Consultation Information

First appointment

I offer a one hour appointment (currently only by secure video link) to discuss your symptoms, medical history and options for treatment. I can advise on HRT if appropriate and discuss different HRT doses or preparations if you are not getting on well with your current regime. I can also assess your general health and lifestyle and offer advice on improving your health and well being going forward. I will email you a summary of your consultation and other relevant information afterwards.

Follow up

Everyone responds differently to HRT and you may need several adjustments in type and dosage over time. You can email me with any questions after the appointment or once you have started or changed your HRT (no extra charge for the first 3 months). You will need a review appointment at 3 months to see if any adjustments need to be made. If I am prescribing for you this review will need to be with me. If your GP is providing NHS prescriptions and all is going well this can be via your GP instead. You will then need at least an annual review, either with your GP or at the clinic.

Fees from 1.9.2021

New patient video consultation – 1 hour (includes letter to GP and follow-up emails if you have any questions) £220

Follow-up video consultation after 3 months (sooner if needed) or annual follow-up – 20 minutes £90

Charge for issuing a private repeat prescription  – only when not part of a consultation £30

Am I covered by my private health insurance?

Menopause consultations are not usually covered by private insurance companies as it is considered a natural part of life. I’m not registered with any insurance company.

Prescriptions

I can issue private prescriptions for HRT, vaginal oestrogen, contraception and other related medication, with advice on HRT prices and current availability. I’m not able to issue any NHS prescriptions at this clinic.

To get your medication issued you can use a private online service such as the Independent Pharmacy or CloudRx, who can post your medication to you, or your local pharmacy. Another option is to see if your GP is happy to issue an NHS prescription. Not all GPs are able to prescribe testosterone so you might need an ongoing private review and prescription for this.

PLEASE CLICK TO FIND OUT MORE ABOUT THE INDEPENDENT PHARMACY

Investigations

Blood tests to check hormone levels are not usually required if you are aged 45 or over but are recommended under this age and essential under the age of 40. However levels do fluctuate so you may still benefit from HRT even if they are normal.
Hormone levels are sometimes useful to check how well you are absorbing your HRT and are important for monitoring testosterone treatment.
Your GP may be happy to do any necessary blood tests on the NHS. I can do private blood tests if I am seeing you face to face in clinic.

Communicating with your GP

You do not need a referral from your GP to come to this clinic. It is helpful to have any recent blood tests, blood pressure readings, height and weight available for your appointment. I will send you a summary of your consultation and, if you are happy with this, I will post it to your GP for your medical records. If I am prescribing for you I will definitely need to write to your GP for safety reasons.

About myself

I have worked at Glastonbury Surgery since 2002 where I see patients for general GP services and run a Menopause Clinic and a Young People’s Clinic. I also fit coils and contraceptive implants at the surgery. I’m married to another GP with 3 grown up sons.

I started my private menopause clinic in 2019. I’m a member of the British Menopause Society and a full associate member of the International Menopause Society. I work within both their guidelines and the NICE Menopause Guidelines of 2015. 

I hold the Advanced Certificate in Menopause Care from the the Faculty of Sexual and Reproductive Healthcare, part of the Royal College of Obstetricians and Gynaecologists. 

I’m involved in educating health care professionals in Somerset about recognising menopausal symptoms and the benefits of HRT and local oestrogen. I’m also working to improve access to menopause specialists on the NHS when indicated.

I’m a member of the Royal College of GPs and the Primary Care Women’s Health Forum. I’m a Diplomate of both the Royal College of Obstetricians and Gynaecologists and the Faculty of Sexual and Reproductive Healthcare.

I keep up to date by networking with other doctors with a special interest in the menopause, attending meetings and conferences (although now video meetings and webinars during the time of Covid-19) and reading medical journals.

You can follow me on Instagram @menopausehealth

Dr Juliet Balfour
BSc MBBS MRCGP DRCOG DFSRH