Treatment Schedule
Pre Consultation
- A symptom questionnaire will be emailed to you to help me determine if BHRT is likely to be beneficial for you.
- Please ensure your smear is also up to date.

Step 1: Initial consultation
(1 hour - £200)
- A detailed medical history and review of symptoms and examination (if necessary)
- Choose the appropriate blood profile required depending on your symptoms:
- Peri/Menopause hormone profile: £200
- PMS hormone profile: £60
- Male hormone profile: £ 180
- I will give you a blood pack, where you can have your bloods taken at The Bridge Clinic Maidenhead or UltraSound Direct Maidenhead for a charge of upto £20 which you pay to the clinic directly.
- A baseline pelvic / endometrial thickness ultrasound scan is required pre-treatment for £99 which you pay the ultrasound clinic directly. This is then repeated at 6 months and then annually. They have various locations, the nearest is in Maidenhead.

Step 2: Followup appointment (30 mins): £100
- 1 week post initial consultation
- Formulation of an individualised treatment plan of BHRT and lifestyle/dietary advice also.
- Explanation of your blood results
- Prescription issued and sent to Specialist Pharmacy. You can then ring and pay the pharmacy directly which includes postage and packaging fees within 72 hrs.
- Specialist pharmacy charge approx. £95-115 for a 3 month prescription of BHRT which works out £1-3 per day for treatment. It is valid for 12 months from date of issue.
- I will ensure enough BHRT cream is prescribed in between appointments, however if additional prescriptions are required outside normal prescribing there is a £25 charge.

Step 3: Treatment reviews in first year (30 mins): £100
- A 6 week review to check response to BHRT
- 12 weeks review to check if an increase in dose is indicated
- 6 months review + repeat bloods recommended at this point as well as a repeat pelvic scan
- 1 year review and repeat pelvic scan.

Ongoing Reviews
(30 mins) : £100
- I recommend 6 monthly clinic reviews ongoing.
- Bloods and pelvic scans are recommended at least annually or sooner if there is a change in your symptoms