Concierge gynaecology · London
Private hysteroscopy in London, by a consultant gynaecologist.
A thin telescope passed through the cervix to see inside the womb - the definitive test for heavy or postmenopausal bleeding, polyps and fibroids. Outpatient or GA options.
Why patients choose us
- 01
Straight about the discomfort
We tell you honestly what an outpatient hysteroscopy feels like, and when a GA is the kinder option.
- 02
BSGE-accredited consultants
We route to consultant gynaecologists with formal hysteroscopy accreditation and high volumes.
- 03
We chase the histology
Biopsies take a week or two. We make sure they come back and are properly explained.
Indicative pricing
What a private hysteroscopy costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
An outpatient diagnostic hysteroscopy in our network: £650-£1,200, with findings on the day.
| Procedure | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Outpatient hysteroscopy (no sedation) | £650–£1,200 | 15–30 min | 24–72 hrs |
| Hysteroscopy + biopsy | £850–£1,500 | 30–45 min | 7–14 days |
| Hysteroscopic polypectomy | £1,200–£2,200 | 30–60 min | 7–14 days |
| Hysteroscopy under GA | £2,000–£3,800 | 30–60 min | 7–14 days |
| Endometrial ablation | £2,500–£4,500 | 30–60 min | 7–14 days |
| Myomectomy (small fibroid) | £3,000–£6,000 | 60–90 min | 14 days |
Prices vary by unit, whether the procedure is outpatient or under GA, and whether polyps or fibroids are removed and sent for analysis. We come back with a firm quote within one working day.
The problem
Nobody tells you what an outpatient hysteroscopy is actually like.
Some women sail through it. Others find it genuinely painful and wish they had been offered a GA. We are honest about which end of the spectrum you might be on, and route accordingly.
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Worried it will hurt?
We discuss pain relief and the option of sedation or GA before you commit. No pressure to tough it out.
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Post-menopausal bleeding?
This needs a proper look, quickly. We can arrange an urgent hysteroscopy within days.
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Not sure a hysteroscopy is right?
Sometimes a transvaginal scan or MRI is the better first step. We will say so.
The journey
From enquiry to report - what happens, in order.
One clinician from first message to results - including the bit after the procedure.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
A short visit to the clinic or day unit
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
A short, confidential form. Symptoms, timeline, referral or insurer if you have them.
- 02
Before
We come back with a recommendation
Within one working day: outpatient or GA, which unit, indicative price. If a scan is the better first step, we say so.
- 03
Before
We arrange the appointment
Usually within a week or two. We advise on pain relief beforehand and review any blood-thinning medication.
- 04
On the day
Arrival and consent
You change, meet your consultant, and go through consent and pain-relief options.
- 05
On the day
The procedure itself
15-45 minutes depending on what is done. Most outpatient hysteroscopies are over quickly and you go home the same day.
- 06
On the day
Recovery, then home
A short recovery, then home. If you had sedation or a GA, someone must collect you and stay overnight.
- 07
After
Findings and next steps
Your consultant explains what they saw on the day. Any biopsy results follow in 7-14 days, and we make sure they are explained.
Typical end-to-end: 1-2 weeks. Urgent cases: days.
What it shows
Find the reason that matches your symptom.
A hysteroscopy answers questions no scan alone can - and treats as it goes. These are the reasons women come to us.
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Heavy menstrual bleeding
Investigates periods that soak through, last too long, or cause anaemia.
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Post-menopausal bleeding
Any bleeding after the menopause needs urgent investigation - hysteroscopy is the definitive test.
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Endometrial polyps
Small growths in the womb lining, often removed in the same visit.
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Submucosal fibroids
Fibroids that bulge into the cavity - a leading cause of heavy bleeding and infertility.
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Retained products or IUD
Locates and removes a missing coil or tissue left behind after miscarriage or delivery.
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Intrauterine adhesions
Diagnoses Asherman’s syndrome and often treats it in the same procedure.
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Investigation for infertility
Part of the work-up when the womb cavity itself may be the issue.
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Red flag
Heavy bleeding with faintness, dizziness or collapse - call 999.
Procedure types
Not all hysteroscopies are the same.
What each option on your referral is actually for.
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Diagnostic outpatient hysteroscopy
A thin telescope passed through the cervix, no sedation, done in a clinic room.
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See-and-treat outpatient
Diagnosis and treatment of a polyp or small fibroid in the same outpatient visit.
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Hysteroscopy under GA
The same procedure asleep, in theatre - kinder when the cervix is tight or the treatment longer.
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Endometrial ablation
Treatment for heavy bleeding by removing the womb lining, usually under GA.
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Adhesiolysis (Asherman’s)
Division of scar tissue inside the womb to restore the cavity.
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IUD retrieval
Locates and removes a coil with missing threads or one that has embedded.
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Fertility work-up hysteroscopy
A close look at the cavity as part of a fertility assessment.
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Post-menopausal bleeding urgent hysteroscopy
Fast-tracked to exclude endometrial cancer or precancer.
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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CQC-registered clinics and day units
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Consultant gynaecologists with formal hysteroscopy accreditation
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Discreet outpatient setting with proper pain-relief options discussed beforehand
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Histology reported by consultant pathologists in UKAS-accredited labs
Safety and eligibility
Very safe - but there is real planning to do.
Hysteroscopy is very safe, but there are things to plan: pain relief, sedation or GA choices, and any blood-thinning medication.
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Discomfort like period cramps
Most people describe the outpatient procedure as strong period cramps, briefly. It settles quickly.
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Pain relief beforehand
Take ibuprofen and paracetamol about an hour before, unless told otherwise. It genuinely helps.
