Dr Yehudi Gordon
(MB BCh, MD, FRCOG, FCOG SA)
Since my early training in South Africa and my specialist career in England, I have always been passionate about helping women and their families through key life-stages from birth through to menopause and far beyond.
I spent five years as a researcher at St Barts Hospital. This led to many scientific publications and two of the research projects are still in daily use (screening for Down’s syndrome and testing D-Dimer to detect deep vein thrombosis). I have practiced as a consultant gynaecologist since 1978.
In my clinical practice I believe that conventional high-tech medicine and gynaecology serves women best when it is combined with gentle complementary care; this is called holistic, integrated healthcare.
Currently I use conventional high-tech diagnosis and treatment combined with bio-identical hormone replacement (BHRT), nutritional advice, exercise and emotional support to provide a wide spectrum of choices for prevention and cure. This approach has been particularly successful for fertility and preconception as well as a range of gynaecological disorders such as menstrual dysfunction, pelvic pain and the menopause.
Having had a discussion and examined you I will give you my point of view, explaining the factors that might be making you feel the way you do and listen to your thoughts and feelings about yourself. Together we will outline and explore possible ways forward. The discussion might concentrate on what further tests might be needed, what can be prevented, what can be treated and the various options available.
Looking back to 1980; I was a founder member of the Active Birth movement, helping to introduce water birth to the UK. I founded The Birth Unit in London, one of the first hospitals to offer the choice of active and water birth as well as welcoming fathers.
I have written numerous books on pregnancy and birth two of which are still in print.
I am currently involved in a leading edge parenting programme called Babies Know. Fundamental to this programme is cutting edge psychology and developmental neuroscience providing sound scientific facts to support couples and babies in creating secure and loving relationships within a family.
Dr Yehudi Gordon
Gynaecology and women’s health are the main areas of my practice.
Click on the titles below to read more.
Having had a discussion and examined you I will give you my point of view, explaining the factors that might be making you feel the way you do and listen to your thoughts and feelings about yourself. Together we will outline and explore possible ways forward (of which there are usually several). The discussion might concentrate on what further tests might be needed, what can be prevented, what can be treated and the various options available. We will discuss what might have to be accepted and what can definitely be changed.
I use the latest ‘High Tech’ medical diagnosis and treatment, always keeping in mind the risk/benefit ratio for you. As medical science advances, the benefits increase and the risks reduce. However many women still experience unpleasant side-effects and intolerances. Wherever possible I will focus on natural, no drug alternatives to achieve the results you want. When surgery is needed the focus will be on minimal invasive treatments. During the past 5 years, I have only referred an average of 2 women per year for a hysterectomy, after hundreds of consultations.
I use ultrasound scans and blood tests as the main diagnostic tools. The accuracy of modern ultrasound scans has improved in parallel with the advances in computing. It is seldom necessary to use diagnostic tests in the operating theatre such as diagnostic hysteroscopy or laparoscopy. Operations are confined to patients in whom the diagnosis is established on ultrasound, sometimes backed up by MRI scan. This drastically reduces the number of surgical procedures my patients require.
Your physical shape
We will talk about how your body functions as well as your internal image of body shape, size and strength. Are you comfortable in your own skin? How much exercise do you do and of what kind? Are you walking or running in the right way and using the biomechanics of your body well? What do you believe about ageing? These are some examples of the areas we might touch upon. If there is anything you feel uncomfortable about, it will be your choice not to discuss it .
Your hormones are internal messengers that regulate the function of every cell in your body. Hormones alter with age and with each transition from birth to death. Your lifestyle and your emotional and spiritual life affect your hormones and vice versa. Click here for more details on Bioidentical hormone therapy BHRT.
Your energy and sleep
People vary in how much energy they need to live interesting and fulfilling lives. There are many factors that provide energy for you. These include your nutrition, exercise and sleep as well as your daily commitments, emotions and stress. Your hormone balance is a key factor in overall energy flow. It can be surprisingly easy to improve your energy with small changes to your lifestyle.
Your nutrition and weight
I strongly believe that nutrition is not only about the food you eat it is about how you nourish yourself physically, emotionally and spiritually. It is easier to establish a healthy eating pattern if you are aware of the emotional factors that drive your appetite and food intake. Understanding that food may be a substitute for emotional needs may very helpful. I work closely with nutritionists who have a special interest in womens’ nutritional health, weight and hormone balance.
Your emotional life
Our emotional lives are always challenging. For everyone, including myself, we have ups and downs. Today’s feelings and emotions may originate from your very early years. Emotional patterns can be transmitted through your family constellation and recur from generation to generation. I work with a range of therapists who provide different kinds of emotional support for you:
The Babies Know programme focusses on your early life and how this impacts you and your family now. Hypnotherapy and EMDR are techniques that can alter how you feel/perceive experiences now and create a transformation in your life. Relationship therapy supports your partner and your family. Constellation therapy focusses on your family patterns, passed down through generations.
