Hot flushes & night sweats
The most recognisable menopause symptoms. Usually transformed by appropriate HRT within weeks.
Read morePerimenopause and menopause, taken seriously.
Comprehensive consultations, tailored HRT planning, and follow-up that doesn't disappear after the prescription. BMS-accredited specialism.
Who this is for
You might be in the right place if…
- · Your symptoms started in your 40s and nobody's connecting them
- · You've been told you're "too young" for menopause
- · Your bloods were "normal" but you don't feel normal
- · You're on HRT and it isn't quite working
- · You want to talk through HRT before deciding
- · You can't take HRT and want a proper non-hormonal plan
- · You've had surgical menopause and need specialist input
Not a script. A conversation with someone who's seen this before.
Perimenopause is not subtle, but it is varied. Two women with the same lab results can need entirely different plans, and the right HRT regimen is the one that fits your body, history, and goals, not the one currently in fashion online.
My new patient consultation takes 45 minutes. We go through every symptom, your full medical history, family history, what you've already tried, and what you'd like to feel like again. Then we plan.
Common reasons women book.
Six of the symptoms most often raised in a menopause consultation. Each links to a longer write-up of what to expect.
Sleep problems
The symptom that compounds every other one. Often the first thing women want help with.
Read moreLow mood
Cyclical, hormonally driven low mood is misdiagnosed as primary depression more often than it should be.
Read moreAnxiety
New-onset anxiety in your 40s is often perimenopausal, often physical, and often treatable.
Read moreJoint & muscle pain
Oestrogen has receptors in joints. Its loss produces a recognisable pattern often misattributed.
Read moreIrregular periods
One of the earliest signs of perimenopause. Often dismissed for years before being recognised as hormonal.
Read moreAlso seen: fatigue · migraine & headaches · recurrent UTIs & urogenital symptoms · low libido.
What we actually do in the room.
01
Symptom map
A structured review of physical, cognitive, mood, sleep, sexual, and urogenital symptoms, including the ones rarely volunteered.
02
Risk-personalised assessment
Family history of breast cancer, clotting, cardiovascular disease, and migraine, taken seriously rather than blanket-applied.
03
Bloods (only where useful)
FSH, oestradiol, thyroid, ferritin, vitamin D, B12, lipids, selected to the question, not a panel for its own sake.
04
HRT plan, written down
Type (transdermal vs. oral), dose, regimen, vaginal oestrogen if indicated, and exactly when to expect changes.
05
Non-hormonal options
CBT for hot flushes, SSRI/SNRI considerations, lifestyle levers that actually move the needle. No supplement upsells.
06
Follow-up review
Ideally 8 to 12 weeks after starting treatment, to assess your response and fine-tune the regimen, because the first is rarely the final one.
Fees
What it costs.
New patient consultation
45 minutes · face to face or remote · personalised plan and HRT prescription if appropriate
£245
Follow-up consultation
30 minutes · to review and adjust treatment · seen within the past 12 months
£165
Women's Health MOT
A thorough review of overall health · price depends on investigations
£300-550
Self-pay, invoiced after your appointment. Private prescriptions are issued directly to a pharmacy of your choice.
Not sure if it's perimenopause?
The Menopause Guide walks through every recognised symptom, and the myths that keep women out of treatment. Read it first, book second.