30–45 minutes, one clinician
Long enough to take a full history rather than triage a single symptom — and you see the same specialist if you come back.
Our services
Gynecology services, specialist-led, at HeliosCheck.com
Four women’s health services, one standard: a consultant gynecologist, a 30–45 minute appointment, a written summary you keep, and 14 days of follow-up messaging. Each section below sets out what is covered, what actually happens in the appointment, and where an online consultation stops being the right tool.
The common standard
What every HeliosCheck.com appointment includes
Whichever service you book, these four things do not change. They are the reason a consultation here feels different from a nine-minute slot, and they are included in the single flat fee.
A written summary
Sent within 24 hours: what was discussed, the working assessment, the next step, and what would change the plan.
14 days of messaging
For the questions you think of afterwards. Included in the fee, answered by the clinician who saw you.
Guidance you can trace
Recommendations name the guideline behind them, so you can read the source yourself.
Service 01
See the conditions we cover
Online gynecologist consultations
A private video or telephone appointment with a consultant gynecologist. It covers everything that can genuinely be assessed from a careful history, a symptom pattern and the results you already hold — which, in gynecology, is far more than most people are led to expect.
Who it is for
- Symptoms you have been told are normal, but that have changed
- Swabs, bloods, scans or screening letters handed over without explanation
- Contraception decisions that must account for migraine, clotting risk or family history
- A second opinion before agreeing to surgery or a long-term medication
- Anyone who wants a full history taken before being sent for tests
What happens in the appointment
You complete a structured intake form before booking, so your clinician arrives having already read your history rather than spending the first ten minutes collecting it. The appointment runs 30 to 45 minutes: symptom timeline, cycle and obstetric history, relevant medical and family background, a medication review, and then the part that usually gets cut — your questions, answered properly. Upload any scans or blood results beforehand and the clinician will work through them with you on screen. The full sequence is set out on our how it works page.
What you leave with
- A written summary within 24 hours, in language you can actually use
- A working assessment — including what would change it
- One specific next step: a test, a treatment trial, a referral, or review at a set date
- Prescriptions where clinically appropriate and permitted where you live
- Named red flags, and exactly what to do if one appears
When in-person care is needed instead
An online consultation cannot include a pelvic or breast examination, a smear, a coil fitting or a biopsy. If your history points to something that needs a clinician in the room — a palpable lump, suspected prolapse, a lost coil thread, bleeding after the menopause — we say so during the appointment, write it into your summary and tell you what to book. Sudden severe pelvic pain, bleeding that soaks a pad an hour, fainting, or fever with pelvic pain are emergencies: go to urgent care rather than wait for an online slot.
Service 02
Common questions about results
Screening and prevention
Screening only helps if you know which tests apply to you, how often, and what the result means once it lands. This service covers cervical screening and HPV, breast awareness and imaging, pelvic ultrasound, and risk assessment built from your personal and family history.
Who it is for
- Anyone due, overdue, or simply unsure about cervical screening
- An HPV-positive or abnormal-cytology letter that deserves a proper explanation
- A family history of breast, ovarian or bowel cancer
- Ultrasound or MRI reports full of terms nobody translated
- Planning ahead — what the next decade of screening should look like for you
What happens in the appointment
Your clinician builds a screening timeline against the programme you are eligible for, then reads your existing results with you, line by line, including the parts that sound alarming and are not. HPV positivity is a good example: it is common, usually transient, and what matters is the cell change alongside it and the follow-up interval it triggers. Where national guidance differs, we show you both positions and explain which applies to you — the NHS cervical screening programme and the ACOG patient guidance do not always set the same intervals.
What you leave with
- A dated screening schedule covering the next decade
- Plain-language interpretation of every result you already hold
- A risk assessment, and whether a genetics referral is worth raising
- Questions written out for whoever performs your next test
When in-person care is needed instead
Screening tests are physical procedures. The smear itself, a breast examination, mammography, colposcopy and biopsy all happen in person — we help you understand and arrange them, not replace them. Any bleeding after the menopause, a new breast lump, nipple discharge or a change in the skin of the breast should be assessed face to face without delay. Book urgently rather than waiting for a routine appointment.
