Consultant gynaecology · Central London EC1
Irregular Bleeding Clinic in London
Bleeding between periods, after sex, or cycles you can no longer predict — assessed by a consultant gynaecologist, with pelvic ultrasound in the same appointment.
Most irregular bleeding has a benign explanation: hormonal shifts, polyps, fibroids or medication effects. But bleeding that changes your normal pattern deserves a proper answer rather than months of watching and waiting.
Consultant-led · Same-visit pelvic ultrasound · From £300
What to expect
Assessment and imaging in one appointment
Your history
When the bleeding happens — mid-cycle, after sex, or without pattern — how long it has been going on, and what medication you take.
Pelvic ultrasound
Transvaginal ultrasound examines the womb lining, checks for polyps and fibroids, and looks at both ovaries — the most useful first step in irregular bleeding.
Examination
Assessment of the vulva, vagina and cervix, since bleeding between periods or after sex often starts at the cervix rather than the womb.
What the scan shows
Findings explained during the appointment, including polyps, fibroids and ovarian causes such as PCOS.
When more is needed
Where cervical screening, an endometrial biopsy or hysteroscopy is needed, it is arranged rather than left with you.
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 irregular bleeding
Is bleeding between periods serious?
Usually not. Common causes include hormonal fluctuation, polyps, fibroids and cervical causes. But a change in your normal pattern — particularly bleeding after sex or bleeding that persists — should be assessed rather than watched.
What counts as irregular bleeding?
Bleeding between periods, bleeding after sex, cycles shorter than 21 or longer than 35 days, or periods whose timing you can no longer predict. Light spotting counts.
I am on hormonal medication and bleeding. Does that need checking?
Unscheduled bleeding is common in the first months of a new hormonal medication and often settles. Bleeding that continues beyond three months, starts after a settled pattern, or follows sex should be assessed.
What does the appointment involve?
A history, an examination of the vulva, vagina and cervix, and a transvaginal ultrasound. Findings are explained during the appointment, with a written report.
Will I need further tests?
Not always. Many women need only the consultation and scan. Where screening is due, or the scan raises a question, cervical screening, biopsy or hysteroscopy is arranged.
Should I also see my NHS GP?
Yes, particularly for bleeding after sex or persistent bleeding, which qualify for NHS assessment pathways. A private appointment gets you an answer quickly, and we write to your NHS GP with your consent so nothing is lost.
Get an answer this week
Same-day appointments at 1-5 Portpool Lane, four minutes from Chancery Lane, with pelvic ultrasound in the same visit. Consultations in English, Greek, Italian and Bulgarian.