Endometriosis MDT · London
A private endometriosis clinic, by a BSGE-accredited MDT.
Around one in ten women of reproductive age lives with endometriosis. We match you to a specialist gynaecologist inside a BSGE-accredited centre, with colorectal, urology, fertility, pain and physiotherapy on the same team.
Why patients choose us
- 01
A BSGE-accredited endometriosis MDT, not a solo gynaecologist
Not a general gynaecology list. A named specialist in a BSGE-accredited centre, with colorectal, urology, fertility, pain and physiotherapy in the same room.
- 02
Excision over ablation, every time
The literature is clear: excision of endometriosis outperforms ablation for pain and recurrence. We only introduce surgeons who excise.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What a private endometriosis pathway costs in London.
Indicative ranges across our partner BSGE centres. Send us your history and any imaging, and we come back with a firm quote across two or three options.
In short
Full BSGE endometriosis MDT in London: consult from £280, excision surgery from £14,000.
| Service | Indicative range | Typical duration | Turnaround |
|---|---|---|---|
| Specialist BSGE endometriosis consultation (45 to 60 min) | £280 to £550 | 45 to 60 min | Same visit |
| Transvaginal ultrasound, dedicated endometriosis protocol | £350 to £650 | 30 to 45 min | Same visit |
| MRI pelvis, 3D deep infiltrating endometriosis protocol | £850 to £1,400 | 30 to 45 min | 48 hours |
| Diagnostic laparoscopy under general anaesthetic | £8,500 to £14,000 | 60 to 90 min | Same admission |
| Excisional laparoscopy, moderate endometriosis | £14,000 to £24,000 | 2 to 3 hours | Day case or 1 night |
| Radical DIE excision, colorectal or urology involvement | £22,000 to £48,000 | 4 to 6 hours | 2 to 5 nights |
| Medical hormonal management, ongoing per month | £150 to £350 | N/A | Monthly |
| Comprehensive MDT programme | £2,400 to £8,500 | 3 to 6 months | Programme |
Prices vary by centre, by which surgeon leads the case, by whether colorectal and urology support is needed, and by length of stay. We confirm firm figures within one working day.
The problem
The right specialist, the right team, the right centre.
Endometriosis in the wrong hands is symptoms treated in isolation, ablation instead of excision, and no colorectal or urology support when it is needed. We stop that happening.
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Waiting years for a diagnosis?
The UK average delay is 7 to 10 years. If your history fits, we open the door to a BSGE specialist in weeks, not years.
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Told it is just IBS or bad periods?
Cyclical bowel or bladder pain and heavy dysmenorrhoea are not normal. They are the classic pattern of endometriosis, and they deserve a proper work-up.
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Considering surgery or fertility?
Excision, IVF, or both, in what order. A BSGE MDT with fertility in the room means the plan is one plan, not three.
The journey
From first message to a shared plan, in order.
One team from your first enquiry to surgery and follow-up, including hormonal, fertility and pain care.
Phase 1 · Before
Concierge, off-stage for you
Phase 2 · At the centre
Consult, imaging, MDT, surgery
Phase 3 · After
Concierge, back on
- 01
Before
You send us your history and any imaging
A short, confidential form. Pain diary, cycle history, prior scans or laparoscopy notes, and what you want from the consultation.
- 02
Before
We come back with a recommendation
Within one working day: which BSGE-accredited centre and which specialist fit your case. Indicative price. An honest read either way.
- 03
Before
We arrange the specialist consultation
Usually within one to two weeks. A 45 to 60 minute consult with pain diary, pain map and EHP-30 quality-of-life questionnaire.
- 04
At the centre
Imaging with a dedicated protocol
Transvaginal ultrasound to an endometriosis protocol, plus MRI pelvis where deep infiltrating disease of bowel, bladder, ureter or rectovaginal septum is suspected.
- 05
At the centre
MDT discussion of your findings
Gynaecologist, colorectal surgeon, urologist, fertility, pain and specialist nurse. Options are ranked and priced, medical and surgical side by side.
- 06
At the centre
Excisional laparoscopy if you choose surgery
A BSGE-accredited excision list, with colorectal and urology on standby for deep disease. Day-case or one-night stay for most; longer for radical DIE.
- 07
After
Ongoing pain, hormonal and fertility care
Structured follow-up: hormonal suppression, physiotherapy for the pelvic floor, pain psychology and, where relevant, a fertility plan with IVF timing.
