Pelvic ultrasound · Central London & St Albans · 7 days a week
A private postmenopause pelvic scan at London Private Ultrasound costs £219. It is a painless pelvic ultrasound that measures the thickness of your womb lining and checks the uterus, both ovaries and the pelvic areas either side. It is the first test used when there is bleeding after the menopause. It takes 20–30 minutes, uses no radiation, and your findings are explained on the day with a written report within 24 hours. No GP referral needed, and a female sonographer is available on request at no extra charge.
NHS advice is to see a doctor about any bleeding that happens more than a year after your last period, even if it has only happened once, and even if it is just spotting or pink or brown discharge. Most causes turn out to be harmless, and this scan is how that is confirmed quickly. You leave knowing your endometrial measurement, what your ovaries look like, and whether anything needs following up.
We are a diagnostic clinic. Your findings are explained on the day and your written report follows within 24 hours. Where something needs onward care, a referral letter to your own GP or NHS gynaecology team is included at no extra charge, and it is yours to use with any clinician you choose. If you would rather be seen here, we can refer you to our private GP or to a specialist. Extra cost applies for that consultation, which is booked separately and is not included in the £219 scan price.
| Price | £219 all-inclusive · scan, findings and written report |
|---|---|
| Also known as | Post menopause scan · postmenopausal bleeding scan · menopause pelvic ultrasound · endometrial thickness scan · private scan for postmenopausal bleeding |
| What is assessed | Endometrial thickness and appearance, the uterus and any fibroids, endometrial polyps where visible, both ovaries, the adnexal areas and free pelvic fluid |
| Who it is for | Women who are 12 months or more past their last period. Most common reasons: bleeding or spotting after the menopause, bleeding on HRT, persistent bloating, pelvic pain or pressure, follow-up of a known cyst or fibroid, and reassurance |
| Appointment time | Allow 20–30 minutes for the scan, 30–45 minutes in total |
| How it is done | Transabdominal scan through the tummy, plus a transvaginal scan only with your consent. The internal view is the clearest way to measure the lining after the menopause, and a transabdominal-only scan is always an option |
| Preparation | Drink around a litre of water an hour beforehand and do not empty your bladder. Wear loose, two-piece clothing. No fasting, and take all medication including HRT as normal |
| Female sonographer | Available on request at no extra charge, subject to appointment availability. Mention it when you book |
| Radiation | None. Ultrasound uses sound waves only |
| GP referral | Not required. Book directly |
| Results | Findings explained on the day · written report with images within 24 hours, suitable for your GP, gynaecologist or insurer |
| Blood tests | Hormone markers and CA-125 can be added on the day as a private blood test, or bundled with a GP review in the Menopause Health Check |
| Not the right test if | You are bleeding heavily, feel faint or unwell, or have severe pelvic pain with a fever. Contact your GP, NHS 111 or A&E rather than booking a routine scan |
| After your scan | Referral letter to your own GP or NHS specialist included at no extra charge. A private GP or specialist consultation here is an extra cost, booked separately from the £219 scan |
| Locations | 27 Welbeck Street, Central London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ |
| Availability | 7 days a week, 9am–7pm · same-day and next-day appointments often available |
Ultrasound shows structure: the thickness of your womb lining, the uterus, any fibroids or polyps, and both ovaries. It cannot tell you what your hormones are doing, because that is a blood result, and it does not come with a doctor’s appointment. If you want the imaging, the bloods and a GP to interpret both in one visit, the Menopause Health Check is the route most patients take.
£219
The focused option. Right if you have one specific symptom to check, such as bleeding, or you already have recent blood results and a clinician waiting to read the report.
£529
Structure and hormones together, with a doctor to interpret both. The right choice if you are weighing up HRT, your symptoms are not adding up, or you want an appointment that ends with a plan rather than a report.
Not sure which fits? Call 020 7101 3377 or message us on WhatsApp and the clinic team will talk it through. There is also the option to add hormone blood tests or CA-125 to your £219 scan on the day, if you would like the bloods without the full package.
