Below are the questions we get asked most frequently, and which we ask any potential new clients to read before booking a consultation with us. If your question is not answered below, please call us on 01789 595004 between 9am and 5 pm, Monday to Friday.
- How do I book a consultation?
- How much does a consultation cost?
- How long does a consultation last?
- Can I have a telephone or Skype consultation?
- Will my medical insurance cover the cost of my consultation?
- Will I be given HRT?
- Do you prescribe bioidentical HRT?
- How long does it take for HRT to work?
- Do you prescribe testosterone?
- How much will the HRT medication cost?
- Where can I get my HRT prescription dispensed?
- How much are blood tests and other investigations?
- How do I receive the results of any blood tests I have?
- How often will I need to be seen in the clinic?
- Does the centre have wheelchair access?
- How can I obtain more information about the menopause?
- Do I need a referral letter from my GP?
- What qualifications do the doctors have?
- I am still having periods - can I still be seen in the menopause clinic?
- Can I have a Mirena coil inserted in the clinic?
- Where can I park?
- What correspondence will I receive from the clinic after my appointment?
- How do I contact the clinic with any queries I have following my appointment?
- Is it normal to bleed on HRT?
- Is it normal to have sore breasts on HRT?
- Is it normal to be bloated on HRT?
To book a consultation, please read the FAQs on this page before calling us on 01789 595004, between the hours of 9 am and 5pm, Monday to Friday.
We offer both doctor or nurse-led consultations and follow up appointments. Charges for doctor consultations are £250 for an initial assessment / consultation and £195 for subsequent consultations; charges for nurse-led consultations are £125 for an initial assessment / consultation and £90 for subsequent consultations. All our doctors are GPs with a special interest in the menopause and our nurses are all nurse practitioners who are very experienced in all aspects of the menopause.
There is adequate time during a consultation for women to be given individual advice and choices regarding treatment, including HRT.
We do not currently offer telephone or Skype consultations as it is very important to us that we meet each of our patients in person. We sometimes offer telephone consultations to some women as a follow-up, for which we charge the same price as for standard follow-up consultations.
Treatment for the menopause is generally not covered by private medical insurance but it is always a good idea to check with your insurance company.
Although the majority of women usually benefit from taking a type of Hormone Replacement Therapy, this is only one part of treatment for the menopause. Some women choose not to take HRT or cannot take HRT due to medical reasons and so there are alternative treatments available. These will be discussed on an individual basis.
Bioidentical HRT is a term used for HRT that is not licensed or regulated. We do not prescribe this in our clinic. We tend to prescribe body identical HRT which is the same molecular structure as the hormones we have in our bodies. The oestrogen and progesterone we prescribe are usually available on the NHS.
Women really vary with how they respond once they start HRT. Some women find they feel better quickly whereas for other women it can take three months to feel the full effects. It is worth persevering with any treatment you are given for three months before deciding how it suits you.
Some women do develop breast tenderness initially which often settles. Some women do experience some bleeding which usually settles within the first few months.
If you are still experiencing symptoms after three months then it may be that the dose or type of HRT needs to be changed.
Testosterone is an important hormone for many women as well as for men. Many women find that using testosterone can improve their libido as well as their mood, energy and concentration. There is not currently a licensed preparation of testosterone available in the UK.
In this clinic we usually prescribe testosterone as a cream called AndroFeme which is a preparation for women in made in Western Australia. This is the safest way of women receiving testosterone. Women who need testosterone can have a private prescription from one of the doctors in our clinic.
Women who are likely to benefit from taking HRT are usually given a private prescription for the first three months. The majority of women subsequently receive the HRT from their GPs on an NHS prescription. Some women continue to have HRT as a private prescription from us.
Costs for a month's supply of HRT will vary depending on the type of medication prescribed, but varies is around £12 per item. Testosterone is more expensive at £80 for a tube of cream that will last around 3-4 months.
In addition, a prescription dispensing fee of £35 will be charged for each prescription, regardless of the number of items on the prescription.
We can dispense our patients' prescriptions here at our clinic in Stratford-upon-Avon and send repeat prescriptions out twice per week. Please allow 3-4 working days for repeat prescriptions.
Blood tests are not necessary to diagnose the perimenopause and menopause for most women. However, we often recommend blood test to assess hormone levels which can guide treatment. Blood tests are also sometimes recommended as part of a well woman check or to assess other systems, for example thyroid function tests.
