Uterine fibroids testing and monitoring

Women suffering from fibroids symptoms such as abnormal bleeding and heavy periods.

Our consultant gynaecologist-led package brings together a pelvic ultrasound, an abdominal and pelvic examination and blood tests — giving you a clear picture of any fibroids, with all tests completed in a single, unhurried appointment.

Available atLPC City (E1)

What are uterine fibroids?

Uterine fibroids are common, non-cancerous growths that develop in or around the womb (uterus). They are made of muscle and fibrous tissue, can range in size from as small as a pea to considerably larger, and you may have a single fibroid or several. Because they are so common, finding a fibroid is often not a cause for alarm, but understanding its size, position and effect on your symptoms is what really matters.

Fibroids are among the most common gynaecological conditions. According to NICE, around 2 in 3 women develop at least one fibroid during their lifetime, and around 1 in 3 women will develop symptoms from uterine fibroids. Many women never know they have them, as fibroids frequently cause no problems at all and are only discovered incidentally during a scan for something else.

When fibroids do cause symptoms, heavy or prolonged periods are among the most common, and the NHS notes that fibroids mainly affect women before the menopause. They are also more likely in women from a Black or Asian background. A pelvic scan is usually the first step in confirming whether fibroids are present, how many there are and where they sit.

Uterine fibroids at a glance

A few figures can help put fibroids in context before your assessment.

2 in 3 women develop at least one fibroid in their lifetime (NICE)
1 in 3 women will develop symptoms from uterine fibroids in their lifetime (NICE)
Non-cancerous fibroids are benign growths of the womb (NHS)
Ultrasound the usual first-line test to detect and measure fibroids (NHS)

Is this package for me?

Women suffering from fibroids symptoms such as abnormal bleeding and heavy periods.

Uterine fibroid symptoms to look out for

Fibroids do not always cause symptoms, but you may wish to consider an assessment if you are experiencing any of the following. These signs can have several causes, so a scan and consultation help identify what is behind them.

Heavy or prolonged periods, sometimes with clots

Periods that are more painful than usual

Tummy (abdominal) pain or a feeling of pressure in your lower tummy

Lower back pain

Needing to pass urine more often, or difficulty emptying your bladder

Bloating, constipation or difficulty opening your bowels

Pain or discomfort during sex

Difficulty getting pregnant, which fibroids can sometimes contribute to

Tiredness or breathlessness, which can be a sign of anaemia from heavy bleeding

What is included in this package?

This package includes:

  • consultation with a consultant gynaecologist, including gynaecology pelvic ultrasound
  • Abdominal and pelvic examination
  • Comprehensive report to you and your GP
  • Blood tests including Full blood count Serum ferritin

What happens at your appointment

1

Consultation and history

You will meet a consultant gynaecologist who takes time to ask about your symptoms, periods and medical history, so the assessment is tailored to your concerns from the outset.

2

Abdominal and pelvic examination

The gynaecologist carries out a gentle abdominal and pelvic examination to check the size and position of your womb and to note anything that may need a closer look on the scan.

3

Pelvic ultrasound

A gynaecology pelvic ultrasound uses sound waves to create clear images of your womb and ovaries, showing whether fibroids are present and, if so, their number, size and location. The scan is painless and does not use radiation.

4

Blood tests

A small blood sample is taken for a full blood count and serum ferritin, which help check for anaemia and low iron that can result from heavy periods. These are processed in London by our partner laboratory, TDL (The Doctors Laboratory).

5

Results and discussion

Your ultrasound report is shared shortly after your appointment, and once your blood results are back we talk everything through — see 'How will I get my results?' below for the full details.

How will I get my results?

You will receive your ultrasound report shortly after your appointment via our secure cloud system. Blood tests are performed in London by TDL, and results can take 1-3 days to complete.

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.

Monitoring fibroids over time

Fibroids can change over the years. Some slowly grow, some stay the same, and some can shrink after the menopause as hormone levels fall — fibroid symptoms often stabilise or ease at that stage. Because of this, keeping an eye on known fibroids can be just as valuable as the first diagnosis.

Ultrasound is well suited to monitoring because it is safe to repeat, involves no radiation, and lets your clinician compare the size, number and position of fibroids over time alongside how you are feeling. There is no single fixed schedule; how often a repeat scan is worthwhile depends on your symptoms and previous findings, and is something your consultant gynaecologist will guide you on.

Should your symptoms change or a scan raise any questions, we can arrange onward care, such as a hysteroscopy, where appropriate. You may also like to explore our wider gynaecology services, or read more about the pelvic scan that forms the core of this assessment.

This information is intended for general educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for guidance specific to your individual circumstances.

Further steps

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.

Book your uterine fibroids testing package

A consultation with a consultant gynaecologist including a gynaecology pelvic ultrasound, an abdominal and pelvic examination, blood tests (full blood count and serum ferritin) and a comprehensive report to you and your GP.

Book This Package £600

Your questions answered

How much does uterine fibroids testing cost?

Uterine fibroids testing and monitoring at the London Pregnancy Clinic costs £600. This includes a consultation with a consultant gynaecologist, a gynaecology pelvic ultrasound, an abdominal and pelvic examination, blood tests, and a comprehensive report for you and your GP. You can book your appointment online whenever suits you.

