When you book a private gynaecology appointment in London, it is easy to assume that all clinics offer broadly the same standard of care. In practice, the seniority and qualifications of the clinician you see can make a substantial difference to the quality and speed of your diagnosis and treatment. This page explains what consultant-led gynaecology means, why it matters, and how AristoGP delivers it at a price below the London average.
What Does “Consultant-Led” Mean?
A consultant gynaecologist is a doctor who has completed specialist training in obstetrics and gynaecology — typically seven or more years of specialist postgraduate training after qualifying as a doctor. Consultant gynaecologists are registered with the General Medical Council (GMC) as specialists, which is a distinct category from a GP on the specialist register.
This is meaningfully different from:
- A GP performing gynaecological procedures as part of their general practice
- A nurse or nurse practitioner carrying out smear tests or contraceptive services
- A sonographer performing ultrasound scans without specialist clinical training
None of the above arrangements are inherently unsafe, but they do represent a different level of specialist expertise from a fully trained consultant gynaecologist — and that distinction can matter when you are presenting with complex, persistent, or concerning symptoms.
The AristoGP Difference
At many London private clinics, your gynaecological care may be fragmented across multiple professionals:
- A GP for the consultation
- A sonographer for the ultrasound — often on a different day
- A nurse for cervical screening
- Results communicated by letter, sometimes weeks later
At AristoGP, Dr Anastasia Mermigka (GMC 7640566) is a specialist consultant gynaecologist who:
- Conducts the full gynaecological consultation
- Performs the pelvic ultrasound herself, during the same appointment
- Performs cervical screening herself
- Explains all findings to you face-to-face at the end of the appointment
- Provides a written report
- Makes clinical decisions immediately, based on a complete picture of your history and imaging
This integrated approach means no communication delays between clinicians, no waiting for a scan to be reported by a third party, and no appointment fragmented across multiple visits.
Same-Day Ultrasound with Your Consultant
One of the most clinically significant aspects of AristoGP’s service is that the pelvic ultrasound is performed by the same consultant who takes your history and assesses your symptoms. This is not the norm across London private medicine — at many clinics, scans are reported by a radiologist or sonographer who has not met you, and results are communicated back to you separately.
AristoGP uses a specialist high-resolution ultrasound system with 2D, 3D, and 4D imaging capability — the same technology used in NHS hospital gynaecology departments. Because Dr Mermigka performs the scan herself, she can tailor it to your specific symptoms and clinical picture, rather than following a generic protocol. A finding identified during the consultation can be assessed immediately on scan, and the clinical significance explained to you at once.
Same-day ultrasound is included in the consultation + ultrasound package at £250 (Easter Offer, normally £270). Compare this to the typical London rate of £430–£610 for the equivalent combined appointment at most London clinics.
Specialist and GP Under One Roof
AristoGP is unusual in offering both a specialist consultant gynaecologist and an experienced private GP within the same clinic. This matters when your symptoms have both gynaecological and general medical aspects — for example, where hormonal issues, metabolic conditions, or chronic illness are intersecting with gynaecological concerns.
Dr Schoinas (GP, MRCGP, GMC 7632510) provides comprehensive primary care alongside Dr Mermigka’s specialist gynaecology service. If your assessment reveals a need for GP-level management — such as repeat prescriptions, general health checks, or referrals — this can be arranged within the same clinic, without being sent elsewhere.
This combination of specialist and GP under one roof is particularly useful for patients with complex or ongoing health concerns, or those who wish to consolidate their private healthcare in a single Central London clinic.
Affordable Consultant-Led Care
Consultant-led private gynaecology is often assumed to be significantly more expensive than GP-led services. At AristoGP, this is not the case. Our fees are below the London average despite delivering consultant-led care throughout.
- Gynaecology consultation: £180
- Consultation + pelvic ultrasound: £250 (Easter Offer)
- Cervical screening: from £150
- Well woman check (consultation + ultrasound + screening): £340
Multilingual Consultations
We understand that discussing intimate health concerns can be easier in your first language. At AristoGP, we offer multilingual consultations to remove language barriers from gynaecological care.
- Dr Mermigka speaks English, Greek, and Italian fluently. See our Italian-speaking gynaecologist and Greek-speaking gynaecologist pages for more information.
- Dr Schoinas speaks English, Greek, and Bulgarian.
For many patients in London’s diverse communities — including the Greek, Italian, and Eastern European communities with significant presences across Central and North London — being able to discuss symptoms and receive explanations in your first language can meaningfully improve your experience of care.
Book a Consultant-Led Gynaecology Appointment Without GP Referral
You do not need a GP referral to see Dr Mermigka at AristoGP. You can book directly using our online booking system. If you are unsure which appointment type to book, you can contact us and our team will advise you. See our full list of gynaecology services, or visit our contact page with any queries.
Purpose-Built for Women’s Health
Consultant-led care is not just about the qualifications of the doctor — it extends to the clinical environment and equipment. At AristoGP, we have invested in specialist gynaecology equipment because it directly affects the quality of your assessment and your comfort during it.
Our clinic features a dedicated gynaecology examination plinth with adjustable backrest, leg supports, and electric height adjustment. This is the same type of specialist equipment used in dedicated gynaecology units in NHS hospital gynaecology departments — not a standard GP examination couch.
Why does this matter?
- More thorough clinical assessment — proper positioning allows the consultant to perform a more complete examination in less time
- Greater comfort — adjustable support means less strain and discomfort for the patient during pelvic examinations and transvaginal ultrasound
- Dignity and professionalism — a purpose-built plinth provides a more dignified experience than an improvised position on a flat couch
- Faster appointments — optimal positioning means the clinical assessment is more efficient, reducing the overall time you spend in an examination
Alongside our specialist high-resolution ultrasound system with 2D, 3D, and 4D imaging capability, AristoGP provides the same standard of specialist equipment you would find in a dedicated hospital gynaecology unit — in a more comfortable, private setting.
Frequently Asked Questions
What is the difference between a consultant gynaecologist and a GP?
A consultant gynaecologist has completed specialist postgraduate training in gynaecology and is GMC-registered as a specialist. A GP is a general practitioner with broad medical training but without specialist gynaecology qualifications. At AristoGP, all gynaecological consultations are conducted by Dr Mermigka, a specialist consultant gynaecologist.
Will the same doctor perform my ultrasound and consultation?
Yes. At AristoGP, Dr Mermigka performs both the consultation and the pelvic ultrasound herself, in the same appointment. This is different from many London clinics where scans are performed by a sonographer separately from the consultation.
Do I need a referral from my NHS GP to book a private gynaecologist?
No referral is needed. You can book directly with AristoGP using our online booking system. If you have relevant GP letters or previous test results, bringing these to your appointment can be helpful, but they are not required.
Is consultant-led gynaecology more expensive than GP-led care?
Not at AristoGP. Despite offering fully consultant-led care, our fees are below the London average for both consultations and combined consultation-plus-ultrasound appointments. You can view our current fees on our private gynaecology costs page.
Can I have my consultation in Greek or Italian?
Yes. Dr Mermigka speaks English, Greek, and Italian fluently. Appointments in any of these languages can be booked directly. Dr Schoinas (GP) speaks English, Greek, and Bulgarian.
Reviewed and authored by Dr Anastasia Mermigka, Consultant Gynaecologist, GMC Registration No. 7640566. Dr Mermigka is a specialist consultant gynaecologist practising at AristoGP, 1-5 Portpool Lane, London EC1N 7UU. All clinical content on this page is reviewed for accuracy and currency.