If you’ve been Googling “private menopause clinic cost UK” at 2am (usually after another broken night of sleep), you’re not alone. Private care can be a lifesaver when you want time, clarity, and a plan that isn’t rushed. But the pricing can feel confusing because the headline appointment fee is only part of the story.
In 2026, most private menopause clinics in the UK sit in a fairly predictable pattern:
- Initial consultations are usually around £200 to £350 depending on who you see and how long the appointment is.
- Follow ups commonly range about £110 to £250, again depending on appointment length and clinician type.
- Many clinicians follow the same review rhythm you’ll see in public guidance: a review at around 3 months, then annual reviews once things are stable.
Below is a real world breakdown of what you’ll pay, what you actually get, and the “hidden extras” that can push the total up.
Why Private Menopause Clinic Prices Vary So Much In 2026
Two clinics can both offer “a menopause consultation” and charge totally different amounts. That doesn’t automatically mean one is better, it usually means the service model is different.
Here are the main factors that move the price:
Appointment length and depth
A 45 minute “deep dive” costs more than a 15 minute medication tweak. Some providers bake longer history taking and lifestyle planning into the first visit.
Doctor versus nurse led care
Many services price differently for doctor appointments vs nurse appointments. In some cases, nurse led care is brilliant for education, symptom tracking, and follow ups, while doctors may handle more complex prescribing decisions.
What’s included between appointments
Some clinics include limited follow up support by email, and others charge per message.
Extras such as tests and scans
A clinic may look “expensive” until you realise the other one is nudging you towards add on testing that costs extra.
Brand, demand, and access
Well known clinics can charge more simply because they’re busy, in high demand, or located in premium areas.
Consultation Fees In 2026 Real UK Price Examples
Prices change, but many providers publish their fees openly. The examples below are taken from published price lists and pages available in early 2026.
| Provider (published pricing) | Typical initial appointment | Typical follow up appointment | Notes worth knowing |
|---|---|---|---|
| Bupa (Menopause Plan) | £299 (package) | Included (within plan window) | One off plan cost, includes an initial appointment and a follow up plus nurse line access; medication not included |
| Newson Clinic | £295 (doctor led new) | £230 (doctor led follow up) | Also offers lower cost nurse or pharmacist led options |
| My Menopause Centre | £290 (doctor) / £190 (nurse) | £170 (doctor) / £110 (nurse) | Initial fee includes up to 2 follow up emails; extra emails charged |
| London Menopause Clinic | £200 | £85 (15 mins) or £145 (30 mins) | Shorter follow ups offered at different price points |
What to take from the table:
If you’re trying to “budget the first step,” a realistic starting number is about £250 to £300. If you want to budget for the first year of private follow ups too, keep reading, because that is where most people underestimate the total.
What You Actually Get In A Good First Appointment
A genuinely useful first menopause appointment is more than “here’s a prescription.” You’re paying for time, risk checking, and a clear plan you understand.
Here’s what a strong first consultation usually includes (and what you should expect to walk away with):
A proper symptom and history review
A clinic may ask you to complete a questionnaire or symptom checker beforehand, then use appointment time to link symptoms to your broader health picture.
Treatment options explained in plain English
A good clinician will talk through:
- Hormonal options (if appropriate), including route choices (patch, gel, spray, tablets)
- Non hormonal options where relevant
- Vaginal symptoms support (often needs its own discussion)
- Sleep, mood, weight changes, libido, and energy in a joined up way
A personalised plan you can actually follow
Some services explicitly include a “holistic treatment plan” as an output of the initial session.
The right tests only when they’re genuinely useful
A common money trap is ordering panels of hormones “just because.” In many cases, especially over 45, diagnosis and management can be based on symptoms rather than lab tests.
Safety checks and risk discussion
This typically covers things like:
- migraine history
- clotting risk factors
- breast and womb history
- blood pressure, weight, smoking, family history
You don’t need fear based messaging, but you do deserve a clinician who takes safety seriously.
The Extra Costs That Catch People Out
This is the part that turns “£295 for an appointment” into “how have I spent £800 already?”
1) Follow up emails and admin
Some providers include a little follow up support, but may charge beyond that. One published example: an initial fee that includes limited follow up emails, with additional emails charged separately.
Ask upfront:
- Are follow up emails included
- Are letters to your GP included
- Do you charge for repeat prescriptions or medication reviews outside appointments
2) Blood tests
You may see blood tests offered for thyroid, vitamin levels, or hormone checks. Some clinics publish testing menus with prices (for example, published blood tests “from £95” and specific panels around £95 to £145).
When tests may make sense:
- symptoms that could be thyroid, anaemia, diabetes, or vitamin deficiency
- complex cases or persistent symptoms despite treatment
When tests are often over sold:
- repeated hormone level tests to “confirm” perimenopause in someone over 45
- saliva testing or frequent “fine tuning” based on fluctuating numbers
3) Scans like bone density
Some clinics offer DEXA bone scans privately. One published example shows a DEXA bone scan at £150, with combination options higher.
