Mr Mahadeva Manohar is a Consultant Obstetrician and Gynaecologist at HMT St Hugh’s Hospital in Grimsby. He is an accredited colposcopist with the British Society for Colposcopy and Cervical Pathology, and his specialist interests are colposcopy and cervical disease, contraception and sterilisation, and general gynaecology. He has been a consultant since 2009 and is a Fellow of the Royal College of Obstetricians and Gynaecologists.

An abnormal smear result is one of those letters that ruins a fortnight. In the great majority of cases it does not mean cancer, it means cell changes that are worth looking at properly. Mr Manohar’s colposcopy work is largely about getting people to that answer quickly and treating the changes where treatment is needed. At St Hugh’s that generally means being seen within days rather than waiting, and having the same consultant see it through from first appointment to result.

About Mr Manohar

Mr Manohar has been a consultant obstetrician and gynaecologist since 2009. He holds MBBS and Master of Surgery qualifications, is a Member and Fellow of the Royal College of Obstetricians and Gynaecologists, and also holds a Postgraduate Certificate in Clinical Education, reflecting an active involvement in teaching and training.

He is accredited by the British Society for Colposcopy and Cervical Pathology, the national body that sets standards for colposcopy practice in the UK. Accreditation is not automatic. It requires demonstrated caseload, audited outcomes and ongoing revalidation, which is why it is the credential to look for in anyone investigating an abnormal smear result.

He serves as clinical lead for colposcopy and for fertility control services within his department, and as clinical lead for obstetrics at Diana, Princess of Wales Hospital in Grimsby. Alongside colposcopy, his practice covers contraception and sterilisation, menstrual problems, pelvic pain and the general run of gynaecological conditions.

Areas of expertise

Colposcopy and cervical health

• Abnormal cervical screening (smear) results
• Colposcopy examination
• Cervical intraepithelial neoplasia (CIN) and cell changes
• HPV and HPV-related cervical changes
• Treatment of abnormal cervical cells, including LLETZ
• Cervical polyps
• Post-coital and unexplained bleeding

Contraception and sterilisation

• Contraception advice and review
• Coil (IUD and IUS) fitting and removal
• Contraceptive implant fitting and removal
• Female sterilisation [CONFIRM]
• Long-acting reversible contraception

Periods and bleeding

• Heavy menstrual bleeding
• Irregular or absent periods
• Painful periods
• Post-menopausal bleeding
• Bleeding between periods

General gynaecology

• Pelvic pain
• Ovarian cysts
• Fibroids
• Endometriosis
• Vaginal discharge and vulval symptoms
• Prolapse assessment
• Menopause and perimenopause [CONFIRM]

Investigations

• Hysteroscopy [CONFIRM]
• Pelvic ultrasound
• Cervical screening and HPV testing
• Endometrial biopsy