Finally, a consultation that starts by listening.
Menopause, perimenopause and women's hormonal health — assessed by a prescribing pharmacist with the time to understand the full picture, not just the loudest symptom.
"It's just your age. Here's an antidepressant."
Hot flushes, fractured sleep, anxiety that arrived from nowhere, a body that feels borrowed — these are real, hormonal, treatable symptoms. Not a personality change. Not depression. Not something to manage alone until it passes.
The menopause is a journey, not a single moment
Select a phase to understand what's happening in your body and which symptoms are most common at that stage.
Perimenopause
Hormones begin to fluctuate — sometimes dramatically. Periods become irregular. Symptoms can start a decade before periods stop and are routinely dismissed as stress, anxiety or depression. This is often the longest and most confusing phase.
Common symptoms at this stage
Menopause affects every system in the body
Select a region to explore the symptoms we assess and treat in that area.
Cognitive & neurological symptoms
Oestrogen plays a significant role in brain function — memory, mood regulation, temperature control and sleep architecture are all affected as levels drop.
- Brain fog, poor concentration and word-finding difficulties
- Anxiety and low mood — often hormonal in origin, not psychological
- Hot flushes and night sweats — controlled by the hypothalamus
- Disrupted sleep and early waking
HRT addresses the hormonal root cause of all four. Non-hormonal options available where preferred.
HRT has had a complicated reputation. The evidence has moved on.
The study that scared a generation of women into stopping HRT used synthetic hormones and tablets. The body-identical, transdermal HRT we prescribe has a substantially different risk profile — and the benefits are well-established.
Body-identical oestrogen
Derived from plant sources, structurally identical to the oestrogen your body produces. Delivered through the skin — gel, patch or spray — bypassing the liver and associated with a lower clot risk than oral tablets.
Micronised progesterone
Utrogestan — the form closest to the body's own progesterone. Prescribed to protect the womb lining where needed. Better tolerated than synthetic progestogens for the majority of women.
When HRT isn't suitable
It isn't right for everyone. If HRT isn't appropriate for you — or you'd prefer not to take it — there are non-hormonal prescribing options that work. We'll go through all of them, honestly.
The old headline
"HRT causes breast cancer." A 2002 study using synthetic progestogens and oral oestrogen was widely misreported. It led to millions of women stopping treatment unnecessarily.
What the evidence actually shows
Body-identical, transdermal HRT — started within 10 years of menopause — carries no significantly increased breast cancer risk for most women, and substantially reduces cardiovascular and osteoporosis risk. This is what we prescribe to.
One appointment that covers everything
Not a 10-minute slot where you have to choose which symptom to raise. One hour. The whole picture. A plan you leave with.
Book a consultationEvery symptom, its pattern, your medical and family history — taken at pace that lets you think, not rush.
HRT types, doses and routes of delivery. Non-hormonal alternatives. What the current evidence shows. Time to ask every question.
As an independent prescriber, there's no referral to wait for. If HRT is appropriate, you leave with it.
Everything documented. Your GP receives a full summary so your NHS and private care stay joined up.
You've waited long enough. Let's make a plan.
Book a 60-minute women's health consultation and come away knowing exactly what's happening, what your options are, and what happens next.
Book a consultation Suitability depends on assessment. BMS guidelines applied throughout. Results vary.