4) Prescriptions and medication costs
This is where private care splits into two paths:
Path A: your GP continues prescribing on the public system
If your GP agrees to prescribe, you typically pay the usual prescription charges (in England) rather than private pharmacy prices. The follow up rhythm often looks like a 3 month review then annual reviews when stable.
In England, prescription costs are worth understanding:
- The single prescription charge is £9.90 for 2026/27, and the PPC prices are published for the same period.
- There’s also an HRT PPC designed to reduce costs for qualifying HRT items, published on the prescription saving guidance.
Path B: you stay fully private for prescribing
Then you usually pay the medication cost directly to the pharmacy, and it can vary depending on what’s prescribed and availability. Some providers clearly state medication is not included in their package price and must be paid separately.
5) Compounded bioidentical hormones and frequent testing packages
Some private clinics sell “compounded” hormone blends and pair them with repeated testing. This can get expensive fast.
Public guidance warns that compounded bioidentical hormones are not recommended because safety and effectiveness are uncertain, and they are not available on the public system.
The British Menopause Society also states that custom compounded bioidentical HRT is not recommended and notes there’s insufficient evidence for the multiple serum or saliva tests often used to “individualise” these products.
If a clinic is heavily pushing compounded hormones plus lots of testing as the “only proper way,” treat that as a yellow flag and ask hard questions.
Ongoing Follow Up Costs What Most Women Pay Over 12 Months
Most people don’t need endless appointments, but you do need enough follow up to get dosing and symptom control right.
A common pattern is:
- Initial appointment
- Follow up at about 3 months
- Then annual review if stable
This rhythm is described in public guidance, and it’s echoed by private providers who talk about second appointments around 3 months and annual review requirements for ongoing prescribing.
Example budgets for year one (typical scenarios)
These are illustrative totals to help you plan, using published consultation fees. Medication and tests are separate and vary.
Scenario 1: Package style plan
- Initial package cost: £299
- Follow up included within the plan window
- Medication paid separately (public prescription if GP takes over, or private pharmacy if not)
Scenario 2: Specialist clinic with a 3 month follow up
- Initial: £290 to £295
- Follow up: ~£170 to £230
- Year one consultations total: roughly £460 to £525
(Using published examples.)
Scenario 3: More complex, needs two follow ups
- Initial: £250 to £350
- Two follow ups: £110 to £250 each
- Year one consultations total: roughly £470 to £850
(Depending on provider and appointment lengths.)
Then add potential extras:
- blood tests (published examples from ~£95+)
- scans (published example: DEXA bone scan £150)
- prescriptions and pharmacy costs (varies)
How To Choose A Safe Clinic And Avoid Expensive Add Ons
If you want the best chance of good care and a bill that doesn’t spiral, use this checklist.
Look for recognised menopause competency
A useful starting point is the specialist register from the BMS, which lets you search by postcode and notes that being listed reflects demonstrated competency but isn’t an “endorsement” of any individual practice.
Ask these questions before you book
- How long is the first appointment
- Who will I see (doctor or nurse)
- What follow up is recommended and how much does it cost
- Are any emails included
- What does a repeat prescription cost if I’m staying private
- Do you routinely recommend hormone blood tests for people over 45 and why
Avoid clinics that sell certainty they can’t justify
Menopause care is often about adjusting and responding to symptoms. Be cautious of:
- “We must do lots of hormone testing first” (especially if you’re over 45)
- pressure towards compounded hormones plus repeated testing
Know what follow up should look like
A review at around 3 months and annual review when stable is a common rhythm referenced in public information.
If a clinic is insisting you pay for frequent reviews indefinitely even when you’re stable, ask what the clinical reason is.
Frequently Asked Questions
Is a private menopause clinic worth it
If you want time, a plan, and faster access, it can be. The “worth it” test is whether you leave with clarity, options, and a follow up plan you understand, not just a rushed prescription.
Do I need blood tests to prove I’m perimenopausal
Often, no. Some guidance notes that diagnosis for many people over 45 can be based on symptoms rather than lab tests.
How can I keep ongoing costs down
The biggest saver is usually reducing private follow ups once you’re stable, and using standard prescription routes where appropriate (for example in England, using PPC options if you pay for prescriptions).
Are compounded bioidentical hormones safer
They’re not recommended in public guidance because safety and effectiveness are uncertain, and major professional guidance cautions against them when regulated options exist.
Disclaimer
This article is for general information only and is not medical advice. Menopause symptoms and suitable treatments vary by person, and costs change frequently. Always discuss options, risks, and contraindications with a qualified clinician before starting or changing any treatment.