Private pms & pmdd clinic in London, same-day women's health.
Premenstrual symptoms range from mild (PMS) to severe (PMDD) — and when they disrupt life, effective treatment is available. Our private women's health clinic in East London offers same-day pms & pmdd assessment with a private women's health specialist, diagnosis and a clear treatment plan — usually without a referral and often the same day.
The condition
What is pms & pmdd?
Premenstrual symptoms range from mild (PMS) to severe (PMDD) — and when they disrupt life, effective treatment is available.
- Mood & irritability
- Physical symptoms
- PMDD (severe PMS)
- Cycle tracking
- Treatment options
- Specialist support
Understanding pms & pmdd
PMS & PMDD: symptoms, causes, tests & treatment
Please seek help promptly if you have
- thoughts of harming yourself or ending your life
- symptoms so severe you cannot function for part of every month
- rage or despair that frightens you or those around you
- symptoms that are present throughout the cycle rather than only before periods
- a history of postnatal depression or bipolar disorder alongside cyclical symptoms
PMDD carries a meaningfully raised risk of suicidal thinking, and it is under-recognised precisely because symptoms lift each month and are dismissed as ordinary. If you are struggling, call Samaritans free on 116 123 at any hour, text SHOUT to 85258, or call NHS 111 and select the mental health option.
What defines it
The specific feature is timing, not severity. Symptoms appear in the two weeks before a period, resolve within a few days of it starting, and there is a symptom-free interval afterwards. That pattern — not the symptoms themselves — is what makes it PMS.
- Mood — irritability, anger, low mood, anxiety, tearfulness, feeling out of control, sensitivity to rejection
- Physical — bloating, breast tenderness, headaches, joint aches, fatigue, sleep disturbance
- Behavioural — food cravings, poor concentration, withdrawal from people
- PMDD requires marked mood symptoms causing significant impairment, and the diagnosis needs prospective recording over two cycles
Keep a diary for two cycles — it is the diagnosis
There is no blood test. Hormone levels in PMS and PMDD are normal; the difference is sensitivity to the normal fluctuation, so testing hormones is not helpful and a normal result proves nothing. What establishes the diagnosis is a daily symptom record kept prospectively across two menstrual cycles, rated for severity. Recalling backwards is unreliable. Free validated tools exist — the DRSP is the standard one. Bringing two cycles of records to an appointment moves things faster than anything else you can do.
What helps
Reasonable evidence
- Regular aerobic exercise
- CBT, which is as effective as medication for many women
- Regular sleep and meals; reducing alcohol and caffeine
- Calcium and vitamin D supplementation
- Recording the cycle so you and those close to you can anticipate it
Weak or no evidence
- Evening primrose oil, for most symptoms
- Progesterone supplements — not recommended
- Restrictive diets and detoxes
- Hormone blood testing to make the diagnosis
- Being told it is normal and to manage it
Treatment that works
- SSRIs are first-line for moderate to severe PMS and PMDD, and are effective. They can be taken continuously, or only in the two weeks before the period — luteal-phase dosing works, which surprises people, and often at lower doses than for depression. Onset is within days rather than weeks.
- The combined pill, particularly taken continuously without a break so there is no hormone withdrawal, helps many women.
- Oestrogen patches or gel with endometrial protection, used in specialist practice.
- GnRH analogues with add-back HRT for severe resistant cases, essentially inducing a temporary menopause — used in specialist care and sometimes as a test before considering surgery.
- Treating coexisting anaemia, thyroid disease and low vitamin D, all of which amplify symptoms.
When it is not PMS
If symptoms are present throughout the cycle and simply worsen premenstrually, that is a different picture — underlying depression, anxiety, thyroid disease or the perimenopause, with premenstrual exacerbation. It matters because the treatment is different. This is another reason the two-cycle diary earns its place: it shows whether there is a genuinely symptom-free interval.
Women's health services we offer
Complete women's health care under one roof
From same-day GP care to gynaecology, scans, screening and menopause — private, discreet and often the same day.
Women's Health Clinic
Private gynaecology & women's health.
Menopause & HRT Clinic
Assessment, HRT and follow-up.
Pelvic Ultrasound
Scans for pain, bleeding and cysts.
Cervical Screening
Private smear tests & HPV testing.
Private GP
Same-day GP to start your care.
Blood & Hormone Tests
Hormone, thyroid and health checks.
Simple & reassuring
Seen today, in three easy steps
Book in a minute
Book online any time or call reception — no GP referral needed for most appointments.
Seen discreetly, quickly
A female GP or women's health specialist assesses you, with scans and tests arranged in-house where possible.
Diagnosis & plan
You leave with a clear diagnosis, treatment and any scan, screening or specialist care arranged.
Private assessment
See a private women's health specialist for pms & pmdd in London
At our private women's health clinic on Whitechapel Road in East London, you can see a private women's health specialist or pms & pmdd doctor without a referral — most days, often the same day. A private GP in East London or consultant women's health specialist will assess you, arrange the right tests and explain your diagnosis and treatment options clearly. We help patients across East London, Canary Wharf, the City, Docklands and Aldgate who want fast, private answers about pms & pmdd.
Local, private, fast
A private women's health clinic for East London & Canary Wharf
Tower Bridge Hospital is on Whitechapel Road in the heart of East London — minutes from Canary Wharf, the City of London, Docklands and Aldgate. Patients across Tower Hamlets, Wapping, Limehouse and Bethnal Green choose us for a fast, private pms & pmdd appointment with a women's health specialist, without the wait or the referral.
Why choose us
Why choose our East London private women's health clinic
- Same-day, no referral — private GP and women's health under one roof
- Discreet, specialist-led care with GMC-registered clinicians
- Scans & screening on site — pelvic ultrasound, smears and blood tests
- Minutes from Canary Wharf & the City of London
- Menopause to pregnancy — care across every stage
- Transparent pricing and a clear plan
Ready when you are
See a private women's health specialist for pms & pmdd — the same day.
Book a private pms & pmdd assessment in East London: same-day appointments, women's health specialist-led care and a clear plan. No referral needed.
Common questions
PMS & PMDD in London: your questions answered
Where can I find a private pms & pmdd specialist near me in East London?
Our private women's health clinic is on Whitechapel Road in East London, minutes from Canary Wharf and the City. You can see a private women's health specialist or pms & pmdd doctor for assessment and treatment, usually the same day and without a referral.
Can I see a private women's health specialist for pms & pmdd the same day?
Yes. We hold same-day private appointments most days, including Saturdays, so you can be assessed by a women's health specialist or GP quickly, with tests done in-house where possible.
How much does a private pms & pmdd appointment cost in London?
We keep pricing transparent — see our fees page or call 020 7916 0029, and we will explain the cost of the pms & pmdd assessment and any tests before you book.
Do I need a referral to see a private women's health specialist for pms & pmdd?
No. You can book directly with our clinic. If you are unsure whether to start with a private GP or a women's health specialist, we will guide you.
Which areas do you serve for private pms & pmdd care?
We see private patients from across East London, Canary Wharf, the City of London, Docklands, Aldgate, Wapping, Limehouse and Tower Hamlets.
Medically reviewed by Dr Haydar Bolat — Clinical Director, GMC 7138332. Last reviewed August 2026 · next review August 2027. Written in line with our editorial & content-review policy, using guidance from the NHS, NICE and the relevant royal colleges. This information is general and does not replace personal medical advice.