I have worked with a psychiatrist for many years and can offer a referral if this is an avenue that you wish to follow.
Many challenges from mood swings and depression to pelvic pain and old familial wounds can be changed with the right help and sensitive support.
Our conclusions and support plan
Together we will begin to focus on the key events and issues that can be explored and tackled around. You will decide what is the most practical route for you, taking into account physical, emotional, social, financial and spiritual possibilities. I will act as your support and gate-keeper.
Together we will explore the different areas of your life and decide which to acknowledge and which to leave be. Which areas need further tests and investigation? Which areas need focus and intense attention? Which areas deserve minimal attention? Some areas are easy, some more difficult. Some come together with ease and fluency and some require dedication and perseverance.
My goal is not to judge you but to ‘hear and see’ you as a person using my skill and experience. You will make the choices and I will support you.
+ Practical Details
There are four main reasons that bring my patients to see me:
Full gynaecology check up
- Symptoms – concerns, changes
- Examination includes your abdomen, breasts and pelvis, with your consent.
- Cervical smear and infection screen (if indicated by date of last test or symptoms)
- Scan of your pelvis or breasts; scan or mammogram when indicated
- Blood tests when indicated by time or your symptoms.
- Treatment plan may include contraception, fertility, discomfort and pain relief, libido and sexuality, menstrual and menopause symptoms or anything else relevant to you.
Cancer screening and prevention
- Treatment plan and lifestyle advice
- Cervical smears and HPV tests every 1-2 years (2 yearly if HPV is negative)
- Mammogram or breast scan (after 40 every 2 years, more often if on HRT)
- Pelvic scan
- Ovarian blood test after the menopause
- Your lifestyle and family history
Health Screening and protection
- Well Woman blood tests including cholesterol and hormones
- Bone density DEXA scan after 50 years of age or 3 years
- Hormone assessment and re-balancing
- Physical assessment
- Emotional assessment
- Treatment plan including BHRT
+ Viveka Virtual - a wider network
Yehudi’s practice used to be situated in St John’s Wood. The practice was called Viveka – an Integrated Healthcare practice for women’s health and families. A number of specialist complementary and medically trained practitioners worked under the same roof for many years, learning that integrating their expertise led to faster and longer term well-being.
All of these specialists continue to work together albeit from different premises. They now refer to themselves as Virtual Viveka
Virtual Viveka covers these areas of expertise – medical gynaecology, surgical gynaecology, fertility gynaecology, obstetrics, ultra-sound, nutrition, psychotherapy, cranial osteopathy, allergy, homeopathy, acupuncture, exercise, reflexology, gentle birth preparation and more.
Yehudi may recommend that you consult one of these practitioners as part of your health management programme and will keep in contact with the practitioner(s) as your health gatekeeper so that you do not fall between stools.
“Over the course of my life I have consulted seven obstetrician/gynaecologists all of whom were expert as well as caring but all concentrated on the physical part of me that required diagnosis or medical help. It was as if I was my symptom or condition, rather than a human being. Yehudi has a very different approach. Unfortunately I cannot consult him as he is my husband!
He is a highly unusual gynaecologist who practices integrated, holistic women’s healthcare. What this means is that he doesn’t simply focus on the reason for the visit (e.g. pelvic pain or menopause symptoms) but focuses his formidable intuition and deep scientific and medical experience on you as a unique person with a long familial history and experiences of your own.
He will explore your background and history including your wellbeing/lack of wellbeing experiences and symptoms (past and current) that have brought you to see him. He will ask gentle but probing questions about your health, your moods, your energy, nutrition and exercise – not in a judgemental way but to paint a bigger and more integrated picture of your health or illness. He will definitely be interested in your happiness and your relationships, your family culture and support structure, including work, parents, children, partner and friendships. This conversation will only take place if you choose to have it with him. He will respect your choice.” - Wendy Gordon
We age because of our DNA and lifestyle and because our hormone levels decline. Bioidentical hormones may help to restore and maintain optimal health and hormone balance.
I am surprised how few women (and men) know about the latest thinking and available treatments in relation to hormone balance. Women can benefit from hormone balancing as early as the teens and the benefits continue well into the 70’s.
Hormones are chemical messengers that circulate in the bloodstream and affect the function of every organ in our body. There are moment to moment fluctuations in hormones, as well as minute to minute, day to day, seasonal and then major life events such as puberty, pregnancy, adulthood, and the menopause. There is a drop in hormone levels as both men and women age and as the levels decline we lose our energy, strength and vitality. Lifestyle and stress also boost or reduce the hormone balance.