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Light bleeding after
A few days of light bleeding is normal. Anything heavier or with fever needs to be reviewed.
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No tampons or sex for 1-2 weeks after biopsy
To reduce the risk of infection while the lining heals. Use pads.
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Driving is safe if no sedation
After a straightforward outpatient hysteroscopy without sedation, you can drive yourself home.
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GA means fasting and no driving
A general anaesthetic requires fasting beforehand and no driving for 24 hours. Someone must collect you.
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Rare risks
Infection is uncommon. Perforation of the womb is rare, around 1 in 1,000, and usually heals without treatment.
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Anticoagulation may need pausing
Warfarin, DOACs and clopidogrel may need adjusting. Never stop without advice - we coordinate this.
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Pregnancy
Hysteroscopy is not performed if you are or might be pregnant. Tell us if there is any chance.
Reading your report
A hysteroscopy report can look intimidating. It isn’t.
Whatever was done, the report keeps to the same four parts.
A quiet reminder
You will be told the headline on the day - the biopsy detail takes a little longer.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Your details and the indication
Your details and the reason for the procedure - bleeding, suspected polyp, fertility work-up.
- 02 Technique
How the procedure was done
The scope size, the fluid used to open the cavity, and any biopsies or treatments performed.
- 03 Findings
What the gynaecologist saw
The shape of the cavity, the appearance of the endometrium, and the tubal openings (ostia).
- 04 Impression
The conclusion: read this first
The conclusion - normal, polyp, fibroid, hyperplasia, or cancer risk - and the recommended next step.
Recognised by major UK insurers
Most policies cover hysteroscopy when clinically indicated; we confirm cover and pre-authorisation before booking.
Frequently asked
Everything we get asked about hysteroscopy.
Quick answers on cost, pain, outpatient vs GA, results and next steps.
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What can a hysteroscopy show?
It gives a direct view inside the womb cavity - the endometrium, any polyps or submucosal fibroids, adhesions, retained tissue, and the openings of the fallopian tubes. Biopsies can be taken and many problems treated in the same visit.
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Outpatient or under general anaesthetic - which is right for me?
Most diagnostic hysteroscopies are done as an outpatient without sedation - it is quick and you go straight home. A GA is often kinder if the cervix is tight, if treatment is likely to be longer, or if you would find the outpatient procedure too uncomfortable. We discuss both honestly.
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Does a hysteroscopy hurt?
Most people describe it as strong period cramps for a short time. Taking ibuprofen and paracetamol an hour beforehand makes a real difference. If you find it too uncomfortable, we stop and rearrange under sedation or GA.
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How much does a private hysteroscopy cost in London?
A diagnostic outpatient hysteroscopy is typically £650-£1,200 in our network. Adding a biopsy or removing a polyp costs more, and hysteroscopy under GA is around £2,000-£3,800. We confirm a firm figure within one working day.
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Do I need a referral?
A hysteroscopy is arranged after a consultation, so the right approach is chosen and your medication reviewed. We can arrange that consultation quickly - insurers usually want a GP referral for cover.
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I have post-menopausal bleeding - how urgent is it?
Any bleeding after the menopause needs prompt investigation to rule out endometrial cancer or precancer. It is often nothing serious, but it always needs a proper look - usually within two weeks.
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When will I get the results?
The consultant tells you what they saw on the day. Biopsy results take 7-14 days, and we make sure they are explained to you rather than left in a portal.
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When can I have sex or use tampons again?
Wait 1-2 weeks after a biopsy or any treatment, to let the lining heal and reduce infection risk. Use pads in the meantime.
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Will a hysteroscopy affect my fertility?
A diagnostic hysteroscopy does not affect fertility. Treating polyps, fibroids or adhesions often improves it. Your consultant will discuss any specific implications for your case.
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When should I see a GP urgently?
Heavy bleeding with faintness, dizziness or collapse is a 999 call. Fever, worsening pain, or offensive discharge after the procedure needs same-day review.
Related tests
Looking for a different test?
-
Colposcopy
A close look at the cervix after an abnormal smear.
Learn more -
Cervical screening
The smear test - HPV and cervical cell changes.
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Women’s pelvic MRI
Detailed imaging of the womb, ovaries and pelvis.
Learn more -
All tests
Browse every test and procedure we arrange.
Learn more -
Endometriosis
Related condition guide.
Learn more -
Menopause
Related condition guide.
Learn more -
Coil IUD IUS Insertion And Removal
Related treatment option.
Learn more -
Colposcopy With Lletz
Related treatment option.
Learn more
In practice, in London
What hysteroscopy looks like on the ground in London
With hysteroscopy, the London question is usually about report turnaround and the radiologist reading it - not whether the scan is available. Public provision for hysteroscopy is competent but constrained by capacity. Private London clinics tend to have shorter diaries and longer appointment slots, so you get the same specialists with more time. For people who’ve been going round in circles with primary care, that first proper conversation is often what shifts things.
A typical private booking for hysteroscopy in London starts with a consultant conversation - sometimes in person on Harley Street or Marylebone, sometimes on video if that suits better. Any imaging or diagnostics happen at a nearby CQC-registered facility, and reports usually land within 24 to 72 hours. The whole loop, from first call to written report, is often done inside a fortnight. For hysteroscopy specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Where a good concierge earns its keep is in the matching. There are dozens of consultants in London who see hysteroscopy - but not all of them are the right fit for every case. We narrow it down based on subspecialty, insurer coverage, the specific question being asked, and whether continuity into treatment matters. The right first appointment saves you from repeating yourself later.