Service 03
Meet the clinicians
Fertility and pregnancy support
This service spans three periods that are usually handled by three different people: the year before conception, the months of trying, and the early weeks of a pregnancy when questions arrive faster than appointments do.
Who it is for
- Planning a pregnancy within the next year and wanting to prepare properly
- Trying for six months or more without success
- Irregular cycles that make timing impossible to judge
- Recurrent early loss, where a structured review is overdue
- Newly pregnant, with questions about medication, symptoms or what comes next
- Considering egg freezing and wanting a neutral conversation before a sales one
What happens in the appointment
Pre-conception work is unglamorous and genuinely useful: folate and vitamin D, thyroid function, existing conditions and the medications that need reviewing before rather than after, immunity status, and a realistic look at your cycle. If you are already trying, we work out whether it is time to investigate. The NICE fertility guideline (CG156) sets the usual threshold at a year of regular unprotected intercourse — earlier where you are over 36 or there is a known factor such as irregular cycles or previous pelvic surgery. We will tell you plainly which side of that line you are on.
What you leave with
- A pre-conception checklist specific to your history, not a generic leaflet
- A cycle and ovulation picture you can actually act on
- The investigations worth requesting, and the order to request them in
- A clear view of whether — and when — to seek specialist fertility treatment
When in-person care is needed instead
We do not provide IVF, IUI, egg collection or antenatal scanning, and we do not replace booked maternity care. Blood tests, semen analysis, tubal patency testing and every scan happen in person. In pregnancy, bleeding with pain, severe one-sided or shoulder-tip pain, persistent vomiting, or reduced fetal movements after 24 weeks need same-day in-person assessment — contact your maternity unit or emergency services rather than booking online.
Service 04
Related conditions we cover
Perimenopause and menopause care
Perimenopause can begin the better part of a decade before the last period, and it rarely announces itself. Sleep goes first, or mood, or joints, or a cycle that quietly shortens by three days. This service exists because those symptoms are so often treated separately by people who never put them together.
Who it is for
- Symptoms in your forties that nobody has yet linked to one another
- Deciding about HRT with your own risk profile in the room, not an average one
- Already taking HRT and not settled — dose, route or preparation may need adjusting
- Early or surgical menopause, where the calculation is genuinely different
- Non-hormonal options, because HRT is unsuitable or simply not what you want
- Long-term planning: bone density, cardiovascular risk and urogenital symptoms
What happens in the appointment
We map your symptoms against your cycle history first. Over the age of 45, a diagnosis is usually made on that pattern rather than on blood tests, which fluctuate too much to be useful — a point the NICE menopause guideline (NG23) makes explicitly. From there we go through the benefits and risks of HRT against your own history, why the route matters, and why vaginal estrogen sits in a different risk category from systemic treatment. Most plans start as a considered trial with a review date attached, because the first preparation is not always the right one.
What you leave with
- A symptom map with a plain explanation of what is driving what
- Benefits and risks set against your history rather than a population average
- A starting plan with a named review date, not an open-ended prescription
- Non-hormonal and lifestyle measures that have evidence behind them
- Bone, heart and genitourinary health folded into one plan
When in-person care is needed instead
A first HRT prescription is often straightforward remotely, but not always. Unexplained bleeding, a breast lump, an abnormal smear or a complex clotting history need examination or investigation before treatment starts. Bleeding that returns after twelve months without a period, or heavy and unexpected bleeding while on HRT, should always be assessed in person — we will prioritise telling you that over starting a treatment.
Honest limits
What an online consultation can and cannot do
Knowing where the boundary sits is what makes everything on the near side of it trustworthy. Here is ours, without the marketing language.
