Concierge gynae imaging · London
Gynae ultrasound scan, transvaginal + transabdominal — the first-line pelvic imaging test.
A private gynae ultrasound (transvaginal + transabdominal) provides detailed imaging of the uterus, endometrium, ovaries and adnexae. First-line for pelvic pain, abnormal bleeding, subfertility, suspected fibroids, cysts and cancer.
Key facts
- 01
Definition
Transvaginal + transabdominal pelvic ultrasound.
- 02
Radiation-free
Sound waves only — safe in pregnancy and at any age.
- 03
20–30 minute test
A single appointment covers both views in one sitting.
- 04
Consultant sonographer
Performed by an accredited consultant sonographer or gynae radiologist.
- 05
Doppler add-on
Colour Doppler for ovarian and uterine flow when indicated.
- 06
Complements MRI pelvis
Ultrasound first, MRI pelvis for complex or ambiguous cases.
Why patients choose us
- 01
The right hands
We route you to a consultant sonographer or gynae radiologist — the person who scans you writes the report.
- 02
Often answers same-day
Findings can frequently be discussed immediately, with the written report to follow the same day.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private gynae ultrasound costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A standard pelvic ultrasound in our network: £280–£450, with findings often the same day.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Standard pelvic ultrasound (transabdominal + transvaginal) | £280–£450 | 25 min | Same-day |
| Pelvic US + Doppler | £350–£550 | 30 min | Same-day |
| US + gynaecology consultation | £550–£1,100 | 60 min | Same visit |
| Early pregnancy ultrasound | £220–£380 | 20 min | Same-day |
| Fibroid mapping US | £350–£600 | 35 min | Same-day |
| Urgent same-week US | £400–£800 | Half-day | Same-week |
Prices vary by clinic, whether Doppler is added, and whether a same-visit consultant gynaecology opinion is included. We come back with a firm quote within one working day.
Preparation
From referral to report — what happens, in order.
One clinician from first message to report — often within days.
Phase 1 · Before your scan
Concierge, off-stage for you
Phase 2 · On the day
~25 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
Consultation and referral
A short, confidential form or GP referral. Symptoms, cycle history, prior imaging, insurer if any.
- 02
Before
Full bladder for transabdominal view
Drink 500 ml of water an hour before — a filled bladder lifts bowel out of the pelvis for the abdominal sweep.
- 03
On the day
Empty bladder for transvaginal
You empty your bladder before the transvaginal probe is used — the two views complement each other.
- 04
On the day
Warm gel applied
A warmed contact gel is used for the transabdominal view — comfortable from the first touch.
- 05
On the day
Detailed sweep
Systematic sweep of uterus, endometrium, ovaries, adnexae and pouch of Douglas.
- 06
On the day
Doppler flow assessment
Colour and spectral Doppler where indicated — ovarian flow, fibroid vascularity, adnexal masses.
- 07
After
Written report same day
Findings discussed immediately, formal written report from the reporting consultant the same day.
Typical end-to-end: 1–5 days. Urgent cases: same day.
What it shows
When a gynae ultrasound is the right test.
Gynae ultrasound is the first-line pelvic imaging test — these are the findings it characterises, with the pathways they trigger.
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Uterine fibroids
Location, size, number and vascularity — the map that guides medical or surgical management.
-
Endometrial thickness / polyps
Endometrial calliper measurement and polyp detection — the front-line test for abnormal bleeding.
-
Ovarian cysts (Bosniak / IOTA)
Simple, complex and haemorrhagic cysts characterised by IOTA rules.
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Adnexal masses
Solid and mixed adnexal lesions with morphology scoring.
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Endometrioma / endometriosis signs
Endometriomas, kissing ovaries, and sliding-sign assessment for deep infiltrating disease.
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Pelvic free fluid
Physiological versus pathological free fluid in the pouch of Douglas.
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Suspected adenomyosis
Junctional zone changes, myometrial cysts and asymmetry — the ultrasound signs of adenomyosis.
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Red flag: complex ovarian mass with ascites — urgent gynae-oncology referral
Any complex mass with ascites triggers an urgent gynae-oncology pathway — we route the same day.
Next steps
What follows a gynae ultrasound.
The pathways after the scan — reassurance, further imaging, biopsy, referral or MDT — depending on the findings.
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Reassurance for benign findings
Clear explanation and safety-netting when findings are benign — no further imaging needed.
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MRI pelvis for characterisation
Cross-sectional imaging for complex adnexal masses, deep endometriosis or fibroid mapping.
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Hysteroscopy for endometrial polyps
Outpatient hysteroscopy — see-and-treat polypectomy under direct vision.
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Gynaecology referral for fibroids / cysts
Consultant gynaecology opinion where medical or surgical management is on the table.
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Endometrial biopsy
Pipelle sampling for postmenopausal bleeding or a thickened endometrium.
