Mr Griffiths completed his formative training in the Midlands winning many prizes and awards. His first fellowship was in infertility and IVF at St James's University Hospital, Leeds. Following a competitive process he was awarded a 12 month funded Fellowship to Harvard Medical School, Boston, USA to undertake research on the pelvic floor and incontinence with the world’s first erect fast MRI scanner.  Before taking up his NHS Consultant post he also worked at the Center for Endometriosis Care, Atlanta, Georgia and various hospitals in New Zealand.

His specialist interests are menstrual disorders, pelvic pain & endometriosis.  He also specialises in pelvic floor problems, urinary incontinence and cystitis. Mr Griffiths is an accredited British Menopause Society specialist, one of just over a hundred in the country, and is also a recognised trainer for fellow doctors and nurses.

Mr Griffiths encourages and values a personal holistic approach to your gynaecological concerns in a comfortable and relaxed setting. He offers fast track appointments for any urgent concerns and will liaise with your GP if NHS care is required. Mr Griffiths has a wealth of surgical expertise and specialises in advanced and complex laparoscopic (key-hole) surgery for endometriosis, fibroids, ovarian cysts, pelvic floor reconstruction and other benign problems. Mr Griffiths was a trainer in advanced laparoscopic surgery for The University of Surrey and has taught many of the present consultants. He is currently the principal trainer for benign gynaecological surgery for the O&G trainees in the South West Deanery.

Mr. Grffiths serves as the Medical Director of The Hysterectomy Centre, the UK’s first dedicated facility focused exclusively on hysterectomy care. Under his leadership, the centre brings together a highly skilled, multi-professional team committed to delivering exceptional, patient-centred care in a supportive and empowering environment.

His role reflects not only his clinical expertise but also his passion for advancing women’s health through innovation, education, and collaboration. He completed a Surgical Leadership Programme at Harvard Medical School, further honing his skills in strategic thinking, healthcare innovation, and team leadership. This commitment to continuous learning ensures that patients benefit from the very latest in surgical techniques and best practices. Driven by a vision of excellence, Mr. Griffiths is dedicated to transforming the experience of hysterectomy care - making it safer, more personalised, and more compassionate for every woman he treats.

Mr Griffiths’s patients highly commend his knowledge, professionalism and ability to put them at complete ease saying: 

"A true professional - Dr Griffiths has been a thoughtful expert from start to finish."

"On meeting him for the first time, he felt like an old friend, made me feel at ease and explained everything helpfully.  At treatment times and follow up, the same - thank you David.

"David is friendly and welcoming, puts you at ease and makes you feel comfortable.  Very knowledgeable and wiling to explain options."

Endometriosis Q&A with Mr Griffiths

What is endometriosis?

Endometriosis is a chronic condition where tissue similar to the endometrial lining of the uterus grows outside the uterine cavity. These misplaced tissues can attach to organs such as the ovaries, fallopian tubes, bladder, or intestines. During the menstrual cycle, this tissue responds to hormonal changes by thickening, breaking down, and bleeding, just like the uterine lining. However, because this blood has no way to exit the body, it can cause inflammation, pain, and the formation of scar tissue or adhesions. Endometriosis affects women of reproductive age and is often associated with significant pain and fertility issues. Approximately one in eight women suffer with endometriosis and most experience symptoms for 7 to 8 years before a diagnosis is made. 

What are the symptoms of endometriosis?

Symptoms vary widely among individuals but commonly include:

• Severe menstrual cramps that worsen over time
• Chronic pelvic or lower back pain
• Pain during or after sex
• Painful bowel movements or urination, especially during periods
• Heavy menstrual bleeding or irregular periods
• Fatigue
• Infertility or difficulty conceiving Some women experience minimal symptoms or are asymptomatic, which can delay diagnosis.

What causes endometriosis?

