The hormones are identical. What you are buying privately is time and attention, not better medicine.
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We say plainly where the other option is stronger
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Clinically reviewed by a GMC-registered GP
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
The single most important fact is that the HRT is the same. Body-identical oestrogen gel, patches and micronised progesterone are the same products on an NHS prescription as on a private one.
What differs is access, appointment length, and cost — and on cost, the NHS route is now considerably cheaper than most people realise, because of a specific certificate that is not well publicised.
If a private clinic has implied that its HRT is superior or more "bioidentical" than what the NHS prescribes, that is marketing rather than pharmacology.
£40 per consultation; medication paid at your pharmacy
Free consultation; NHS HRT prepayment certificate covers a year of HRT for a single charge
Perimenopause is a long conversation. The symptoms are diffuse — joint pain, brain fog, anxiety, palpitations, sleep, mood, libido, urinary symptoms — and connecting them to hormones takes longer than a ten-minute appointment allows.
Twenty minutes is the actual product here, more than the prescription.
Where a GP appointment is weeks away, or where a previous consultation did not go well, we are quicker.
HRT usually needs adjusting two or three times before it is right. Each adjustment needs an appointment, and private review is easier to arrange.
A meaningful number of women have been told their symptoms were stress, or were offered an antidepressant for what turned out to be perimenopause. That is a genuine and documented problem, and it is a legitimate reason to seek a fresh assessment.
We will discuss it where the indication fits — and be clear that it is unlicensed for women, that the evidence supports it for low libido specifically, and that it requires monitoring.
This is the strongest argument and the least known. The NHS HRT prepayment certificate in England covers listed HRT items for twelve months for a single charge — far less than paying privately for a year of gel and progesterone.
In Wales, NHS prescriptions are free entirely.
If cost matters to you, the NHS route wins clearly on medication. We will tell you that.
They have your blood pressure history, your family history, your previous scans and your other medicines in one place. For decisions about clot risk and breast cancer risk, that context is genuinely valuable.
HRT interacts with everything else — blood pressure, migraine, bone health, cervical and breast screening. Your own GP is better placed to hold all of that together over years.
For complex cases — previous breast cancer, high clot risk, early menopause, treatment failure — NHS specialist menopause services exist and are free. That is beyond what we offer.
Menopause care in general practice has improved substantially. The assumption that you must go private to be listened to is often no longer true, and worth testing before paying.
Many women use us for the initial assessment and titration, then transfer the settled prescription to their NHS GP for the prepayment certificate. We write to your GP precisely so that this is possible, and we think it is often the best value route.
If you are in England and taking HRT, the NHS HRT prepayment certificate is worth having — but note it applies to NHS prescriptions, not private ones. That is the main financial argument for having your settled HRT prescribed by your own GP.
Ask for a menopause review specifically, and say you want to discuss HRT. Many surgeries have a GP with a particular interest. It costs nothing to find out.
What we sell is twenty minutes and a considered assessment. The hormones themselves are identical and cheaper on the NHS.
No. Transdermal oestradiol and micronised progesterone are the same licensed products on both routes. Any claim otherwise is marketing.
An English NHS certificate covering listed HRT items for twelve months for a single prescription charge. If you take HRT regularly it is almost always worth having. It applies to NHS prescriptions only.
Over 45, generally no — the diagnosis is made on symptoms. Guidelines advise against routine FSH testing in that age group because levels fluctuate wildly. Under 45, testing has a role.
We will discuss it where the indication fits, and be clear that it is unlicensed for women in the UK. The evidence supports it specifically for low sexual desire, and it needs monitoring. It is not a general energy treatment.
Regulated body-identical HRT — oestradiol and micronised progesterone — is available on the NHS and is what guidelines recommend. Compounded custom blends are a different thing and are not recommended by NICE or the British Menopause Society.
Yes, and it is often the sensible route. We write to your GP with what was prescribed and why, so the prescription can be transferred and the certificate used.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 30, 2026
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Same-day access is usually available, from 6am to 10pm, seven days a week. You choose a time that suits you rather than waiting on hold at 8am.
Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
£40 for 20 minutes, self-pay. Membership is optional and never required. Priced for fairness, because we are not here to charge extortionate amounts for access to a doctor.
It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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