Concierge gynaecological imaging · London
Pelvic ultrasound, transvaginal or transabdominal ultrasound of uterus, ovaries, bladder and pelvic organs.
A pelvic ultrasound scan is a radiation-free imaging test using transvaginal + transabdominal probes to assess the uterus, ovaries, adnexae, bladder and (in men) prostate. First-line for pelvic pain, abnormal bleeding, subfertility, fibroids and cysts.
Key facts
- 01
Transabdominal + transvaginal
Ultrasound of the pelvic organs - uterus, ovaries, adnexae, bladder and (in men) prostate - combining both probe approaches.
- 02
Radiation-free
Uses sound waves only. Safe in pregnancy, safe to repeat, no dye and no needles.
- 03
20–30 minute test
Straightforward slot: gel, sweep, Doppler, done. You dress and leave the same visit.
- 04
Consultant sonographer performs
The person scanning you is also the person reading the images - no hand-off, no lost detail.
- 05
Doppler for adnexal flow
Colour and spectral Doppler assesses ovarian and adnexal vascularity - key for characterising cysts and masses.
- 06
Complements MRI pelvis
First-line for most pelvic symptoms; MRI pelvis follows when characterisation, staging or endometriosis mapping is needed.
Indicative pricing
What a private pelvic 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: £220–£420, with findings usually the same day.
| Scan type | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Standard pelvic ultrasound (transabdominal + transvaginal) | £220–£420 | 25 min | Same-day |
| Transabdominal pelvic ultrasound only | £180–£320 | 20 min | Same-day |
| Pelvic ultrasound + gynaecology consultation | £450–£850 | 60 min | Same visit |
| Pelvic ultrasound + endometrial biopsy | £550–£950 | 45 min | 5–7 days |
| Follow-up / surveillance pelvic ultrasound | £200–£380 | 20 min | Same-day |
| Urgent same-week pelvic ultrasound | £350–£700 | 30 min | Same-week |
Prices vary by clinic, whether a same-visit consultant gynaecology opinion is included, and whether an endometrial biopsy is added. We come back with a firm quote within one working day.
The problem
A pelvic ultrasound is only as good as who reports it.
Adnexal masses, endometrial findings and fibroid mapping are interpretation calls. We route you to a consultant sonographer with a gynaecology subspecialty interest - not a generalist.
-
Pelvic pain or abnormal bleeding?
We arrange a same-week pelvic ultrasound and route findings to gynaecology.
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Ovarian cyst on a prior scan?
We characterise it against IOTA descriptors - reassure, follow up or refer.
-
Subfertility work-up?
Antral follicle count, uterine cavity and pelvis, folded into a fertility pathway.
The pathway
From referral to report - what happens, in order.
One consultant sonographer from first message to same-day written report.
Phase 1 · Before your scan
Concierge, off-stage for you
Phase 2 · On the day
~25 minutes at the clinic
Phase 3 · After
Same-day report
- 01
Before
Referral and consultation
A short, confidential form. Symptoms, cycle history, prior imaging, referral or insurer if you have them.
- 02
Before
Full bladder for transabdominal view
You drink water 45–60 minutes before - a full bladder is the window through which the pelvis is scanned from the abdomen.
- 03
On the day
Empty bladder for transvaginal
Between the two parts of the scan you empty the bladder. Transvaginal imaging needs an empty bladder for the closest, clearest view.
- 04
On the day
Warm gel applied
For the abdominal part, warmed contact gel is applied to the lower abdomen. Comfortable from the first touch.
- 05
On the day
Sweep of uterus, ovaries, pouch of Douglas
The sonographer systematically images the uterus, endometrium, both ovaries, adnexae and the pouch of Douglas for free fluid.
- 06
On the day
Doppler flow assessment
Colour and spectral Doppler quantifies vascularity of any cyst, mass or endometrial abnormality - a key IOTA feature.
- 07
After
Same-day written report
Findings are discussed with you immediately, with a formal written report from the consultant sonographer the same day.
Typical end-to-end: 3–7 days. Urgent cases: same day.
What it shows
When a pelvic ultrasound is the right test.
Pelvic ultrasound answers specific questions about the uterus, endometrium, ovaries and adnexae. These are the presentations and findings we see most.
-
Uterine fibroids
Size, number and position of fibroids - submucosal, intramural, subserosal - that explain heavy bleeding or pressure symptoms.
-
Endometrial thickness / polyps
Measures endometrial thickness and identifies polyps - first-line for abnormal or postmenopausal bleeding.
-
Ovarian cysts
Simple, haemorrhagic, dermoid and complex cysts - characterised using IOTA descriptors and Doppler flow.
-
Adnexal masses (IOTA)
IOTA Simple Rules classify adnexal masses as benign, malignant or inconclusive, guiding the next step.
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Endometrioma / endometriosis signs
Endometriomas, deep infiltrating nodules and adhesions - MRI or specialist scan may extend the map.
-
Pelvic free fluid
Small physiological fluid vs pathological ascites - a red-flag context, not a diagnosis in itself.
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Bladder wall assessment
Bladder wall thickness, residual volume, mass or diverticulum - often incidentally picked up on pelvic ultrasound.
-
Red flag: complex ovarian mass with ascites - urgent gynae-oncology
A complex ovarian mass alongside ascites is an urgent gynae-oncology pathway, not a private waiting-room finding.
Next steps
What follows a pelvic ultrasound.
The scan is the beginning, not the answer. Where each finding goes next.
