The symptoms are real.
So is the care that follows.
A full hour with a GP who takes perimenopause and menopause seriously — including the symptoms most often missed, dismissed, or mistaken for something else entirely.
Perimenopause looks like
more than hot flushes
Low mood, anxiety, brain fog and disrupted sleep are common perimenopausal symptoms — and they're frequently missed, because most people (clinicians included) associate menopause primarily with vasomotor symptoms alone.
Our medical approach
"Many women are prescribed antidepressants when hormone replacement therapy would more effectively address symptoms genuinely rooted in hormonal change."
A proper clinical assessment of what's actually happening, not a dismissive "that's just your age."
Psychological symptoms are a recognised, common part of perimenopause — not something to be managed with antidepressants by default.
A genuine discussion of benefits and risks specific to you — not a blanket for-or-against stance.
Not a simple GP appointment — genuinely informed, on purpose
For most women over 45 with typical symptoms, diagnosis is clinical — based on your age and symptoms — without unnecessary blood tests, in line with current guidance.
Mood, anxiety and cognitive symptoms are actively explored as part of the picture, not dismissed as unrelated.
A genuine conversation about benefits and risks specific to your history — not a one-size-fits-all recommendation either way.
Treatment reviewed at 3 months, then annually — with no arbitrary limit on how long you can stay on it if it's working for you.
Independent of the NHS throughout, with your record held privately and never shared without your explicit consent.
Physical, hormonal and psychological factors considered together — one system, not three separate conversations.
Know, understand,
act — with real support
A full picture of your symptoms — physical, hormonal and psychological — not just the ones that fit a checklist.
A clear explanation of what's happening and why, including the genuine benefits and risks of every option available to you.
A plan you actually agree to, reviewed properly over time — not prescribed once and left unmonitored.
Clear costs, no surprises
We believe knowing the price upfront is part of feeling safe and respected. What you see is what you pay.
A full 60-minute consultation with a GMC-registered GP, covering diagnosis, HRT discussion, and a written plan.
- Pre-appointment health history review
- Full symptom assessment, mind & body
- HRT discussion, benefits & risks
- Written plan & follow-up review
For a quicker follow-up or a repeat prescription review that doesn't need the full 60 minutes.
- 30-minute video consultation
- Prescription review
- Quick follow-up questions
- Guidance on next steps
Ongoing HRT reviews included as part of unlimited access with a named GP who already knows your history.
- Unlimited appointments
- Named dedicated GP
- Priority booking
- Annual preventive screening
Any additional blood tests, if clinically indicated, are quoted separately before proceeding. View full fee schedule →
Trusted by women across the UK
Real care builds real relationships. Here's what our patients say.
"For the first time in years I felt truly listened to. My GP didn't rush me, took everything seriously, and I left with a clear plan. It genuinely changed how I think about my health."
"I'd been struggling with perimenopausal symptoms for over a year and felt dismissed elsewhere. Here I was heard immediately. The holistic approach made all the difference."
"Booking was easy, the clinic was calm and private, and seeing the same doctor each time means she knows my story. It's the kind of healthcare I always wanted but never had."
Everything you need to know
In line with NICE guidance, menopause and perimenopause are usually diagnosed clinically — based on your age and symptoms — without blood tests, for women over 45. Blood tests are used selectively, mainly for women under 45 or in specific circumstances.
HRT is recommended as a first-line option for menopausal symptoms after discussing the individual benefits and risks with you. Whether it's right for you depends on your history, symptoms and preferences — this is a shared decision, not a default prescription.
Yes, it can be. Psychological symptoms — low mood, anxiety, brain fog — are common in perimenopause and menopause, and are frequently under-recognised. Many women are prescribed antidepressants when the underlying cause is hormonal, and HRT may be more effective for symptoms genuinely rooted in hormone changes.
HRT is typically reviewed 3 months after starting, then annually once settled. There's no arbitrary limit on how long you can stay on it — this is based on your ongoing symptoms and circumstances, not a fixed cut-off.
This needs proper investigation rather than assumption — premature ovarian insufficiency requires specific diagnostic criteria and a tailored approach to management.
£200 for a full 60-minute consultation with a GMC-registered GP. View our full fee schedule.
Our team is here to help. Call, email, or book a free 10-minute introductory call.
More ways we can support you
Proactive, long-term planning.
Often overlaps with menopause symptoms.
Risk rises after menopause.
Related hormonal mood conditions.
Unlimited visits, ongoing review.
Meet the team behind your care.
Perimenopause and menopause,
taken seriously in full
This is not a simple GP appointment. Perimenopause and menopause affect far more than hot flushes and night sweats — psychological symptoms including low mood, anxiety and brain fog are common, and are frequently under-recognised by both the public and, at times, by clinicians themselves.
Diagnosis, without unnecessary testing
For most women over 45 presenting with typical symptoms, current clinical guidance supports a diagnosis based on age and symptoms alone, without routine blood tests. Where you're under 45, or your presentation is atypical, further investigation is appropriate rather than assumed.
HRT, discussed honestly
Hormone replacement therapy is recommended as a first-line treatment for menopausal symptoms, but the decision is yours to make once you properly understand the benefits and risks specific to your own history — not a default prescription, and not a blanket refusal either.
What happens after your appointment
You leave with a written plan, and — if HRT is started — a review at 3 months, then annually. There's no arbitrary time limit on treatment; the right duration is based on your ongoing symptoms, not a fixed rule.
Perimenopause and menopause,
taken properly seriously
Book a 60-minute consultation covering diagnosis, HRT, and a plan built around your actual symptoms — £200.
Same-day availability · Mon–Fri 7am–6pm · Online or in person