Harley Street Medical District · Central London & St Albans
A private PCOS package at London Private Ultrasound starts at £599 and brings the three things a PCOS diagnosis actually needs into one visit: a pelvic ultrasound, a full hormone and metabolic blood panel, and a private GP who interprets them together. AMH from £699, the full endocrine-metabolic profile at £999. No GP referral needed, and same-day appointments.
A PCOS blood panel measures your hormones. Reaching a diagnosis takes more than that, because the criteria call for two of three features to be present, so your results have to be read alongside imaging and a clinical history before anyone can give you a firm answer. That is the gap a PCOS package closes. Your ultrasound, your full hormone and metabolic panel and a GMC-registered GP all sit inside one pathway, so the doctor reviewing your results has every piece in front of them at the same time. You finish with a written report, a stated conclusion and a plan you can act on.
A scan on its own is not a diagnosis. Our PCOS assessment package includes a full hormone and metabolic blood panel as well as a pelvic ultrasound, which doubles as a fertility scan, so your imaging is read alongside your bloods and clinical history – the combination is what diagnoses PCOS, also known as PMOS, reliably. Polycystic-appearing ovaries are only one of the diagnostic features, not the condition itself.
We are a diagnostic clinic. If your scan or results reveal something that needs surgical or specialist assessment – an ovarian cyst, a fibroid or an endometrial finding, for example – we will tell you and can refer you to a specialist. That consultation, and any surgery, is booked separately and carries an extra cost that is not included in the package price.
| Price | Standard £599 · Advanced £699 · Premium £999, all-inclusive |
|---|---|
| Every PCOS package includes | Pelvic ultrasound · 11-marker hormone and metabolic blood panel · private GP consultation and results review · written report with a stated diagnostic conclusion · medication review and prescription if required |
| Advanced adds | Anti-Müllerian hormone (AMH), for ovarian reserve and as a guideline-accepted alternative marker of polycystic ovarian morphology in adults |
| Premium adds | The full endocrine and metabolic profile, adding DHEA-sulphate, 17-hydroxyprogesterone, androstenedione, prolactin and cortisol to the panel, for the reproductive and metabolic side of PCOS |
| Appointment time | 45–60 minutes for the scan and bloods, plus a separate GP results consultation |
| Preparation | Fasting preferred. 8–12 hours, water only, because the panel includes fasting glucose, insulin and lipids. Your report states fasting or non-fasting status. |
| Cycle timing | Days 2–5 is ideal if your cycles are regular. If your periods are irregular or absent, book at any time. |
| GP referral | Not required, book directly |
| Female sonographer | Available on request at no extra cost |
| London price range | Comparable consultant-led PCOS packages in London are typically £795–£800 |
| Results | Scan findings on the day, ultrasound report within 24 hours, bloods within 24 hours to a few working days |
| Locations | 27 Welbeck Street, Central London W1G 8EN · 54–56 Victoria Street, St Albans AL1 3HZ |
All three contain the same core assessment: the pelvic ultrasound, the full hormone and metabolic blood panel, and the GP consultation that turns them into a diagnosis. Everything listed on each card is included in the price. There are no per-item charges and nothing is added on the day.
£599
Everything needed for a PCOS diagnosis
£699
Everything in Standard, plus fertility
£999
Everything in Advanced, plus the full endocrine-metabolic profile
Not sure which PCOS package to pick? Call 020 7101 3377 or message us on WhatsApp and the clinic team will talk it through before you pay. As a rough rule: Standard if you want a diagnosis, Advanced if fertility is on your mind, Premium if weight and metabolic health are.
PCOS blood testing has three jobs: measure androgen activity, look at the hormones that drive ovulation, and rule out the other conditions that produce the same symptoms. This panel does all three, and adds the metabolic markers that PCOS is associated with over the long term.
The primary androgen measured in PCOS. Raised levels sit behind acne, unwanted hair growth and hair thinning, and are one of the three diagnostic features.
Sex hormone binding globulin is the protein that carries testosterone in the blood. It is often low in PCOS and in insulin resistance, which raises the amount of testosterone that is biologically active.
Calculated from testosterone and SHBG. It is a better guide to androgen effect than total testosterone alone, and can be raised even when total testosterone reads as normal.
Follicle stimulating hormone drives follicle development. Read alongside LH, it helps distinguish PCOS from other causes of absent or infrequent periods.