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Fertility investigation
Antral follicle count, tubal patency assessment and cycle monitoring where relevant.
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Multi-disciplinary team review
Complex or malignant findings discussed at an MDT before onward treatment.
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Structured follow-up
Interval scans for cysts, fibroids or endometrial thickness on a clear timetable.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant sonographers or gynae radiologists with subspecialty accreditation
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IOTA classification for adnexal mass characterisation
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Same-day written report, with images available for onward review
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British Medical Ultrasound Society (BMUS) safety and reporting standards
Red flags
The findings that change the pathway.
Ultrasound is exceptionally safe — the practical points are the findings that trigger urgent escalation, and the ones that need an emergency route, not a private slot.
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Complex ovarian mass
Any multilocular-solid or solid ovarian mass — urgent gynae-oncology referral.
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Ascites
Free fluid beyond the pouch of Douglas alongside a pelvic mass — same-day escalation.
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Postmenopausal bleeding with thickened endometrium
Endometrial thickness above threshold with bleeding — endometrial biopsy without delay.
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Suspected sarcoma
A rapidly growing, atypical or highly vascular myometrial mass — urgent MRI and MDT.
-
Rapidly growing fibroid
Significant interval growth on serial scans — malignancy exclusion.
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Adnexal torsion features
Enlarged, tender ovary with absent Doppler flow — surgical emergency, not a private slot.
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Pelvic infection with abscess
Tubo-ovarian collection with sepsis features — emergency admission.
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Ectopic pregnancy
Empty uterus with positive pregnancy test and adnexal mass — early pregnancy unit, same day.
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Molar pregnancy
Snowstorm appearance with markedly raised hCG — urgent gestational trophoblastic referral.
Reading your report
A gynae ultrasound report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and clinical context
Your details, the reason for the scan, cycle day and relevant history.
- 02 Technique
Views and probes used
Which views were obtained — transabdominal, transvaginal — with probe frequency and Doppler settings.
- 03 Findings
Uterus, endometrium, ovaries, adnexae
Organ-by-organ description with measurements, morphology and Doppler.
- 04 Impression
The conclusion: read this first
Normal, benign, indeterminate or suspicious — with the concrete next step.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about gynae ultrasound.
Quick answers on what it shows, transvaginal vs transabdominal, comfort, bladder preparation, cycle timing and results turnaround.
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What does a gynae ultrasound show?
Detailed imaging of the uterus, endometrium, ovaries, adnexae and pouch of Douglas — fibroids, polyps, ovarian cysts, adnexal masses, endometriosis signs, free fluid and early pregnancy findings.
-
Transvaginal vs transabdominal — what’s the difference?
The transabdominal view is a wide overview through a full bladder; the transvaginal view uses a slim probe inside the vagina for high-resolution close-up imaging. Both are used together for a complete pelvic assessment.
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Is the transvaginal scan painful?
It should not be. The probe is slim, warmed and covered with a lubricated protective sheath. You can decline or stop at any point — the transabdominal view alone still yields useful information.
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Do I need a full bladder?
Yes for the transabdominal view — drink 500 ml of water an hour before. You empty your bladder before the transvaginal part of the scan.
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Can I have a gynae ultrasound during my period?
Yes — it is safe and often clinically useful. For endometrial assessment, days 4–10 of the cycle give the clearest view. Tell the sonographer where you are in your cycle.
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How quickly will I get results?
Findings are usually discussed immediately after the scan, with a formal written report from the reporting consultant the same day.
Sources
- NICE. Suspected cancer: recognition and referral (NG12).
- Royal College of Obstetricians and Gynaecologists. Green-top guidelines.
- British Medical Ultrasound Society. Guidelines for professional ultrasound practice.
- IOTA Group. Simple rules and ADNEX model for ovarian mass classification.
Last reviewed 2026-07-30 · Next review 2027-07-30 · 6 min read · Reviewed by Pulse Atlas Editorial Board ().
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In practice, in London
How gynae ultrasound scan tends to unfold when you go private
With gynae ultrasound scan, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. The wait for gynae ultrasound scan on the NHS depends heavily on where you live and how urgently the referral is graded. Central and West London private clinics can normally book within a week, with imaging or a procedure slot to follow shortly after. It’s worth being honest about the reason for going private: usually it’s time, not a fundamentally different test.
A private gynae ultrasound scan pathway in London usually looks like this: an initial consultation, any diagnostics booked at a nearby facility (most within Zone 1 or 2), and a written report sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists, which keeps the standards consistent across both settings. For gynae ultrasound scan specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Honesty about expectations is part of the job. A private gynae ultrasound scan appointment in London won’t change the underlying medicine — the guidelines, the consultants, and the equipment are largely the same as on the NHS. What it changes is speed, continuity, and the amount of time you get to actually talk through the findings. Everyone we route to is GMC-registered and works within CQC-regulated facilities.