Postmenopausal bleeding
Any bleeding after menopause needs assessment.
£219 · Same-Day · Female Sonographer · CQC
Postmenopause Pelvic Ultrasound Scan London
A postmenopause pelvic ultrasound scan at London Private Ultrasound costs £219 and assesses the uterus, endometrial thickness, ovaries and visible pelvic structures after menopause. It is especially useful for investigating postmenopausal bleeding, spotting while using HRT, pelvic pain, pressure, bloating or ovarian concerns. No GP referral is required, a female sonographer is available on request, and your written report is usually sent within 24 hours.
A specialised pelvic assessment for women after menopause — focusing on endometrial thickness and ovarian appearance, especially important when investigating any postmenopausal bleeding.
4.8 ★ Google1,200+ Reviews
CQC RegulatedEst. 2012
£219All-inclusive
Last clinically reviewed by Mr Pedram Aghaei, Ultrasound Consultant & Dr Babak Soleimanpour, Medical Director
What It Detects
What a postmenopause pelvic ultrasound scan can assess
- Endometrial thickening after menopause
- Endometrial polyps (when visible)
- Ovarian cysts or masses
- Uterine abnormalities
- Features that may warrant referral
What’s Included
What’s included
- Transabdominal and (with consent) transvaginal imaging
- Endometrial thickness measurement
- Assessment of uterus and ovaries
- Same-day verbal findings
- Written report within 24 hours, suitable for referral
When to Book
When should you book?
Pelvic pain after menopause
Investigating a cause.
Ovarian reassurance
Assessment of the ovaries post-menopause.
HRT monitoring
Checking the endometrium during HRT.
Bloating or pressure
Persistent unexplained symptoms.
Why Book This Scan?
Why women book a postmenopause pelvic ultrasound
After menopause, new bleeding or a change in pelvic symptoms should be checked carefully. Ultrasound is a first-line, non-invasive way to assess the endometrial lining, uterus and ovaries and to guide whether reassurance, monitoring or onward referral is appropriate.
Check postmenopausal bleeding
Any bleeding after menopause needs prompt assessment. The scan measures the endometrial thickness and looks for visible causes such as polyps, fibroids or a thickened lining.
Assess the endometrium
The endometrial lining is measured and described clearly in your report, helping your GP or gynaecologist decide whether further investigation is needed.
Review ovaries after menopause
The scan checks the ovaries for cysts, enlargement or other visible abnormalities that may explain bloating, discomfort, pressure or unexpected symptoms.
Support HRT-related concerns
For patients using HRT, ultrasound can help assess the endometrial lining when there is bleeding, spotting or clinical concern.
Possible Findings
What the scan may detect or help exclude
A postmenopause pelvic ultrasound does not replace a specialist consultation or biopsy when required, but it provides important imaging information for the next step.
Common findings assessed
- Endometrial thickness and lining appearance
- Endometrial polyp suspicion
- Fibroids affecting the uterus or cavity
- Ovarian cysts or ovarian enlargement
- Pelvic fluid or visible pelvic mass
- Uterine size and structural changes
When urgent advice is important
- Bleeding after menopause, especially repeated or heavy bleeding
- New pelvic pain with fever or feeling unwell
- Persistent bloating, early fullness, weight loss or appetite change
- Severe pain, dizziness or acute symptoms
- Any scan finding that requires urgent GP, gynaecology or emergency referral
AI Overview Ready
Postmenopause pelvic ultrasound: quick clinical answer
This section is written in a direct question-and-answer format to help patients, Google AI Overviews and answer engines understand the service clearly.
What is the best scan for bleeding after menopause?
A pelvic ultrasound is commonly used as a first-line imaging test for bleeding after menopause. It measures the endometrial thickness, checks the uterus and ovaries, and helps decide whether reassurance, monitoring, GP review, gynaecology referral or further tests such as hysteroscopy/biopsy may be needed.
Who is this scan for?
Women who are postmenopausal and have bleeding, spotting, pelvic pain, bloating, pressure symptoms, ovarian cyst follow-up, HRT-related bleeding or concern about the endometrial lining.
