Consultation and history
You meet one of our consultant gynaecologists to talk through your symptoms, menstrual history and any concerns about fertility, so the assessment focuses on what matters most to you.
This package is designed to diagnose endometriosis and provide expert advice and endometriosis treatments.
Led by our consultant gynaecologists, it brings together an expert consultation and a specialist pelvic ultrasound scan, so you can understand your symptoms and plan your next steps with confidence.
It’s perfect for women with endometriosis, or those having symptoms such as pain after sex or heavy periods.
Endometriosis is a common condition in which tissue similar to the lining of the womb grows in other parts of the body, most often around the pelvis, ovaries and fallopian tubes. Each month this tissue behaves like the womb lining and bleeds, but it has no way to leave the body, which can lead to pain, inflammation and scarring.
The Royal College of Obstetricians and Gynaecologists notes that endometriosis affects up to 1 in 10 women. It is one of the most common gynaecological conditions, yet because its symptoms overlap with everyday period problems it is often missed for a long time — NICE reports that it takes an average of 8 to 10 years for a woman in the UK to be diagnosed.
A focused assessment aims to shorten that wait and give you answers sooner. Our endometriosis package brings together a consultation with our consultant gynaecologists and a specialist pelvic ultrasound scan in a single appointment, alongside a review of your full medical history.
Understanding what is behind your symptoms early can help you access the right support for your pain, your fertility and your overall wellbeing. The RCOG notes that many women with endometriosis are still able to conceive naturally. You can see the wider range of assessments we offer on our gynaecology services page.
Endometriosis is common, yet it often goes unrecognised for years. A few figures help put the condition in context.
Endometriosis affects everyone differently, and some people have no symptoms at all. Signs that are worth discussing with a clinician include:
Severe period pain that stops you doing your normal activities
Heavy periods, or needing to change pads or tampons very frequently
Ongoing pain in your lower tummy, pelvis or lower back
Pain during or after sex
Pain when passing urine or opening your bowels, especially during your period
Bloating, nausea or fatigue around your period
Difficulty getting pregnant
Symptoms that affect your mood, work or day-to-day life
This package includes
A specialist pelvic ultrasound is a safe, non-invasive way to examine your reproductive organs. In line with updated NICE guidance, a transvaginal ultrasound is now recommended for everyone with suspected endometriosis, even when a physical examination is normal. At your appointment the scan is carried out and interpreted by a consultant with specialist expertise in endometriosis.
A detailed scan can reveal signs such as ovarian cysts known as endometriomas, or areas of deeper endometriosis within the pelvis. It also helps rule out other causes of your symptoms, such as fibroids or other ovarian cysts, and builds a clear picture alongside your medical history.
It is important to know that a normal scan does not rule endometriosis out — both NICE and the RCOG are clear on this point. In practice, milder or more superficial areas of endometriosis often cannot be seen on ultrasound. Where symptoms continue despite a normal scan, a laparoscopy — keyhole surgery carried out under general anaesthetic in hospital — is often used to confirm the diagnosis. We do not perform laparoscopy at our clinic; if surgical diagnosis or specialist treatment is the right next step, we will explain your options and arrange an onward referral.
You meet one of our consultant gynaecologists to talk through your symptoms, menstrual history and any concerns about fertility, so the assessment focuses on what matters most to you.
A specialist consultant performs a detailed pelvic ultrasound to look at your uterus, ovaries and surrounding structures, and to check for signs of endometriosis or other conditions.
Where possible, your clinician talks you through their initial impressions on the day. Your full written report and follow-up consultation then follow as described in 'How will I get my results?' below.
You will receive your ultrasound report shortly after your appointment via our secure cloud system.
Following the receipt of the results, we will arrange a 10 minute Zoom/telephone consultation to interpret the results and discuss the following actions.
We are also happy to send the results to your GP and arrange any further referrals as appropriate.
If the check-up results in any concerns regarding your health, we will arrange a referral letter explaining our finding and diagnosis to your GP. We are also able to refer you to a private hospital or specialist of your choice or recommend a trusted expert from our wide network of colleagues in the field.
At our endometriosis clinic in London, we know that the condition can affect your quality of life in the short and long term, no matter which stage of endometriosis you’re suffering with. Visit our team of endometriosis doctors in London today to learn more about our minimally invasive treatments.