The exact cause of endometriosis remains unknown, but several theories exist:

• Retrograde menstruation: Menstrual blood containing endometrial cells flows back through the fallopian tubes into the pelvic cavity instead of leaving the body.
• Genetic factors: Family history increases risk, suggesting genetic predisposition.
• Immune system dysfunction: Impaired immune response may fail to recognize and eliminate misplaced endometrial tissue.
• Coelomic metaplasia: Certain cells outside the uterus transform into endometrial-like cells
• Environmental factors: Some evidence suggests environmental toxins might play a role, though research is ongoing. 

How is endometriosis diagnosed?

Diagnosis typically involves a combination of medical history, examination, and imaging tests such as ultrasound or MRI. However, these methods often cannot definitively confirm endometriosis. The Gold Standard for diagnosis is laparoscopy, a minimally invasive surgical procedure that allows direct visualization of endometrial implants, adhesions, and cysts. During laparoscopy, tissue samples can be taken for biopsy to confirm the diagnosis.

Can endometriosis be cured?

Currently, there is no definitive cure for endometriosis. It is a chronic condition like asthma or eczema. Treatment focuses on managing symptoms, improving quality of life, and preserving fertility if required. Options include:

• Pain medications: NSAIDs to reduce inflammation and pain
• Nutrition and lifestyle advice: Maintaining a healthy lifestyle and an anti inflammatory diet.
• Hormonal therapy: Options include birth control pills, GnRH agonists, progesterone therapy and hormonal coils.
• Surgical interventions: Laparoscopy to excise or ablate endometrial lesions and scar tissue
• Assisted reproductive technologies: If fertility is affected assisted conception may be required.

I take the time to discuss all available options with my patients, and together we decide on the best course of action that aligns with their lifestyle.

Vaginal Prolapse -  A Guide with Mr Griffiths

Mr Griffiths is a warm and approachable consultant with extensive experience in treating vaginal prolapse. He understands that discussing intimate health concerns can feel daunting, so he creates a calm, respectful environment where patients feel listened to and supported every step of the way.

What is vaginal prolapse?
Vaginal prolapse, or pelvic organ prolapse, happens when the muscles and tissues that support the pelvic organs become weakened or damaged. This can cause organs like the bladder, uterus, rectum, or small intestine to drop down into the vaginal canal. It can range from a mild bulge to a more noticeable protrusion.

Common causes include childbirth, menopause, ageing, and previous surgeries. While prolapse isn’t life-threatening, it can affect your quality of life - causing discomfort, pressure, or issues with bladder and bowel function.

What are the symptoms?
Symptoms vary, but many women describe:

• A feeling of heaviness or pressure in the pelvis
• A bulge or lump in or outside the vagina
• Discomfort during sex
• A dragging sensation in the lower abdomen
• Urinary issues (e.g. incontinence, frequent urination)
• Bowel problems (e.g. constipation)
• Lower back discomfort

Some women may have no symptoms at all, which is why a gentle and thorough assessment is so important.

What causes it?
Several factors can contribute to prolapse, including:

• Childbirth, especially vaginal deliveries
• Menopause, due to lower oestrogen levels
• Chronic pressure from heavy lifting, coughing, or constipation
• Previous pelvic surgery
• Genetics, as some women naturally have weaker connective tissue
• Pelvic trauma or injury
• Often, it’s a combination of these factors.

How is it diagnosed?

Mr Griffiths carries out a careful and respectful pelvic examination to assess the type and extent of prolapse. You may be asked to cough or bear down gently to observe any movement.

If needed, further tests like ultrasound, MRI, or bladder function studies may be arranged. In some cases, a trial with a pessary (a small support device) can help determine the best treatment path.

What are the treatment options?
Treatment is always tailored to your symptoms, lifestyle, and preferences. Mr Griffiths takes time to explain each option clearly, so you can make informed decisions together.

