Consultant gynaecology · Central London EC1
Pelvic Pain Assessment in London
Consultant-led investigation of persistent or cyclical pelvic pain, with pelvic ultrasound performed during your appointment.
Pelvic pain has many possible causes and is frequently dismissed. A specialist appointment with imaging in the room is the fastest route to an answer.
Consultant-led · Same-visit pelvic ultrasound · From £200
What to expect
Assessment, imaging and a plan in one visit
Detailed history
Time to describe the pain properly: timing, character, triggers and what has been tried.
Pelvic ultrasound
Same-visit imaging to look for cysts, fibroids, endometriomas and other findings.
Examination
Gynaecological examination by a consultant, explained before it begins.
Explanation
A clear account of what the findings show, including when they are normal.
Treatment plan
Management options discussed and agreed with you.
Onward referral
Referral to other specialties where the cause is not gynaecological.
What we look for
Common causes of pelvic pain
Endometriosis and adenomyosis
Tissue similar to the womb lining growing outside the uterus, or within its muscle wall. Typically cyclical pain that worsens around periods, often with pain during sex. Ultrasound can show endometriomas and signs of adenomyosis, although superficial disease is not visible on a scan.
Ovarian cysts
Most are functional and resolve on their own. They matter when they are large, persistent, or cause sudden severe pain, which can indicate torsion or rupture and needs urgent hospital assessment rather than a clinic appointment.
Fibroids
Benign growths of the uterine muscle. They more often cause pressure, heaviness and bulk symptoms than sharp pain, and their position usually matters more than their size.
Pelvic infection
Pelvic inflammatory disease can cause ongoing pain, abnormal discharge and pain during sex. Swab testing is straightforward and treatment works better the earlier it starts, since untreated infection can affect fertility.
Bladder and bowel causes
Interstitial cystitis, recurrent urinary infection and irritable bowel syndrome all produce pain felt in the pelvis. These are common and are frequently mistaken for gynaecological problems.
Musculoskeletal and nerve causes
Pelvic floor muscle spasm, pain following previous surgery, adhesions and nerve-related pain. These often respond to physiotherapy rather than gynaecological treatment, and recognising them avoids unnecessary investigation.
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
Pelvic pain: what patients ask
Is pelvic pain always gynaecological?
No. Bowel, bladder and musculoskeletal causes are common. Part of the assessment is establishing whether the cause is gynaecological at all, and referring you to the right specialty when it is not.
What can the ultrasound actually show?
It identifies cysts, fibroids, endometriomas and signs of adenomyosis, and can show reduced mobility of the pelvic organs suggesting adhesions. It cannot show superficial endometriosis.
When is pelvic pain an emergency?
Sudden severe pain with nausea, vomiting or fainting needs urgent hospital assessment rather than a private appointment. It can indicate ovarian torsion or a ruptured cyst.
How long should I wait before seeking help?
Pain that persists beyond a few cycles, or that limits what you can do, is worth assessing rather than enduring. Long-standing pain is harder to treat than recent pain.
Will I be examined?
An examination is carried out where it will help the diagnosis, explained before it happens, and you can decline at any point.
Do I need a GP referral?
No. Self-paying patients can book directly.
Related care and reading
Book a consultant gynaecologist
Same-day appointments at 1-5 Portpool Lane, with same-day pelvic ultrasound where clinically appropriate.