Women’s Health · Pelvic Clinic · Central London & St Albans

Private Endometriosis Pelvic Ultrasound Scan, London

A pelvic ultrasound shaped around one question: could endometriosis explain your symptoms? Focused imaging of the ovaries and uterine muscle, an honest report on what was found — and what ultrasound cannot exclude — within 24 hours.

  • £219all-inclusive
  • Same-dayappointments often available
  • Female sonographeron request, no extra cost
  • No referralbook directly
  • 24h reportwritten diagnostic report
  • CQC-registeredsince 2012

The scan at a glance

A private endometriosis pelvic ultrasound at London Private Ultrasound costs £219 and is a focused transabdominal and — with consent — transvaginal assessment for the signs of endometriosis that imaging can show: endometriomas (“chocolate cysts”) on the ovaries, features of adenomyosis in the uterine muscle, and reduced organ mobility that can suggest pelvic adhesions. The scan is performed at 27 Welbeck Street in London’s Harley Street medical district and at 54–56 Victoria Street, St Albans, with same-day appointments often available, a female sonographer on request, no GP referral required, and a written report within 24 hours.

What is an endometriosis pelvic ultrasound?

An endometriosis pelvic ultrasound is a standard pelvic ultrasound with its time and attention deliberately re-weighted towards the signs of endometriosis and its close relative, adenomyosis.

Endometriosis is a condition in which tissue similar to the lining of the womb grows outside the uterus — on the ovaries, the pelvic lining and the ligaments that support the womb — where it responds to the menstrual cycle and can cause pain, heavy periods and difficulty conceiving. Endometriosis UK estimates that around 1 in 10 women of reproductive age live with the condition — roughly 1.5 million people in the UK — and that getting a diagnosis takes almost nine years on average. NICE guidance recommends transvaginal ultrasound as a first-line investigation for suspected endometriosis, which is exactly what this appointment provides, without a referral and often on the same day.

London Private Ultrasound performs the scan as a two-part examination: a transabdominal overview across the lower abdomen, then — only with your consent — a transvaginal scan, which gives the clearest view of the ovaries and the uterine muscle. The examination is guided by your symptoms and your comfort: where the scan reproduces your specific pain, that is documented rather than pushed through, because tenderness mapping is itself clinical information. Alongside the focused question, the uterus, endometrium and both ovaries are reviewed as in a standard pelvic ultrasound.

When should you book an endometriosis-focused scan?

Pain that disrupts your life is a reason to investigate — not something to be talked out of. These are the situations this scan is built for.

Period pain that disrupts your life

Pain that keeps you off work, off sport or in bed is not something to normalise — it is one of the most common reasons an endometriosis-focused scan is booked.

Pain during or after sex

Deep pain with intercourse is a recognised endometriosis symptom and a specific, answerable question for a focused pelvic ultrasound.

Pelvic pain between periods

Chronic or cyclical pain outside menstruation deserves imaging rather than another month of waiting to see.

Pain with bowel movements or urination

Pain opening your bowels or passing urine, particularly around your period, is a symptom the scan is specifically shaped around.

Heavy or flooding periods

Heavy bleeding can accompany both endometriosis and adenomyosis — the scan assesses the uterine muscle as well as the ovaries.

Difficulty conceiving

Endometriosis is a recognised factor in fertility. The scan documents endometriomas and pelvic anatomy, and pairs naturally with a fertility assessment.

A known diagnosis to monitor

If you already have endometriosis, ultrasound tracks endometrioma size and appearance over time and provides a baseline before or after treatment.

A family history

Endometriosis runs in families. A first-degree relative with the condition is a reasonable prompt to investigate persistent symptoms earlier.

Years of symptoms without answers

Endometriosis UK reports that diagnosis takes almost nine years on average in the UK. A focused scan cannot always give a final answer — but it can start the right pathway this week.

What the guidance says. NICE guideline NG73 recommends transvaginal ultrasound as a first-line investigation for suspected endometriosis. Endometriosis UK estimates around 1 in 10 women live with the condition — about 1.5 million in the UK — and reports that diagnosis takes almost nine years on average. A focused scan cannot always give a final answer, but it can start the right pathway years sooner.

What does the scan look for?

Six things, examined deliberately — with the findings, and the limits, reported in plain English.

Endometriomas — “chocolate cysts”

Ovarian cysts filled with old blood have a characteristic ground-glass appearance on ultrasound and are one of the clearest findings the scan can make. Size, number and side are all documented.

Features of adenomyosis

A globular or asymmetrically thickened uterine muscle and tiny muscle-wall cysts suggest adenomyosis — a close relative of endometriosis inside the wall of the womb, assessed in the same appointment.

Organ mobility

Gently assessing how the uterus and ovaries glide against neighbouring structures can suggest pelvic adhesions when movement is reduced — a soft sign, noted and explained honestly.

