evaluation.

  • Hormonal and PCOS-related symptoms: cycle irregularity, acne, excess hair growth, weight changes, and fatigue with a hormonal pattern. Dr. Uloma’s assessment of PCOS extends to both gynaecological and metabolic dimensions, coordinated with the broader Menovivre functional medicine team.

  • Vaginal and sexual health: unusual or changed discharge, recurrent infections, discomfort, dryness, or pain during intercourse, particularly in the context of hormonal change.

  • High-risk pregnancy: women with pre-existing medical conditions, complex obstetric histories, or pregnancy complications requiring structured monitoring and multidisciplinary coordination.

How Does Dr. Uloma Approach Diagnosis?

Dr. Uloma’s diagnostic process is structured around identifying root causes, not confirming the presenting symptom alone. The objective at every stage is differentiation: hormonal versus structural, infectious versus metabolic, benign versus requiring urgent escalation.

How Does Dr. Uloma
Personalise Treatment?

Treatment is built around clinical phenotype rather than diagnosis labels. Dr. Uloma individualises every care plan based on reproductive stage, symptom clustering, fertility goals, medical risk profile, and lifestyle context.
A patient presenting with endometriosis and a desire to conceive will follow a fertility-preserving protocol that balances pain control with reproductive outcome, including surgical options where appropriate given her minimally invasive surgical expertise. A patient with PCOS and metabolic symptoms will receive a hormonal plan that directly addresses insulin resistance alongside cycle regulation, coordinated with Menovivre’s functional nutrition team. A patient navigating perimenopause with gynaecological complications will receive integrated care spanning Dr. Uloma’s clinical assessment and Menovivre’s full HRT and hormonal health programme.
Treatment is reviewed and adjusted at every stage based on clinical response. It is never static.

What Can You Expect From Your Care Pathway?

Common Misconceptions Dr. Uloma Addresses

“Severe period pain is normal”

Significant menstrual pain that disrupts daily life is not a normal baseline. It is one of the most common presentations of endometriosis, a condition that affects an estimated 1 in 10 women and frequently goes undiagnosed for years. Pain that limits function warrants clinical investigation, not reassurance.

“Irregular cycles mean I just need to wait”

Cycle irregularity can indicate PCOS, thyroid dysfunction, hormonal imbalance, or early perimenopausal transition. Waiting without investigation delays diagnosis and, in some cases, affects fertility outcomes.

“Infertility always means I cannot conceive”

Many presentations of difficulty conceiving have a treatable or improvable underlying cause. Early assessment often reveals specific, addressable factors including ovulation issues, hormonal imbalance, or structural concerns, each with a clear management pathway.

“Vaginal discharge changes are always minor”

Changes in discharge can indicate bacterial vaginosis, yeast overgrowth, hormonal shifts, or conditions requiring further investigation. Persistent or unusual changes should be assessed rather than self-managed.

“Post-menopausal bleeding is not urgent”

Post-menopausal bleeding is always clinically significant. It requires prompt evaluation to rule out endometrial pathology and should never be attributed to hormonal fluctuation without investigation.

Preparing for Your First Consultation With Dr. Uloma

To make the most of your first appointment, bring the following where available:
Full menstrual history including cycle patterns, pain levels, and any recent changes in bleeding
Any previous ultrasound, imaging, or blood test results
Fertility history if relevant, including conception attempts, miscarriages, or previous fertility investigationsHigh-Risk Pregnancy and Obstetrics
A list of current medications and supplementsMenstrual Disorders
Any previous ultrasound, imaging, or blood test results
A clear description of your symptoms including timing, severity, and impact on daily life
Be prepared to describe how your symptoms have evolved over time, not just how they present today, and how they affect your fertility, sexual health, or overall quality of life. The more clearly you can describe the full pattern, the more effectively Dr. Uloma can direct the diagnostic pathway.

Frequently Asked Questions (FAQs)

Q: What is Dr. Uloma’s primary area of expertise?

A: Dr. Uloma is a Fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG) specialising in complex gynaecological conditions, endometriosis, fertility, minimally invasive gynaecologic surgery, and high-risk pregnancy. She has particular expertise in presentations where symptoms overlap across multiple systems and a clear diagnosis has not previously been established.

Q: Does Dr. Uloma treat endometriosis?

A: Yes. Endometriosis and chronic pelvic pain are a core area of Dr. Uloma’s practice, spanning both medical and surgical management. Her minimally invasive surgical expertise means she can offer procedural intervention where clinically indicated, alongside medical treatment.

Q: Can I see Dr. Uloma if I am trying to conceive?

A: Yes. Fertility evaluation and reproductive assessment are central to her practice, including ovulation assessment, ovarian reserve evaluation, early fertility work-up, and management of conditions such as endometriosis or PCOS that affect conception.

Q: Does Dr. Uloma manage high-risk pregnancies?

A: Yes. High-risk obstetric care is a specific area of expertise, including early pregnancy risk stratification, monitoring of complex obstetric cases, and coordination with relevant specialties where required.

Q: I have been told my symptoms are normal. Should I still book?

A: Yes. Many of the patients Dr. Uloma sees have previously been told their symptoms are within normal range. Significant menstrual pain, persistent cycle irregularity, unexplained pelvic discomfort, and fertility delay all warrant thorough clinical investigation. A structured assessment will either confirm there is nothing concerning or identify a treatable cause.

Q: Does Dr. Uloma work alongside the rest of the Menovivre team?

A: Yes. Dr. Uloma functions as a clinical anchor for complex presentations and coordinates directly with Menovivre’s functional medicine, hormonal health, and nutrition teams where integrated care is indicated.

If you are living with symptoms that have been unexplained, undertreated, or repeatedly normalised, a structured gynaecological assessment is the right starting point.

to discuss your symptoms and begin a care pathway designed around your individual presentation.

Care Designed Around You.

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