A private gynaecologist consultation in the UK often costs around £200–£350, although some specialists charge more. A pelvic ultrasound, blood tests, cervical screening or biopsy may be billed separately, so the consultation price is not necessarily the total cost of finding out what is wrong.
For a consultation, pelvic ultrasound and one follow-up appointment, a practical starting budget is approximately £450–£900. Further investigations, particularly hysteroscopy or procedures requiring an anaesthetic, can increase the bill substantially.
This guide explains published fees, what appointments and investigations involve, and which questions to ask before booking. Prices are indicative self-pay figures checked in August 2026, not a national tariff or a personalised quotation.
Do not wait for a private appointment if you have severe pelvic pain, heavy bleeding with faintness, or possible pregnancy complications. These may require urgent NHS assessment.
1. How much does a private gynaecologist cost in the UK?
The main costs are the specialist’s appointment, any investigations and the review of your results. Some clinics combine these into a package; others charge separately for each component.
| Service | Indicative self-pay cost | What to check |
|---|---|---|
| Initial consultation | Approximately £200–£350; higher fees are possible | Whether examination and a written clinical letter are included |
| Follow-up consultation | Approximately £150–£225 | Whether discussing test results requires a paid appointment |
| Short telephone follow-up | Some services advertise around £110 | Appointment length and whether this is suitable for your situation |
| Pelvic ultrasound | Approximately £175–£400 | Whether the price is an add-on or a standalone scan |
| Consultation and pelvic ultrasound package | Published examples around £300–£590 | Whether results, reports and subsequent review are included |
| Private cervical screening | Published examples from £150 to £360 | HPV testing, laboratory analysis and consultation arrangements |
| Colposcopy with consultation | Published examples around £625–£690 | Biopsy and laboratory fees may be additional |
| Outpatient hysteroscopy | Published starting prices around £1,500–£2,800 | Packages differ in biopsy, histology, follow-up and anaesthetic provision |
These figures describe a selection of advertised services, not a UK-wide average. For example, Birmingham Gynaecology Clinic lists £300 for a new consultation and £200 for follow-up. Midland Women’s Health advertises a £240 consultation, £150 follow-up and £400 consultation-and-ultrasound package.
London is not automatically more expensive for every service. AristoGP’s published fees include a £200 consultation and £300 consultation with pelvic ultrasound. Compare equivalent services rather than assuming that location determines the bill.
2. What might the complete assessment cost?
Think about the cost of reaching a diagnosis and discussing the next step, rather than simply the price of the first appointment.
The following examples illustrate how separately charged services can add up. They are budgeting calculations, not packages offered by a particular provider.
| Example assessment | Illustrative calculation | Total |
|---|---|---|
| Consultation followed by a review, without investigations | £250 consultation + £150 follow-up | £400 |
| Combined consultation and scan, followed by review | £400 package + £150 follow-up | £550 |
| Consultation, separately billed scan and follow-up | £300 consultation + £300 scan + £200 review | £800 |
Blood tests, prescriptions and procedures would increase these totals. Conversely, an uncomplicated assessment may not require either imaging or a second appointment.
Ask the clinic: “What is the likely total for the first appointment, the investigations you anticipate and a discussion of the results?” The clinic cannot predict every finding, but it should explain its charging structure before you agree to tests.
3. What should the consultation include?
A gynaecology consultation should explore your symptoms, their effect on daily life and what you want help with. Depending on the problem, the clinician may ask about:
- period frequency, duration and bleeding volume;
- pelvic pain, pain during sex or bleeding after sex;
- pregnancy possibility and contraception;
- previous pregnancies, operations and investigations;
- menopause symptoms and hormone treatment;
- medicines, allergies and relevant family history;
- bladder, bowel or vulval symptoms.
An abdominal or pelvic examination may be recommended, but it is not automatically necessary at every appointment. The clinician should explain its purpose and obtain your consent. You can ask for a chaperone, decline an examination or ask for it to stop.
Tell the clinic beforehand if you need a female clinician, an interpreter, an accessible examination couch or additional support because previous examinations have been painful or traumatic.
Confirm whether your fee includes a written summary, a treatment plan and a letter to your GP. An ultrasound, smear test or swab performed during the appointment may still attract an additional charge.
For background on common reasons for referral, see our guides to heavy periods and adenomyosis symptoms, diagnosis and treatment.
4. How much does a private pelvic ultrasound cost?
A pelvic ultrasound commonly adds approximately £175–£400, depending on the provider, operator and whether you are buying a standalone scan or adding it to a consultation.
For example, The Birth Company’s gynaecology service advertises a £300 consultation with an ultrasound add-on of £175. Harley Street Gynaecology lists a £270 pelvic ultrasound separately from its £270 new consultation.
Transabdominal ultrasound
The probe moves over your lower abdomen. You may need a full bladder, so follow the clinic’s preparation instructions.
Transvaginal ultrasound
A slim, covered probe is gently inserted into the vagina, with your consent, to obtain more detailed views of pelvic structures. You can ask questions beforehand and ask for the examination to stop. If it is unsuitable or you do not want it, discuss alternatives and their limitations.