Yes, online
What HeliosCheck.com does remotely
- Take a full gynecological history and map symptoms over time
- Interpret scans, swabs, blood results and screening letters you already hold
- Advise on contraception, HRT and treatment options against your own risk profile
- Prescribe where it is clinically appropriate and permitted where you live
- Recommend which investigations to request, and in what order
- Give a considered second opinion before surgery or a long-term medication
- Tell you plainly when something needs in-person assessment, and how urgently
Needs a room
What has to happen in person
- Pelvic, speculum or breast examination
- Cervical screening, clinician-taken swabs, colposcopy or biopsy
- Coil and implant fitting or removal
- Ultrasound, mammography or any other imaging
- Blood tests and semen analysis — we advise on them, a laboratory performs them
- Emergency care for severe pain, heavy bleeding, fainting or fever
- A diagnosis that depends on examination — we say so rather than guess
If symptoms are severe or sudden, do not book online. Heavy bleeding, severe pelvic pain, fainting, fever with pelvic pain, or a suspected ectopic pregnancy need emergency assessment now. Our medical disclaimer sets out the limits of the information and advice provided through HeliosCheck.com.
Pricing
One flat fee, shown before you book
There is no subscription at HeliosCheck.com, no charge per message, and no price that grows once you are in the appointment. One fee covers the consultation and everything attached to it.
The current amount appears on the booking page before you enter any payment details, and again on the confirmation screen. We do not print it in page copy because it varies by consultation type, and a figure kept in one place stays accurate. If a clinician decides in the first few minutes that your question needs in-person assessment rather than an online consultation, we stop there, do not charge for the appointment, and you still keep a written note explaining what to book instead.
Included in the fee
- A 30–45 minute video or telephone consultation with a consultant gynecologist
- Pre-appointment review of your intake form and any results you upload
- Your written summary, sent within 24 hours
- 14 days of follow-up messaging with the same clinician
- Prescriptions and referral letters where clinically appropriate
Charged separately, by others
- Laboratory tests, imaging and procedures, charged by whoever performs them
- The cost of medication itself at the pharmacy
- Anything we would not have recommended — we do not sell tests
Every service above follows published standards from
ACOGObstetricians & Gynecologists RCOGRoyal College, UK WHOWorld Health Organization NICEClinical guidelines NHSWomen’s health CDCReproductive health
How we choose, cite and review sources is set out in our editorial policy.
From the library
Before your appointment
Background reading on the services above, so you arrive knowing what to ask.Browse all articles.
Service questions
Before you book a HeliosCheck.com service
Four questions we are asked most often about the services themselves. Everything else — privacy, records, clinicians — is on the main FAQ.
See all questionsWhich HeliosCheck.com service should I book?
Book the one closest to your main reason for getting in touch, and do not worry about getting it exactly right. Every appointment starts with the same full history, so a booking made under menopause care that turns out to be about heavy bleeding is simply handled in the appointment. If you are genuinely unsure, send us a short message first and we will tell you which service, and which clinician, fits best.
Can a HeliosCheck.com gynecologist prescribe HRT or contraception?
Often, yes. Where your history is clear, the indication is straightforward and prescribing is permitted in your location, a prescription can be issued after the consultation. Where a baseline measurement, an up-to-date smear or a physical examination is needed first — or where your history includes unexplained bleeding, a breast lump or a complex clotting picture — we explain exactly what is required before treatment can safely start, and how to arrange it.
Do you replace my regular doctor or my maternity team?
No, and we would not want to. HeliosCheck.com is a specialist layer alongside your usual care: a longer appointment with a gynecologist when you need one, and a written summary you can hand to the clinician who holds your records. We do not provide emergency care, antenatal scanning or booked maternity care, and we always tell you when something belongs with your own doctor or a hospital team.
How much does a consultation cost?
One flat fee per consultation, with no subscription and no per-message charge. The current amount is shown on the booking page before you enter any payment details, because it varies by consultation type and we keep it accurate in one place rather than in copy that can drift out of date. Rescheduling is free up to 24 hours beforehand.
Book the service that fits
Not sure which one? Send us a short message and a clinician will tell you which consultation to book — or that you do not need one yet. Both answers are free.