Most women book this scan because of the womb lining, and that is the measurement everyone wants to see first. While we are scanning, we look at the whole pelvis too, so the uterus, both ovaries and the areas around them are all checked in the same appointment.
The endometrial thickness is measured in millimetres and the appearance described: regular, irregular, focally thickened, or with fluid in the cavity. This is the figure a GP or gynaecologist looks for first, and the one that decides whether anything further is needed.
A common and very treatable cause of bleeding after the menopause. Where a polyp is visible, its size and position are recorded and flagged for hysteroscopy, which can usually confirm and remove it in the same procedure.
Size, shape and position, with any fibroids measured and located. Fibroids often shrink after the menopause, so a fibroid that is growing is specifically noted rather than assumed to be unchanged.
After the menopause the ovaries shrink and are sometimes not visible at all, which is a normal finding and is recorded as such. Where a cyst is seen, it is described as simple or complex, with size, septations and any solid areas noted.
The areas either side of the uterus and the pouch of Douglas behind it, checked for masses, free fluid and anything else within the field of view.
Findings are explained before you leave, and a written report with images follows within 24 hours. Where onward care is needed, a referral letter to your GP or NHS gynaecology team is included at no extra charge.
What this scan is not. It is a focused pelvic examination, not a whole-body cancer check and not a hormone test. It cannot tell you whether you are postmenopausal, which is a clinical diagnosis, and it does not assess bone density, which needs a DEXA scan. If your worry is ovarian cancer risk, ultrasound is the right imaging test and a CA-125 blood test can be added on the day, but neither is a screening test and neither replaces a specialist opinion. Be cautious of any clinic selling a pelvic scan as cancer screening.
£219 for the scan, your findings explained on the day and a written report with images within 24 hours. Same-day and next-day appointments are often available at both clinics, seven days a week. Call 020 7101 3377 if you would like to talk it through first, or to request a female sonographer.
Hot flushes, night sweats, poor sleep, low mood and vaginal dryness are the symptoms women find hardest to live with, and they are hormonal, so a scan will not explain them. These are the symptoms where imaging changes what happens next.
The single most important reason to book. Any bleeding more than 12 months after your last period is assessed, however light, however brief, and even if it has already stopped. Brown discharge and pink staining after sex both count.
Unscheduled bleeding is common in the first few months of HRT, but it is checked rather than assumed. Tell us your regime and where you are in the cycle, because it changes how the lining measurement is read.
Bloating that is frequent, persistent and new is the symptom most associated with the ovaries, particularly alongside appetite change or abdominal pain. It is worth having it measured.
Ongoing discomfort, a dragging sensation, or new pressure on the bladder or bowel. Fibroids, ovarian cysts and other pelvic findings are all visible on ultrasound.
Interval monitoring of an ovarian cyst, fibroid or endometrial measurement found on a previous scan. Bring the old report and the new measurements will be compared against it.
A baseline assessment if you have a family history of ovarian or womb cancer, or you simply want the pelvis checked. No GP referral is needed and the report is yours to keep.
Contact your GP, NHS 111 or A&E rather than booking a routine scan if you have heavy vaginal bleeding, severe pelvic or abdominal pain, pain with a fever or feeling generally unwell, sudden severe pain with dizziness or faintness, or persistent bloating alongside unexplained weight loss. These need same-day assessment.
There is very little to do beforehand. You need a full bladder, comfortable clothing and any previous reports you have. Nothing is injected, there are no needles, and you can drive and go back to work straight afterwards.
Ask at the point of booking so the right appointment can be allocated to you. This is also the moment to mention any HRT or tamoxifen you take, when your periods stopped, and whether holding a full bladder is difficult for you, because we can plan the appointment around it.
Finish it about an hour before your appointment time and do not empty your bladder afterwards. A full bladder pushes the bowel out of the way and gives a much clearer view of the uterus and womb lining on the abdominal part of the scan.
Loose clothing over the area being scanned is the standard advice, and a separate top and bottoms are easier than a dress or a one-piece, so the lower abdomen can be reached without undressing fully. There is no fasting involved, so eat as you normally would, and take all your usual medication including HRT.