Tenderness mapping

Where the scan reproduces your specific pain, that site is documented — information a gynaecologist can act on directly.

Other explanations for your symptoms

Fibroids, other ovarian cysts, endometrial polyps and signs associated with pelvic infection are all reviewed, because ruling causes in or out is half the value of the scan.

The surrounding pelvis

The uterus, endometrium and both ovaries are reviewed as in a standard pelvic ultrasound, so the focused question is answered without losing the broader picture.

A normal scan does not rule endometriosis out. Superficial endometriosis — small deposits on the pelvic lining — is often invisible on ultrasound, and laparoscopy remains the definitive way to confirm or exclude the condition. What a normal, well-performed scan does do is exclude endometriomas and several other causes of your symptoms, document a clear baseline, and give your GP or gynaecologist a starting point. If your symptoms continue, they deserve continued investigation — with or without a positive scan.

What happens during the appointment?

Book and prepare

Book online, by phone or by WhatsApp — any point in your cycle is fine, including during a period if you are comfortable. For the tummy (transabdominal) part, drink around one litre of water an hour beforehand and try not to empty your bladder.

Transabdominal scan first

The sonographer scans across your lower abdomen for an overview of the uterus, ovaries and surrounding pelvis.

Internal scan — only with your consent

A transvaginal scan gives the clearest view of the ovaries, the uterine muscle and any endometrioma, and is performed only with your full consent, with an empty bladder. The examination is guided by your comfort throughout, and a female sonographer is available on request at no extra cost.

Results and report

Findings are explained to you at the appointment, and a written report follows within 24 hours — written to the endometriosis question and suitable for your GP, gynaecologist or fertility clinic.

Consent-led intimate imaging. An internal scan is never assumed. It is offered because it gives the clearest view, performed only with your full consent, and you remain in control throughout the appointment — including pausing or stopping at any point. A female sonographer is available on request, subject to appointment availability, at no extra cost.

Which pelvic scan do you need?

Three closely related scans, one decision. If endometriosis is your specific question, this page is the right scan; the table shows when its siblings fit better.

Endometriosis-focused scan vs standard pelvic vs 3D pelvic ultrasound at London Private Ultrasound.
ScanBest forEndometriosis assessmentPriceBook
Endometriosis Pelvic UltrasoundSymptoms or a family history pointing specifically at endometriosis or adenomyosisThe focus of the entire scan — endometriomas, adenomyosis features, mobility and tenderness mapping£219Book this scan
Pelvic Ultrasound ScanBroad first look at pelvic pain, bleeding, cysts or fibroids where the cause is openEndometriomas identified as part of the general review£219View scan
3D Pelvic Ultrasound ScanComplex cases — unusual uterine shape, complex fibroid mapping, or an earlier scan that left questions openAdds 3D views of the uterus and cavity where extra structural detail is needed£269View scan

Fertility your main concern? The Fertility Assessment Scan (£219) pairs naturally with this appointment, and the Pelvic Health Package (£599) adds female hormones and a GP review.

Who performs the scan?

Endometriosis-focused scans at London Private Ultrasound are performed by an experienced, female-led scanning team, with clinical governance from the clinic’s Medical Director.

Mrs Hosna Rashidi

Ultrasound Consultant with a special interest in women’s health and gynaecological scanning.

Female clinician

Mrs Ruchi Gupta

Consultant Sonographer experienced in pelvic and gynaecological ultrasound.

Female clinician

Miss Ashleigh Austin

Ultrasound Consultant performing pelvic, gynaecological and early pregnancy scanning.

Female clinician

Clinical governance: Dr Babak Soleimanpour, Medical Director. All clinicians are registered with the relevant UK regulators, and the clinic is CQC-registered.

Endometriosis pelvic ultrasound — common questions

Sixteen questions patients ask before booking. For anything not covered, call 020 7101 3377 or message on WhatsApp.

How much does a private endometriosis pelvic ultrasound cost in London?

An endometriosis-focused pelvic ultrasound at London Private Ultrasound costs £219, all-inclusive: the scan performed by a specialist, a verbal explanation of the findings at the appointment, and a written report within 24 hours. There are no hidden fees and no membership.

Can an ultrasound scan diagnose endometriosis?

Sometimes clearly, sometimes partly — and it is important to be honest about both. Ultrasound can positively identify endometriomas (“chocolate cysts”) and features of adenomyosis, and reduced organ mobility can suggest adhesions. But superficial endometriosis — small deposits on the pelvic lining — is often invisible on ultrasound, so a normal scan does not rule the condition out. Laparoscopy remains the definitive test. What the scan does is find what can be found, exclude several other causes, and give your GP or gynaecologist a documented starting point.

Do I need a GP referral to book?

No. You can book directly online, by phone on 020 7101 3377 or by WhatsApp. If you have previous scan reports, gynaecology letters or a symptom diary, bring them — they help the sonographer target the examination and help the report say something useful.

