In Practice: The Annual Review 2025
Over the past year, a number of patterns have become increasingly difficult to ignore across women’s health.
Women are often arriving in specialist care after prolonged periods of symptoms, having already navigated multiple appointments, fragmented pathways, and experiences that have left them managing symptoms long before receiving meaningful answers. Delayed diagnosis, inconsistent access to care, and the normalisation of pain continue to shape how many women experience healthcare today.
At the same time, women’s health is receiving more attention than ever before. Policy discussions have expanded, public awareness has grown, and conversations that were once considered niche are increasingly entering the mainstream. Yet in clinical practice, many of the same challenges remain.
Our inaugural In Practice: Annual Review 2025 brings together perspectives from across London Gynaecology, alongside wider data and policy developments, to reflect on what is becoming clearer in practice, and where care continues to fall short.
The report explores a number of themes shaping women’s health today, including:
- delayed diagnosis and the impact of waiting
- fragmentation across healthcare pathways
- menopause and long-term health
- endometriosis and diagnostic complexity
- trust, communication, and the experience of care
- the growing role of diagnostics and imaging
- nutrition and women’s health across the life course
Rather than offering simple conclusions, the report aims to reflect honestly on the realities many patients and clinicians are currently navigating. It combines clinical insight, commentary, and data to examine not only individual conditions, but the wider systems surrounding women’s healthcare.
This is the first report of its kind from London Gynaecology and marks an important step in how we hope to contribute more broadly to the conversation around women’s health: both within clinical practice and beyond.
We are incredibly grateful to everyone across the organisation who contributed their expertise, insight, and time to making this possible.
Download the full report here.
Throughout the report, we use the term “women” in line with the patient population most commonly represented in our clinical practice, while recognising that not all individuals accessing gynaecological care identify this way.