Consultant Obstetrician & Gynaecologist | Fetal Medicine Specialist
FRCS (Gyn) Ed, HDGO Dub, DM MD RCSI/IPA Dub, Diploma Advanced Ultrasound OB/GYN & Fetal Medicine
FRCS (Gyn) Ed, HDGO Dub, DM MD RCSI/IPA Dub, Diploma Advanced Ultrasound OB/GYN & Fetal Medicine
With over 20 years of clinical expertise specifically within the Cayman Islands, Dr. Rommel El-Madany has dedicated his career to supporting women and families through every stage of their reproductive journeys. He trained and practiced extensively in the UK and Ireland before bringing his specialist skills to the Caribbean.
Dr. El-Madany is recognized for his unique ability to combine a calm, reassuring bedside manner with a rigorous, evidence-based scientific approach. He is one of the region’s leading specialists in fetal medicine, personally performing advanced 3D/4D scans and diagnostic procedures to ensure the highest level of prenatal care, combined with the best management of gynecological cases, including conservative and surgical approach with both traditional surgery and minimal invasive surgery.
For more than two decades, Dr. El-Madany has been a trusted partner to women and families across the Cayman Islands. At Helena Medical, your health is managed personally by one of the island’s most experienced consultants. We combine advanced clinical evidence with a calm, reassuring approach, ensuring you feel supported at every milestone. From routine wellness to the most complex pregnancy and surgical needs, we provide the continuity of care you and your family deserve.
I need pregnancy care
Full obstetric support throughout pregnancy, including scans, monitoring and ongoing medical support, all led by Dr Rommel El-Madany from your first appointment to birth.
I’d like a gynaecology appointment
Consultant-led gynaecology care for concerns such as menstrual health, pelvic pain, menopause and routine check-ups, delivered with discretion and time to talk.
I’d like a fertility assessment
Clear, sensitive fertility assessments and investigations to help identify possible causes of infertility and discuss appropriate next steps, without pressure.
Beyond obstetrics, Dr. El-Madany is a highly skilled surgeon specializing in fertility-sparing procedures. He is known for managing exceptionally complex cases, such as high-volume myomectomies (fibroid removal), where his focus remains on preserving uterine integrity and optimizing the patient’s future health and fertility.
At Helena Medical, care is defined by excellence and empathy. Dr. El-Madany’s approach is rooted in scientific rigor and holistic support, ensuring every patient feels seen, heard, and protected.
With over 20 years of experience in the Cayman Islands, Dr. El-Madany offers a seamless continuum of care. Whether managing a routine pregnancy, high risk pregnancy or a complex surgical case, his calm demeanor and evidence-based methods provide the reassurance women need when making important decisions about their reproductive health.
I was naturally apprehensive about my first pregnancy, but from my first meeting with Dr. El-Madany, I felt an immediate sense of ease. His calm and reassuring presence made all the difference. He took the time to explain every scan and every milestone with such clarity that I felt empowered rather than overwhelmed. Knowing I had a consultant with his level of experience personally overseeing every stage of my care gave me and my partner incredible peace of mind.
After a previous difficult pregnancy, I sought out Dr. El-Madany for his expertise in high-risk obstetrics and fetal medicine. His scientific, evidence-based approach was exactly what I needed. He was incredibly thorough with every ultrasound and screening, ensuring that no detail was overlooked. Throughout the complications we faced, his steady hand and clinical precision ensured the safe delivery of our baby. We are forever grateful for his specialist care.
What sets Helena Medical apart is the true continuity of care. Unlike larger clinics where you might see a different face at every appointment, Dr. El-Madany was there for every consultation, every scan, and ultimately, the delivery. Having that 24/7 on-call support and a doctor who truly knew my history made my journey through pregnancy and birth feel deeply personal and safe. His 20 years of experience in the Cayman Islands truly shows in his professional and seamless approach
I visited Dr. El-Madany for a long-standing gynaecological issue that had been causing me significant stress. His approach was holistic yet deeply clinical; he provided a clear diagnosis and a management plan that finally gave me relief. He is a consultant who actually listens to his patients and explains the ‘why’ behind the treatment. I highly recommend him to any woman in Cayman looking for expert, personalized reproductive health care.
I came to Dr. El-Madany on a friend’s recommendation, knowing I had multiple fibroids and hoping for a solution that would protect my future fertility. While we knew the surgery would be significant, nothing could have prepared us for the reality: Dr. El-Madany successfully removed a staggering 120 fibroids, I have seen the picture of the 120 fibroids removed. It was a record-breaking number that only became clear during the procedure. I am genuinely amazed that despite such an extensive surgery, Dr. El-Madany’s skill ensured minimal blood loss and I didn’t even require a transfusion. I was able to leave Health City Camana Bay after just one night. Most importantly, he kept my uterus in excellent condition, preserving my dream of becoming pregnant soon. I am profoundly grateful for his calm expertise and the fact that he was able to handle such an unexpected challenge with such perfect results.
At 71 years old, I was suffering from a severe uterine prolapse that made daily life difficult. Because of extensive pelvic surgeries I had as a child, other surgeons warned me that a hysterectomy and repair would be high-risk, with a significant chance of injuring my bladder or bowel due to old scar tissue. I was hesitant until a friend told me, ‘Don’t worry, just go to Dr. El-Madany.
After seeking several opinions, I put my trust in him—and I am so glad I did. The results were nothing short of miraculous. The moment I woke up from anesthesia, I felt like a ‘new woman.’ I honestly felt ready to head straight to the Pickleball court! Just two hours after surgery, I was enjoying a full meal and walking around the ward.
It has been only a week, and I feel better than I have in years. I’m already planning a trip to help my son and his wife with their newborn baby. Dr. El-Madany took a case others were afraid of and gave me my life back. I truly cannot believe how wonderful I feel.
After a devastating pregnancy where I lost my full term baby and nearly lost my life, I was told by several doctors that I should never risk getting pregnant again. My dream of having a family felt over until a friend urged me to see Dr. El-Madany.
From our very first consultation, Dr. Rommel didn’t just offer hope; he offered a plan. He assured me that with highly specialized, careful management, we could navigate a pregnancy safely. I trusted him with my life and the life of my future child.
Thanks to his unwavering support and close monitoring, I didn’t just have a healthy baby—I now have two more. Even when my husband was terrified of losing me at each pregnancy, Dr. Rommel’s calm expertise gave us the confidence to move forward. I am so happy to have the full family I once thought was impossible. I tell my story to everyone I meet because I want the world to know what an incredible consultant he is.