Earlier scan reports, blood results and hospital letters all help your sonographer read today’s measurement in context, particularly if you are being followed up for a known cyst, fibroid or thickened lining. Photographs on your phone are fine.
Private pelvic scans for postmenopausal women are widely advertised, and the prices vary a lot. What differs underneath is who performs the scan, what is actually written in the report, how quickly you get it, and whether anyone explains it to you. These are the things worth comparing before you book anywhere.
Endometrial thickness is stated in millimetres, with the appearance of the lining described alongside it. That is the number a gynaecologist looks for, and a report without it is of limited use to whoever reads it next.
Your sonographer talks you through the findings before you leave, and the written report with images follows within 24 hours. You are not waiting a week to know where you stand.
Available on request, subject to availability. For an examination that may include an internal scan, that is not a small thing, and we do not charge more for it.
The transvaginal view is offered because it is the clearest way to measure the lining, but it is only ever done with your consent. If you decline, we scan abdominally and state that limitation plainly in the report.
£219 covers both scanning routes, the measurements, the images, the report and a referral letter to your own GP or NHS team. Where a private consultation here would help, that is offered as a separate booking, priced up front.
A CQC-registered clinic at 27 Welbeck Street, plus St Albans for Hertfordshire patients, open 9am to 7pm every day with same-day appointments often available. Established 2012, rated 4.8 across more than 1,200 reviews.
Ours is £219, all in. Private post-menopause scans in the UK advertise from around £89 to £250, and the gap is almost entirely about what is bundled: whether the internal scan is included, whether anyone explains the findings on the day, how long the report takes, and whether a referral letter costs extra.
| Transabdominal pelvic ultrasound | Included |
| Transvaginal ultrasound, with your consent | Included |
| Endometrial thickness measurement, stated in the report | Included |
| Uterus, fibroid and endometrial polyp assessment | Included |
| Both ovaries and the adnexal areas | Included |
| Female sonographer on request | Included |
| Findings explained on the day by the clinician who scanned you | Included |
| Written report with images within 24 hours | Included |
| Referral letter to your GP or NHS gynaecology team if needed | Included |
| Hormone or CA-125 blood tests | Added on request |
| Private GP or specialist consultation here | Booked separately |
| Total, all-inclusive | £219 |
On the NHS this scan has no direct cost once your GP has referred you, and if you have bleeding after the menopause you should speak to your GP as well as booking here, because that route may also be open to you quickly. A private scan is for people who want the measurement now rather than at the next available appointment, who want the findings explained face to face, and who want a written report of their own to keep. If you also want hormone bloods and a GP to interpret everything together, the Menopause Health Check at £529 is better value than booking the parts separately.
The assessments that most often make sense at the same visit, or shortly after.
The pelvic ultrasound with a five-marker hormone panel, a 30-minute GP consultation and a pharmacist medication review, so structure and hormones are read together.
The standard private pelvic ultrasound for women of any age, assessing the uterus, endometrium, ovaries and pelvic structures.
A focused assessment for known or suspected fibroids, with size, number and position mapped for monitoring or treatment planning.
FSH, oestradiol and thyroid function, or a CA-125 marker where an ovarian finding needs risk assessment. Can be taken at the same visit as your scan.
Breast and armpit assessment for a lump, focal pain or family-history reassurance. Commonly booked alongside a pelvic scan as a women’s health check.
A GP appointment to discuss your results, symptom management or HRT, and to arrange onward referral where that is the right next step.
Two clinics, seven days a week, 9am to 7pm, with same-day and next-day appointments frequently available. Both run the full postmenopause pelvic scan at £219, with a female sonographer on request and the written report within 24 hours.
27 Welbeck Street, London W1G 8EN
Two minutes from Bond Street (Elizabeth line, Central, Jubilee), five from Oxford Circus, eight from Marylebone and Baker Street. Convenient for patients travelling in from Mayfair, Fitzrovia, Marylebone, Soho, the City and Paddington.
54–56 Victoria Street, St Albans AL1 3HZ
A short walk from St Albans City station, with parking nearby. Convenient for patients across Hertfordshire and North London, including Watford, Hatfield, Harpenden, Radlett and Welwyn Garden City.
