Yes — and in most women over 45 no blood test is needed to diagnose it or to start treatment.
Answered by a GMC-registered GP, not a call centre
Free NHS routes named first wherever one exists
Same-day video appointments usually available, 6am to 10pm
£40 for 20 minutes, no membership required
Care led personally by Dr Khan
Attentive, unhurried care that listens properly
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Registered with the Care Quality Commission
Yes, and it is one of the areas where an unhurried consultation genuinely changes things.
The most useful thing to know: in women over 45 with typical symptoms, menopause and perimenopause are diagnosed on the history alone. NICE is explicit that a blood test is not needed, and hormone levels fluctuate so much in perimenopause that a "normal" result is common and misleading. Being told your bloods are normal, therefore it is not the menopause, is one of the commonest sources of years of unnecessary symptoms.
Blood tests are useful under 45, where premature ovarian insufficiency is a different matter with different long-term implications.
What a consultation covers: whether HRT is right for you, the honest balance of benefits and risks rather than the headline version, which preparation and route suit you, and what to expect in the first three months — which is where most people give up unnecessarily.
Perimenopause is frequently missed because periods are still happening. Symptoms can start years before they stop, and treatment does not require you to have stopped bleeding.
A prescription is never guaranteed, and HRT is not right for everyone — that is precisely what the consultation is for.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
September 8, 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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