What is an endometrioma or “chocolate cyst”?

An endometrioma is an ovarian cyst caused by endometriosis, filled with old, dark blood — which is where the nickname comes from. On ultrasound it has a characteristic ground-glass appearance that experienced sonographers recognise reliably, and finding one is strong evidence of endometriosis. The scan records its size, appearance and side so that change can be tracked over time.

Is adenomyosis the same as endometriosis?

They are close relatives, not the same condition. In endometriosis, tissue similar to the womb lining grows outside the uterus; in adenomyosis, it grows within the muscle wall of the uterus itself, which can cause heavy, painful periods and a tender, enlarged womb. Both are assessed in this appointment, because symptoms overlap and the two frequently coexist.

Is an internal (transvaginal) scan necessary?

It usually gives the clearest view of the ovaries and uterine muscle — which is why NICE recommends transvaginal ultrasound as a first-line investigation for suspected endometriosis — but it is only performed with your full consent. If you prefer a transabdominal-only scan, tell the sonographer and the examination will be tailored to what you are comfortable with.

Does the scan hurt?

The scan is designed around your comfort. The transabdominal part involves gentle probe pressure; the transvaginal part may feel briefly uncomfortable, and if any point of the examination reproduces your pain, tell the sonographer — that tenderness is itself useful clinical information and will be documented rather than pushed through. You can pause or stop the examination at any time.

When in my cycle should I book?

Any time. An endometriosis-focused scan can be performed at any point in the cycle, including during a period if you are comfortable attending. If a follow-up scan is ever better timed to a particular phase, the sonographer will say so in the report.

Can I request a female sonographer?

Yes. A female sonographer is available on request, at no extra cost, subject to appointment availability. Please mention it when booking.

What if my scan is normal but my symptoms continue?

A normal scan is genuinely useful — it excludes endometriomas and several other causes — but it does not exclude endometriosis, because superficial disease is often invisible on ultrasound. If symptoms continue, they deserve continued investigation: your report will say clearly what was and was not assessed, so your GP or gynaecologist can decide on next steps such as specialist referral or laparoscopy. Persistent symptoms are a reason to keep going, not a reason to stop.

Can the scan tell me about my fertility?

It contributes an important piece: endometriomas, adenomyosis and pelvic anatomy all matter to conception and to IVF planning. It does not assess whether the fallopian tubes are open or measure egg quality. If fertility is your main question, the scan pairs naturally with the fertility assessment ultrasound and an AMH blood test — the team can combine them in one visit.

I already have an endometriosis diagnosis — why book a scan?

Three common reasons: to measure and monitor a known endometrioma over time; to establish a clear baseline before starting or changing treatment; and to reassess when symptoms change. Because ultrasound is radiation-free, it can be repeated as often as monitoring requires.

When will I get my results?

The sonographer explains the main findings during the appointment itself, and a written diagnostic report follows within 24 hours — written to the endometriosis question and suitable for your GP, gynaecologist, fertility clinic or private specialist.

Do you treat endometriosis at the clinic?

London Private Ultrasound is a diagnostic clinic: the role of this appointment is to find what can be found and document it properly. Treatment — from pain management to hormonal options to surgery — sits with your GP and gynaecologist, and your report is written to support exactly that referral, with a same-day formal report available when a finding needs prompt attention.

Where can I have the scan?

At either clinic: 27 Welbeck Street, London W1G 8EN, in the Harley Street medical district, or 54–56 Victoria Street, St Albans AL1 3HZ. Same-day appointments are often available at both, seven days a week.

How is this different from a standard pelvic ultrasound?

Same £219 price, different question. A standard pelvic ultrasound is a broad first look at pelvic pain or bleeding. This appointment is shaped around endometriosis specifically: focused time on the ovaries and uterine muscle, an organ-mobility and tenderness-guided assessment, and a report written to the endometriosis question. If your symptoms are general rather than endometriosis-specific, the standard pelvic scan is the right first step — and the team will happily advise which fits before you book.

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Endometriosis-focused pelvic scan

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  • £219 all-inclusive scan and report
  • Central London and St Albans clinics
  • Female sonographer available on request
  • No GP referral required

For sudden severe pelvic pain, collapse, or heavy bleeding with faintness, seek urgent medical care rather than waiting for a routine appointment.

Where can you book?

Central London

27 Welbeck Street, London W1G 8EN — in the Harley Street medical district.

Get directions →

St Albans

54–56 Victoria Street, St Albans AL1 3HZ.

Get directions →

Written by: Mr Pedram Aghaei, Co-Founder & Medical Writer (non-clinical author). Checked by: Dr Babak Soleimanpour, MD (Medical Director). Published: 27/07/2026 · Next review: 27/01/2027 (six months).
London Private Ultrasound. This page is patient information and does not replace a medical consultation.

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