A consultation with our expert team of obstetricians and gynaecologists, a full clinical assessment and medical history, a pelvic ultrasound scan with an endometriosis expert consultant, a comprehensive report for you and your GP, and a follow-up appointment.
Our endometriosis package costs £500 and can be booked directly online. The fee covers a consultation with our expert team of obstetricians and gynaecologists, a full clinical assessment and medical history, a pelvic ultrasound scan with an endometriosis expert consultant, a comprehensive report for you and your GP, and a follow-up appointment.
You can reserve your appointment through our booking page, or call us on 020 3687 2939 if you would like to talk through the package before you book.
No referral is needed to book the endometriosis package. As a private clinic, you can arrange your appointment directly with us online or by phone, without a GP letter beforehand.
After your assessment, we are happy to send your comprehensive report to your GP and arrange any further referrals as appropriate, so your wider care team stays informed.
This package is designed for women who have endometriosis, or who are experiencing symptoms such as pain after sex or heavy periods. It is intended to help diagnose endometriosis and provide expert advice on treatment.
If you are unsure whether the package suits your situation, our team can help you decide. You can also explore our wider gynaecology services to see the full range of assessments we offer.
During your appointment you will have a consultation with our expert team of obstetricians and gynaecologists, followed by a clinical assessment that includes your full medical history. You will also have a pelvic ultrasound scan carried out with an endometriosis expert consultant.
After the appointment you receive a comprehensive report, and the package includes a follow-up appointment so your results and next steps can be discussed in detail.
You will receive your ultrasound report shortly after your appointment via our secure cloud system. Once you have your results, we arrange a 10-minute Zoom or telephone consultation to interpret them and discuss the next steps.
We are also happy to send your results to your GP and arrange any further referrals as appropriate, so nothing is left unclear once your assessment is complete.
If the check-up raises any concerns about your health, we will arrange a referral letter explaining our findings and diagnosis for your GP. We can also refer you to a private hospital or specialist of your choice.
Where helpful, we may recommend a trusted expert from our wide network of colleagues in the field, so you can move forward with the right care and support for your circumstances.
A detailed pelvic ultrasound can pick up several signs of endometriosis, particularly ovarian cysts called endometriomas and areas of deeper disease within the pelvis. Under NICE's updated guidance, everyone with suspected endometriosis should be offered a transvaginal ultrasound, whatever a physical examination shows.
At London Pregnancy Clinic your scan is carried out by a consultant with a specialist interest in endometriosis, using the detailed approach described on our pelvic scan page.
Yes — and this is exactly why guidance from NICE and the RCOG tells clinicians not to exclude endometriosis just because a scan looks normal. Milder, more superficial forms of the condition are the hardest to see on ultrasound, so a clear result does not always mean the condition is absent.
If your symptoms continue despite a normal scan, a laparoscopy may be considered to confirm the diagnosis — we would explain this and arrange an onward referral where appropriate.
The most common symptoms are severe period pain, heavy periods, ongoing pain in the pelvis or lower back, pain during or after sex, and pain when passing urine or opening your bowels. Some people also notice bloating, fatigue or difficulty getting pregnant, while others have no symptoms at all.
A useful rule of thumb: pain that regularly stops you working, sleeping or doing your normal activities is not something you should have to put up with. If your symptoms are affecting your daily life, it is worth arranging an assessment rather than waiting for them to settle on their own.
Endometriosis is usually assessed by combining a detailed discussion of your symptoms and medical history with a specialist pelvic ultrasound. Ultrasound can reveal ovarian endometriomas and signs of deeper disease, and it helps rule out other causes of pelvic pain.
The NHS explains that a laparoscopy can confirm endometriosis. Our package focuses on non-invasive assessment first, and we arrange a referral for surgical diagnosis or treatment if it is needed.
Yes — many women with endometriosis go on to become pregnant naturally. The RCOG's patient guidance is reassuring on this point, while acknowledging that for some people the condition can make conceiving take longer or feel more difficult.
If you have concerns about your fertility, an assessment can help you understand your situation and plan ahead. Our team can discuss the next steps with you and, where helpful, refer you on for specialist fertility care.
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The figures and clinical statements on this page are drawn from the sources below. Guidance evolves — always discuss your individual circumstances with a clinician.
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