Consultant gynaecology · Central London EC1
Painful Periods Clinic in London
Period pain that stops your life is not normal and not something to endure. Consultant assessment with same-visit ultrasound to find the cause and guide you on the right next steps.
Some period discomfort is common; pain that defeats painkillers, cancels plans or costs you work days is a medical symptom. Behind severe period pain there is often endometriosis, adenomyosis or fibroids — none of them diagnosable by guesswork.
Consultant-led · Same-visit pelvic ultrasound · From £300
What to expect
Finding the cause, not masking it
Your history
When the pain comes, how long it lasts, and what it stops you doing — the pattern carries most of the diagnosis.
Pelvic ultrasound
Transvaginal ultrasound looks for adenomyosis, fibroids, ovarian cysts and other structural causes in the same appointment.
Examination
Gentle, explained first, and only where it will genuinely inform the plan.
Primary or secondary
Pain with no underlying disease behaves differently from pain caused by a condition — separating the two is the point of proper assessment.
Treatment
From targeted medication to referral for the underlying condition — you leave with clear guidance on next steps, not a suggestion to take ibuprofen.
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 period pain
How much period pain is normal?
Mild cramping that responds to simple painkillers is common. Pain that makes you vomit, faint, miss work or dread each cycle is not — and deserves investigation.
What causes severe period pain?
Endometriosis and adenomyosis are the leading culprits, followed by fibroids and pelvic infection. In younger women pain often has no underlying disease — but that is a conclusion to reach after assessment, not before.
Why has my pain got worse over the years?
Worsening pain is a pattern that points towards a developing cause — classically endometriosis or adenomyosis — rather than simply how your periods are.
Will I need an internal scan?
A transvaginal scan gives much clearer views of the womb and ovaries, and is offered with everything explained first. An abdominal scan can be used where preferred.
Can painful periods be treated?
Yes — properly assessed and treated, most women get substantially better. The right treatment depends on the cause, which is why assessment comes first.
Should I also see my NHS GP?
Yes — severe period pain deserves NHS attention too. A private assessment gets you answers quickly, and we write to your GP with your consent.
Related care and reading
Stop planning your life around pain
Same-day appointments at 1-5 Portpool Lane, with pelvic ultrasound in the same visit. Consultations in English, Greek, Italian and Bulgarian.
After your assessment, the doctor will explain the findings and guide you on the most appropriate next steps. Depending on what is found, this may include monitoring, further tests, a prescription, treatment we can offer at the clinic, or referral to another specialist or service. Not every condition can be treated at AristoGP, and an appointment does not guarantee a particular treatment or prescription.