Conditions Polycystic ovary disease. This is a condition that is poorly understood and not well treated, if one is to believe the 'net chat'. There are some fresh concepts that assist in the efficient treatment of this condition. These women inevitably suffer 'insulin resistance' and dietary modification with adequate exercise results in the eventual control of symptoms. Sometimes there may be the need for diabetic like medication or indeed ovarian stimulation drugs for the woman seeking pregnancy. To make the diagnosis there may be a need for MiniSite* laparoscopy. This is a 2mm telescope that allows a good view of your organs with no more than a needle prick puncture. Using the same instrument, the abnormal cysts in the ovary may be punctured and drained. Pelvic pain including Endometriosis. This requires meticulous evaluation including the use of ultrasound imaging and diagnostic laparoscopy. This laparoscopy can be achieved by the use of the MiniSite* which is a new scope no wider than a broad bore needle, resulting in minimal post-operative discomfort. Endometriosis is a common cause of pain. This is a damaging disease and the earlier dealt with the better. It can result in damage to your fertility, chronic sexual difficulties and upset to bladder and bowel function. It is more common in a woman who has never given birth but it is a disease that can persist after pregnancy and indeed into later life when it may start to cause serious damage. Widespread endometriosis can be very difficult to deal with surgically and is optimally approached with the laparoscope. The premenstrual syndrome. This frustrating state is damaging and incapacitating for the woman in her 40's. My belief is that it is due to ovarian dysfunction characterized by the excess production of oestrogen in the premenstrual interval giving rise to symptoms reminiscent of how a woman feels in early pregnancy. It is not difficult to treat and successful management restores the woman to effective and comfortable living. The mainstay of my treatment is to use a testosterone implant to dampen the ovarian function and restore lost testosterone availability.