Typical time to specialist consult: 1 to 2 weeks. MDT plan: within 4 weeks. Surgery: 4 to 8 weeks.
When it helps
The symptoms that bring people to a BSGE clinic.
The patterns we see most, from classic dysmenorrhoea to cyclical bowel and bladder symptoms too often mistaken for IBS.
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Dysmenorrhoea (severe period pain)
Cyclical pelvic pain that stops school, work or sleep, poorly controlled by NSAIDs, is a classic presentation of endometriosis.
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Deep dyspareunia
Pain deep in the pelvis on penetrative sex points to disease on the uterosacral ligaments or the rectovaginal septum.
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Dyschezia and dysuria
Cyclical bowel pain on defaecation, or bladder pain on urination around the period, flags deep infiltrating disease of bowel or bladder.
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Chronic pelvic pain, non-cyclical
Daily pelvic pain that is no longer tied to the period. Often mis-labelled as IBS or a bladder condition for years.
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Subfertility
Difficulty conceiving, particularly with ovarian endometriomas or adhesions, warrants a joint gynaecology and fertility plan.
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Cyclical GI symptoms mistaken for IBS
Bloating, altered bowel habit and rectal pain that track the menstrual cycle are not IBS. They are endometriosis until proven otherwise.
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Fatigue and mental-health burden
Chronic pain, sleep loss and diagnostic delay carry a heavy toll. Pain psychology is part of the pathway, not an afterthought.
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Red flag: cyclical haematuria or rectal bleeding
Cyclical blood in the urine or from the rectum around the period suggests bladder or bowel endometriosis and needs urgent MDT review.
Treatment options
Endometriosis care is multi-modal, not one operation.
Analgesia, hormonal suppression, excisional surgery, fertility care, pain psychology and physiotherapy, layered to your priorities.
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Medical management, hormonal
Combined pill continuously or cyclically, progestogen-only pills, the Mirena LNG-IUS, dienogest (Visanne, endometriosis-specific), and letrozole in selected cases.
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GnRH agonists and antagonists
Goserelin and leuprorelin, plus orally-active elagolix and relugolix. Given with add-back HRT to protect bone and control menopausal side effects.
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Excisional laparoscopy
The gold standard for peritoneal and ovarian disease. Excision outperforms ablation in randomised trials for pain relief and recurrence.
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Radical DIE excision
For rectovaginal, bowel, bladder or ureteric disease, with colorectal and urology on the team. May include bowel resection, anastomosis or ureteric reimplantation.
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Fertility-aware surgical planning
Combined surgery and IVF depending on age, laterality of endometriomas and AMH. Ovarian reserve is protected wherever possible.
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Chronic pain programme
Pain specialist, pelvic-floor physiotherapy, CBT and, in selected cases, superior hypogastric plexus block or acupuncture.
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Diet and lifestyle
Anti-inflammatory Mediterranean pattern, omega-3, and, in some patients, gluten or dairy elimination trials. Evidence is modest but low risk.
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Second-opinion review
A specialist review of your prior notes, imaging and operation reports. Sometimes the answer is a change of drug, not a change of surgeon.
Our vetted London network
A small panel of BSGE specialists, we picked them.
Consultants inside BSGE-accredited centres in London, including Chelsea and Westminster Private, UCLH Private, the London Endometriosis Centre and HCA The Wellington. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every specialist in our network.
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BSGE-accredited endometriosis centres, not general gynaecology lists
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Named specialist gynaecologists with a declared endometriosis focus and case volume
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Colorectal, urology, fertility, pain and physiotherapy on the same MDT
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Excision as the default surgical technique, not ablation
Safety and expectations
What good endometriosis care actually looks like.
Endometriosis is chronic, complex and multi-system. Good care means honest expectations about surgery, hormones, fertility, recurrence and the role of physiotherapy and pain psychology.
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Diagnostic delay is the enemy
The UK average delay is 7 to 10 years. If your symptoms fit, we shorten that to weeks, not years.
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Laparoscopy is still the gold standard
Imaging is very good for deep disease and endometriomas, but superficial peritoneal disease is often only seen at laparoscopy with histology.
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Excision beats ablation
Randomised trials favour excision for pain relief and recurrence. Ablation may be appropriate for very superficial disease only.
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Deep disease needs the right team
Bowel, bladder and ureteric endometriosis need colorectal and urology in the room. A gynaecology-only excision leaves disease behind.