Click here to download a full information pack on Bioidentical Hormones or click below to see answers to the most frequently asked questions.
+ Bioidentical Hormone Replacment Therapy - The facts
What are Bioidentical hormones?
Bioidentical hormones are identical to the hormones that the ovaries, thyroid and adrenal glands have secreted into your bloodstream for decades. They are produced from plants, usually yam or soya, in the laboratory. The human body has had millions of years to adapt to metabolising and processing Bioidentical hormones, they are part of our normal physiology. The hormones are usually used as creams or lozenges but some can be taken by mouth or vaginally.
What is BHRT?
BHRT is treatment using Bioidentical hormones to replace or balance hormonal deficiencies. Conventional HRT (hormone replacement therapy) may include some Bioidentical hormones but with most HRT the pharmaceutical companies have altered the hormones. Bioidentical hormones in BHRT may facilitate health and balance with minimum side-effects.
Why did the pharmaceutical companies alter the hormones?
By altering the molecular structure of the hormones so they are different to those that occur naturally in the body, manufacturers of conventional HRT treatments have successfully patented their treatments. Premarin has become one of the biggest selling drugs in the world. These foreign molecules have been shown to cause a large number of side effects and increase the risk of cancer, heart disease and thrombosis in the veins.
With BHRT, no one owns Bioidentical hormones and so they cannot be patented. The human body processes bio-identical hormones as if they were its own. They can be better tolerated and have few side effects when taken in the correct dose.
Why might you need BHRT?
Hormones are essential for the normal functioning of your body. If the amount produced drops or the balance between the various hormones alters, the body does not function well. With the advent of Bioidentical hormones it is often possible to replenish and balance the body hormones. This has major physical and psychological health benefits.
How will I know if I need them or not?
A full medical and family history provides the background to assess whether you need hormone treatment or not, and what balance is optimal for you. The focus is on symptoms, backed up by a physical examination and tests, particularly hormone levels in the blood.
How do I take them?
Most bioidentical hormones are broken down in the stomach. The optimal way to take them is using creams which are absorbed through the skin into the bloodstream or lozenge placed under the gum for absorption. Absorption from the lozenge is different than with the creams. Some BHRT progesterone can be taken as a pill by mouth. BHRT oestrogens can also be taken as vaginal tablets and creams.
How do I monitor them?
A full medical history provides the background to assess whether hormone treatment is needed, and what balance is optimal for each person. With hormone treatment the accent is on symptoms, backed up by a physical examination and tests, particularly hormone levels in the blood. The blood levels help to fine tune the hormone doses for each person.
Every man and woman is unique and BHRT supplementation is formulated to each person’s individual needs. Following a consultation and review of the blood hormone levels I will suggest a program of either creams or lozenge, occasionally tablets.
You will need an initial consultation and a follow-up appointment, sometimes after a blood test, to assess the efficacy of the BHRT. You may then require check-ups every two or three months in the first year. Blood tests are useful to check the hormone levels and ensure that you are having the optimal dosage. After that checks are less frequent unless your symptoms change.
Individualised treatment and costs
The creams and lozenge are compounded by a compounding pharmacy of your choice. This enables a prescription to be made to suit your needs. The constituent hormones will then be changed according to your symptoms or the test results, particularly blood levels. Some BHRT hormones are also available on the NHS.
The average cost of using a cream or lozenge over the three months varies on the doses and number of times the lozenges or creams are used each day. In relative terms each dose of cream or lozenge is less than the price of a cappuccino.
A Consultants View
I am enthusiastic about this development as many of my patients, (including myself), have benefited from bioidentical hormones for symptoms that we tend to laugh about as ‘signs of getting older’ but which make us miserable! Younger women also benefit if their hormones are out of balance. Since prescribing BHRT I have been surprised at how many women use them easily and compliance is simple for the majority of women. For some women they are life changing.
BHRT, nutrition and exercise
Nutrition is one of the cornerstones of health and the benefits of BHRT can be enhanced by healthy eating. Changes in eating pattern and lifestyle, often combined with supplements of vitamins and minerals, Omega three essential fatty acids and vitamin D3, can have a remarkable effect. Supplements and healthy eating may also reduce the risk of cancer.
Optimal aerobic and anaerobic exercise also enhances the effect of the hormones.
BHRT and emotions
Deep-seated emotional and lifestyle issues can have a major effect on natural hormone production by the body. On the other hand balancing the hormones can change emotions and feelings resulting in reduced irritability, anxiety, improved sleep and more peace.
There are a variety of traditional and newer techniques to help emotional balance. The negative effects of issues relating to very early childhood or traumatic events during life can be modulated and modified. Emotional balance can have a major role in improving the success of BHRT and reducing the doses of the hormones.
