Private Endometriosis Saliva Test

Home > Private Gynaecology Clinic > Private Endometriosis Saliva Test

A Faster, Non-Invasive Way to Get Answers. No Referral Needed.

Living with persistent pelvic pain, heavy periods, painful sex, or unexplained fatigue can take a huge toll on your daily life, relationships and wellbeing. Many women describe feeling dismissed or unheard when seeking help, and unfortunately, in the UK, those with suspected endometriosis often wait years before receiving a diagnosis.

We believe you should not have to wait. Our Private Endometriosis Saliva Test (Ziwig Endotest®) provides a fast, accurate and completely non-invasive way to assess whether endometriosis is likely,  without referrals, waiting lists or invasive procedures. You will be supported throughout by specialist Consultant Gynaecologists who listen, understand and guide you with clarity and compassion.

How We Can Help

We are proud to offer the Ziwig Endotest®, one of the most advanced non-invasive diagnostic tools for endometriosis.

The test analyses microRNAs in a simple saliva sample using highly sophisticated sequencing and artificial intelligence. This enables earlier, more accurate detection of endometriosis patterns without requiring any internal examination.

Benefits include:

  • A completely non-invasive and painless saliva sample : no hospital visits, surgery or pain 
  • High accuracy, highly reliable, often exceeding surgical diagnosis
  • Early detection for mild to moderate endometriosis
  • Fast access with no GP referral needed with fast results, reducing diagnostic delay
  • Significantly quicker answers compared to traditional pathways
  • Specialist-led explanation of results and next steps
  • An empowering, patient-centred approach to your care

What is Endometriosis?

Endometriosis occurs when tissue similar to the womb lining grows outside the uterus, often affecting the ovaries, fallopian tubes, bowel or bladder. It affects around 1 in 10 women of reproductive age and can significantly impact both physical and emotional well-being.

Common symptoms include:

  • Chronic pelvic or abdominal pain
  • Heavy or painful periods
  • Pain during or after sex
  • Pain on opening the bowels or passing urine
  • Bloating or digestive changes
  • Fatigue
  • Difficulty conceiving

Diagnosis is often delayed because symptoms overlap with other conditions. However, early recognition is a must. We aim to shorten this journey and provide clarity sooner.

Do I Need an Appointment?

Yes,  the saliva test is carried out during a dedicated private appointment to ensure the highest-quality sample collection and appropriate clinical support.

Who Can We Help

Please note: The Endometriosis Saliva Test is only suitable for patients aged 18–43 and is not available to anyone under the age of 18.

The test may be suitable for:

  • Women and people assigned female at birth aged 18-43
  • Those who are sexually active and experiencing concerning symptoms
  • Individuals seeking a fast, non-invasive diagnostic option
  • Patients who have felt dismissed or unsupported elsewhere
  • Anyone planning a pregnancy who wants clarity on potential endometriosis
  • Women with unclear or inconclusive previous tests

You do not need a GP referral to book.

Treatments and Our Approach

Our care extends beyond the test itself. Once your results are available, you will have a dedicated consultation to explore:

  • What does your result mean
  • How your symptoms relate to the findings
  • Fertility plans and future considerations
  • Medication, hormonal options and lifestyle strategies
  • Whether imaging or surgical referral is appropriate
  • A clear, personalised treatment plan

We offer expert, compassionate guidance at every stage.

Pricing

Saliva Test for Endometriosis Consultation

£265

Endometriosis Saliva Test

£935

Meet Our Specialists

Our Consultant Gynaecologists provide exceptional, patient-centred care with expertise spanning early pregnancy, pelvic pain, menstrual disorders, fertility and minimally invasive procedures. They are dedicated to listening carefully, validating your concerns and guiding you with clarity, compassion and clinical excellence.

Dr Smotra,  Consultant Obstetrician and Gynaecologist

Dr Smotra is a highly experienced Consultant Obstetrician and Gynaecologist and the Early Pregnancy and Acute Gynaecology Lead at Walsall Hospital NHS Trust. With over 20 years in women’s health, she specialises in early pregnancy care, ultrasound, menstrual disorders, outpatient hysteroscopy, colposcopy and managing benign gynaecological conditions using both open and minimally invasive procedures.

She is an accredited clinical and educational supervisor, a medical examiner and an active leader of regional training programmes, including the PROMPT safety initiative. Widely published and known for her compassionate approach, she is committed to empowering women, listening without judgment and providing personalised, evidence-based care.

After many years of not knowing what is going on, I’m finally now getting answers, thanks to Dr Smotra. All the staff were friendly, professional, helpful and really took the time to make sure I was comfortable and understood everything. Fantastic clinic overall.

08 Jan 2025

Verified review

Review of Ms Grisham Smotra

Dr Fidan Bayli, Consultant Obstetrician and Gynaecologist

Dr Fidan Bayli is a Consultant at Birmingham Women’s Hospital specialising in complex obstetrics, preterm birth, urogynaecology, hysteroscopy and benign gynaecology. She treats menstrual disorders, pelvic pain, prolapse, incontinence, bladder conditions and endometriosis, and is multilingual, speaking several languages, including Russian and Turkish.