Ultrasound can help assess fibroids, ovarian cysts, the womb lining and some features of adenomyosis or endometriosis. However, a normal scan does not exclude endometriosis, as explained in NICE’s endometriosis guidance.
Ask whether the scan includes a formal report, whether a gynaecologist will interpret it alongside your symptoms, and whether specialist endometriosis imaging is needed. A general pelvic scan and a detailed specialist assessment are not necessarily equivalent.
Our guides explain ovarian cysts and ultrasound findings, endometriosis investigations and private scan costs in the UK.
5. Which blood tests and swabs might cost extra?
There is no single standard “gynaecology blood test”. The appropriate tests depend on your symptoms and clinical history, and the price depends on the individual tests and laboratory.
| Investigation | Why it may be considered |
|---|---|
| Full blood count | To check for anaemia when bleeding is heavy or prolonged |
| Ferritin or iron studies | To assess iron stores when clinically indicated |
| Pregnancy testing | To investigate symptoms or check before certain treatments |
| Selected hormone tests | To investigate particular menstrual, fertility or endocrine concerns |
| Vaginal or cervical swabs | To investigate suspected infection |
| CA125 | To help investigate possible ovarian cancer in an appropriate clinical assessment |
Request an itemised quote rather than accepting an unspecified “full hormone panel”. Ask whether sample collection, laboratory analysis and interpretation are all included.
More tests do not automatically mean a more useful assessment. In otherwise healthy people aged 45 or over with typical symptoms, menopause is usually identified clinically rather than through routine hormone testing. See NICE’s menopause recommendations and our explanation of menopause blood tests.
Be cautious about packages marketed as an “ovarian cancer check” for people without symptoms. CA125 can be raised by non-cancerous conditions and can be normal in someone with ovarian cancer. CA125 and ultrasound are useful diagnostic tools in selected circumstances, but they are not a reliable general-population screening programme. Cancer Research UK explains the limitations of ovarian cancer screening.
6. How much do cervical screening, colposcopy and biopsies cost?
These are different services and should not be compared as if they were interchangeable.
Cervical screening
Cervical screening checks for high-risk HPV, with examination of cervical cells when indicated. It is intended to help prevent cervical cancer, rather than investigate every cause of bleeding or pelvic pain.
Published private examples range from £150 to £360, but the price may or may not include a specialist consultation. Eligible patients can access NHS cervical screening without paying privately.
If you have bleeding after sex, bleeding between periods or other concerning symptoms, arrange a clinical assessment even if your last screening result was normal. Do not simply book a private screening test and assume it will explain the symptoms. See the NHS cervical screening guide.
Colposcopy
Colposcopy involves a closer examination of the cervix using a magnifying instrument that stays outside the body. A small tissue sample may be taken if needed.
London Gynaecology’s fee list advertises diagnostic colposcopy with consultation from £690, and a package including consultation, colposcopy, cervical biopsy and laboratory fees from £940.
Check whether your quote includes:
- the consultation and examination;
- taking a biopsy, if needed;
- histology, which is laboratory examination of tissue;
- communication of the result;
- any subsequent treatment.
Our guide to cervical cancer symptoms and smear tests explains why screening and symptom assessment serve different purposes.
7. What do hysteroscopy and womb-lining investigations cost?
A hysteroscopy uses a thin camera passed through the cervix to examine the inside of the womb. It may be recommended to investigate abnormal bleeding, a suspected polyp or a concern about the womb lining.
Published starting prices vary substantially. Midland Women’s Health advertises hysteroscopy from £1,500, while London Gynaecology lists an outpatient package from £2,800 including biopsy, histology and follow-up. These are not necessarily like-for-like services.
Before comparing quotes, ask whether the price covers a diagnostic examination only or also includes:
- an endometrial biopsy;
- polyp removal, if appropriate;
- laboratory analysis;
- pain relief, sedation or anaesthesia;
- hospital and theatre charges;
- a results appointment.
A womb-lining biopsy may sometimes be offered separately from hysteroscopy. Confirm whether a quoted biopsy fee includes both obtaining and analysing the sample.
Pain management should be discussed before booking. Some people tolerate outpatient hysteroscopy well; others experience significant pain. You can ask for the procedure to stop and discuss alternatives, including sedation or anaesthesia where appropriate. The NHS hysteroscopy guide explains the procedure and available options.
Do not choose a setting solely because its advertised price is lower if it does not meet your clinical or pain-management needs.
8. Which additional charges should you ask about?
Unexpected costs often arise because a quoted price covers one part of care rather than the whole episode.
Before agreeing to investigations or treatment, clarify charges for:
- hospital facilities and nursing support;
- blood collection and laboratory processing;
- biopsy analysis;
- private prescription administration and the medicine itself;
- coil devices, fitting or removal;
- sedation, anaesthetist fees and theatre time;
- repeat imaging or additional specialist opinions;
- follow-up appointments and repeat prescriptions;
- cancellations or missed appointments.
A written report is not necessarily the same as an appointment to discuss what the findings mean. Ask who will contact you, how quickly results are expected and what happens if something needs urgent attention.
