Private Pelvic Ultrasound Scan in London: Ovarian Cysts, Fibroids, Fertility, and Women's Health
Pelvic symptoms — pain, heavy periods, bloating, irregular cycles — affect millions of women, yet getting an NHS pelvic ultrasound can take weeks. For women worried about ovarian cysts, fibroids, or fertility, every day of waiting adds anxiety. And for symptoms like persistent bloating and pelvic pressure, early imaging can provide crucial reassurance or prompt early diagnosis.
The Online GP by The Wellness offers same-day private pelvic ultrasound from £195. Performed by expert sonographers experienced in women's health imaging. Both transabdominal and transvaginal scanning available. Immediate preliminary results, formal report same-day or within 24 hours, and GP review of every scan.
Concerned about pelvic symptoms? WhatsApp us now to book a same-day pelvic scan. Or email team@thewellnesslondon.com.
What a Pelvic Ultrasound Examines
Uterus (Womb)
The uterus is assessed for size, shape, and position, as well as any abnormalities including fibroids (leiomyomas), endometrial polyps, endometrial thickness, and structural variations such as a bicornuate or septate uterus. Endometrial thickness measurement is particularly important for women with postmenopausal bleeding, where thickened endometrium may require further investigation.
Fibroids are the most common benign tumours in women, affecting up to 70-80% of women by age 50. Most fibroids cause no symptoms, but when they do, symptoms can include heavy menstrual bleeding, pelvic pressure, urinary frequency, and pain. Ultrasound identifies the number, size, and location of fibroids — information that guides treatment decisions.
Ovaries
Both ovaries are examined for size, structure, and any masses or cysts. Ovarian cysts are extremely common — most are functional cysts related to the menstrual cycle and resolve on their own within 1-3 months. However, certain cyst characteristics on ultrasound require further evaluation.
Polycystic ovaries have a characteristic appearance on ultrasound — multiple small follicles arranged around the periphery of an enlarged ovary. This appearance, combined with symptoms (irregular periods, acne, excess hair growth) and blood tests, contributes to a diagnosis of polycystic ovary syndrome (PCOS).
Endometriomas (endometriosis cysts) have a distinctive "ground glass" appearance on ultrasound. Identifying these is an important step in diagnosing and managing endometriosis.
Fallopian Tubes
Normal fallopian tubes are not usually visible on ultrasound. If they become visible, this may indicate a hydrosalpinx (fluid-filled tube) or other abnormality that requires gynaecological assessment. For fertility investigation, specialised tubal patency tests can be arranged.
Pelvic Free Fluid
Small amounts of free fluid in the pelvis are normal, particularly around ovulation. Larger collections may indicate a ruptured cyst, ectopic pregnancy, or other conditions requiring assessment.
Common Reasons for Pelvic Ultrasound
Women seek private pelvic ultrasound for many reasons including pelvic pain (acute or chronic), heavy or prolonged menstrual bleeding, irregular periods or missed periods, bloating and pelvic pressure, pain during intercourse (dyspareunia), difficulty getting pregnant, monitoring of known fibroids or ovarian cysts, postmenopausal bleeding, family history of ovarian cancer, and general women's health screening.
Transabdominal vs Transvaginal Scanning
A pelvic ultrasound typically involves two approaches. Transabdominal scanning uses a probe on the surface of your lower abdomen. This gives a broad overview of the pelvis and is useful for assessing large fibroids and general pelvic anatomy. A comfortably full bladder is usually needed to improve image quality.
Transvaginal scanning uses a slim, covered probe inserted gently into the vagina. This provides much higher-resolution images of the uterus, ovaries, and endometrium because the probe is closer to the structures being examined. It is the preferred method for detailed assessment of ovarian cysts, endometrial thickness, early pregnancy, and fertility-related scanning.
You can choose to have only a transabdominal scan if you prefer, though this may limit the detail available. Our sonographers are experienced, gentle, and will explain every step of the process.
Do not wait for answers. WhatsApp us to arrange your pelvic ultrasound today.
Fertility Scanning
For women investigating fertility, pelvic ultrasound provides essential information. Antral follicle count (AFC) — the number of small follicles visible on the ovaries — is one of the most important indicators of ovarian reserve (your remaining egg supply). Combined with an AMH blood test, this gives a clearer picture of fertility potential.
Follicle tracking scans monitor follicle development during your menstrual cycle, typically used during fertility treatment or timed intercourse. These are performed at specific points in your cycle and can be arranged at short notice.
Endometrial assessment during the fertility workup examines the thickness and pattern of the endometrial lining, which is important for implantation.
Our GP team can arrange the full spectrum of fertility investigations — blood tests, ultrasound scanning, and referral to fertility specialists — all coordinated through a single point of contact.
From Scan to Action
At The Online GP, we do not simply hand you a report and send you on your way. If your scan reveals fibroids, our GPs discuss size, symptoms, and management options — from monitoring to medication to gynaecology referral. If an ovarian cyst is found, we explain whether it looks functional (likely to resolve) or complex (needing specialist assessment), and arrange follow-up scanning or referral accordingly. If PCOS is suspected, we coordinate blood tests and management. If fertility concerns arise, we arrange comprehensive investigation.
Every scan result is reviewed by our medical team. Every finding is explained in plain language. Every next step is arranged for you.
📧 Email team@thewellnesslondon.com
📞 Call 020 3951 3429
📍 10 Portman Square, Marylebone, London W1H 6AZ
This article was written by the medical team at The Online GP by The Wellness. Last updated: February 2026. For severe pelvic pain with fever, fainting, or signs of ectopic pregnancy (positive pregnancy test with one-sided pelvic pain and vaginal bleeding), please attend A&E immediately.
