Women's health
Contraception, coils, cervical screening and period problems, with appointments long enough to examine properly.
Menopause clinic
A 45-minute menopause assessment and a clear decision about HRT, reviewed at three months.
Ground floor · from £190
The menopause clinic runs on Tuesdays and Thursdays with Dr Priya Anand, who holds the Advanced Certificate in Menopause Care.
Perimenopause is a clinical diagnosis made from a pattern, not from a blood test — and in women over 45 the guidance is explicit that hormone levels are usually unhelpful. A great deal of the work here is undoing tests that were done for the wrong reason and explaining what the symptoms actually mean.
She prescribes HRT readily where it is appropriate and declines it where it is not, and she will tell you which of those two she thinks you are and why.
First appointment 45 minutes · £190. Review 30 minutes · £145.
What is included
What you get for £190
- A 45-minute first appointment with a full symptom and risk assessment
- Bloods where they are genuinely indicated — and an explanation when they are not
- A prescribing decision with the risks and benefits set out in numbers
- A written plan you can take to your NHS GP if you want it continued there
- Review at three months, then annually
Step by step
What happens
Symptom history
Including sleep, mood, joints and concentration, which are the ones most often missed.
Risk assessment
Personal and family history, blood pressure, and where relevant a cardiovascular risk score.
The decision
Type of HRT, route, dose — or a clear explanation of why not.
Review
At three months, because the first dose is rarely the final one.
Who you will see
Dr Priya Anand
GP, women's health and menopause lead · GMC 6021447
Priya leads our women's health service and holds the Advanced Certificate in Menopause Care. She runs the menopause clinic on Tuesdays and Thursdays, and takes referrals from the other GPs here when a hormonal picture is complicated.
FAQs
Menopause clinic: common questions
Do I need a blood test to diagnose menopause?
If you are over 45 with typical symptoms, generally no — national guidance advises against relying on FSH testing in that group. Under 45, or with an atypical picture, blood tests do matter and we will do them.
Can my NHS GP continue the prescription?
Often yes. We write a full letter setting out the diagnosis, the regimen and the monitoring plan, which is what an NHS colleague needs in order to take it on.
Do you prescribe testosterone?
In selected cases, for persistent low sexual desire where HRT alone has not helped, with baseline and follow-up levels. It is prescribed off-licence for women in the UK and we explain what that means before you decide.
What if HRT is not right for me?
There is a real non-hormonal toolkit — including cognitive behavioural therapy for hot flushes and sleep, and specific non-hormonal medication — and we go through it properly rather than as a consolation prize.
Related
You might also need
Talking therapies
CBT and counselling with an accredited therapist, usually starting within two weeks.
Book menopause clinic
From £190. See what is free in the next two weeks before you call.