Private Hysteroscopy · Chelsea, London
Private Hysteroscopy · Chelsea, London
A hysteroscopy lets your consultant see inside the womb, find what is causing heavy or unexpected bleeding, and treat it in the same appointment.
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Understanding Hysteroscopy
A hysteroscopy is a way of looking directly inside the womb. A very fine telescope, about the width of a drinking straw, is passed gently through the cervix so your consultant can see the lining of the womb on a screen. Nothing is cut and there are no stitches or scars.
An ultrasound scan shows the shape and outline of the womb. A hysteroscopy shows the surface itself, which is why it picks up polyps, small fibroids and changes in the lining that a scan can miss. Most usefully, if something is found it can very often be treated during the same procedure, so you get the answer and the treatment in one go rather than coming back twice.
If any of the following apply to you, a consultant assessment will tell you whether a hysteroscopy is the right next step:

What It Finds
A hysteroscopy is the most reliable way of finding out what is happening inside the womb. These are the conditions our consultants see most often.
Very common
Small, soft growths on the lining of the womb. They are almost always benign, but they are a frequent cause of heavy, irregular or unexpected bleeding.
Inside the cavity
Fibroids that sit within the cavity of the womb rather than in the muscle wall. These are the ones most likely to cause heavy bleeding and fertility problems.
Heavy bleeding
When periods are heavy enough to disrupt your life, a hysteroscopy identifies whether there is a structural cause and rules out problems with the lining.
After the menopause
Any bleeding after the menopause should be checked promptly. Most causes turn out to be harmless, such as a polyp or thinning of the lining, but it needs looking at properly.
Fertility
Scar tissue, adhesions or a dividing wall inside the womb can prevent an embryo implanting. These are only visible on hysteroscopy, and several can be corrected during it.
Lining changes
Where a scan reports a thickened womb lining, a hysteroscopy with a biopsy tells you exactly what those cells are, rather than leaving you with an uncertain result.
A consultant can tell you whether a hysteroscopy is the right next step, and you do not need a GP referral to ask.
Your Procedure
Getting the diagnosis right matters, because stress incontinence, an overactive bladder and prolapse are treated very differently. Most of the assessment happens at your first visit.
Step one
An unhurried appointment with a consultant gynaecologist covering your bleeding pattern, your history and your goals, usually with a pelvic ultrasound at the same visit.
Your choice
Most hysteroscopies are done awake in clinic in a few minutes. Pain relief is discussed with you first, and a general anaesthetic can be arranged where it is clinically needed.
Before the day
For a hysteroscopy in clinic you can eat normally and take simple pain relief an hour beforehand. If an anaesthetic is planned you will be given clear fasting instructions.
The procedure
A fine telescope is passed gently through the cervix and the lining is examined on a screen. It usually takes between 10 and 30 minutes, and you can watch if you want to.
Same procedure
If a polyp, fibroid or area of scarring is found, it can very often be removed there and then, and a biopsy or coil fitted at the same time.
Afterwards
Your consultant talks you through what was seen before you go home. Any laboratory results follow within about a week, with a follow-up appointment to go through them.
What Can Be Treated
A hysteroscopy is not only a way of looking. These are the treatments our consultants routinely carry out through the hysteroscope, avoiding a separate operation.
Polypectomy
Polyps are removed at the base with fine instruments passed down the hysteroscope. For many women this alone settles heavy or irregular bleeding.
Myomectomy
Fibroids sitting inside the cavity are shaved away in layers through the hysteroscope. No cut is made in the abdomen and the womb is left intact.
Diagnosis
Rather than a blind sample, the biopsy is taken from the exact area your consultant can see, which makes the result far more reliable.
Heavy bleeding
Where periods are heavy and your family is complete, the lining of the womb can be treated to reduce bleeding substantially, avoiding a hysterectomy.
Coil
A Mirena coil can be fitted at the end of the procedure to control heavy bleeding, and a coil that has become embedded or lost can be retrieved under direct vision.
Fertility
Scar tissue inside the womb and a dividing septum can both be divided hysteroscopically, restoring a normal cavity before trying to conceive or starting IVF.
A consultant can tell you whether a hysteroscopy is the right next step, and you do not need a GP referral to ask.
GMC Registered Consultants
CQC Regulated Clinic
All Major Insurers Accepted
274 Fulham Road, Chelsea
Consultant-Led Scanning
Transparent Pricing
You will always have a written quote before anything is booked. Your final fee depends on what your consultant finds and what is treated. If you are insured you will not pay these fees, and our reception team will check your cover with your insurer before you come in.
A full assessment of your bleeding and symptoms with a consultant gynaecologist, and a decision on whether a hysteroscopy is the right next step.
The most complete first visit. A full consultation with a consultant plus a specialist pelvic ultrasound, so you leave knowing whether a hysteroscopy is needed and what it would involve.
If you go ahead, the procedure is quoted to you in writing after your consultation, so you know the figure before you commit to anything.
Your Specialists
The consultant who sees you at your first appointment is the one who carries out your hysteroscopy and gives you your results. No handovers.

