Premenstrual Syndrome (PMS) Specialists in London
Premenstrual Syndrome (PMS) Specialists in London
Premenstrual Syndrome (PMS) Specialists in London
Expert PMS Assessment and Treatment from Consultant Gynaecologists
Premenstrual Syndrome (PMS) can cause a wide range of physical, emotional, and psychological symptoms in the days or weeks before a period. While mild symptoms are common, more severe PMS can have a significant impact on work, relationships, sleep, emotional wellbeing, and overall quality of life.
At Gynaecology Clinic London, our experienced consultant gynaecologists provide expert private assessment, diagnosis, and treatment for women experiencing PMS. We understand that symptoms can vary considerably from person to person and take a personalised approach focused on helping you achieve effective symptom control and restore your quality of life.
Whether you are experiencing mood swings, anxiety, bloating, headaches, breast tenderness, fatigue, or symptoms that are becoming increasingly difficult to manage, our specialists provide clear answers, expert guidance, and tailored treatment plans designed around your individual needs and long-term wellbeing.
Dr Luxmi Velauthar
MBChB, MRCOG, MD
Why Choose Gynaecology Clinic London for Your PMS Care?
Consultant-Led Specialist Care
Your care is led by experienced consultant gynaecologists with expertise in hormonal health, menstrual disorders, and the diagnosis and treatment of PMS.
Personalised Treatment Plans
Every woman's experience of PMS is different. We tailor investigations, treatment recommendations, and ongoing care around your symptoms, lifestyle, and health goals.
Holistic Approach
We consider the physical, emotional, and hormonal aspects of PMS to provide comprehensive and personalised care focused on your overall wellbeing.
Compassionate and Supportive Care
We understand how challenging PMS symptoms can be and are committed to ensuring you feel listened to, supported, and fully informed throughout your care.
Accepted by Major Health Insurers
We welcome both self-pay and insured patients and work with all major private health insurers, helping make access to specialist care as straightforward as possible.
Fast Access to Consultations and Treatment
Private care provides prompt access to specialist assessment, investigations, and treatment, helping you obtain relief without unnecessary delays.
Testimonials
Book Your Consultation
Expert gynaecological care tailored to your individual needs.
Book Your Consultation
Expert gynaecological care tailored to your individual needs.
Private Medical Insurance
At Gynaecology Clinic London, we aim to make access to specialist women’s healthcare as straightforward and transparent as possible. We welcome both insured and self-pay patients, and work with most major private medical insurers. Our team can provide guidance on appointments, insurance cover, and payment options, helping ensure the process is clear and supportive from the outset, so you can focus on your health and wellbeing with confidence.







Fees and Pricing
Clear and transparent pricing is an important part of planning your care. The following guide outlines our consultation fees. If further investigations, procedures, or treatments are recommended, these will be discussed with you in advance so that you fully understand the costs involved.
Initial
Consultation
£250
Your initial consultation includes a comprehensive assessment of your symptoms and medical history, along with any appropriate examinations, investigations, and treatment options. A personalised care plan will be developed based on your individual needs.
Follow-Up
Consultation
£200
Follow-up consultations provide an opportunity to review your progress, discuss investigation results, assess your response to treatment, and ensure your care plan continues to meet your needs.
What Is Premenstrual Syndrome (PMS)?
Premenstrual Syndrome (PMS) refers to a combination of physical, emotional, and behavioural symptoms that occur in the days or weeks before a period and usually improve once menstruation begins. Symptoms are thought to be related to the hormonal changes that naturally occur during the menstrual cycle.
While many women experience some degree of PMS, the severity of symptoms can vary considerably. For some, symptoms are mild and manageable, while for others they can have a significant impact on work, relationships, daily activities, and emotional wellbeing. When symptoms begin to affect quality of life, specialist assessment and treatment can often help provide effective relief.
Common Symptoms of PMS
A pelvic ultrasound may be recommended for a wide range of symptoms and concerns, including heavy or prolonged periods, irregular bleeding, pelvic pain, pelvic pressure, bloating, abdominal swelling, pain during intercourse, fertility concerns, or postmenopausal bleeding. It is also commonly used to investigate or monitor conditions such as ovarian cysts, fibroids, endometriosis, and adenomyosis.
Common symptoms include mood swings, irritability, anxiety, low mood, fatigue, headaches, bloating, breast tenderness, food cravings, sleep disturbances, difficulty concentrating, and changes in energy levels. Symptoms typically improve once menstruation begins, although the severity can vary considerably from one woman to another.
When Should You See a PMS Specialist?
You should consider specialist assessment if PMS symptoms are severe, becoming progressively worse, or affecting your quality of life. Symptoms that interfere with work, relationships, sleep, emotional wellbeing, or everyday activities should not simply be accepted as something you have to live with.
Assessment is particularly important if symptoms are causing significant anxiety, low mood, or are becoming increasingly difficult to manage despite lifestyle measures or over-the-counter treatments. Early specialist assessment can help identify the most appropriate treatment options and provide effective long-term symptom relief.
