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DR PAULA ALMEIDA BSC PHD DIPRCPATH


Paula is the Laboratory Director and has been a Consultant Embryologist at Assisted Conception Unit since 2000. She has been working in the field of infertility for over 20 years. She has a PhD in Cytogenetic


studies in human eggs and embryos from King’s College Hospital London, and has published widely in this field. She is a Diplomate of the Royal College of Pathologists, and a National Assessor for the UK Association of Clinical Embryologist (ACE) Training Committee. She is also the ACU’s Quality Manager From 2012 she became the Lead Healthcare Scientist for Chelsea and Westminster Hospital for London Scientific and Diagnostic network.


MR JULIAN NORMAN-TAYLOR MBCHB MRCOG


Mr Julian Norman-Taylor is a Consultant Gynaecologist and a Specialist in Reproductive Medicine. Mr Norman-Taylor is also a lead clinician in the management of fibroids with Myomectomy, Laparoscopic


Myomectomy, Transcervical Resection of Fibroids and Fibroid Embolisation. Mr Norman-Taylor graduated from Leicester University with a degree in Medicine and he is a Fellow of the Royal College of Obstetrics and Gynecology. He has held posts at Hammersmith Hospital and later the Royal London Hospital in which he performed East London’s first successful ovum donation pregnancy. He has taken sabbaticals in both Paris and Hong Kong and Mr Norman-Taylor’s interests outside medicine include Modern and Oriental Art and a passion for Fulham Football Club.


MR DIMITRIOS NIKOLAOU MD MRCOG DFFP CERT ADVANCED ENDOSCOPIC SURGERY


Mr Dimitrios Nikolaou is a Consultant Gynaecologist and Specialist in Reproductive Medicine. He is the director of the sub-specialty training programme in reproductive medicine and leads the ovarian ageing and


fertility programme as well as the infectious disease programme. Mr Nikolaou is a recognised authority in the areas of infertility in the late 30s and in the 40s, as well as the assessment of the ovarian reserve and management of the early onset of infertility in younger women (early ovarian ageing).He was part of the working group of the Royal College of Obstetricians and Gynaecologists on reproductive ageing and he co-edited the relevant RCOG book, as well as the current for clinical practice and research.


The unit offers the whole spectrum of fertility


treatments from the simple to the most complex, including ICSI (intracyctoplasmic sperm injection) which is used when sperm quantity or quality is too poor for conventional IVF, and IMSI (intracytoplasmic morphologically selected sperm injection) or optimum sperm selection. Much of the focus is on embryo quality, and the


successful management of embryos is at the heart of the unit’s service. The ACU’s laboratories are purpose built and are run by five embryologists who provide assurance that a highly qualified and experienced scientist is making decisions about the patients’ gametes and embryos. Embryo freezing is a key component of the


treatment where there are spare embryos. Unlike egg freezing which is a difficult process with few resulting live births worldwide, embryo freezing is more successful and, while not all embryos survive the freeze, it allows the embryo to be implanted during a fresh ovulation cycle. This is desirable as it protects the woman from ovarian hyperstimulation and allows the embryo to implant under the best possible environment. The unit also has particular expertise in the


management of older women seeking fertility treatment, as well as young women with early ovarian ageing. Dr. Dimitrios Nikolaou is a specialist in this area. “We have a tradition of managing reproductive ageing. Women are born with eggs but not all women are born with the same number of eggs. Various factors can affect this, the main one being genetics, but women can also lose eggs after sudden weight loss or psychological trauma.” For gynaecologists looking to become fertility


experts the ACU has one of the longest and most successful programmes for sub-specialty training


46 Global Opportunity Healthcare 2015 | Issue 01


global-opportunity.co.uk


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Chelsea and Westminster Hospital


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