What does it measure?
The scan records endometrial thickness and assesses the uterine cavity, uterus, ovaries, adnexal regions and visible pelvic structures.
Does it diagnose cancer?
No. Ultrasound can identify thickened lining or suspicious features, but cancer diagnosis requires specialist assessment and, where indicated, tissue sampling.
How fast are results?
You usually receive verbal findings on the day and a written report within 24 hours, suitable for GP or gynaecology referral.
Patient Pathway
What happens after the scan?
Your scan report is written to support a practical next step. The pathway depends on symptoms, endometrial thickness, ovarian findings and your clinical history.
| Finding or situation | What it may mean | Likely next step |
|---|---|---|
| Thin endometrium with no concerning features | Often reassuring in the right clinical context | Report for GP records; seek medical advice if bleeding continues or returns |
| Thickened endometrium | May require further assessment, especially with bleeding | GP or gynaecology referral; possible hysteroscopy or biopsy depending on clinical context |
| Suspected polyp or fibroid | A possible structural cause of bleeding or pressure | Gynaecology review if symptomatic, persistent or clinically significant |
| Ovarian cyst or mass | Needs characterisation and risk-based follow-up | Follow-up scan, blood tests or specialist referral depending on features |
| Urgent or severe symptoms | Could need same-day medical assessment | Urgent GP, NHS 111, A&E or emergency care as clinically appropriate |
Symptoms & Reasons to Book
Symptoms that often lead to a postmenopause pelvic scan
The scan is designed for targeted assessment after menopause, especially when symptoms are new, unexplained or causing concern.
Bleeding or spotting
Any bleeding after menopause should be checked. The scan measures endometrial thickness and looks for visible structural causes.
HRT-related bleeding
Bleeding while using HRT may still require assessment, depending on timing, pattern and risk factors.
Pelvic pain or pressure
Ultrasound can assess fibroids, ovarian cysts, uterine changes and visible pelvic abnormalities.
Bloating or ovarian concern
Persistent bloating, pressure or early fullness can be a reason to review ovarian appearance and pelvic structures.
Follow-up of a previous finding
Useful for monitoring a known ovarian cyst, endometrial thickness or uterine abnormality.
Private reassurance
No GP referral is required, and the report can be shared with your NHS GP or private specialist.
Local Private Pelvic Scan
Private postmenopause pelvic ultrasound in Central London and St Albans
London Private Ultrasound provides postmenopause pelvic ultrasound scans from our Central London clinic near Harley Street, Oxford Circus, Bond Street, Marylebone, Mayfair and Fitzrovia, and from our St Albans clinic for Hertfordshire patients from Hatfield, Watford, Hemel Hempstead, Radlett, Harpenden, Welwyn Garden City and nearby areas. Same-day appointments are often available, no GP referral is required, and reports are written in clear language for your GP or specialist.
Clear, clinically useful reporting
Your report includes the key measurements and imaging findings, with guidance on whether routine follow-up, GP review, gynaecology referral or urgent assessment is advised.
Our Team
Your ultrasound team
Performed and reported by experienced, fully-registered Ultrasound Consultants. A female sonographer is available on request.
Mr Pedram Aghaei
Ultrasound Consultant · Co-founder
BMUS: 20702 · SVT: 679 · SOR: 93290
Mr Reza Farahmandfar
Ultrasound Consultant
BMUS Registered
Mrs Hosna Rashidi Female
Ultrasound Consultant
BMUS Registered
Mrs Ruchi Gupta Female
Consultant Sonographer
HCPC Registered
Miss Ashleigh Austin Female
Ultrasound Consultant
HCPC Registered
Mrs Arezoo Selahi
CQC Champion · Nurse Prescriber
NMC Registered
Dr Babak Soleimanpour
Medical Director · GP
MD · MRCGP · DRCOG · GMC: 6060555
Mr Ali Aghaei MPharm
Pharmacist Prescriber
GPhC Registered · Medication review for packages
Clinical governance: Mrs Arezoo Selahi (CQC Champion · Nurse Prescriber · NMC Registered) oversees clinical standards. For health-check packages, medication review is supported by Mr Ali Aghaei MPharm (GPhC Registered) and our Medical Director Dr Babak Soleimanpour (GMC: 6060555).
