Consultant gynaecology · Central London EC1

Endometriosis Assessment in London

Consultant-led assessment of suspected endometriosis, with pelvic ultrasound during your consultation and a clear explanation of what the findings do and do not show.

Endometriosis takes years to diagnose for many women. A specialist appointment is where that process should start, not where it stalls.

Consultant-led · Same-visit pelvic ultrasound · From £200

Diagram of common endometriosis sites in the pelvis: ovaries, pouch of Douglas, uterosacral ligaments, bladder and bowel surface
Typical sites of endometriosis deposits in the pelvis.

What to expect

Assessment, imaging and a plan in one visit

Symptom history

A proper account of pain, cycle and bowel or bladder symptoms, taken without rushing.

Pelvic ultrasound

Imaging during the same visit to look for endometriomas and other findings.

Honest interpretation

Ultrasound cannot exclude endometriosis. We explain clearly what imaging can and cannot tell you.

Pain management

Discussion of medical options for symptom control.

Fertility discussion

Where relevant, assessment and advice on conception.

Onward referral

Written referral for laparoscopy or specialist surgical opinion where indicated.

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

Endometriosis assessment in London

Can endometriosis be diagnosed without laparoscopy?

Often, yes. UK guidance recommends not delaying treatment while waiting for surgical confirmation when the clinical picture is sufficiently suggestive. Ultrasound identifies endometriomas and signs of deep disease, and the symptom history carries equal weight.

Does a normal ultrasound rule endometriosis out?

No. Superficial endometriosis is not visible on ultrasound. A normal scan narrows the possibilities but does not exclude the condition, which is why the consultation matters as much as the imaging.

Does the severity of pain reflect how extensive the disease is?

No. Minimal disease can be extremely painful and extensive disease can cause few symptoms. Treatment is guided by the impact on your life, not by the findings alone.

Will I need surgery?

Not necessarily. Many women are managed medically with anti-inflammatories and hormonal treatment. Surgery is considered for resistant symptoms or deep disease, and we provide a written referral to a specialist centre where it is indicated.

Does endometriosis cause infertility?

It can reduce fertility, but many women with endometriosis conceive naturally. If you are trying to conceive it is important to say so at the first appointment, because it changes which treatments are appropriate.

Do I need a GP referral?

No. If you are paying for yourself you can book directly, often the same day.

Book a consultant gynaecologist

Same-day appointments at 1-5 Portpool Lane, with same-day pelvic ultrasound where clinically appropriate.

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