PMS Diagnosis
Diagnosing PMS involves understanding the pattern of your symptoms in relation to your menstrual cycle. At Gynaecology Clinic London, your consultation will include a detailed discussion about your symptoms, menstrual history, medical history, lifestyle, and any concerns you may have.
As there is no single test for PMS, diagnosis is usually based on the timing and nature of your symptoms. Where appropriate, investigations may be recommended to exclude other conditions and ensure an accurate diagnosis, allowing us to develop a personalised treatment plan tailored to your individual needs and health goals.
PMS Treatment Options
Lifestyle and Wellbeing Support
Healthy lifestyle habits, regular exercise, stress management, and good sleep can all help improve PMS symptoms and support overall wellbeing.
Hormonal Treatments
Hormonal treatments may help regulate hormonal fluctuations and reduce symptoms associated with PMS.
Symptom Management
Specific treatments may be recommended to help manage symptoms such as headaches, breast tenderness, bloating, and menstrual discomfort.
Emotional Wellbeing Support
Mood changes, anxiety, and low mood can have a significant impact on quality of life. Appropriate treatment and supportive strategies may help improve emotional wellbeing.
Investigation and Monitoring
Where symptoms are severe or the diagnosis remains unclear, further assessment and ongoing monitoring may be recommended.
Personalised Long-Term Management
Treatment recommendations are tailored to your symptoms, lifestyle, and overall health, helping you achieve effective long-term symptom control and improved quality of life.
PMS and Quality of Life
Although PMS is common, severe symptoms should not simply be accepted as something you have to live with. Ongoing physical and emotional symptoms can affect confidence, relationships, work, and overall wellbeing, making everyday life increasingly difficult for some women.
At Gynaecology Clinic London, we understand the significant impact PMS can have on daily life. Our focus is on helping women understand the cause of their symptoms and providing personalised treatment aimed at restoring confidence, improving wellbeing, and achieving effective long-term symptom relief.
Book a Private Pelvic Ultrasound Scan
If PMS symptoms are affecting your quality of life, our experienced consultant gynaecologists provide expert assessment and personalised treatment to help you achieve lasting symptom relief and improve your overall wellbeing.
Frequently Asked Questions
When should I see a specialist for PMS?
You should consider specialist assessment if PMS symptoms are severe, becoming worse, or affecting your work, relationships, sleep, emotional wellbeing, or quality of life. Effective treatment is available, and you do not have to simply live with ongoing symptoms.
What is Premenstrual Syndrome (PMS)?
PMS is a group of physical, emotional, and behavioural symptoms that occur before menstruation and usually improve once your period begins. Symptoms are thought to be related to hormonal changes during the menstrual cycle.
What are the most common symptoms of PMS?
Common symptoms include mood swings, irritability, anxiety, low mood, bloating, breast tenderness, headaches, fatigue, food cravings, and sleep disturbances. Symptoms and their severity can vary from month to month.
What causes PMS?
PMS is believed to be related to the hormonal changes that occur during the menstrual cycle, although the exact cause is not fully understood. Some women are more sensitive to these hormonal fluctuations than others.
Can PMS affect mental wellbeing?
Yes. PMS can contribute to anxiety, mood swings, irritability, low mood, and difficulty concentrating, which may have a significant impact on relationships, work, and daily life.
How is PMS diagnosed?
Diagnosis is based on the timing and pattern of your symptoms in relation to your menstrual cycle. There is no single test for PMS, although investigations may sometimes be recommended to exclude other conditions.
What treatments are available for PMS?
Pelvic ultrasound can sometimes identify features of endometriosis, particularly more advanced disease, although not Treatment options may include lifestyle measures, hormonal treatments, symptom management, emotional wellbeing support, and ongoing monitoring. Treatment recommendations are tailored to your individual symptoms and health goals.occasionally be required to confirm the diagnosis.
Can PMS become worse with age?
Yes. Symptoms can change over time and may become more noticeable in some women, particularly during the years leading up to menopause.
Do I need a GP referral to see a PMS specialist?
No. Many women choose to self-refer for private PMS assessment and treatment at Gynaecology Clinic London. Referrals from GPs and other healthcare professionals are also welcome.
Why choose Gynaecology Clinic London for PMS care?
Our experienced consultant gynaecologists provide expert diagnosis, personalised treatment plans, and compassionate support focused on helping women achieve effective long-term symptom relief and an improved quality of life.
Our Professional Associations
At Gynaecology Clinic London, we are proud to be associated with leading professional organisations in gynaecology, obstetrics, and fetal medicine. These affiliations reflect our commitment to clinical excellence, evidence-based care, and staying at the forefront of women's healthcare.




Our Locations
Our consultants see patients across leading private hospitals and clinics in London, including Harley Street, Canary Wharf, and The Portland Hospital. These locations provide access to high-quality facilities, advanced diagnostics, and specialist women’s healthcare within comfortable and modern clinical settings.
10 Harley Street
Central London
10 Harley Street,
London,
W1G 9PF
Portland Hospital
Central London
The Portland Hospital,
212 Great Portland St,
London,
W1W 5QN
LycaHealth
Canary Wharf
1 Westferry Circus,
Canary Wharf,
London,
E14 4HA