LH triggers ovulation and is frequently elevated relative to FSH in PCOS. The pattern between the two is more informative than either number on its own.
Thyroid disease causes irregular cycles, fatigue, weight change and hair thinning, the same list as PCOS. Excluding it is a required part of the PCOS diagnostic process, not an optional extra.
A fasting glucose reading, and the baseline against which the insulin result is interpreted.
Insulin resistance is central to PCOS for many women and can be present at a normal weight. Fasting insulin read against fasting glucose is what makes it visible, and it is the marker most commonly missing from a standard PCOS work-up.
Average blood glucose over roughly the previous three months. PCOS carries a raised long-term risk of type 2 diabetes, so this is the number to have on record and to track.
Total cholesterol, LDL, HDL and triglycerides. Part of the cardiovascular risk picture that goes with PCOS and something your GP can act on immediately.
Reflects the pool of small follicles, which is why it tracks so closely with the follicle count on ultrasound. It gives an ovarian reserve marker for fertility planning and, in adults, a guideline-accepted alternative route to establishing polycystic ovarian morphology.
An adrenal androgen. It helps separate ovarian from adrenal causes of raised androgens and flags the less common conditions that can mimic PCOS.
The key screen for non-classic congenital adrenal hyperplasia, which can look just like PCOS and is one of the diagnoses the criteria require to be excluded.
A further androgen that adds detail to the hormonal picture when testosterone and the free androgen index alone leave the cause unclear.
Raised prolactin is a common cause of irregular or absent periods and must be ruled out before PCOS is diagnosed. Its inclusion closes one of the main gaps in a standard work-up.
A screening marker for the rarer endocrine causes of the same symptom pattern, read alongside the rest of the profile and your clinical history.
Glucose, insulin and lipids are interpreted differently fasted and non-fasted. Your report states clearly which applies to your sample, so nobody has to guess later.
One thing to tell us when you book. Combined hormonal contraception, whether the pill, patch or ring, raises SHBG and suppresses FSH and LH, which can mask a PCOS picture entirely. So can recent use of some acne treatments. It does not stop you having the assessment, but your GP needs to know so the results are read correctly. Please do not stop any prescribed medication in order to be tested; mention it at booking instead and we will advise.
There is no single PCOS test, which is why so many women spend years being told different things by different clinicians. Diagnosis follows the 2023 international evidence-based guideline, which builds on the 2003 Rotterdam criteria: two of the three features below must be present, and other conditions that cause the same picture must be excluded first.
Irregular, infrequent or absent periods, the sign that ovulation is not happening reliably. This is usually established from your history rather than from a test.
Assessed in your GP consultation, supported by FSH and LH
Raised male-type hormones, either clinically through acne, excess facial or body hair and hair thinning at the crown, or biochemically on a blood test.
Assessed by testosterone, SHBG and free androgen index
A high number of small follicles or an increased ovarian volume. Since 2023, a raised AMH is accepted as an alternative to ultrasound for this feature in adults.
Assessed by pelvic ultrasound in every PCOS package, and by AMH from Advanced
Two useful consequences of the criteria. First, if you have both irregular cycles and clear signs of raised androgens, the guideline says a scan is not strictly required to make the diagnosis, although it is still worth having, because it checks for fibroids, ovarian cysts and endometrial changes that cause overlapping symptoms. Second, if you have only one of those two, then either the ultrasound or AMH becomes necessary to complete the picture. Neither ultrasound nor AMH is recommended within eight years of a first period, because specificity is too low in that group.
On 12 May 2026, The Lancet published a global consensus renaming polycystic ovary syndrome as polyendocrine metabolic ovarian syndrome, or PMOS. It ran across 56 academic, clinical and patient organisations and drew on 14,360 responses from patients and health professionals worldwide (Teede HJ, Bahri Khomami M, Morman R, et al. Lancet 2026;407:2329–2339). The reason is accuracy: “polycystic” describes something that is not actually happening, because a scan shows immature follicles rather than pathological cysts. The consensus group concluded that the old name hid the endocrine and metabolic features of a condition affecting roughly one in eight women, and contributed to delayed diagnosis and stigma.