What is included in the fibroids testing package?

The package includes a consultation with a consultant gynaecologist alongside a gynaecology pelvic ultrasound, an abdominal and pelvic examination, and blood tests covering a full blood count and serum ferritin. You will also receive a comprehensive report that we can share with your GP, giving you a clear overall picture in one appointment.

Who is this fibroids testing package for?

This package is designed for women experiencing fibroid symptoms such as abnormal bleeding or heavy periods. The assessment is intended to investigate these symptoms and monitor known or suspected fibroids. If you are unsure whether it is right for you, our team can talk through your symptoms before you book so you know what to expect.

Is a pelvic ultrasound safe?

Yes, pelvic ultrasound is a safe, non-invasive test that uses sound waves rather than radiation to create images of your uterus and ovaries. It is widely used to assess fibroids and other gynaecological concerns. The scan is performed as part of your consultant gynaecologist consultation, so any findings can be discussed with you at the same appointment.

How will I get my results?

You will receive your ultrasound report shortly after your appointment through our secure cloud system. Blood tests are performed in London by TDL and results can take one to three days. Once your results are ready, we arrange a 10-minute Zoom or telephone consultation to interpret them and discuss next steps, and we are happy to share them with your GP.

What happens if the tests find a concern?

If your results raise any concerns about your health, we will prepare a referral letter for your GP explaining our findings and diagnosis. We can also refer you to a private hospital or a specialist of your choice, or recommend a trusted expert from our wider network of colleagues. This information is intended for general educational purposes only and does not replace personal medical advice.

Can I book without a GP referral?

Yes, you can book this fibroids testing package directly with the London Pregnancy Clinic without a GP referral. Simply choose a time that suits you and come to your appointment; we take care of the assessment, reporting, and any onward referrals if they are needed. If you would prefer a standalone scan, you may also wish to consider our pelvic scan.

Are uterine fibroids dangerous?

Most fibroids are not dangerous. Fibroids are common, non-cancerous growths of the womb, and the NHS notes that many women have them without any symptoms at all. When they do cause problems, such as heavy periods, pain or a feeling of pressure, these are usually manageable rather than serious. An assessment helps clarify the size and position of any fibroids, so you and your clinician can decide together whether anything needs to be done.

Can uterine fibroids turn into cancer?

It is very rare for a fibroid to be cancerous. The vast majority of fibroids are benign, and cancerous change is uncommon. Even so, new or unusual symptoms, such as bleeding after the menopause, should always be checked. A pelvic ultrasound and consultation can assess your fibroids and flag anything that warrants a closer look or an onward referral.

Can fibroids affect fertility or pregnancy?

Many women with fibroids become pregnant and go on to have healthy pregnancies. Whether fibroids cause any difficulty depends on factors such as their size, number and where they sit in the womb — the NHS notes that fibroids can sometimes make it harder to get pregnant, and larger fibroids can occasionally cause problems during pregnancy.

A pelvic ultrasound maps exactly where any fibroids are, which is valuable information if you are planning a family. If fertility is your main concern, you may prefer to start with our fertility health check-up or a HyCoSy scan, which assesses the womb cavity and fallopian tubes.

Do fibroids shrink after the menopause?

Fibroids can shrink in some women after the menopause. As hormone levels fall, fibroids may gradually become smaller, and related symptoms, such as heavy bleeding, often stabilise or ease. This does not happen for everyone, though, so monitoring with ultrasound over time can show whether your fibroids are growing, stable or shrinking, which helps guide whether any action is needed.

Can fibroids cause anaemia?

Yes, they can. Fibroids are a recognised cause of heavy or prolonged periods, and heavy bleeding over time can lead to iron-deficiency anaemia. That is why this assessment includes a full blood count and a serum ferritin test alongside the ultrasound, to check your blood count and iron stores. If low iron or anaemia is found, we can explain the results clearly and arrange a referral to your GP where appropriate.

Do I need a full bladder for a fibroid ultrasound?

It depends on the type of scan. An abdominal pelvic ultrasound is usually clearer with a comfortably full bladder, so you may be asked to drink a few glasses of water beforehand, whereas an internal (transvaginal) scan does not need one. If you are unsure how to prepare, contact us before your visit and we will advise.

How often should uterine fibroids be monitored?

There is no single fixed timetable for monitoring fibroids — your consultant gynaecologist will suggest an interval based on your symptoms, the size and number of your fibroids and whether anything is changing between scans. If a repeat check is recommended, the same testing and monitoring package can simply be booked again, so each new ultrasound and set of blood results can be compared against your earlier ones. Many women need only occasional checks, particularly if their fibroids are small and not causing symptoms.

Contact

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For urgent matters please call 020 3687 2939.

Sources & clinical references

The figures and clinical statements on this page are drawn from the sources below. Guidance evolves — always discuss your individual circumstances with a clinician.

  1. NHSFibroids2026
  2. NICEThousands could benefit from new option for treating symptoms of uterine fibroids2024
  3. NHSHeavy periods2024
  4. NHSUltrasound scan2025
  5. Cleveland ClinicUterine Fibroids2023