Consultant gynaecology · Central London EC1
Adenomyosis Assessment in London
Painful, heavy periods and a bulky, tender womb — adenomyosis is common, real and underdiagnosed. Consultant assessment with pelvic ultrasound in one appointment.
Adenomyosis — womb-lining tissue growing into the muscle of the womb — affects a significant share of women with heavy or painful periods, yet many wait years for a name for their symptoms. Ultrasound in experienced hands can now identify most cases.
Consultant-led · Same-visit pelvic ultrasound · From £300
What to expect
Assessment and imaging in one appointment
Your history
The pattern of pain and bleeding, how it has evolved, and what it is costing you — periods that stop your life are not something to put up with.
Ultrasound signs
Transvaginal ultrasound looks for the recognised features of adenomyosis — a thickened, asymmetric womb wall, cysts within the muscle, and a blurred junctional zone.
Telling conditions apart
Adenomyosis, fibroids and endometriosis overlap and can coexist. The examination and scan together sort out which is driving your symptoms.
What the scan shows
Findings are explained during the appointment, with the images, in plain language.
Treatment options
From hormonal treatment that quietens symptoms to referral for specialist procedures where needed — a plan matched to your priorities, including fertility.
Urgent referral
If findings suggest anything requiring urgent specialist care, referral is arranged the same day.
Fees
Published fees
Gynaecology Consultation
Full consultant consultation
£200
Consultation + Pelvic Ultrasound
Same-day scan and results
£300
Complete Well Woman Check
Consultation, ultrasound and cervical screening
£380
Common questions
Questions about adenomyosis
What does adenomyosis feel like?
Typically periods that are both heavy and painful, a dragging pelvic heaviness, pain during sex, and a womb that feels tender. Symptoms often worsen through the 30s and 40s.
How is it diagnosed?
Historically only by examining the womb after hysterectomy. Today a careful transvaginal ultrasound identifies most cases; MRI is occasionally added where the picture is unclear.
Is it the same as endometriosis?
They are related but different: endometriosis grows outside the womb, adenomyosis within its muscle. Both can cause pain, both can coexist, and treatment differs.
Does adenomyosis affect fertility?
It can, though many women with adenomyosis conceive without difficulty. If fertility is part of your picture, the assessment and plan take it into account.
Can it be treated without surgery?
Often, yes. Hormonal treatments control symptoms well for many women. Surgery is a last resort, and never the starting point.
Should I also see my NHS GP?
Yes — heavy, painful periods deserve NHS attention too. A private assessment gets you an answer quickly, and we write to your GP with your consent.
Get your symptoms taken seriously
Same-day appointments at 1-5 Portpool Lane, with pelvic ultrasound in the same visit. Consultations in English, Greek, Italian and Bulgarian.