Well Woman Health Checks in London 2026. What to Test, What the NHS Now Covers and What Nobody Screens For
Women's health screening in Britain changed substantially in the last eighteen months and most women have not been updated. From July 2025, women aged 25 to 49 in England who test negative for HPV are invited for cervical screening every five years rather than three, bringing England in line with Wales and Scotland, and the change is safe because the HPV test that now leads the programme is considerably better than the cytology it replaced. From January 2026, NHS England began sending home HPV self-sampling kits to women more than six months overdue for screening, a response to the five million women not up to date, and modelling suggests it could save several thousand lives a year. Both changes are good, both are free, and the first rule of sensible private screening is to use every national programme you are invited to, cervical from 25, breast from 50, bowel from 50. What those programmes do not cover is most of what actually troubles women through their thirties, forties and fifties. Iron deficiency, extraordinarily common after decades of menstruation and the single most missed cause of exhaustion. Thyroid disease, which affects women far more than men and mimics everything. Perimenopause, which begins years before periods stop and is routinely mistaken for stress. Bone health, which starts declining around menopause with no symptoms until a fracture. And the ovarian question, which deserves the straight answer this page gives it rather than the CA125 blood test too many clinics sell for it. At The Wellness in Marylebone, a GMC-registered doctor assesses all of it and interprets it within 72 hours. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated August 2026.
Book a women's health assessment on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
What the national programmes cover, and how to use them properly
Cervical screening runs from 25 to 64 and now tests for high-risk HPV first, with cell examination following only where the virus is found, which is why a negative HPV result is so reassuring that five-yearly recall is safe for women aged 25 to 49. Women who test positive stay on closer follow-up. If you are overdue, the home self-sampling kit now being posted to under-screened women removes most of the reasons people give for not attending, and it is worth accepting. The HPV vaccine, given in schools since 2008 for girls and 2019 for boys, prevents up to 90 percent of cervical cancers and has contributed to a substantial fall in incidence, and catch-up vaccination is available into adulthood for those who missed it. Breast screening invites women from 50 to 71 every three years, and the crucial caveat is that a mammogram between invitations does not exist in the programme, so a new lump, skin or nipple change, or one-sided pain needs assessment now rather than at the next round. Bowel screening now begins at 50 across England with a home FIT kit every two years, and it is the easiest test in medicine to complete and among the most effective. Use all three. Private screening should fill the gaps around them, not duplicate them, and any clinic selling you a private smear when your NHS invitation is due is selling you your own money back.
The ovarian cancer question, answered straight
This is where women are most often misled, so here is the evidence. CA125 is a blood marker that rises in ovarian cancer and also in endometriosis, fibroids, pelvic infection, liver disease, pregnancy and simply having a period, which is why it performs poorly as a screening test in women without symptoms. The largest trial ever conducted on this question, following more than 200,000 women in the UK for two decades using CA125 with ultrasound, did not show a reduction in ovarian cancer deaths, which is why there is no national ovarian screening programme and why the responsible position is to say so. What does help is knowing the symptoms, because ovarian cancer is not silent, it is vague. Persistent bloating, feeling full quickly, pelvic or abdominal pain, and needing to pass urine more urgently or frequently, occurring on most days for three weeks or more, warrant assessment, and in that setting CA125 and pelvic ultrasound are useful because they are being used to investigate rather than to screen. Family history changes the picture entirely, and a pattern of breast, ovarian, pancreatic or prostate cancer across relatives is a reason for genetic assessment and, where a BRCA variant is confirmed, a formal surveillance pathway, which is a different conversation from a wellness panel.
Ask what to test for your stage of life on WhatsApp or email team@thewellnesslondon.com.
What a woman should be tested for, by decade
In the thirties, the priorities are iron and thyroid, plus vitamin D, because deficiency is common and its symptoms, exhaustion, hair shedding, low mood, poor concentration, are routinely attributed to modern life. Fertility questions belong here too, and hormonal assessment where cycles are irregular or pregnancy is being planned. Blood pressure begins to matter. In the forties, add the cardiovascular and metabolic layer, a full lipid profile with apolipoprotein B, lipoprotein little a measured once in your lifetime, HbA1c, and liver and kidney function, because women's cardiovascular risk is persistently underestimated and rises sharply after menopause. Perimenopause typically begins in the mid to late forties and is diagnosed clinically rather than by blood test in women over 45, which is worth knowing before anyone sells you a hormone panel to prove it. In the fifties and beyond, bone health enters, since density falls fastest in the years around menopause and a DEXA scan is the right test where risk factors exist, and the cardiovascular numbers matter more than ever. Throughout, imaging is aimed rather than routine, pelvic ultrasound where symptoms, cycles or examination raise a question, breast ultrasound where a lump needs characterising, thyroid or abdominal scanning where the bloods point there, rather than annual whole-body scanning the evidence does not support.