Founder of Ovara Health, with a long-standing specialist practice in hysteroscopic surgery, heavy menstrual bleeding, fibroids and abnormal bleeding after the menopause. GMC: 5205372

Consultant obstetrician and gynaecologist carrying out diagnostic and operative hysteroscopy, with a particular interest in heavy periods, polyps and fibroids affecting the cavity of the womb.

Consultant obstetrician and gynaecologist with a specialist interest in abnormal uterine bleeding, fibroids and menopause, including hysteroscopic assessment and treatment of the womb lining.
Your hysteroscopy is carried out by an experienced consultant gynaecologist.
Pain relief is discussed openly beforehand, you can ask questions throughout.
No GP referral and no waiting lists – most patients are seen within days.
Consultation, ultrasound, hysteroscopy, biopsy and follow-up all happen in our Chelsea Clinic.
A consultant can tell you whether a hysteroscopy is the right next step, and you do not need a GP referral to ask.
Your Questions
A hysteroscopy is a procedure that lets a consultant look directly inside the womb using a very fine telescope passed through the cervix. It shows the lining of the womb on a screen, which is how polyps, fibroids inside the cavity, scar tissue and changes in the lining are found. There is no cut and no stitches. If something is found, it can usually be treated during the same procedure.
Most women describe period-type cramping rather than sharp pain, and it settles quickly. Everyone experiences it differently, so pain relief is discussed with you beforehand and options range from simple painkillers taken an hour before, to local anaesthetic, to a general anaesthetic. You can ask for the procedure to be paused or stopped at any point, and you never have to give a reason.
No. You can book directly as a self-pay patient without a GP letter or referral. If your insurer requires a referral for pre-authorisation, our reception team can help you arrange that before your appointment.
The procedure itself usually takes between 10 and 30 minutes. If a polyp or fibroid is being removed it can take a little longer. Allow around two hours at the clinic in total, so there is time to settle in beforehand and recover afterwards. Allow longer if an anaesthetic is planned.
Usually yes. Most hysteroscopies are carried out awake in clinic, which takes minutes, needs no fasting and lets you drive yourself home afterwards. Pain relief is discussed with you beforehand and ranges from simple painkillers to local anaesthetic. If you would find the procedure very difficult, or you need more extensive treatment such as removal of a larger fibroid, a general anaesthetic can be arranged. Your consultant will talk you through what suits your situation.
After a hysteroscopy in clinic most women go back to normal activities the same day or the next day. Expect some cramping and light spotting for a few days, which ordinary painkillers handle well. After a general anaesthetic you will need someone to take you home and should rest for the remainder of the day. Avoid tampons, swimming and sex for a week, or as advised by your consultant.
Yes, and this is one of the main advantages. Polyps are routinely removed during the same procedure, and fibroids sitting inside the cavity of the womb can often be shaved away hysteroscopically. Anything removed is sent to the laboratory for analysis. Larger fibroids occasionally need a separate planned procedure, which your consultant will discuss with you first.
Any bleeding after the menopause should be assessed promptly. It is usually investigated with an ultrasound scan first, and a hysteroscopy with a biopsy is often the next step so the lining can be seen and sampled directly. Most causes are not serious, commonly a polyp or thinning of the lining, but it is important to get a clear answer rather than wait and see. We can usually see you within 48 hours.
Your consultant will tell you what they saw before you leave, so you go home knowing the picture. Anything sent to the laboratory, such as a polyp or a biopsy, takes around a week, and you will have a follow-up appointment to go through those results properly and agree what happens next.
At Ovara Health in Chelsea, hysteroscopy fees start from £2,160. The final figure depends on what your consultant finds and treats during the procedure, so your exact fee is confirmed with the clinic before anything is booked. The initial consultation is £300, or £475 combined with a pelvic ultrasound, and follow-ups are £260. All major health insurers are accepted.
Find Us
274 Fulham Road, Chelsea, London SW10 9EW
Monday to Friday: 8am to 6.30pm
Saturday: 9am to 5pm
Sunday: Closed
Nearest tubes: Fulham Broadway (District) and South Kensington (District, Circle, Piccadilly). Street parking and buses available.

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