If deemed appropriate, a prescription for HRT will be issued privately at a cost of £35 and this can either be issued by our remote pharmacy (who will contact you to take payment for the medication and organise delivery) or it can be taken to any local pharmacy.

We don’t stock any items. It is your choice how you do this. Some women decide to ask their GP to issue the prescription, and the decision to do so is up to the individual GP.

£35 will be charged for each private prescription, regardless of the number of items on the prescription.

We do not prescribe Bioidentical HRT. This is a ‘non NHS’ kind of HRT that uses a synthetic ‘chemically identical formula’ to human hormones, made in private laboratories.

We believe in the British Menopause Society stance on HRT, that ‘Body Identical HRT’ is safer than ‘Bio identical HRT’.

If this is needed then the practicalities of this will be discussed -including the option of fitting in the clinic if available. Alternatively we may refer you to another service for this to be done or your GP.

Yes, if it’s appropriate, we prescribe testosterone on a private prescription.

Please ensure that you have made your follow-up appointment approximately three months after the initial appointment and we will advise when to have any further follow-ups. To obtain a prescription from us you will need to be seen at least annually.

If you have not been seen by us for over 2 years a new INITIAL consultation will be needed.

The clinician will email you a summary, outlining what was said during the consultation, usually within 7-10 days.

Your GP can also be sent a copy of this letter if you would like this, or you may have said you prefer for your GP not to be contacted.

Usually, we ask you to give a copy of your summary letter to your GP.

Blood tests are taken in clinic, close to your home or by a nurse at your home for an additional charge.

We use an alternative lab if you choose to go to a centre close to where you live. Once you have been invoiced by us for your tests then you will be able to proceed with a centre visit or a kit will be sent to your home. As soon as your results are available, they will be reviewed and commented on by us.

You will then receive an email with your results / comments / treatment plan / prescription.

We may recommend a blood test to assess hormone levels or to simply check for good health. This will depend on what happens in your consultation. Blood tests are also sometimes recommended as part of a well woman check or to assess other systems, for example thyroid function tests.

It is not usually necessary to do a blood test to diagnose the menopause. It is always necessary to have a blood test for men who are attending for testosterone advice.

We cannot access your NHS doctor’s lab system. Recommended investigations for some women, such as a bone mineral density scan, mammogram or pelvic ultrasound scans can be arranged if needed.

Patients most commonly experience menopause symptoms from the age of about 45. Some women experience an early menopause (40-45y) or Premature Ovarian Insufficiency (under 40y).

Adverse reaction may include bloating, breakthrough bleeding, breast swelling and tenderness, fluid retention, nausea, headaches, leg cramps, dyspepsia.

May cause sedation, in view of this it is recommended to coordinate dosing with sleep cycle. Adverse reactions may include bloating, migraine, breakthrough bleeding, missed menstruation, breast swelling and tenderness, fluid retention, sedation and depression.

Side effects can include acne, hair growth on face and body but reduced on the scalp, change in libido, clitoris enlargement, voice changes and water retention. If using gels or creams then irritation to the skin where it is applied can occur.

The 45 minute consultation process includes assessment regarding the risks and benefits of hormone replacement for you as an individual in relation to your medical history as a whole. The decision to use HRT has to be made on a person to person basis, taking into account any baseline risk factors that may include non-modifiable genetic predispositions and modifiable lifestyle factors.Further onward referral can be made if the decision to use HRT is more complex, for example in those who have a history of breast cancer and who have decided that they would like to go ahead with HRT will also be seen by a Consultant Gynaecologist Dr Davis is able to provide counselling and support regarding the options available for your unique experience of the menopause transition, including HRT.