Consultant gynaecology · Central London EC1
Vaginal Dryness and Painful Sex
A common and very treatable problem that is rarely raised, either by patients or by doctors. Consultant assessment and treatment options explained properly.
Around half of women notice vaginal dryness after the menopause, and most never mention it. It is not something you have to accept, and it does not usually need anything complicated to treat.
Consultant-led · Discussed without embarrassment · £200
What to expect
Assessment and a treatment plan in one visit
What is actually happening
Falling oestrogen thins and dries the vaginal tissue. This is genitourinary syndrome of the menopause, and it affects the bladder and vulva as well.
The symptoms it causes
Dryness, burning, itching, discomfort or pain during sex, bleeding afterwards, and recurrent urinary symptoms that keep being treated as infection.
Examination
A gentle look at the vulva and vagina to confirm the cause and rule out skin conditions such as lichen sclerosus, which needs different treatment.
Local oestrogen
Vaginal oestrogen is highly effective, acts locally rather than throughout the body, and is suitable for many women who cannot or prefer not to take HRT.
Non-hormonal options
Moisturisers and lubricants used correctly help a great deal, and are not the same thing as one another. What to use and what to avoid.
Review
Treatment usually takes a few weeks to work, so there is a follow-up point rather than a prescription and silence.
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
If anything needs adding on the day
If a test is needed during your appointment it is £80 — cervical cytology, chlamydia and gonorrhoea, a urine culture, or a high vaginal swab. The full seven-infection STI panel is £220.
Nothing is added without being discussed with you first, and it is decided in the room rather than chosen at booking, so you are not paying for a test before anyone knows whether you need it. See every fee.
Book an appointment
Same-day appointments at 1-5 Portpool Lane. Nothing about this appointment requires you to explain yourself — it is one of the most common reasons women see a gynaecologist, and one of the easiest to treat.