Common Questions
Frequently asked questions
Why is postmenopausal bleeding important to check?
Any bleeding after menopause should be assessed promptly. Ultrasound measures the endometrial thickness and looks for causes; a thickened lining or other findings prompt referral for further evaluation.
What endometrial thickness is reassuring after menopause?
A thin endometrium is generally reassuring, while a thicker lining may need further assessment. Your sonographer interprets the measurement with your symptoms and history.
Is a transvaginal scan needed?
It gives the clearest view of the endometrium after menopause, but is only done with your consent. A transabdominal-only option is available.
How much does it cost?
A postmenopause pelvic ultrasound scan at LPU is £219, including a written report.
Can ultrasound rule out endometrial cancer?
Ultrasound can measure the endometrial thickness and identify concerning features, but it cannot definitively rule out or diagnose cancer. If the lining is thickened or symptoms are concerning, biopsy or specialist gynaecology assessment may be recommended.
Do I need a full bladder?
For the transabdominal part of the scan, a comfortably full bladder can improve the view. If a transvaginal scan is performed with your consent, you will usually be asked to empty your bladder first.
Can I have the scan if I am on HRT?
Yes. Please tell the clinical team what HRT you use and whether you have bleeding or spotting. This context helps interpret the endometrial measurement and report.
Will I get my results on the same day?
Your sonographer will usually explain the main scan findings verbally at the appointment. A written report is usually sent within 24 hours and can be shared with your GP or gynaecologist.
Can I request a female sonographer?
Yes. A female sonographer is available on request, subject to appointment availability. Please mention this when booking.
Is postmenopausal bleeding always serious?
Not always, but it should always be assessed. Causes can include vaginal or endometrial thinning, polyps, fibroids, HRT-related bleeding or, less commonly, cancer. Ultrasound helps assess the endometrial lining and visible pelvic structures.
Can I book without seeing my GP first?
Yes. You can book privately without a GP referral. If the scan identifies a finding that needs further review, your written report can support GP, NHS or private gynaecology referral.
What is checked in the ovaries after menopause?
The scan assesses ovarian size, visible cysts, masses, complex features and any relevant adnexal findings. If an ovarian abnormality is seen, the report will advise appropriate follow-up or referral.
Can the scan show polyps?
Ultrasound may suggest an endometrial polyp if a focal lesion or thickened area is visible, but confirmation may require specialist gynaecology tests such as hysteroscopy.
Is the scan painful?
The abdominal scan is usually comfortable. A transvaginal scan may cause mild pressure but should not be painful and is only performed with your consent. You can stop the examination at any time.
Who performs the medical review and content governance of this page?
This patient information page was prepared with AI-assisted editorial support and reviewed for clinical accuracy by:
- Pedram Aghaei — Vascular Scientist, SVT reg. SVT00679 · Registered Clinical Technologist, RCT reg. CT04905
- Dr Babak Soleimanpour — MD, MRCGP, DRCOG · Medical Director / GMC-registered GP
Reviewed: 22/05/2026 — Next review due: 30/11/2026
This information is for general patient education and does not replace a medical consultation. If your symptoms or scan findings need further assessment, our clinical team will explain your results clearly and advise on suitable next steps, including GP, specialist or urgent referral where appropriate.
London Private Ultrasound (Ultrasound London Limited) is registered with the Care Quality Commission and the Information Commissioner’s Office (ICO).
Book Your Scan
Postmenopause Pelvic Ultrasound Scan — £219
Book a focused postmenopause pelvic scan to assess the uterus, endometrial thickness and ovaries. Same-day appointments may be available, no GP referral is required, and a female sonographer is available on request.
Booking Information
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For assistance or to book by phone, please call us on 020 7101 3377.
If you have postmenopausal bleeding, please seek medical advice promptly. Your scan report can support GP or gynaecology referral where needed.