What it means for you: nothing changes. Your diagnosis, the criteria used to reach it and the tests in these packages are all unchanged. The new name will take years to work through clinical guidelines, medical education and disease coding such as ICD, so you will keep hearing PCOS in UK clinics for some time. We use PCOS on this page for that reason and record PMOS alongside it. The change is also not fully settled: correspondence in The Lancet has questioned whether “polyendocrine” is the right word, since in endocrinology it usually denotes failure of several glands. We mention that so a difference in terminology between clinicians does not read as a difference in diagnosis.
Exclusion matters as much as inclusion. Thyroid disease and other endocrine conditions can produce irregular cycles, hair thinning, fatigue and weight change that look exactly like PCOS. That is why thyroid function is in every PCOS package rather than sold as an add-on. If your results point somewhere other than PCOS, that is a useful answer too, and your GP will explain what to do next.
You do not need to have been told you might have PCOS. Most people who book have simply noticed a pattern that has not been properly explained.
A working assumption is not a diagnosis. This package either confirms it against the recognised criteria or tells you it is something else, and either way you leave with it written down.
PCOS changes over time, particularly the metabolic side. If nobody has checked your HbA1c, insulin or lipids since, this is a sensible reassessment rather than a repeat of the same test.
PCOS is one of the most common and most treatable causes of difficulty conceiving. The Advanced PCOS package adds AMH so ovarian reserve is on the record before you make decisions or approach a fertility clinic.
The scan and the bloods are done together in one visit of about 45 to 60 minutes; your private GP results consultation is booked separately once everything is back. A little preparation keeps the results clean.
Water only, and book a morning slot – glucose, insulin and lipids read best fasted. Your report records fasting or non-fasting status either way.
Days 2 to 5 is ideal for FSH and LH if your periods are regular. If they are irregular or absent, book whenever suits you; AMH is not cycle dependent.
Mention any hormonal contraception at booking, and bring any previous scan reports or blood results so the clinician has context.
For a transabdominal pelvic scan, arrive with a comfortably full bladder unless told otherwise; for transvaginal imaging an empty bladder is preferred. Keep sipping water – it does not break the fast.
On the day and after. Findings from the scan are explained before you leave, the written ultrasound report follows within 24 hours, and blood results arrive between 24 hours and a few working days – the comprehensive Premium profile takes up to about five working days, and AMH is usually the last to land. Your GP then reviews the scan, the bloods and your symptoms together and agrees a plan.
A private PCOS assessment package in London is typically priced between £795 and £800 for a consultation, a pelvic ultrasound and a hormone panel. Ours starts at £599 for the same three components, with a metabolic panel most comparable packages do not include, and rises only when you add AMH or the full endocrine and metabolic profile.
| Pelvic ultrasound with follicle count and ovarian volume | Included |
| Androgen profile: testosterone, SHBG, free androgen index | Included |
| Reproductive hormones: FSH and LH | Included |
| Thyroid function: TSH and free T4 | Included |
| Metabolic panel: glucose, insulin, HbA1c, lipid profile | Included |
| Private GP consultation and results review | Included |
| Written report and diagnostic summary | Included |
| Medication review, and prescription where appropriate | Included |
| Referral letter if onward care is needed | Included |
| Total, all-inclusive | £599 |
Adding AMH takes you to the Advanced package at £699. The Premium package at £999 adds the full endocrine and metabolic profile – DHEA-sulphate, 17-hydroxyprogesterone, androstenedione, prolactin and cortisol. On the NHS there is no direct cost, but the assessment is usually split across separate appointments, GP first, then bloods, then an imaging referral, with each step waiting on the one before, and fasting insulin is not routinely included. What you are buying privately is the sequencing and the interpretation in one place, not different tests.
Two clinics, seven days a week, 9am to 7pm, with same-day and next-day appointments frequently available. Both offer all three PCOS packages, with a female sonographer available on request.
27 Welbeck Street, London W1G 8EN
Two minutes from Bond Street on the Elizabeth, Central and Jubilee lines, five from Oxford Circus, eight from Marylebone and Baker Street. Convenient if you are searching for PCOS testing near Harley Street, Marylebone, Mayfair, Fitzrovia, Soho, the City or 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, Hemel Hempstead and Welwyn Garden City.
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Visit website →Searches for the “best PCOS specialist” usually mean one thing in practice: somebody who will look at the whole picture and explain it properly. This pathway deliberately puts a sonographer, a GP and a pharmacist prescriber on the same case rather than sending you between three of them.