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Your scan is performed and reported by a registered sonographer or ultrasound consultant, under doctor-led clinical governance. Female sonographers are available on request at no extra charge, and the person who scans you is the person who explains your findings.
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The questions our clinical team is asked most often, answered plainly.
A postmenopause pelvic scan at London Private Ultrasound is £219, all-inclusive, at both our Central London and St Albans clinics. That covers the abdominal scan, the internal scan where you consent to it, the endometrial measurement, findings explained on the day, a written report with images within 24 hours, and a referral letter if onward care is needed.
Private post-menopause scans in the UK advertise from around £89 to £250, so compare what is actually included: whether the internal scan is part of the price, whether anyone explains the findings before you leave, and how long the report takes to arrive.
Yes. Any bleeding more than 12 months after your last period should be assessed, including light spotting, brown discharge and a single episode that has already stopped. Pelvic ultrasound is the usual first test, because it measures the thickness of the womb lining and looks for a structural cause such as a polyp or fibroid.
Most causes turn out to be benign. The point of the scan is to establish that quickly, and to identify the smaller number of women who need a biopsy. Speak to your GP as well, particularly if the bleeding is heavy or repeated.
After the menopause the lining is normally thin. In UK practice, a measurement of around 4mm or less in a woman who is bleeding is generally treated as reassuring, and a thicker lining prompts further assessment, usually a hysteroscopy and biopsy.
The thresholds are different if you are not bleeding, if you take sequential HRT, or if you are on tamoxifen, all of which change what a given measurement means. That is why your report describes the appearance of the lining as well as the number, and why it is interpreted alongside your symptoms rather than on its own.
Drink around a litre of water an hour before your appointment and do not empty your bladder. A full bladder pushes the bowel out of the way and gives a much clearer view of the uterus during the abdominal part of the scan. Wear loose clothing over the area being scanned, and a separate top and bottoms are easier than a dress.
There is no fasting and nothing to stop taking: continue all medication, including HRT. Bring any previous scan reports, blood results or hospital letters. If an internal scan is performed with your consent, you will be asked to empty your bladder first.
It gives the clearest view of the womb lining after the menopause, which is why it is offered, but it is only ever performed with your consent and it is explained fully beforehand. You can ask to stop at any point.
If you would prefer not to have it, we scan abdominally and state that limitation in the report, so your GP or gynaecologist knows exactly how the lining was assessed.
The abdominal part is painless, just gentle pressure with warm gel. An internal scan can feel like mild pressure and should not hurt.
Vaginal dryness after the menopause can make an internal scan feel more sensitive. Tell your sonographer, who will use plenty of lubricant and a smaller probe where appropriate, and you can stop the examination whenever you want to.
Yes, at no extra charge, subject to appointment availability. Please mention it when you book rather than on the day, so the right appointment can be allocated to you.
The menopause is diagnosed clinically rather than by a single test. You are considered postmenopausal once you have gone 12 consecutive months without a period, and for women over 45 with typical symptoms, UK guidance is that no blood test is needed to confirm it.
An FSH blood test is mainly used under the age of 45, or where an early menopause is suspected, and because levels fluctuate one result rarely settles it. Ultrasound does not diagnose the menopause either. What it shows is what your uterus, lining and ovaries look like now, which is a different question and usually the more useful one if you have a symptom.
Yes, home kits are sold in pharmacies and online, and most measure FSH in a urine sample. They are not diagnostic. Because FSH rises and falls, a kit can read positive in a woman still having periods and negative in a woman who is genuinely postmenopausal.
A kit also cannot investigate a symptom. It will not tell you why you are bleeding, whether you have a polyp or a fibroid, or what your ovaries look like. If you have bled after the menopause, a scan rather than a test kit is the right next step.
Pelvic ultrasound shows structure: the endometrial thickness, the uterus, fibroids, polyps and both ovaries. It is the first-line test and it is the £219 scan on this page. Hormone blood tests show function, not structure, so they cannot show a polyp or a cyst. CA-125 is used alongside ultrasound when an ovarian cyst or mass needs risk assessment; it is not a screening test, it can be raised by many benign conditions, and it is never read on its own.