Options include:

• Pelvic floor exercises: Strengthening the muscles can help with mild symptoms.
• Pessaries: These are removable devices placed in the vagina to support the organs—ideal for those preferring non-surgical options.
• Lifestyle changes: Managing weight, avoiding heavy lifting, and treating constipation can prevent worsening.
• Surgery: For more significant prolapse, surgical repair may be recommended. This could involve vaginal repair, uterine suspension, or other techniques to restore support.
• Hormone therapy: For postmenopausal women, oestrogen may help improve tissue strength.

Mr Griffiths is committed to providing compassionate, expert care. Whether you're seeking reassurance, exploring non-surgical options, or considering surgery, you’ll be met with kindness, clarity, and respect at every stage.

Hysterectomy – Your Questions Answered by Mr Griffiths

Mr Griffiths is a compassionate and highly experienced consultant who supports women through every stage of their gynaecological care. Known for his calm, friendly manner, he ensures patients feel at ease when discussing their options, including when a hysterectomy may be the right step.

What is a hysterectomy, and why might someone need one?
A hysterectomy is an operation to remove all or part of the uterus (womb). There are different types, depending on your condition and needs:

• Total hysterectomy – removes the uterus and cervix, often using minimally invasive ‘keyhole’ techniques.
• Supracervical (partial) hysterectomy – removes the uterus but leaves the cervix in place.
• Radical hysterectomy – removes the uterus, cervix, upper vagina, and surrounding tissues, usually for cancer treatment.

Common reasons for a hysterectomy include fibroids, endometriosis, adenomyosis, uterine prolapse, persistent abnormal bleeding, gynaecological cancers, or chronic pelvic pain that hasn’t responded to other treatments.

Mr Griffiths takes time to explain each option clearly and ensures that every decision is made together, with your wellbeing and lifestyle in mind.

How long does recovery take?
Recovery depends on the type of surgery:

• Abdominal (open) surgery – around 8–12 weeks
• Vaginal or laparoscopic (keyhole) surgery – typically 4–6 weeks

Regardless of the method, gentle walking is encouraged early on, but heavy lifting and strenuous activity should be avoided for several weeks. Full internal healing takes about three months. Mr Griffiths and his team provide clear post-operative guidance and are always available for support during recovery.

Will I go into menopause after a hysterectomy?

Menopause only occurs immediately if both ovaries are removed (a procedure called bilateral oophorectomy). If your ovaries are left intact, they usually continue to function, though menopause may occur slightly earlier than average.

Some women experience menopausal symptoms even if their ovaries remain, due to reduced blood flow. As an accredited menopause specialist, Mr Griffiths will talk you through your hormone options and help you manage any symptoms with care and clarity.

What are the risks or side effects?
As with any surgery, there are some risks, including:

• Bleeding, infection, or blood clots
• Injury to nearby organs (e.g. bladder or bowel)
• Early menopause symptoms if ovaries are removed
• Vaginal dryness or changes in sexual sensation
• Pelvic floor weakness or prolapse (less common with modern techniques)
• Emotional responses, such as grief over fertility or mood changes

Mr Griffiths uses the latest surgical techniques to minimise risks and works closely with patients to manage any side effects—whether through pelvic floor support, hormone therapy, or simply listening and offering reassurance.

Can I have sex after a hysterectomy?
Yes. Most women can resume vaginal intercourse once healing is complete—usually around 6 weeks, though this should be confirmed at your post-op check. Some women notice changes in sensation or lubrication, especially if the ovaries were removed, but these can often be managed with lubricants or moisturisers.

Mr Griffiths approaches these conversations with sensitivity and openness, ensuring you feel confident and informed about your recovery and sexual wellbeing.

• Pelvic floor problems
• Endometriosis and pelvic pain
• Menstrual problems
• Advanced laparoscopic surgery

• Royal College of Obstetricians & Gynaecologists
• British Society of Urogynaecology
• British Society for Gynaecological Endoscopy
• British Menopause Society
• Awarded Highly Commended at The Menopause Awards 2026 for Menopause Specialist (Doctor) of the Year