MD · MRCGP · DRCOG · GMC · Reviews your scan and bloods together, agrees the plan and prescribes where appropriate
BMUS · SVT · Senior ultrasound trainer · Available on request for the pelvic scan
SVT · RCT · Pelvic and gynaecological imaging · Editorial review of this page
GPhC registered · Supports the medication review included in every PCOS package
Clinical governance. Mrs Fatemeh Selahi, Co-founder, Nurse Prescriber and CQC Champion, oversees compliance with Care Quality Commission standards. Overall clinical responsibility sits with Dr Babak Soleimanpour, GMC. More about the wider clinical team is on our about us page.
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The questions our clinic team is asked most often about private PCOS testing in London.
At London Private Ultrasound the PCOS blood test package starts at £599 for the Standard tier, which includes the pelvic ultrasound, the full hormone and metabolic blood panel and a private GP consultation. The Advanced package is £699 and adds AMH. The Premium package is £999 and adds the comprehensive Polycystic Ovary Syndrome Profile.
Comparable consultant-led PCOS packages in London are typically priced between £795 and £800 and usually cover a narrower panel, so the Standard tier is roughly £200 less than the going rate for the same three components.
Every tier includes testosterone, sex hormone binding globulin (SHBG), free androgen index, FSH, luteinising hormone (LH), TSH, free T4, glucose, insulin, HbA1c and a full lipid profile. The Advanced and Premium tiers add anti-Müllerian hormone (AMH), and the Premium tier adds the full Polycystic Ovary Syndrome Profile with DHEA-sulphate, 17-hydroxyprogesterone, androstenedione, prolactin and cortisol.
The panel is built around the three things that matter in PCOS assessment: androgen excess, the hormones that govern ovulation, and the metabolic markers that PCOS is associated with.
All three include the pelvic ultrasound, the full blood panel, the GP consultation, the written report and a medication review with a prescription if one is needed.
Advanced adds AMH, which is useful if fertility or ovarian reserve is on your mind. Premium adds AMH and the comprehensive Polycystic Ovary Syndrome Profile – DHEA-sulphate, 17-hydroxyprogesterone, androstenedione, prolactin and cortisol – which is the PCOS package to choose if weight, insulin resistance or metabolic health are part of the picture.
There is no single PCOS test. Diagnosis requires two of three features: irregular or absent ovulation, raised androgens either clinically or on a blood test, and polycystic ovarian morphology on ultrasound or a raised AMH in adults. Other causes of the same symptoms have to be excluded first.
On the NHS this usually means a GP appointment, then bloods, then a separate ultrasound referral, with each step waiting on the last. This package compresses all three into one visit, and you do not need a referral to book it.
No. You can book directly online, by phone on 020 7101 3377 or on WhatsApp. If you already have blood results, a previous scan report or a letter from your GP, bring them, because they give the clinical team useful context.
We are happy to send your results to your GP afterwards and can write a referral letter to gynaecology, endocrinology, dermatology or fertility services if anything needs onward care.
Yes, where possible. The panel includes fasting glucose, insulin and a lipid profile, all of which are interpreted more reliably on a fasted sample. Aim for 8 to 12 hours with water only, and book a morning appointment.
If fasting is not practical, the sample can still be taken and your report will state clearly that it was non-fasting, so that your GP interprets the metabolic results in that light.
If your cycles are reasonably regular, days 2 to 5 from the first day of bleeding is the ideal window, because FSH and LH are most interpretable then.
If your periods are irregular, infrequent or absent, which is one of the commonest reasons to book this package in the first place, do not wait for a period. Book at any time and the results are interpreted in that context. AMH is not cycle dependent.
No, and this is the single most common misunderstanding about PCOS. Polycystic ovarian morphology is one of three diagnostic features, not the diagnosis.
Plenty of women have polycystic-looking ovaries and no PCOS at all, and some women with PCOS have ovaries that look unremarkable on a scan. That is exactly why this package pairs the scan with the bloods and a doctor who reads them together, rather than selling the scan alone.
Anti-Müllerian hormone reflects the pool of small follicles in the ovaries, which is why it tracks closely with the follicle count seen on ultrasound. The 2023 international evidence-based guideline for PCOS added AMH as an accepted alternative to ultrasound for establishing polycystic ovarian morphology in adults.