BHRT, energy and well-being
Hormone balancing and attention to nutrition and emotions are powerful ways to improve energy during the day, improve sleep and create an overall sense of well-being.
It may help age-related conditions such as:
- hot flushes
- dry or wrinkled skin
- low energy
- memory loss and cognition
- low libido
- panic attacks
- irritability, mood swings or depression
- headache and migraine
- urinary and vaginal discomfort and infection
- discomfort with sex
Medically recognisable conditions may improve, such as:
- pre-menstrual syndrome PMS
- dysmenorrhea, menorrhagia and irregular periods
- bone loss and osteoporosis
- loss of muscle mass and power
- weight gain
- skin changes
- mood changes
These are changes uncommon with BHRT and for most women the benefits outweigh the disadvantages.
BHRT is generally not recommended for patients who have a medical history that includes:
- heart attack and stroke
- deep vein thrombosis
- hormonally dependent cancers.
BHRT appears to be much safer than conventional HRT, but this remains to be proven because there is less research information available for BHRT.
BHRT does not have the same dangers of heart attack/stroke and thrombosis as conventional HRT. In many instances the hormones increase HDL, the good cholesterol, dilate the blood vessels, and reduce blood clotting thereby possibly even reducing cardiovascular risk.
Breast cancer risk is mainly related to the use of progestin (altered progesterone in conventional HRT). To date the exact risk of BHRT and breast cancer has not been accurately quantified but is probably lower. Biest, a BHRT, is a combination of oestradiol and oestriol and is thought to further reduce the risks of breast cancer.
For more information about Bioidentical hormones and BHRT please contact
Talks, Books & Articles
I am Megan Fensom-Turner, Yehudi’s Practice Manager. We have worked together for 25 years from his time at Viveka and I know that Yehudi’s holistic approach and his expert and empathetic perspective is very effective. I enjoy helping people and will try all I can to make your care as smooth and efficient as it can be.
PHONE: 0790 452 8775
FAX: 020 7681 3178
HARLEY STREET HEALTH CLINIC
104 HARLEY STREET
LONDON W1G 7JD
Parking on Harley Street is metered and in congestion charge zone
By tube Baker Street is a 5 minute walk away.
By bus the 82 and 113 all stop on Harley Street.
BMI Hendon Hospital
46-50 Sunny Gardens Road
London NW4 1RP
There is parking on site. The Hospital is accessible from the M1 (Junction 2), M25 (junction 38) or from the A1 via central London.
By tube Hendon Central Station on the Northern Line is 20 minutes away.
By bus the 326, 143 and 183 all stop in Church Street a 10 minute walk away
If you need to cancel we ask for 48 hours notice. Cancellation after this period will incur a fee. If we cancel an appointment we will give you as much notice as possible.
You may request a chaperone to accompany you during an intimate examination.
+ Consultation fees
New Gynaecological Consultation £240.00 Gynaecological Consultation £200.00 Extended Gynaecological Cons £260.00 Gynaecological Follow Up £190.00 BHRT consultation £150.00 Telephone Consultation £ 85.00/£120 All tests and investigations will be charged separately.
If you require any further information regarding prices please contact Megan 0207 483 0099 or email Megan@Dryehudigordon.com
+ Insurance Claims & pre-authorisation
If you are insured please confirm that you are covered for outpatient care. To claim you must have insurance-relevant symptoms because many companies no longer cover routine screening or preventative treatments; this includes routine cervical smear tests, scans or mammograms. To make a claim you need a current pre-authorisation number, obtained by calling your insurance company prior to your appointment. Medical insurance companies now require a referral from your GP or another doctor. You will need the referral letter before you see Yehudi Gordon; the insurance company may request a copy. You are responsible for payment and for reclaiming the amount from your insurance company. We will help you expedite the claim.
If you have given us your pre authorisation insurance number the bills will be sent to your insurance company. If you do not have a pre authorisation insurance number you will be required to settle your account by bank transfer, credit card, cheque or by bank transfer: Sort code 40-03-11 & Account number 31677152.
+ Comments & Complaints
We welcome your comments and feedback about any aspect of the services provided. All complaints are dealt with within Care Quality Commission guidelines.
Please call or email us if you want advice about your treatment or insurance claims or test results
+ Specialist & Hospital Care
If you require specialised investigations or surgical treatment I will make referrals to medical teams and hospitals.
At all times, your details are kept confidential. If you approve I will share your information with your GP and other health professionals caring for you.
+ Communicating with you
Text messages will be sent to you 48 hours before your appointment confirming the meeting time and place. Email will be used for letters and reports. All personal emails are encrypted and the code is sent to your mobile. If you prefer unencrypted let us know. We will email your address for this and for practice updates.
To secure your appointment we will require your payment card details or your pre auth number issued by your insurance company. Please email or call Megan with details.