How it works
No mystery and no guessing what happens next. This is your first year with us, step by step.
- Step 1
Join the waiting list, then book
Choose your appointment, your doctor (or the first available) and face to face in Manchester or video. A deposit secures your appointment and the balance is paid afterwards.
5 minutes - Step 2
Your health questionnaire
We send a short, secure questionnaire about your symptoms, periods, health, family history and medicines, so your appointment time is spent on you rather than paperwork.
15 minutes - Step 3
Your 60-minute consultation
Your doctor talks through your symptoms and how they affect your life, reviews your history and risks, explains what is happening in plain English, and goes through every suitable option. The plan is agreed with you, never pushed on you.
60 minutes - Step 4
Your written plan
A clear written summary of what was discussed and your personal plan. With your consent we also write to your NHS GP so your records stay up to date.
Within a few days - Step 5
Your follow-up
Treatments take time to settle. At around three months we review how you feel, any side effects, and whether anything needs adjusting.
30 minutes, about month 3 - Step 6
Ongoing care and your annual review
Once you are settled we see you at least once a year. When you are stable, we can write to your NHS GP asking them to take over prescribing, if you would like that.
30 minutes, yearly
The year at a glance
- Month 0 Initial consultation, 60 minutes, £250. History, options, your plan.
- Month 0 Written plan. Summary and GP letter within days.
- Month 3 Follow-up, 30 minutes, £140. How treatment is settling.
- Month 12 Annual review, 30 minutes, £140. Benefits, risks, next year.
Typical first-year consultation cost: £530 (initial £250, follow-up £140, annual review £140). Prescriptions and any tests are extra and always explained before you agree to them.
What to have ready
- A list of your medicines and supplements, including any HRT
- A recent blood pressure reading, if you have one
- Your height and weight
- Any recent blood results or hospital letters
- The dates of your last cervical screening and mammogram, if you’ve had them
Do I need a blood test?
Usually not. If you are over 45, NICE guidance recommends diagnosing perimenopause and menopause from your symptoms. We suggest tests only when they help, for example if you are under 45 or your symptoms are unclear, and we tell you the cost first.
Face to face or video?
| Face to face | Secure video | |
|---|---|---|
| Where | Our clinic in Manchester (step-free access) | Wherever you are in the UK |
| Good for | Meeting in person, blood pressure checks, examinations | Busy weeks, travel or mobility difficulties, living further away |
| Same doctor | Yes | Yes |
| Same length and fee | Yes | Yes |
| Bring someone | Welcome | Welcome |
When we refer you elsewhere
Some situations need a hospital specialist, such as a history of breast cancer, a high risk of blood clots or heart disease, or unexplained bleeding. If that applies to you, we explain why and arrange the right referral. We never offer care outside our training.
Want advice that fits you? Every menopause is different.
Join the waiting list