Services & fees · Central London EC1
Services & Pricing
Every fee we charge is published here. Every fee is published in advance and agreed before your appointment.
Payment is taken at the time of consultation. If further tests or procedures are needed, they are discussed and priced with you before they are carried out.
Consultant gynaecology
Gynaecology consultations and packages
All gynaecology appointments are with Dr Anastasia Mermigka, consultant gynaecologist and obstetrician. Pelvic ultrasound is performed during your consultation where clinically appropriate, with same-day results.
A1 — Gynaecology Consultation / Routine Well Woman Check
45 minutes, for any gynaecological concern — periods, pain, fibroids, ovarian cysts, PCOS, endometriosis, menopause, perimenopause, vaginal dryness or fertility. Includes pelvic examination where needed and a management plan
£200
A2 — Consultation + Pelvic Ultrasound
45 minutes. Everything above, with the scan performed and explained in the same appointment
£300
A3 — Complete Well Woman Check
45 minutes. Consultation, pelvic ultrasound and the high-risk HPV test (14 types) in one visit. Cytology added free if HPV is found
£380
B3 — HPV Test + Pap Smear Together
15 minutes, sample only. HPV and cytology (Pap) are both reported whatever the result — the Pap test many patients know from abroad
£230
T1 — IVF Follicular Tracking Ultrasound
Serial monitoring scans during an IVF or ovulation induction cycle, reported for your fertility unit. Per scan
£200
Added during the appointment — £80 each
Cervical cytology
Reported alongside HPV whatever the result, for patients who would rather have both
£80
Chlamydia and gonorrhoea
The two most common sexually transmitted infections
£80
Urine culture and sensitivities
Where urinary symptoms need confirming rather than treating on assumption
£80
High vaginal swab
A diagnostic test where symptoms call for it, rather than routine screening
£80
Full STI panel
The full seven-infection PCR panel (incl. herpes) instead of the two tests above
+£220
Screening without a consultation
B1 — Cervical Screening: HPV Test (UK method)
15 minutes, sample only. The high-risk HPV test (14 types); a Pap (cytology) report is added only if HPV is found. Taken by a consultant gynaecologist. For women without symptoms
£150
B2 — Full STI Panel (7 PCR, incl. herpes)
15 minutes, swab only, no blood test. Chlamydia, gonorrhoea, Mycoplasma genitalium, Ureaplasma, Trichomonas, Gardnerella and herpes (HSV I/II). For screening
£290
B4 — STI & Vaginal Infection Panel (6 PCR + swab culture)
15 minutes, swab only. Chlamydia, gonorrhoea, Mycoplasma genitalium, Ureaplasma, Trichomonas, Gardnerella and a vaginal swab culture (thrush and other bacteria). For women with symptoms
£290
Pregnancy, follow-up and second opinion
E1 — Early Pregnancy Assessment
40 minutes. Consultation and ultrasound up to 12 weeks, with the findings explained before you leave
£240
E2 — Repeat Early Pregnancy Scan
30 minutes. Interval scan within four weeks, where the first was too early to be conclusive
£160
F1 — Follow-up Consultation
30 minutes. For a problem already assessed here — results, symptoms and next steps
£120
F2 — Follow-up + Pelvic Ultrasound
45 minutes. Review with repeat imaging where it is needed
£200
G1 — Second Opinion & Review
45 minutes. Reports, scans and blood results read before you arrive. Please send them at least three working days ahead
£320
Private GP
General practice consultations
GP appointments are with Dr Georgios Schoinas, MRCGP, face-to-face at the clinic. Consultations are available in English, Greek and Bulgarian, and include diagnosis, treatment, prescriptions and onward referral where clinically appropriate. Blood tests and other investigations, if needed, are charged separately.
Private GP Consultation
Face-to-face at the clinic
from £150
GP Follow-up Appointment
Within 6 weeks of a GP appointment here
£120
Simple things too
What people come in for
Not every appointment is a complicated case. Most are one symptom, one question, or a routine check — and those are seen the same day, by the same consultant, at the standard £200 consultation fee.
Discomfort and irritation
Vaginal dryness
Common after the menopause, on some contraception, and while breastfeeding. Treatable, and rarely something to live with.
Itching or burning
Often treated as thrush for months without the diagnosis being confirmed. A swab settles it.
Soreness during sex
Dryness, a skin condition, or muscle tension — each needs a different answer.
Unusual discharge · recurrent thrush · bacterial vaginosis · vulval skin changes
Routine and preventive
Cervical screening
The HPV test on its own, or with a consultation if you would rather discuss it.
Contraception advice
Which method suits you, and switching if the current one does not.
A check with no symptoms
Reassurance is a legitimate reason to book. Many appointments end with nothing needing treatment.
Sexual health screening · period problems · menopause and HRT · pre-pregnancy advice
Sex, libido and wellbeing
Low libido
A change in desire has causes worth looking for — hormonal, contraceptive, or simply exhaustion. It is a medical conversation, not an awkward one.
Pain that puts you off sex
Dryness, a skin condition or pelvic muscle tension. Each has a different answer, and none of them is to persevere.
Anything about sex you want to discuss
There is no question here that has not been asked before, and nothing that will be rushed. Bring it.
A result you do not understand · a symptom you are unsure about · a second view before an operation
Not sure what to book?
