Periods, menopause, PCOS, endometriosis, fertility and pelvic health.
Assessed and treated by a GMC-registered GP
Prescriptions, sick notes and referral letters included
A written treatment plan after every appointment
Your NHS records in the room, with your consent
Every condition below has its own page covering symptoms, causes, how it is diagnosed, whether it can be treated online, and when to seek urgent help.
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
Women's symptoms are dismissed at a well-documented rate — particularly pain, fatigue and anything hormonal. Twenty minutes with a clinician who is not watching the clock changes what gets taken seriously.
It is also long enough to cover more than one thing, which matters because these concerns rarely arrive one at a time.
Women's symptoms are dismissed at a well-documented rate — particularly pain, fatigue and anything hormonal. Twenty minutes with someone not watching the clock changes what gets taken seriously, and it is long enough to cover more than one thing, which matters because these concerns rarely arrive one at a time.
Routine hormone panels to "check" the menopause. Over 45 with typical symptoms it is diagnosed on history, levels swing week to week, and repeated testing is selling tests rather than providing care.
Compounded "bioidentical" hormones, which are unregulated and not recommended by the British Menopause Society or the RCOG. Regulated body-identical HRT is available on prescription and is what we use.
Cervical screening and breast screening are free, and nothing we do replaces either. Attendance is what determines whether they save lives.
In England, the HRT Prescription Prepayment Certificate covers unlimited NHS HRT prescriptions for roughly the cost of two. It is one of the best-value things in the NHS and it is under-claimed. Prescriptions are free anyway in Scotland, Wales and Northern Ireland.
If you can get HRT from your NHS GP, that route is almost certainly cheaper than private prescribing.
Repeated private hormone panels. Compounded "bioidentical" hormones, which are unregulated and usually sold alongside unnecessary testing. "Menopause support" supplements. And fertility supplements beyond folic acid and vitamin D, where the evidence does not support the price.
Usually not. Over 45 with typical symptoms it is diagnosed on history — and hormone levels swing so much week to week that a test can be actively misleading.
Testing genuinely helps under 45, or where the picture is unclear.
More nuanced than either headline. Oestrogen-only HRT shows little or no increase; combined HRT carries a small increase that rises with duration and falls again after stopping.
The figures quoted in the press are almost always relative risk, which sounds alarming and tells you nothing about your own position. In absolute terms it is comparable to drinking a couple of units of alcohol daily.
Perimenopause can begin years before periods stop, and the first symptoms are frequently not flushes — they are anxiety that feels unlike you, broken sleep, brain fog, joint aches, palpitations and worsening PMS.
These get attributed to stress, work and motherhood for years. Treatment during perimenopause is entirely appropriate.
Because systemic HRT frequently does not resolve local symptoms — one of the most commonly missed things in menopause care.
Vaginal oestrogen is used in addition to HRT. It is a tiny dose, needs no progestogen, does not carry the systemic breast cancer risk, and substantially reduces recurrent UTIs after the menopause. Many women have years of antibiotics without ever being offered it.
That is not something to endure, and it is treatable. The hormonal coil, tranexamic acid and other options work well.
And check your ferritin — heavy periods are the commonest cause of iron deficiency in women, and the exhaustion is frequently blamed on everything but the bleeding.
No — and this is how endometriosis goes undiagnosed for years. The average delay to diagnosis in the UK is measured in years, not months.
Pain severe enough to take days off, pain during sex, or pain with bowel or bladder symptoms warrants proper assessment and referral, not another packet of ibuprofen.
Very possibly, and it is worth excluding rather than assuming. Iron deficiency, thyroid disease, B12 deficiency, coeliac disease, sleep apnoea — badly under-diagnosed in women — depression, and undiagnosed ADHD all present this way.
ADHD in particular frequently becomes unmanageable in perimenopause as oestrogen falls, and is diagnosed late in women for exactly that reason.
No, and this catches people out. Pregnancy remains possible in perimenopause.
Contraception is generally advised until 55, or for two years after the last period under 50 and one year over 50.
Two different things share that name. Regulated body-identical HRT — micronised progesterone and oestradiol — is standard and is what we prescribe.
Compounded "bioidentical" preparations from private clinics are unregulated, not quality-assured, and not recommended by the British Menopause Society or the RCOG. They are usually expensive and often sold alongside unnecessary hormone testing.
No — cervical screening requires an in-person appointment, and it is free on the NHS.
Please keep attending. Uptake has fallen, and attendance is the thing that determines whether screening saves lives. If something about it is difficult — pain, anxiety, a past experience — say so; adjustments can be made and it is a conversation worth having.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 29, 2026
On this page
Ongoing
Time to be seen
Appointment length
Your NHS record in the room
Written treatment plan
Told when a test isn’t needed
Cost
Same day, usually
20 minutes
Yes, with your consent
Included
Yes, and told why
£40 for 20 minutes
Varies by practice
Typically 10 minutes
Yes, your full record
Not routinely
Usually
Free
Same day
Often 10 to 15 minutes
Usually not
Sometimes charged
Varies by provider
Often a subscription
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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