Our women’s health profile (which includes full blood count, kidney function, liver function, thyroid tests, vitamin D level, iron level, vitamin B12 and folate levels, cholesterol and hormone levels) costs £220.
Prices for other recommended investigations for some women, such as a bone density scan or ultrasound, can be given on request.
|Name of Profile||Blood Tests||Cost|
|Newson Health 1||FBC, Kidney Function, Liver Function, Lipids, Ferritin, Thyroid function, HbA1c, Oestradiol, Testosterone, SHBG, Vitamin B12, Folate, Vitamin D.||£220|
|Newson Health 2||Oestradiol, SHBG, Testosterone||£95|
|Newson Health 3||SHBG, Testosterone||£65|
|Newson Health 4||Oestradiol, SHBG, Testosterone, Thyroid Function (including T4 and T3)||£120|
|Cost for using a satellite phlebotomy clinic||£35|
All our blood testing is done by Nationwide Laboratories. As soon as your results are available they will be reviewed and commented on by one of our doctors. You will then receive an email asking you to log onto the system so that you will be able to access your results and also the doctor’s comments.
The majority of women are seen around three months after their initial appointment. Sometimes then after 6 months then after that it’s an annual review which can sometimes be done with your own GP rather than coming back to the clinic.
Our centre is easily accessed by wheelchair users via the ramp at the front of the building and we have a consulting room and both male and female toilet facilities on the ground floor.
Please let us know in advance if you have any special requirements and we will do our utmost to accommodate your needs.
We cannot give individualised advice to women unless they are seen as patients in our clinic. However, you can find a wide range of unbiased and evidence-based information on our Menopause Doctor website.
You do not need a GP or another doctor’s referral letter to be seen in our clinic. The majority of women self-refer and do not need a letter.
If you have any blood test results or letters from previous relevant medical consultations, then it is useful to bring copies of these with you when you attend for your appointment.
All the doctors working in the clinic have been trained as GPs and have a particular interest in the menopause. See our doctors and their qualifications here.
If your NHS GP works with us here at the clinic, you will not be able to book an appointment to see them privately. We will be happy to offer you an appointment with one of our other doctors.
The menopause occurs one year after a woman’s last menstrual period. Many women experience perimenopausal symptoms for several years before their periods stop. If you are experiencing perimenopausal symptoms which are having a negative impact on the quality of your life, then it is likely you will benefit by being given individualised advice and treatment from one of the doctors in our clinic.
The Mirena coil can be used to protect the lining of your womb as part of hormone replacement therapy (HRT) and can be in place for up to five years. The Mirena coil can be easily fitted in our clinic by one of our specialist nurses or one of the doctors.
Unfortunately, we are not allowed to use the car park at the rear of Winton House (Church Street) until after 4.30 pm on weekdays and on weekends.
Please visit the Stratford-upon-Avon Town Council website for information regarding other car parks in the area
The nearest train station is at Stratford-upon-Avon Train Station. However, Warwick Parkway Train Station is often more convenient as trains are more frequent. This is around 15-20 minute taxi ride away.
You will receive a detailed clinic letter a few days after your appointment. This will summarise the consultation and treatment given to you. If you have given consent for your GP to be contacted, then a copy of this letter will also be sent to your GP.
You will also receive your blood results as an email with a comment from your doctor explaining what the results mean. This usually comes at a different time to your letter.
It is usually preferable to email rather than phone with any questions you may have following your appointment to the clinic. Your email will then be passed on to your doctor. Many of our doctors only work with us on a part-time basis so it may take several days for you to be given a response. Clearly if your question needs an urgent reply then one of the other doctors working at the clinic will respond to you sooner.
It is very common for women to have irregular and even sometimes heavy bleeding when they start HRT or when they increase the dose of oestrogen in the HRT. This can take 3 to 6 months to settle.
If you have bleeding that worsens or does not improve after this time, then you should contact us at the clinic or your GP as further investigations may be necessary.
Some women experience breast tenderness when they start taking HRT. This can be due to either the oestrogen or progesterone and usually settles with time. It can take a few months to settle completely.
Some types of progestogens can lead to some bloating and lower abdominal discomfort. This usually settles within a few months. If you have symptoms that worsen or any symptoms you are concerned about then you should either contact us or your doctor.