Our menopause treatment programme
We primarily prescribe bioidentical hormone replacement therapy and are able to prescribe treatments that may not be available on the NHS, including testosterone.
Our treatment plan is an end to end service from initial consultation to delivery of your medication and regular follow up appointments.
If the standard doses of hormone replacement are not working for you, we can provide a prescription for off licence, personalised preparations of HRT – made by specialist compounding pharmacies.
What are Bioidentical hormones?
Bioidentical hormones are plant based substances, made from Soya and Yams. They have identical chemical and molecular structures to naturally occurring human hormones which means they fit the hormone receptor sites perfectly. This means their messages are passed properly and their effects are more consistent with the normal biochemistry within the body. Bioidentical hormones are not recognised as foreign within the body so there are less side effects and they are safer than older, conventional HRTs.
Compounded HRT is a way of personalising HRT to a person’s specific requirements and symptoms. This is especially useful for women who have struggled with side effects of HRT in the past. It is called compounded BHRT as it produced by compounding pharmacies to individual prescriptions. They use the same hormones a bioidentical HRT but are compounded to a specific dose for the patient’s requirements under strict regulation by the General Pharmaceutical Council (GPhC). These preparations are unlicensed and we advocate trial of standard BHRT before using this treatment option.
Body identical HRT is a term used to commonly describe HRT used in the NHS. These are bioidentical hormones, but they are in set dose preparations. These medications are licensed in the UK. On this website, both compounded HRT and body identical HRT are referred to as bioidentical HRT.
Bioidentical HRT Preparations
There are several different ways you can take HRT and we will work with you to find the preparation that suits you best.
These are sprayed directly onto the skin and are then absorbed through the skin.
Similar to sprays, these are applied topically to the skin.
These are taken every day, or sometimes on certain days within a cycle.
These are applied to the skin and usually changed every 24 hours. They deliver the required dose over this time.
What sets our menopause treatment plan apart?
We focus on you and your symptoms. We are able to spend the time getting the right treatment for you by tweaking doses, blood tests and consistent follow up.
You can get an appointment at a time to suit you and that works with your other commitments.
Our expert team will be on hand to answer your queries and guide you through the treatment process.
We care about high standards of patient care.
Menopause Oracle is registered with Care Quality Commission, the independent regulator of healthcare establishments to ensure high standards of care.
Menopause Treatment Schedule & Pricing
Initial 1 hour consultation - £250
At your initial appointment we will make a full assessment of your medical history and explore the symptoms you are currently experiencing. We will also discuss bioidentical HRT and treatment options.
Blood Tests, Analysis and Prescription Service - £245
Bloods can be taken to determine your current hormone levels and help to monitor your treatment and tailor to your needs.
Telephone consultation (1 week after consultation and bloods) - Free
This appointment can be done by video call or telephone. We will discuss the results of your blood tests, answer any questions you may have, advise of an appropriate course of treatment to effectively manage your symptoms and if required, provide a prescription and contact details of the compounding pharmacy. The prescription will be for 2 months supply at this stage.
2 month review (8 weeks after commencing treatment) – Free
Video or telephone call. In this appointment we will assess your progress, discuss any concerns you have, adjust as necessary and provide a further 2 prescriptions – lasting 4 months.
6 Month Review (6 months after starting treatment) - £130
Video or telephone call or in clinic visit if you would prefer. At this appointment we will make a full assessment of the treatment you are on. We may recommend additional tests such as DEXA scan for bone density assessment, mammogram or ultrasound scans. If we feel this is necessary we can refer you to an appropriate clinician to manage these needs. If repeat bloods are required, a further £245 will be payable.
Ongoing Reviews (as required) - £25
A review of your ongoing progress where adjustments can be made as necessary.
Your initial consultation fee includes:
- A 1 hour full medical and symptom assessment
- An appointment 1 week after first to discuss the results of any tests done at the first appointment
- An initial bioidentical HRT prescription
- A follow up appointment 8 weeks after starting treatment.
The fee does not include:
- Any pharmacy fees for your medications – these will be invoiced directly to you
- Any blood tests recommended – These are £245.
If you have further questions about this treatment please call us on 01228 581820
Is the treatment safe?
Yes. You may have heard lots of negative stories about HRT in the media and it’s links to breast cancer. This study was based on conventional HRT which was not Bioidentical. Bioidentical HRT has actually been shown to reduce your risk of many health conditions, including osteoporosis and heart disease.
How can I prepare for my consultation?
On booking your consultation, you will receive a symptom questionnaire via email. It is useful to complete this before you come for your consultation so you can consider your symptoms – you may find you hadn’t realised some symptoms were menopause related!
What is the difference between Menopause Oracle and the NHS?
We have undertaken specialist, in-depth training on the management of menopause which many NHS providers haven’t. We also have the ability to prescribe medications that are not available on the NHS. Our focus is on follow up and support and tailoring your treatment to you needs. As we all know the NHS is under considerable strain at present and the NHS simply does not have the capacity to invest so much time into finding you the best course of treatment.
Can I cancel my appointment?
We understand circumstances can sometimes change and you may need to cancel your appointment. If you are unable to make your appointment, please let us know as soon as you can. A deposit will be taken to secure your appointment.
How do I get my prescription?
Depending on the type of hormone being prescribed will depend on the pharmacy.
A prescription can be sent directly to the pharmacy, who will then invoice you for the medication. This can be posted out to your home address.
Will I feel any pain or side effects?
Occasionally some side effects may be felt, especially when first starting out on your HRT journey. These can include headache, tiredness and indigestion but this will depend on the preparations you are taking and the hormones that are being replaced.
Who is this treatment suitable for?
BHRT is most commonly used to treat middle-aged women who are suffering with the symptoms of menopause or perimenopause.
Still got questions?
Get in touch and one of our expert team will provide the support you need.
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