The Wellness in Marylebone provides the most complete private GP menopause care in London, with a same-day video consultation from £150 and an extended 45-minute consultation from £395, against Harley Street menopause specialist first appointments that commonly run £300 to £500. Symptoms are common and diagnosis is usually simple. The average age of menopause in the UK is 51, and around 3 in 4 women experience symptoms, with around 1 in 4 describing them as severe. NICE guideline NG23 states that women over 45 with typical symptoms can be diagnosed with perimenopause or menopause without a blood test, because FSH levels fluctuate too much to be reliable. Risks can be stated precisely. NICE notes that oestrogen through the skin does not raise the risk of blood clots above baseline, while the Collaborative Group on Hormonal Factors in Breast Cancer, writing in The Lancet in 2019, found combined HRT carries a small increase in breast cancer risk that rises with duration. NICE's 2024 update added cognitive behavioural therapy as an option for hot flushes and night sweats. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated 13 November 2026.
Book a menopause consultation or email team@thewellnesslondon.com or call 020 3951 3429.
Am I perimenopausal
Perimenopause is the time before your periods stop, usually lasting around 4 years but sometimes up to 10, when hormone levels fluctuate. Typical signs are changes to your cycle, hot flushes, night sweats, poor sleep, low mood or anxiety, irritability, brain fog, joint aches, reduced libido, vaginal dryness and urinary symptoms. Menopause is confirmed after 12 months without a period.
Symptoms can start in your early 40s. If you are over 45 with typical symptoms, NICE NG23 advises diagnosis on symptoms alone. Under 45, a doctor may use blood tests, and under 40, persistent symptoms and missed periods may mean premature ovarian insufficiency, which affects around 1 in 100 women and needs specialist assessment and hormone treatment to protect bones and heart until the natural age of menopause.
What happens in a private menopause consultation
You are assessed first. The doctor asks about your symptoms and their impact, your cycle, contraception needs, personal and family history of breast cancer, blood clots, stroke and heart disease, migraine, and your priorities. Blood pressure and weight are measured. Breast and cervical screening history is checked, and blood tests are only arranged where they change the plan, for example thyroid function when symptoms overlap.
Together you agree the options. These include HRT with oestrogen as a patch, gel or spray, with progestogen to protect the womb lining if you have a uterus, which can be a tablet or a hormonal coil. Non-hormonal medicines, CBT, lifestyle changes and vaginal oestrogen for local symptoms are discussed too. A review at 3 months checks benefit and side effects, then once a year.
Speak to a doctor about perimenopause or email team@thewellnesslondon.com.
What can I do for menopause symptoms now
Several steps help measurably. Regular exercise, at least 150 minutes of moderate activity a week plus 2 sessions of strength training, protects bone density, which can fall by up to 10% in the first 5 years after menopause, and improves mood and sleep. Reducing alcohol and caffeine, keeping the bedroom cool and dressing in layers lessens hot flushes for many women.
Cognitive behavioural therapy is now recommended by NICE for vasomotor symptoms, low mood and sleep problems, and is available through NHS Talking Therapies by self-referral. Vaginal dryness responds well to non-hormonal moisturisers and lubricants, and low-dose vaginal oestrogen is safe for most women, including many who cannot take systemic HRT. Calcium and vitamin D support bone health, and a daily 10 microgram vitamin D supplement is recommended for most adults in the UK through autumn and winter.
Which menopause tests and treatments are not worth buying
Saliva hormone tests and home FSH kits do not diagnose perimenopause, because levels fluctuate from day to day, and NICE NG23 advises against FSH testing in women over 45 with typical symptoms. Do not pay for a hormone panel to confirm what your symptoms already show. Large private menopause blood panels add cost without changing treatment for most women.
Compounded so-called bioidentical hormones, made up individually by some clinics and not licensed, are not recommended by the British Menopause Society, because their dose and safety are not regulated. Licensed body-identical oestradiol and micronised progesterone are available on prescription and are the evidence-based choice. Herbal supplements marketed for menopause have weak or inconsistent evidence, and some, such as St John's wort, interact with other medicines.
What does private menopause care cost in London
At the top of the London market, private menopause clinics charge £300 to £500 for a first appointment with a specialist, with follow-ups, blood tests and prescriptions billed separately, and comprehensive women's health programmes reaching several thousand pounds. Private hospital women's health tiers cost £3,500 to £8,000, and Harley Street GP consultations sit at £250 to £350.