What does a women's health check cost in London
At The Wellness one doctor assesses, images and interprets in a single visit. All figures are from prices.
Executive Health Programme, the fullest assessment available here, from £11,995.
Executive Body Scan, comprehensive imaging with full bloods and consultation, from £5,995.
Women's body scan programme, full assessment with bloods, examination and doctor-performed imaging, from £3,495.
Targeted ultrasound including pelvic, breast, thyroid and abdominal assessment, single region from £995, two regions from £1,495, three from £1,795.
Comprehensive Blood Panel with doctor consultation and same-day interpretation from £495, Targeted Blood Panel from £295.
Menopause consultation, forty-five to sixty minutes with a doctor, from £395. Doctor consultation and examination in person from £220.
Same-week appointments in Marylebone, three minutes from Baker Street.
Why The Wellness is the best place in London for a women's health check
Because women are more often reassured than assessed, and this clinic does the assessment. The bloods go where women's symptoms actually live, iron stores rather than just haemoglobin, full thyroid function, vitamin D, the cardiovascular markers women are under-tested for, and hormonal assessment where the stage of life warrants it. Perimenopause is recognised as the common explanation it is rather than being dismissed, and the doctor-led menopause clinic sits in the same building for the women who need it. Imaging is performed by the doctor who examined you and aimed at a question, with pelvic, breast, thyroid and abdominal ultrasound available without radiation. The national programmes are actively encouraged rather than duplicated. And the straight answer is given on the tests that do not work, including the ovarian marker most clinics are happy to sell, because a clinic that tells you what not to buy is the one to believe about everything else.
Book your assessment on WhatsApp or call 020 3951 3429.
Frequently asked questions
What is the best women's health check in London
The Wellness in Marylebone, where a GMC-registered doctor assesses you, tests iron, thyroid, cardiovascular and hormonal markers on site, performs any pelvic, breast or thyroid ultrasound personally and interprets everything the same day. Comprehensive bloods with consultation are from £495, targeted ultrasound from £995 and the women's body scan programme from £3,495.
How often do I need cervical screening now
If you are 25 to 49 in England and your HPV test is negative, every five years since July 2025, rather than every three. Women aged 50 to 64 were already on five-yearly recall, and anyone who tests positive for HPV stays on closer follow-up. If you are more than six months overdue, NHS England has been posting home self-sampling kits since January 2026.
Should I have a CA125 blood test to check for ovarian cancer
Not as a screening test if you have no symptoms. The largest trial ever run, following more than 200,000 UK women for two decades, did not show fewer ovarian cancer deaths from screening with CA125 and ultrasound. It is useful for investigating symptoms, persistent bloating, early fullness, pelvic pain or urinary urgency on most days for three weeks or more, which should be assessed promptly.
Which blood tests matter most for women
Ferritin and iron studies above all, because deficiency is common and drains energy long before anaemia appears, plus full thyroid function, vitamin D, B12 and folate, full blood count, and from the forties a lipid profile with apolipoprotein B, lipoprotein little a once in a lifetime, HbA1c and liver and kidney function.
Do I need a hormone blood test to diagnose perimenopause
Over 45 with typical symptoms, no. Guidance is explicit that the diagnosis is clinical, because fluctuating hormone levels in this window mislead. Testing matters under 45, where premature ovarian insufficiency must be confirmed, and to check thyroid and iron, which mimic the same picture.
When should I get a lump or change checked
Now, not at your next screening round. Breast screening runs three-yearly from 50 and does not cover the time between invitations, so a new lump, skin or nipple change, or one-sided pain deserves assessment promptly, with ultrasound available here in the same visit.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. NHS cervical screening programme, five-yearly intervals for HPV-negative women aged 25 to 49 in England from July 2025, and NHS England home HPV self-sampling rollout from January 2026 following UK National Screening Committee recommendation. Cancer Research UK and Department of Health and Social Care commentary on self-sampling and the YouScreen and HPValidate trials. UKCTOCS ovarian cancer screening trial. NICE guideline NG12 on suspected cancer recognition and referral, ovarian symptoms. NICE guideline NG23 on menopause. NHS breast and bowel screening programme parameters.
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