If treatment such as laparoscopy or surgery is recommended, request a new written quotation. Diagnostic appointment fees should not be mistaken for the cost of treatment.
If your main concern is menopause care, our guide to private menopause clinic and HRT costs covers ongoing reviews and prescription budgeting.
9. Do you need a referral, and can insurance or the NHS help?
Some self-pay services accept bookings without a GP referral. Others require one, so check before booking. A referral letter can also provide useful information about previous findings and treatment.
Using private health insurance
Contact your insurer before the consultation. Ask whether the consultant and hospital are recognised, whether a referral is needed, and whether consultation, imaging and laboratory costs require separate authorisation.
Cover depends on your policy, including outpatient limits, exclusions and excess. Pre-existing symptoms or conditions may be excluded, and routine screening, fertility services or menopause care may have different rules from investigation of a new medical problem. Bupa’s explanation of common exclusions illustrates why checking the policy matters.
Our guide to private health insurance excess explains another potential out-of-pocket cost.
Returning to NHS care
Having a private consultation does not remove your access to NHS services. However, it does not automatically move you ahead on an NHS waiting list or guarantee that every recommended test or treatment will be provided by the NHS. See Practice Plus Group’s explanation of private consultations while waiting for NHS care.
Before paying for an initial appointment only, ask how the consultant would arrange onward referral and share reports. Do not assume your GP has agreed to organise investigations or take over prescribing.
10. How do you choose a suitable private gynaecologist?
The most useful appointment is with someone whose expertise matches your problem. A clinician specialising in complex endometriosis may offer a different service from a menopause specialist or a consultant treating prolapse and bladder symptoms.
Check the doctor’s registration and relevant specialist credentials through the GMC medical register. Ask about experience with your particular symptoms and the facilities available for further investigation.
Useful booking questions include:
- Does this consultant regularly assess my type of problem?
- How long is the appointment?
- Can any appropriate scan be performed at the same visit?
- What does the quoted fee exclude?
- Can I request a female clinician and a chaperone?
- What support is available if examinations are painful?
- Who reviews results and manages urgent findings?
- Will I receive copies of reports and a clear treatment plan?
Bring previous scan reports, relevant blood results, screening letters and a medication list. A short symptom or bleeding diary can help you explain patterns without relying on memory.
Do not pay for repeated tests simply because you are changing clinics. Ask whether recent results are suitable for the new assessment; the clinician can explain when repeating an investigation is necessary.
11. When should you seek urgent help instead of comparing prices?
Private outpatient appointments are not a substitute for emergency assessment.
The NHS pelvic pain guidance advises calling 999 or going to A&E if pelvic pain is severe or worsening, or occurs with symptoms such as faintness, shoulder-tip pain, breathing difficulty or heavy vaginal bleeding. Do not drive yourself.
If pregnancy is possible and you have pelvic pain or bleeding, seek urgent medical advice. Severe pain, collapse or shoulder-tip pain requires emergency assessment because an ectopic pregnancy is one possible cause.
Bleeding after menopause should be checked even if it happens only once or is just spotting. Contact your GP promptly rather than waiting for a routine screening appointment. The NHS postmenopausal bleeding guide explains the investigations that may be offered.
Persistent bleeding between periods, bleeding after sex, unusual discharge or ongoing pelvic symptoms also deserve medical assessment. A private appointment is one option, but you do not need to pay privately to ask your GP for help.
12. Frequently asked questions
How much is a first private gynaecologist appointment?
A useful starting estimate is £200–£350, although fees can be higher. Check whether examination, a clinical letter and any investigations are included.
Is an ultrasound included in the consultation?
Not necessarily. Some clinics offer a combined package; others charge separately. Ask for the total consultation-and-scan price before booking.
How much should I budget for a consultation, scan and follow-up?
Approximately £450–£900 is a reasonable initial planning range based on the published examples discussed here. Blood tests, biopsies and treatment may increase the total.
Can I see a private gynaecologist without insurance?
Yes. Self-pay care means you pay the clinic or hospital directly. Ask for written prices and payment terms before agreeing to investigations.
Can a private gynaecologist diagnose endometriosis from an ultrasound?
Ultrasound can identify some forms and features of endometriosis, particularly with specialist expertise. However, a normal scan does not rule it out, and further assessment may still be necessary.
Do I need a private smear test if I have bleeding?
Bleeding needs an appropriate clinical assessment. Cervical screening alone cannot identify every cause and should not replace investigation of symptoms.
Are blood tests always needed?
No. Testing should answer a clinical question. Ask what each test is looking for and how its result would change your care.
Can I decline an internal examination?
Yes. Your consent is required, and you can ask for an examination to stop. Discuss alternatives and any limitations they may have.
Will I have to pay again to receive my results?
It depends on the clinic. Some include results communication; others charge for a follow-up consultation. Establish this before testing and confirm who is responsible for contacting you.
Is private gynaecology worth the cost?
It may be useful when you want a particular specialist, a second opinion or an appointment that fits your circumstances. The important comparison is the complete cost of appropriate assessment and follow-up, not just the lowest advertised consultation fee.
