Gynaecology consultation · Central London EC1
Private Gynaecology Consultation in London
A full consultation with a consultant gynaecologist at 1-5 Portpool Lane, including examination and, where clinically appropriate, pelvic ultrasound during the same appointment.
If you are unsure what to book, this is the right starting point. Investigations can be added during the visit, and you only pay for what is done.
What to expect
What a consultation includes
History and discussion
Time to describe symptoms properly, without being rushed through a ten-minute slot.
Examination
Gynaecological examination by a consultant, explained before it begins.
Pelvic ultrasound
Added during the same visit where clinically indicated, at the package price of £300.
Cervical screening
Can be carried out in the same appointment if you are due.
Clear explanation
What the findings show, in plain language, before you leave.
Written plan
Prescriptions, onward referral or follow-up arranged as needed.
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
The pelvic scan
What a pelvic ultrasound can show
A transvaginal scan gives a detailed view of the uterus, the lining of the womb, the ovaries and the surrounding pelvis. It is the standard first-line investigation for most gynaecological symptoms, and it is performed by the consultant who is assessing you.
What the scan shows
- Fibroids: number, size and position, which is what determines whether they explain your symptoms.
- Ovarian cysts: including the features that distinguish a simple cyst from one that needs following up.
- Polycystic ovarian appearance: one part of diagnosing PCOS, alongside blood tests and your cycle history.
- Endometrial thickness: relevant in heavy, irregular or post-menopausal bleeding.
- Signs suggesting adenomyosis or endometriosis: some features are visible on ultrasound, others are not.
- Device position: whether a previously fitted device sits correctly, often the reason for a scan after a difficult fitting.
- Early pregnancy: location and viability, where that is the question.
And what it cannot
Being straightforward about the limits matters, because a normal scan does not always mean nothing is wrong.
- Superficial endometriosis is frequently invisible on ultrasound. A normal scan does not rule it out, and persistent pain deserves further assessment regardless of what the images show.
- Ultrasound cannot confirm cancer. It can identify features that need urgent further investigation, which is a different and important thing.
- It does not replace cervical screening. A smear tests the cells of the cervix; a scan looks at structures.
- Some findings depend on where you are in your cycle, so a repeat scan at a specific point is occasionally the right answer rather than a sign that something was missed.
Common questions
Questions patients ask before booking
Does a transvaginal scan hurt?
It should not. The probe is narrower than a speculum and no wider than a tampon, and it is warmed and lubricated. Most patients describe pressure rather than pain. If you have vaginismus, a history that makes internal examination difficult, or you are simply anxious about it, say so at the start. An abdominal scan can be done instead, and while the view is less detailed it is often enough to answer the immediate question.
Can I have a scan during my period?
Yes. Bleeding does not prevent a scan and it is not a reason to cancel. For a few specific questions, such as assessing the endometrium or counting follicles, a particular week of the cycle gives a clearer answer, and in that case a second scan may be suggested. If you are being seen for heavy bleeding, being seen while it is happening can be useful.
Do I need a full bladder, or an empty one?
For a transvaginal scan, an empty bladder is more comfortable and gives a better image, so you will be asked to go to the toilet beforehand. An abdominal scan is the opposite and needs a reasonably full bladder. Since it is not always clear in advance which is needed, come normally hydrated and follow the instruction on the day rather than trying to prepare for both.
How soon do I get the results?
Immediately. Because the consultant performs the scan, you are told what has been seen while you are still in the room, and there is no wait for a separate radiology report. A written summary follows, and can be sent to your GP with your consent. Blood tests or a smear taken at the same visit come back separately.
Do I need a GP referral first?
No. You can book a self-funded appointment directly. If you intend to claim through private medical insurance, check with your insurer first. Most require a referral and a pre-authorisation code before the appointment, and that cannot be applied retrospectively.
Can I bring someone with me?
Yes. If you would find it easier to have a partner, friend or relative in the room for the discussion but not the examination, that is straightforward to arrange. Just say so. If you would prefer a chaperone rather than someone you know, let us know before your appointment so it can be arranged.
What if the scan finds something that needs treatment?
You leave with a plan rather than a question mark. Depending on the finding that might mean medical treatment started the same day, a repeat scan at an agreed interval, further imaging, or referral to a specialist service for a procedure. Where something needs urgent attention, that is arranged rather than left with you to chase.
Can I have a smear at the same appointment?
Usually yes, if you are due one, and it saves a second visit. Mention it when you book so that enough time is allowed. It is best avoided during heavy bleeding, as the sample can be harder to read.
Book a gynaecology consultation
Same-day appointments in Central London, with same-day pelvic ultrasound where clinically appropriate.