-
Reassurance for benign findings
Simple cysts, small fibroids and normal endometrium in the right context need explanation, not intervention.
-
MRI pelvis for characterisation
Complex adnexal masses, deep endometriosis and fibroid mapping benefit from MRI’s soft-tissue contrast.
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Hysteroscopy for polyps
Endometrial polyps and submucosal fibroids are seen - and often removed - at hysteroscopy.
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Gynaecology referral for fibroids / cysts
Symptomatic fibroids and persistent or complex cysts are discussed with a consultant gynaecologist.
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Endometrial biopsy
A thickened endometrium or postmenopausal bleeding is sampled - Pipelle in clinic or at hysteroscopy.
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Fertility investigation
Ultrasound is a cornerstone of subfertility work-up - antral follicle count, uterine cavity and tubal patency planning.
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Multi-disciplinary team review
Suspicious findings are discussed at gynae-oncology MDT before onward decisions.
-
Structured follow-up
Simple cysts and small fibroids are followed at defined intervals - no surprises, no drift.
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 radiologists with subspecialty gynaecology interest
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IOTA-based reporting for adnexal masses
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Same-day written report, with images available for onward review
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Onward gynaecology, fertility or gynae-oncology pathway where indicated
Red flags
The findings that change the pathway.
Most pelvic ultrasounds are reassuring. These are the findings that shift the answer from private waiting room to urgent pathway.
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Complex ovarian mass
Multi-locular solid mass with vascularised solid components - urgent gynae-oncology referral.
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Ascites
Free intra-abdominal fluid outside a physiological context - investigate urgently.
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Postmenopausal bleeding with thickened endometrium
Endometrial thickness >4 mm after menopause with bleeding - biopsy is the standard next step.
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Suspected sarcoma
A rapidly growing uterine mass with atypical features raises the (rare) possibility of leiomyosarcoma.
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Rapidly growing fibroid
Documented rapid interval growth - especially postmenopausally - needs urgent gynaecology review.
-
Adnexal torsion features
Acute pelvic pain with an enlarged, poorly vascularised ovary is a surgical emergency - A&E, not a private slot.
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Pelvic infection with abscess
A tubo-ovarian abscess needs urgent gynaecology admission and IV antibiotics.
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Ectopic pregnancy
A positive pregnancy test with an empty uterus and adnexal features - same-day early pregnancy unit assessment.
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Molar pregnancy
The classic snowstorm appearance with markedly raised hCG - urgent gestational trophoblastic disease pathway.
Reading your report
A pelvic 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, symptoms, cycle stage and prior imaging that shape interpretation.
- 02 Technique
Transabdominal and transvaginal approach
Which probes were used, bladder status and any limitation of the study.
- 03 Findings
Uterus, endometrium, ovaries, adnexae
Structured description: uterine size and fibroids, endometrial thickness, both ovaries, adnexae, pouch of Douglas and bladder.
- 04 Impression
The conclusion: read this first
Normal, benign findings, or a clear next step - biopsy, MRI, gynaecology or gynae-oncology pathway.
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 pelvic ultrasound.
Quick answers on what it shows, transvaginal vs transabdominal, safety in pregnancy, and when MRI pelvis follows.
-
What does a pelvic ultrasound show?
The uterus, endometrium, ovaries, adnexae, pouch of Douglas and bladder. In men, the prostate and bladder. It is first-line for pelvic pain, abnormal bleeding, subfertility, fibroids and ovarian cysts.
-
Do I need both transabdominal and transvaginal scans?
In most gynaecology work-ups, yes. Transabdominal gives the overview through a full bladder; transvaginal - with an empty bladder - gives the closest, highest-resolution look at the uterus and ovaries. Transvaginal is optional and always your choice.
-
Is a pelvic ultrasound safe in pregnancy?
Entirely safe. Ultrasound uses sound waves, not radiation, and is the standard imaging test at every stage of pregnancy.
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How quickly will I get results?
Findings are discussed with you immediately after the scan, with a same-day written report from the consultant sonographer.
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When would I need an MRI pelvis instead?
MRI pelvis follows pelvic ultrasound when a mass needs full characterisation, endometriosis needs mapping, or fibroids need pre-treatment planning. Ultrasound comes first; MRI extends the answer.
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What is IOTA and why does it matter?
IOTA - International Ovarian Tumour Analysis - is the validated framework for classifying adnexal masses on ultrasound. It sorts masses into benign, malignant or inconclusive, and shapes whether you need reassurance, MRI or urgent gynae-oncology referral.
Sources
The guidelines behind this page.
- NICE. Suspected cancer: recognition and referral (NG12).
- Royal College of Obstetricians and Gynaecologists. Green-top guidelines.
- British Medical Ultrasound Society. Professional guidance.
- IOTA Group. Ovarian mass classification (Simple Rules and ADNEX).
Last reviewed 2026-07-30. Next review 2027-07-30. Reading time ~5 min.
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In practice, in London
Booking pelvic ultrasound privately in London - what actually happens
With pelvic ultrasound, the London question is usually about report turnaround and the radiologist reading it - not whether the scan is available. Public provision for pelvic ultrasound 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 private pelvic ultrasound 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 pelvic ultrasound specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
The value of going through a concierge for pelvic ultrasound isn’t access - anyone with an insurer or a credit card can get a private appointment in London. The value is knowing which consultant reads this particular presentation best, which unit turns reports around fastest, and which pathway won’t hit a dead end if the findings point somewhere unexpected.