Perimenopause and menopause
Symptoms that can start years before periods stop, and are frequently attributed to something else.
What you may notice
Perimenopause and menopause
Every woman, typically between forty-five and fifty-five, and earlier for some
Perimenopause can begin several years before periods stop, and because periods may still be regular it is often attributed to stress or depression instead. Diagnosis in women over forty-five is clinical rather than by blood test. Treatment options include hormone replacement in several forms, non-hormonal medication, local vaginal treatment and lifestyle measures — and the choice depends on your symptoms, your history and your preference.
Services
Our services
What each appointment involves, how long it takes, and what you will leave knowing.
Gynaecology consultation
A long appointment with a consultant, a full history, and a written plan.
- Appointment
- 30–45 minutes
- Visits
- One, with review as required
- From
- from £240
Pelvic ultrasound
Transvaginal and abdominal scanning, performed and interpreted by the consultant.
- Appointment
- 20–30 minutes
- Visits
- One, repeated as monitoring requires
- From
- from £190
Outpatient hysteroscopy
A camera examination of the inside of the womb, and treatment of polyps in the same visit.
- Appointment
- 20–30 minutes including preparation
- Visits
- Usually one
- From
- from £1,100
Laparoscopic surgery
Keyhole surgery for endometriosis, cysts and fibroids, with excision where indicated.
- Appointment
- 45–120 minutes depending on findings
- Visits
- One, with reviews at 2 and 8 weeks
- From
- from £5,800
Menopause clinic
A full assessment, an evidence-based discussion of the options, and follow-up.
- Appointment
- 45 minutes
- Visits
- One, with review at 3 months, then annually
- From
- from £250
Fertility assessment
A structured investigation of both partners, and a clear explanation of the findings.
- Appointment
- 45 minutes, plus tests
- Visits
- Assessment, tests, then a results appointment
- From
- from £420
Pregnancy care
Consultant-led antenatal appointments and early pregnancy assessment.
- Appointment
- 30–45 minutes
- Visits
- Through the pregnancy, as your care requires
- From
- from £260 per appointment
Screening and colposcopy
Cervical screening, HPV testing, and the follow-up of an abnormal result.
- Appointment
- 20–30 minutes
- Visits
- One, with follow-up as indicated
- From
- from £180
Pelvic health physiotherapy
Supervised pelvic floor rehabilitation for prolapse, incontinence and postnatal recovery.
- Appointment
- 45 minutes
- Visits
- Typically 4–8 over three months
- From
- from £85 per session
Medical management
Prescribing and monitoring for hormonal, cycle and symptom management.
- Appointment
- 20–30 minutes per review
- Visits
- Review at 3 months, then annually
- From
- from £160 per review
Appointments
Book a consultation
Consultations are with a consultant gynaecologist and last up to forty-five minutes. A chaperone is available for any examination and you only have to ask.