Beneath that sits a tier defined by its conditions rather than its price, online menopause services that prescribe from a questionnaire with no conversation, no blood pressure check and no clinical pathway when bleeding changes or side effects occur. Our fees are below, all from prices.
- Home, hotel or office visit, evenings and weekends, from £695
- Coil fitting including assessment, device, local anaesthetic and 6-week check, from £595
- Comprehensive Blood Panel with consultation, from £495
- Home, hotel or office visit, daytime, from £495
- Extended 45-minute consultation, from £395
- In-person consultation, 30 minutes, from £220
- Same-day video consultation, 30 minutes, from £150
- Telephone consultation, up to 15 minutes, from £59
Why The Wellness is the best private menopause doctor in London
Time and continuity come first. An extended 45-minute consultation from £395 gives room to discuss symptoms, history, risks and preferences properly, and the same doctor reviews you at 3 months and each year after. A same-day video consultation from £150 suits follow-ups and straightforward starts.
The second difference is the whole picture in one place. Blood tests are arranged only where they help and collected at an accredited partner laboratory, a hormonal coil can be fitted in clinic from £595 as part of HRT, and where specialist care is needed, referral goes to a named consultant gynaecologist with the appointment booked. Every result and plan is held in one record.
The third is honesty. We tell you that blood tests are rarely needed over 45, that compounded hormones are not recommended and that CBT is a valid option alongside HRT. Consultations run in Arabic, French, Spanish and Dutch as well as English, and clients rate the care 4.9 out of 5 across 187 reviews.
Start your menopause plan or call 020 3951 3429.
Related reading
Contraception alongside HRT is covered in Coil or implant? Choosing long-acting contraception privately. Mood changes are explored in Anxiety, stress and low mood, how a private GP can help, and fatigue in Tired all the time, what a private GP checks. Every GP service is on our Private GP in London page.
Frequently asked questions
How much is a private menopause consultation in London
At The Wellness a same-day video consultation costs from £150, an in-person appointment from £220 and an extended 45-minute consultation from £395. A doctor assesses your symptoms and history, discusses HRT and non-hormonal options, and arranges review at 3 months. Hormonal coil fitting, where part of HRT, costs from £595.
Do I need a blood test to diagnose perimenopause
Not usually. NICE NG23 advises that women over 45 with typical symptoms can be diagnosed without a blood test, because FSH levels fluctuate. Blood tests may help under 45 or when another cause is suspected. A GP at The Wellness can assess you from £150 by video.
Is HRT safe
For most women under 60, the benefits of HRT outweigh the risks. Oestrogen through the skin does not raise blood clot risk above baseline, according to NICE. Combined HRT carries a small increase in breast cancer risk that rises with duration. A doctor at The Wellness can assess your individual risk, from £395 for an extended consultation.
What can help hot flushes without HRT
NICE recommends cognitive behavioural therapy for hot flushes, night sweats, low mood and sleep, and non-hormonal medicines are an option for some women. Reducing alcohol and caffeine, regular exercise and keeping cool help many. A GP at The Wellness can talk through options from £150 by video.
What is the difference between body-identical and bioidentical hormones
Body-identical hormones, such as oestradiol and micronised progesterone, are licensed and regulated. Compounded bioidentical hormones are made up individually, are not licensed and are not recommended by the British Menopause Society. A doctor at The Wellness prescribes licensed treatments after assessment, from £150 by video.
Can I get HRT from a private GP
Yes, after an assessment of your symptoms, medical and family history, and blood pressure, with review at 3 months and then yearly. At The Wellness a video consultation costs from £150, an in-person appointment from £220 and an extended consultation from £395, with prescriptions sent to your chosen pharmacy.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. The Wellness is registered with the Care Quality Commission and all doctors are GMC-registered. Imaging is arranged at specialist centres and reported by consultant radiologists, and blood analysis is performed by accredited laboratories. Bleeding after the menopause, or new irregular bleeding on HRT, should be assessed promptly. In an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Ask a doctor about menopause or email team@thewellnesslondon.com or call 020 3951 3429.
References
- NICE NG23. Menopause, identification and management, updated 2024
- Collaborative Group on Hormonal Factors in Breast Cancer. Type and timing of menopausal hormone therapy and breast cancer risk, The Lancet 2019
- British Menopause Society. Bioidentical HRT consensus statement
- MHRA. HRT and breast cancer risk
- Women's Health Concern. Premature ovarian insufficiency
- Royal Osteoporosis Society. Menopause and bone health
- NHS. Menopause
- NHS. Vitamin D
- Published 2026 London private women's health market pricing.