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Hormonal therapy has side effects
Break-through bleeding, mood change, weight gain and, for GnRH drugs, menopausal symptoms and bone-density loss without add-back HRT.
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Fertility considerations first, not last
If you may want to conceive, plan surgery and IVF together. Repeated ovarian surgery reduces AMH and ovarian reserve.
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Recurrence and reoperation
Even after complete excision, symptoms can return in around 20% at five years. Ongoing hormonal suppression reduces this.
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Pelvic-floor physiotherapy is part of it
Chronic pain drives pelvic-floor overactivity. Physiotherapy is not optional; it is core treatment.
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Red flags after surgery
Fever, worsening abdominal pain, heavy vaginal bleeding, inability to pass urine, or leg swelling. Call the unit or attend A&E the same day.
Reading your endometriosis notes
Your MDT report in four parts. Read the last one first.
Whichever centre you attend, the letter the BSGE team sends you keeps to the same shape.
A quiet reminder
Endometriosis language is precise and can read coldly. We translate it for you.
If you would like us to talk you through the report before your review, just ask.
- 01 History
Symptom pattern and pain map
Your pain diary, EHP-30 score, cycle history, prior treatments and what you want from care, distilled into a single page.
- 02 Imaging
Ultrasound and MRI findings
Endometriomas by side and size, nodules of the rectovaginal septum, bowel or bladder involvement, hydronephrosis, and adhesion signs.
- 03 Staging
rASRM stage and Enzian score
American Society for Reproductive Medicine stage I to IV, plus the Enzian score for deep infiltrating disease. Both matter for planning.
- 04 Impression
MDT plan and shared decision
Read this first: which drugs to try, which surgery to consider, which specialist to see next, and when to review.
Ready when you are
Shorten the wait. Start with a BSGE specialist.
Send us your history and any prior imaging. Within one working day, we come back with the right specialist, the right BSGE centre and a firm quote.
Recognised by major UK insurers
Cover for endometriosis diagnosis and excision surgery is usually funded when medically indicated. We confirm cover before booking.
Frequently asked
Everything patients ask about our endometriosis clinic.
Quick answers on diagnosis, cost, excision surgery, fertility and which London centres are BSGE-accredited.
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What is a private endometriosis clinic and what does the MDT include?
A private endometriosis clinic in the UK, when it is BSGE-accredited, brings together a specialist gynaecologist, a colorectal surgeon, a urologist, a fertility specialist, a pain specialist, a clinical psychologist, a specialist nurse, a pelvic-floor physiotherapist and a dietitian. That team reviews your history, imaging and, where relevant, laparoscopy findings together and agrees a shared plan.
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How is endometriosis diagnosed and why is there such a long delay?
Diagnosis is clinical, supported by transvaginal ultrasound with an endometriosis protocol and MRI pelvis for deep disease. Laparoscopy with histology remains the gold standard for definitive diagnosis. The UK average delay is 7 to 10 years, driven by symptoms being dismissed as normal period pain or mis-labelled as IBS.
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How much does private endometriosis care cost in the UK?
A specialist consultation is £280 to £550, MRI pelvis £850 to £1,400, diagnostic laparoscopy £8,500 to £14,000, moderate excisional laparoscopy £14,000 to £24,000, and radical DIE excision with colorectal or urology involvement £22,000 to £48,000. Ongoing medical management is £150 to £350 per month depending on drug.
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Excision or ablation? Which surgery is better for endometriosis?
For anything beyond very superficial disease, excision outperforms ablation in randomised trials for pain relief and recurrence. Excision also gives histology and reliably clears deep infiltrating disease. We only introduce surgeons who excise.
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I want to have children. Should I have surgery, IVF, or both?
It depends on age, AMH, laterality of endometriomas, tubal disease, partner factors and how long you have been trying. In BSGE centres, gynaecology and fertility plan together. Sometimes IVF first is the answer; sometimes surgery to remove a large endometrioma or a hydrosalpinx first is right.
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Which London hospitals have a BSGE-accredited endometriosis centre?
The BSGE-accredited network in and around London includes Chelsea and Westminster Private Endometriosis Centre, University College London Hospital Private, the London Endometriosis Centre and HCA The Wellington gynaecology unit, with Royal Berkshire NHS Foundation Trust used for NHS referral. We match you to the surgeon whose case-mix and MDT fit your disease.
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