Holding both a PhD and an MD, Dr Bayli has published extensively and secured a £2.5 million NIHR HTA grant as Principal Investigator for the C-STICH trials. Known for her warm, patient-centred philosophy, she is passionate about supporting women with dignity, respect and holistic care.

What to Expect at Your First Appointment

Before Your Appointment

  • Simple booking process
  • Optional symptom questionnaire
  • Bring any previous test results if available

Day of Your Test

To ensure accurate results, please follow these instructions before your appointment:

  • Do not attend if you are feeling unwell or have an active infection
  • Do not eat or drink for at least 30 minutes before your test
  • Do not brush your teeth within 30 minutes of your test
  • Do not chew gum before your test
  • Do not smoke before your test
  • Do not wear lipstick on the day of your test
  • Wash your hands thoroughly before providing your sample

During Your Appointment

  • A detailed and compassionate discussion about your symptoms
  • Review of medical history
  • Explanation of the Ziwig Endotest®
  • Supervised saliva sample collection
  • Clear guidance on timelines

After Your Appointment

Your sample undergoes advanced microRNA sequencing and AI interpretation. Results typically return within days to weeks, followed by a dedicated consultation to discuss next steps.

Follow-Up Care

We offer comprehensive ongoing support:

  • Specialist consultant reviews
  • Medical and hormonal treatment options
  • Pain management strategies
  • Fertility planning
  • Imaging or surgical referral if needed
  • Continued monitoring of symptoms

You will never be left without guidance or support.

Why Choose Midland Health

Choosing the right clinic can feel overwhelming, especially if you have felt overlooked in the past. We aim to restore confidence by offering fast, modern diagnostics and specialist care in an environment where you feel genuinely heard. We combine clinical expertise with empathy and ensure you feel supported throughout your journey.

Why women choose us:

  • Fast access,  no referral or waiting list
  • Advanced, non-invasive testing using the Ziwig Endotest®
  • Consultant-led care
  • A supportive, judgment-free experience
  • Private, comfortable clinic in Edgbaston
  • Flexible appointment times
  • Continuity of care

How to Find Us

Our Edgbaston clinic sits at 78-79 Francis Road, Birmingham B16 8SP, just outside the city centre in a modern, purpose-built facility with contemporary clinical rooms and welcoming patient spaces. Getting here is easy: drivers can use the adjacent Broadway Plaza car park, free for up to two hours when validated at reception. Five Ways station is around a 15-minute walk away with direct links to Birmingham New Street, and bus routes 35, 50, 80 and X8 all stop close by on Francis Road.

FAQ

No, the Ziwig Endotest® uses only a saliva sample,  no needles, no internal examinations and no discomfort. It offers a much gentler alternative to traditional diagnostic pathways.

The test has shown very high sensitivity and specificity in clinical research. Your consultant will interpret your result alongside your symptoms and history to provide a clear, personalised explanation.

Most results return within days to a few weeks. We will keep you informed throughout and arrange your follow-up consultation as soon as your result is available.

Preparation is minimal. You may be asked to avoid food, drink or chewing gum shortly before the test to ensure the best quality sample. Your clinician will provide clear instructions ahead of your appointment.

The test is suitable for women and people assigned female at birth aged 18–43 who are experiencing symptoms such as pelvic pain, painful periods, pain during sex or fertility difficulties. The test is not suitable for anyone under the age of 18.

A positive result suggests an endometriosis-associated microRNA pattern. Your consultant will discuss treatment options, further investigations and referral pathways if needed,  all tailored to your symptoms and goals.

A negative result does not invalidate your symptoms. We will explore other causes, consider additional tests and provide a plan to help manage your symptoms and improve your quality of life.

No, the test identifies the likelihood of endometriosis but does not provide staging. Many women can be effectively managed without surgery, and your consultant will guide you on whether any further investigation is needed.

Yes, the test can help identify whether endometriosis may be affecting fertility, allowing earlier intervention and a clearer reproductive plan.

It's not for pregnant women or those with HIV.

Some insurers may cover consultations, but the test is typically self-funded. We recommend checking with your provider directly.

No,  this service is completely self-referral. You can book directly with us.

Translators Available

We have translators available for your appointment.

Find Out More – Word360

Digital Prescription

Midland Health has partnered with a highly reputable electronic prescription provider, SignatureRx, to make receiving your prescriptions faster and easier. With our new paperless system, you can choose to collect your medication using your secure prescription code or have it delivered directly to your home free of charge. There’s no need for paper prescriptions or multiple pharmacy visits.

Find Out More – Digital Prescription

Get in Touch Today

Ask us anything about this service, other services or
Midland Health and we'll get straight back to you.

Midland-Health-Google-Review-2026-07
Dr Rupa Parmar

Medically Verified

This content has been medically reviewed and verified by Dr Rupa Parmar.

Medical note: This page provides general information and is not a substitute for urgent medical care. If you have severe symptoms, seek urgent help.

Last updated: Oct 2026