Start with a Gynaecology Consultation at £200. Your consultant can add a pelvic ultrasound or cervical screening during the same appointment if it is clinically appropriate, and you only pay for what is done.
Message us on WhatsApp and we will tell you which appointment you need. WhatsApp is the fastest way to reach us.
Simple, direct pricing
You book directly with us and pay at the appointment. For a single consultation that is usually the quickest route: no referral, no pre-authorisation to wait for, and the published price is the price.
Common concerns
Find the page for your concern
If you already know what you would like assessed, these pages set out what the appointment involves.
Symptom assessment, HRT discussion and ongoing review.
Investigation with same-visit ultrasound to find the cause.
Consultant assessment with imaging in the same appointment.
Size, number and position established on the day.
Assessment, imaging and an honest account of what it shows.
Measurement and characterisation by ultrasound.
Diagnosis with imaging and hormone testing.
High-risk HPV DNA test, with a cytology report free if HPV is found.
Where to go if you have been advised to have one.
Prompt assessment with same-visit ultrasound of the womb lining.
Reassurance scan from around six weeks, explained the same visit.
Testing to confirm the cause before another course of treatment.
Vaginal dryness and painful sex
Common after the menopause, and very treatable once assessed.
Culture and examination before another course of antibiotics.
Vulval itching and skin conditions
Persistent itching that does not settle is often not thrush.
Bleeding between periods or after sex, assessed with same-visit ultrasound.
Gentle first appointments and period problems in teenagers, with a female consultant.
High-risk HPV test from £150, results in days.
Seen by a consultant today or tomorrow, scan included.
Painful heavy periods assessed with same-visit ultrasound.
A common cause of spotting — assessed and removed where needed.
Severe period pain investigated properly, not dismissed.
Assessed gently by a female consultant — and treatable.
Sick notes and letters issued same-day after assessment.
More about our appointments
Appointments and access
What a private GP appointment covers.
Same-day appointments, Monday to Saturday.
What happens in a first consultant appointment.
Seen by a consultant from the first appointment.
Four minutes from Chancery Lane station.
Published fees, agreed before your appointment.
Care in your language
Consultations in Greek, Italian and Bulgarian
Between them our doctors consult in English, Greek, Italian and Bulgarian.
Both doctors consult in Greek. Δείτε τη σελίδα στα ελληνικά.
Italian-speaking gynaecologist
Dr Mermigka consults in Italian. Leggi in italiano.
Dr Schoinas consults in Bulgarian.
Second opinion
Bringing results from somewhere else
Review of previous investigations
If you have already been investigated elsewhere and want a considered second view, that is a separate appointment rather than something squeezed into a standard consultation. Reading a set of previous results properly takes time, and it carries real clinical responsibility.
Send your records at least three working days beforehand. They are read before you arrive, so the appointment is spent discussing what they mean rather than opening envelopes. You leave with an opinion, not a promise to write later.
Typical reasons patients book this: fertility investigations done abroad or at another clinic, a scan report they do not understand, a recommended operation they want a second view on, or years of results from different places that nobody has ever looked at together.
Can I just message you?
Yes — you can message us. WhatsApp is the quickest way to reach the clinic for appointments, directions, what to bring, whether to keep an appointment if your period arrives, and which appointment type you need. We would rather you asked than guessed.
What messaging cannot do is replace an appointment. We will not diagnose, interpret results or change treatment over WhatsApp, because doing that safely needs your history and often an examination. If a question needs a clinical answer, we will say so and offer you a follow-up.
Results from tests arranged here are explained as part of what you have already paid for. Results from elsewhere, or a new problem, need an appointment.
Book an appointment
Same-day appointments, Monday to Saturday at 1-5 Portpool Lane, EC1N 7UU.
Frequently asked questions
Can I bring test results from another clinic or another country?
Yes, and it is worth doing. Book the Second Opinion appointment and send the records at least three working days before, so they are read in advance. Reviewing a set of previous investigations properly is separate work from a standard consultation, which is why it is a separate appointment at £320.
Can I message the clinic instead of booking?
For anything practical, yes. WhatsApp is the fastest way to ask about appointments, what to bring, or which appointment type fits your problem. We will not interpret results or change treatment by message, because that needs your history and often an examination.
Is a pelvic examination included in the consultation fee?
Yes. The £200 consultation covers the discussion, the examination where it is needed, and a management plan. Nothing about the examination is charged separately. If a pelvic ultrasound is also needed, that is £300 for the two together in the same visit.
What if I need to come back?
A follow-up for patients already seen here is £120, or £200 for a follow-up pelvic ultrasound. If we ask you to come back, we will tell you why and roughly when. Many patients need no follow-up at all, and we will say that too.
Do I need a different appointment for menopause or fertility?
No. One gynaecology consultation covers all of it — periods, pain, fibroids, cysts, menopause, perimenopause and fertility — at the same £200 and the same 45 minutes. Tell us the reason when you book so the right time and questionnaire are set aside, but you are not charged more for one problem than another.
Is the full STI panel a blood test?
No. It is a swab, taken in the same way as a cervical screening sample. The panel covers seven infections: chlamydia, gonorrhoea, mycoplasma genitalium, ureaplasma, trichomonas, gardnerella and herpes simplex I and II. Blood tests are separate and are arranged only when they are clinically needed.