Book a consultation
Who can be seen at this clinic
I can see women via video link if they are over the age of 18 and residing in England.
If you have had a hormone dependent cancer, I’m afraid I’m unable to prescribe HRT for you unless I have written agreement from your oncologist. However, we can discuss other non-hormonal prescribed treatment options that can help with your symptoms. We can also discuss lifestyle changes and the use of CBT as we have good evidence that these options can help.
Long-term local (vaginal) oestrogen is usually still a safe option (unless you are on an aromatase-inhibitor, in which case this needs to be discussed with your oncologist).
The initial consultation
I offer a 50 minute (minimum) consultation to discuss your experience of the menopause, medical history and how your symptoms can be improved. I can advise on starting HRT or trying different HRT preparations if you are not getting on well with your current regime. We can also discuss your general health and lifestyle and look at ways of improving your health and wellbeing going forward.
I will send you a summary of your consultation with other information leaflets as indicated. With your approval I will then post a copy of the summary to your GP for your NHS records.
After the consultation
Everyone responds differently to HRT and there may need to be several adjustments in type and dosage over the first year or so. You can email me with any questions after your appointment or once you have started HRT (no extra charge for emails over the first 3 months).
Follow up consultation
Symptom checker
There are many different symptoms caused by fluctuating and falling oestrogen levels, some of which are often not recognised as being a perimenopausal or menopausal issue. This symptom checker (click to download or open) may be useful to print off and fill in if you are having a GP consultation. It includes the main symptoms but there are other less common ones too.
If attending my clinic, we will go through these symptoms during the consultation – filling it in beforehand is optional.
Fees from 1.1.2025
New patient video consultation – a minimum of 50 minutes, includes a detailed letter to you and your GP, information leaflets and follow-up emails if you have questions over the first 3 months. Suitable for new patients wanting to start HRT, optimise their HRT or add in testosterone £290
Follow-up video consultation after 3 months (sooner if needed) or annual follow-up – a minimum of 25 minutes £190
Charge for issuing a private repeat prescription if not part of a consultation (only if you are having appropriate monitoring) £30
Charge for writing a letter if not part of a consultation £30
The cost of any medication issued privately is not included in these f
How to book an appointment
February 2025
I am not currently taking on new patients unless they have been referred by Combe Grove.
COMBE GROVE METABOLIC RETREAT CLIENTS:
Please email the clinic on to arrange your appointment.
Once we have decided on a suitable time and date via email, you will be sent a confirmation email with a link to click on at the agreed time to activate the video. If you do not receive this email, please do check in your junk mail and email the clinic if you can’t find it. If you would prefer a telephone consultation please email the clinic.
You will also be sent an invoice.
Cancellations with at least 48 hours notice will be fully refunded within 5 to 10 working days. If under 48 hours notice, the refund will be 50% of the fee.
In the unlikely event of the video technology not working at the time of your consultation, I will telephone you so please keep your mobile with you. We can then talk on the phone or via FaceTime or Zoom, whichever you prefer.
Please fill in the medical questionnaire before your first appointment. The link for this is in your booking confirmation email. There is no need to fill this in if you have booked a follow up consultation. Please have photo ID available at your first video appointment.
Online clinics currently run mostly on Monday afternoons but occasionally on other days instead.
Book an Online Consultation
THERE ARE NO ONLINE APPOINTMENTS AVAILABLE TO BOOK BELOW AT PRESENT.
If you are a current patient having problems or you can’t find a suitable follow up appointment before you will run out of your medication, please email the clinic and I will find a suitable appointment for you. Please try to give a few weeks notice if you are needing another private prescription.