It also gives a marker of ovarian reserve, which matters if you are thinking about conceiving now or later. It is not recommended for adolescents or within eight years of a first period.
Most often irregular, infrequent or absent periods, acne that persists past the teenage years, excess facial or body hair, thinning hair at the crown, weight that is difficult to shift, and difficulty conceiving.
Symptoms vary a great deal and many women have only one or two. Because these overlap with thyroid disease and other hormonal conditions, symptoms alone are not enough to diagnose or exclude PCOS.
Premium is built on the full Polycystic Ovary Syndrome Profile. On top of everything in Advanced it adds DHEA-sulphate, 17-hydroxyprogesterone, androstenedione, prolactin and cortisol.
These help separate ovarian from adrenal causes of raised androgens, screen for non-classic congenital adrenal hyperplasia and raised prolactin, and rule out the rarer endocrine conditions that can mimic PCOS. It is the fullest picture we offer, useful if your results so far have been unclear or your symptoms are pronounced.
Yes, at no extra cost. Please mention it when you book so the team can schedule an appropriate appointment.
The pelvic ultrasound is performed transabdominally, and a transvaginal scan is only offered where it would genuinely add information, only with your consent, and it can be stopped at any point.
Your sonographer explains the main scan findings on the day and the written ultrasound report follows within 24 hours. Blood results take between 24 hours and a few working days depending on the analyte, with AMH usually the slowest.
Your GP consultation is scheduled once results are back, normally the first Friday after your appointment, and can be face to face or by video. That consultation is where the scan, the bloods and your symptoms are put together and a plan is agreed.
Yes. Because the diagnosis needs two of three features, a woman with clear signs of raised androgens and polycystic ovarian morphology can meet the criteria with reasonably regular cycles.
This is one of the reasons a full assessment is more useful than any single test, and one of the reasons PCOS is so often missed.
Yes to the first part, no to the second. In May 2026 a global consensus published in The Lancet renamed polycystic ovary syndrome as polyendocrine metabolic ovarian syndrome, or PMOS, on the grounds that the old name implied ovarian cysts that are not actually present and hid the endocrine and metabolic side of the condition.
Your diagnosis, the criteria used to reach it and the tests in these packages are all unchanged. The new name will filter through guidelines, medical education and disease coding over the coming years, so you will keep hearing PCOS in most UK clinics for a while yet. We use PCOS on this page for that reason and record PMOS alongside it.
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 to 56 Victoria Street, AL1 3HZ, near St Albans City station and convenient for Hertfordshire and North London.
Both run seven days a week, 9am to 7pm, with same-day and next-day appointments frequently available.
Depending on your symptoms, fertility plans and any tests you already have, one of these related LondonSono services may be a more focused next step.
A focused £219 pelvic ultrasound assessing ovarian morphology, follicle pattern and ovarian volume alongside the uterus and endometrium.
Targeted female hormone assessment for cycle, endocrine, menopause and general hormonal concerns where a full PCOS pathway may not be required.
For fertility planning or difficulty conceiving, combining reproductive hormone assessment with pelvic imaging and GP interpretation depending on tier.
Pelvic ultrasound, focused hormone testing and clinical review for perimenopause, menopause symptoms, cycle change and HRT-related questions.
A broader £219 assessment of the uterus, ovaries, endometrium and bladder for pelvic pain, irregular bleeding, fibroids, cysts and other pelvic concerns.
Focused metabolic and hormonal pathways for insulin resistance, weight, diabetes risk, fatty liver and broader metabolic concerns associated with PCOS.
Medical disclaimer. This page is general patient information and does not replace an individual medical consultation. A PCOS assessment cannot be completed by any single test: ultrasound findings, blood results and symptoms have to be interpreted together, and other conditions that cause similar symptoms must be excluded. Results and any diagnosis are explained to you by a GMC-registered doctor. Do not stop or change prescribed medication in order to be tested. Tell us what you are taking at booking instead.
Seek urgent care rather than booking a routine appointment if you have severe sudden pelvic pain, heavy bleeding with dizziness or fainting, a fever alongside pelvic pain, a possible ectopic pregnancy, or you feel acutely unwell. Contact NHS 111, or 999 and A&E in an emergency.
