Clinical Pilates · Women’s health specialist

Expert, unhurried movement. Built entirely around you.

A private, nurse-led practice for prolapse, recovery after hysterectomy, core trauma and hormone-related change. We begin with a careful assessment, then bring together Pilates, Reformer (where recommended and in-studio only), strength, therapeutic yoga and nervous-system restoration around your body.

Adele Smyth, Registered Nurse and clinical Pilates teacher and women's health specialist

Who this is for

Private Pilates and yoga at home or in studio, for changes that don’t fit one box.

Pelvic organ prolapse, heaviness, dragging, or fear of making it worse

Post-hysterectomy or post-surgical recovery, early or years later

Core trauma: separation, weakness, bracing, no connection at all

Perimenopause and menopause: weight change, aches, lost strength

Postnatal recovery, whether that was last year or fifteen years ago

Leaking, urgency or pressure that you've been told is normal

Back, hip or pelvic pain that keeps circling back

Anyone told to 'just do Kegels' and left to get on with it

Where to start

Every woman who works with me one to one begins with a consultation by phone or Zoom. This gives me time to understand your history and concerns before I assess you in person and create your plan.

Stage one: The Prolapse & Hysterectomy Consultation

45 minutes | £127 by phone or Zoom

This is the conversation that comes first. I take your history, hear what has happened since your surgery or diagnosis, and talk through what has been confusing or frightening. You leave knowing where you stand and what I recommend next, whether that's an internal assessment, 1:1 sessions or The Purebody Method: Prolapse and Hysterectomy Rehab.

  • A full conversation about your history, symptoms and goals
  • A clear recommendation for what comes next
  • Time to ask the questions you may have felt too embarrassed to raise elsewhere.

I don't carry out an examination in the consultation, so this is a conversation. You leave knowing where I think you should start and what I recommend next. Where you need your GP or consultant, I'll say so. The fee isn't credited against further work.

Stage two: Your First Women's Health Session

In person | £95 in studio | £110 at your home

With your history already understood from the consultation, this is where I assess you physically and use what I find to create your plan. Your initial assessment is included as part of this first women's health session rather than charged as a separate appointment.

  • Movement, breath, core and pelvic floor assessment
  • An internal assessment where appropriate, with your consent
  • A clear plan based on your consultation and assessment

I explain what I find, what it means for how you move and recover, and what I recommend next. If an internal assessment is appropriate, I explain what it involves first; you can decline or change your mind at any point.

The Prolapse & Hysterectomy Consultation

45 minutes · Phone or Zoom

£127

Continued 1:1 Pilates (reformer, mat or yoga)

Per session · £420 for a block of six · In studio

£70

Continued 1:1 Pilates (reformer, mat or yoga)

Per session · At your home

£85

1:1 Women’s Health session (first session includes assessment)

Per session · In studio

£95

1:1 Women’s Health session (first session includes assessment)

Per session · At your home

£110

Women's health is £95 in studio or £110 at home. Pilates is £70 in studio or £85 at home. Sessions beyond the local area carry a travel charge in addition, the exact amount is confirmed when you book.

1:1 options

Begin with a conversation. Continue with a clear plan.

First I understand your history. Then I assess you in person and build your plan. Continued sessions adapt as your body changes.

Stage two

Your First Women's Health Session

£95 studio · £110 home

In person · after your consultation

Your first women's health session includes your initial in-person assessment. With your history already understood, this is where I assess you physically and use what I find to shape your plan.

  • Core, breath and pelvic floor screening
  • Clear explanation of what I find
  • A plan based on your consultation and assessment
  • Onward referral if you need medical input
In development

The 90-Day Prolapse & Hysterectomy Programme

From £1,500

Programme details are being finalised

A longer, personalised pathway for women navigating prolapse or life after hysterectomy. The full programme has not been released yet; get in touch if you would like to talk through your needs or hear when it is ready.

  • Focused on prolapse and post-hysterectomy movement
  • Designed around your history, symptoms and goals
  • Full structure and availability to be announced
Ongoing

Continued 1:1 Sessions

From £70 per session

Pilates: £70 studio / £85 home · Women’s health: £95 studio / £110 home

For women who want to keep building, through perimenopause, menopause, recovery and beyond. Strength, bone health and nervous-system regulation, held steady for the long term.

  • Pilates, Reformer, mat or yoga: £70 in studio, or £420 for a block of 6
  • Pilates at your home: £85 per session
  • Women’s Health sessions: £95 in studio, £110 at your home
  • Sessions beyond the local area carry a travel charge in addition
  • Pay-as-you-go or discounted blocks of six for Pilates
  • Programme adapts as your body and life change

Your first two stages have different purposes. The private consultation (£127 · 45 minutes) takes place by phone or Zoom so Adele can understand your history, symptoms and concerns. Your first women's health session then takes place in person (£95 in studio or £110 at home), includes your initial assessment, and turns what you have discussed into a plan based on how your body moves.

Private home visits are available across East Molesey, Hampton Court, Thames Ditton, Surbiton, Cobham, Oxshott and Esher. The wider Surrey area and London are possible by arrangement, with travel charged separately, alongside studio and virtual sessions. This is movement care, not medical treatment; I work alongside your GP and consultant and refer on whenever that is right.

Ready when you are

Tell me what's going on. I'll tell you what's possible.

Every 1:1 journey starts with a private consultation (£127 · 45 minutes) by phone or Zoom, followed by your first in-person women's health session.