Pelvic Ultrasound in London: Private Doctor-Performed Scan With Same-Day Results
A private pelvic ultrasound at The Online GP by The Wellness starts from £195, performed by a GMC-registered doctor with results discussed before you leave our Marylebone clinic. Pelvic ultrasound is the first-line investigation for pelvic pain, abnormal bleeding, irregular periods, suspected fibroids, ovarian cysts, and fertility concerns. On the NHS, a non-urgent pelvic ultrasound referral can take 4 to 8 weeks or longer. At our clinic, same-day and next-day appointments are frequently available. No referral is required, and a female doctor can be requested.
Book a Pelvic Ultrasound - WhatsApp | Email: team@thewellnesslondon.com | Call: 020 3951 3429
What a Pelvic Ultrasound Examines
A pelvic ultrasound is one of the most important diagnostic tools in women's health. It provides detailed images of the uterus, ovaries, fallopian tubes (if visible), cervix, and bladder, allowing your doctor to assess both structure and function of the reproductive organs.
Uterus. The scan assesses uterine size, shape, and position. It identifies fibroids (benign growths in the uterine wall that can cause heavy bleeding, pain, and pressure symptoms), adenomyosis (a condition where the endometrial lining grows into the uterine muscle, causing pain and heavy periods), endometrial thickness and appearance (important for investigating abnormal bleeding), and congenital uterine anomalies (septate, bicornuate, or unicornuate uterus).
Ovaries. Both ovaries are assessed for cysts (functional cysts are common and usually resolve spontaneously; endometriomas, dermoid cysts, and other types require monitoring or treatment), polycystic morphology (multiple small follicles arranged around the ovarian periphery, one of the criteria for PCOS diagnosis), solid or complex masses that may require further investigation, and antral follicle count (a key fertility marker reflecting ovarian reserve).
Endometrium. The endometrial lining is measured and its appearance assessed. Endometrial thickness and pattern vary through the menstrual cycle. Abnormal thickness, particularly in post-menopausal women, may warrant further investigation. In women of reproductive age, endometrial assessment is part of fertility evaluation and abnormal bleeding investigation.
Bladder and surrounding structures. The scan can identify bladder wall abnormalities, retained urine, and pelvic free fluid (which may indicate ovulation, ovarian cyst rupture, or other pelvic pathology).
When You Should Get a Pelvic Ultrasound
Pelvic pain. Whether acute (sudden onset) or chronic (lasting more than 6 months), pelvic pain in women should be investigated. Common causes identifiable on ultrasound include ovarian cysts (ruptured or torsed), fibroids, endometriosis (endometriomas visible on scan, though not all endometriosis is detectable on ultrasound), adenomyosis, and pelvic inflammatory disease.
Abnormal bleeding. Heavy periods (soaking through pads or tampons in under an hour, passing large clots, or periods lasting more than 7 days), bleeding between periods, and post-menopausal bleeding all warrant pelvic ultrasound. Post-menopausal bleeding always requires investigation to exclude endometrial pathology.
Irregular periods. Cycles shorter than 21 days, longer than 35 days, or absent periods (amenorrhoea) may indicate ovarian or uterine pathology. A pelvic scan combined with hormone blood tests provides a comprehensive assessment.
Fertility investigation. Antral follicle count, endometrial thickness and pattern, ovarian morphology, and uterine structural assessment are all part of a baseline fertility evaluation. Our Fertility Scan Package at £395 combines these into a single appointment.
Suspected PCOS. Polycystic ovary syndrome is diagnosed using the Rotterdam criteria, which include at least two of: irregular periods, clinical or biochemical signs of excess androgens, and polycystic ovarian morphology on ultrasound. A pelvic scan combined with hormone blood tests (testosterone, SHBG, LH, FSH, insulin) provides the information needed for diagnosis.
Monitoring of known conditions. If you have known fibroids, ovarian cysts, or endometriosis, periodic ultrasound monitoring tracks changes and guides management decisions.
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Transabdominal vs Transvaginal: Understanding the Difference
There are two approaches to pelvic ultrasound, and your doctor will recommend the most appropriate one for your situation.
Transabdominal. The ultrasound probe is placed on the lower abdomen (externally). You may be asked to drink water beforehand to fill your bladder, which acts as an acoustic window improving image quality. This approach provides a good overview of the pelvis and is non-invasive. However, image detail may be limited for deep pelvic structures, particularly in patients with a higher BMI.
Transvaginal. A slim, smooth ultrasound probe covered with a protective sheath is gently inserted into the vagina, placing it much closer to the uterus and ovaries. This provides significantly superior image quality for detailed assessment of the endometrium, ovarian follicles, small cysts, and fibroids. It is the preferred approach for most gynaecological indications and for fertility assessment.
Your doctor will explain why a transvaginal scan is recommended (if it is) and will always ask for your informed consent before proceeding. The procedure should not be painful, though mild discomfort is possible. If you have any concerns or prefer not to have a transvaginal scan, discuss this with your doctor. A transabdominal scan can always be performed instead, with the understanding that some image detail may be reduced.
Pelvic Ultrasound Packages
Individual pelvic ultrasound (from £195). Standalone assessment of the uterus, ovaries, and pelvis with same-day doctor-interpreted results.
Women's Body Scan (£395). Combines pelvic ultrasound, bilateral breast ultrasound, and thyroid ultrasound. Comprehensive women's health imaging in a single appointment.
Fertility Scan Package (£395). Pelvic ultrasound with antral follicle count, endometrial assessment, and ovarian morphology. Combine with fertility blood tests (AMH, FSH, LH, oestradiol, thyroid function, prolactin) for a complete baseline fertility evaluation.
Executive Body Scan (£695). Full abdominal and pelvic ultrasound, echocardiogram, carotid Doppler, thyroid scan, and comprehensive blood work. The most thorough single-visit health assessment.
Book a Scan or Package - WhatsApp | Email: team@thewellnesslondon.com | Call: 020 3951 3429
Frequently Asked Questions
How much does a pelvic ultrasound cost? From £195 at The Online GP by The Wellness. Women's Body Scan £395. Fertility Package £395.
What does it show? Uterus, ovaries, endometrium, bladder. Detects fibroids, cysts, PCOS morphology, endometrial changes, and structural abnormalities.
Do I need a referral? No. Book directly. A £49 phone consultation can help if you are unsure.
Will I need a transvaginal scan? Often recommended for best image quality. Always with your informed consent. Transabdominal is an alternative.
Can I request a female doctor? Yes. Let us know when booking and we will accommodate where possible.
Can it detect ovarian cancer? It identifies concerning features that warrant further investigation. The majority of ovarian cysts are benign.
How quickly can I be seen? Same-day and next-day appointments frequently available.
The Online GP by The Wellness provides private doctor-led healthcare and diagnostic imaging from our Marylebone clinic. Contact us on WhatsApp at +44 7961 280835, email team@thewellnesslondon.com, or call 020 3951 3429.
References
NICE. Heavy menstrual bleeding: assessment and management. NG88. Updated 2024.
NICE. Endometriosis: diagnosis and management. NG73. Updated 2024.
Royal College of Obstetricians and Gynaecologists. Management of suspected ovarian masses. Green-top Guideline No. 62. Updated 2024.
British Medical Ultrasound Society. Guidelines for professional ultrasound practice. Updated 2024.