MRI is problem-solving imaging for a complex mass or for mapping fibroids before treatment, and CT is for the wider abdomen; neither characterises an ovarian cyst as well as ultrasound, and both are arranged through a specialist. Hysteroscopy and biopsy is the only test that gives a tissue diagnosis of the womb lining, arranged through gynaecology once ultrasound has identified who needs it. A DEXA scan is unrelated: it measures bone density, not the pelvis.
No. CA-125 is a protein measured in a blood sample, and imaging does not change it. An ultrasound, MRI or CT scan cannot raise or lower the result, and having a scan before your blood test does not affect the number.
What can raise CA-125 is a long list of benign conditions as well as some ovarian ones, which is exactly why it is interpreted alongside ultrasound findings and your clinical picture rather than in isolation.
Not on its own. Ultrasound measures the endometrial thickness and shows features that make further investigation necessary, which is how it is used in the postmenopausal bleeding pathway. A definitive diagnosis needs a tissue sample, taken at hysteroscopy or as an endometrial biopsy.
If your scan shows a thickened or irregular lining, the report says so directly, recommends the next step and includes a referral letter to your GP or NHS gynaecology team at no extra charge.
No. Simple ovarian cysts are found in postmenopausal women and many are benign, particularly small, thin-walled cysts with clear fluid and no solid component. What matters is the appearance, the size, and whether it changes over time.
Cysts with solid areas, thick septations, increased blood flow or associated pelvic fluid are described differently in the report and prompt specialist referral, usually alongside a CA-125 blood test.
Yes, and it is a common reason to book. Tell the clinical team which HRT you take, whether it is continuous or sequential, how long you have been on it, and where you are in the cycle if it is sequential, because all of that changes how the lining measurement is interpreted.
Unscheduled bleeding on HRT is common in the first few months, but it is still assessed rather than assumed to be the HRT.
Abnormal covers a wide range, and most abnormal findings are benign: a fibroid, a simple ovarian cyst, a polyp, or a lining thicker than expected on HRT. Your sonographer explains what has been found before you leave, so you are not waiting on a report to know where you stand.
Where the lining is thickened, a polyp is suspected or an ovarian finding needs a specialist eye, the report says so and recommends the next step. A referral letter to your GP, NHS gynaecology team or your own specialist is included at no extra charge. If you would prefer to be seen here, we can refer you to our private GP or a specialist, and that consultation is booked separately at extra cost.
No referral is needed. You can book directly online, by phone on 020 7101 3377 or on WhatsApp, and same-day or next-day appointments are often available at both clinics, seven days a week from 9am to 7pm.
If you have bleeding after the menopause, speak to your GP as well as booking here. Your written report is designed to be shared and can support a GP, NHS or private gynaecology referral.
Yes. If your uterus has been removed there is no endometrium to measure, so the scan focuses on the ovaries where they were left in place, the vaginal vault and the pelvic spaces. Bleeding after a hysterectomy is not normal and should be assessed.
London Private Ultrasound has two clinics. Central London is at 27 Welbeck Street, W1G 8EN, in the Harley Street Medical District, a short walk from Bond Street, Oxford Circus and Marylebone. St Albans is at 54–56 Victoria Street, AL1 3HZ, serving Hertfordshire and North London.
Both offer the full postmenopause pelvic scan at £219, seven days a week, 9am to 7pm, with a female sonographer available on request.
Medical disclaimer. This page is general information and does not replace individual medical advice. Pelvic ultrasound is accurate but not infallible: fibroids, a tilted uterus, bowel gas and body habitus can limit the view, and a lining that cannot be measured clearly is not a reassuring result in someone who is bleeding. Endometrial thickness thresholds quoted here reflect usual UK practice and are always interpreted in full clinical context by a clinician. Ultrasound cannot diagnose or exclude cancer; that needs a tissue sample. Seek urgent medical attention rather than booking a routine appointment if you have heavy bleeding, severe pelvic pain, pain with a fever, or faintness and collapse.
