Feel like yourself again.

The review is free. You pay for your medication, and it costs the same however you start.

• Start online. Answer the assessment in your own time. A doctor reviews it and, if HRT is right for you, we dispense and deliver it. Reorder when you need more, and we check each request at no charge.

• See a doctor, if you prefer. A consultation in person, by video or by phone, whenever you want one: to start, to change a dose, or to talk it through. You pay for that visit only.

Most women lean on us most in the first year, while we get the regimen right. After that it settles into an annual review, repeat supply, and us on hand when something shifts, so you are never re-explaining your history to a new doctor. Plenty of women get settled with us and then simply take their repeats. That is completely fine.

If you are on this medication from another clinic, an NHS service, or an online provider, and you want to move your care to us, you are very welcome. Just tell us what you are taking and we will take it from there.

HRT is a clinical treatment for the symptoms of perimenopause and menopause. We can usually prescribe if you're an adult experiencing symptoms like hot flushes, night sweats, disturbed sleep, mood changes, brain fog, joint pain, vaginal dryness, or low libido, whether or not your periods have stopped.

HRT is not appropriate in some situations, including pregnancy, an active oestrogen-receptor-positive breast cancer, certain liver conditions, untreated thromboembolic disease, and undiagnosed vaginal bleeding. The assessment will identify these. If HRT isn't right for you, we'll tell you so honestly during the assessment, and we'll talk you through what is.

Most side effects settle in the first few weeks, usually breast tenderness, mild bloating, or shifts in mood as your body adjusts.

Body-identical HRT carries a small increase in breast cancer risk that grows with longer use, and for many women it is smaller than everyday factors such as weight and alcohol. The clot risk that worried people in the past relates mainly to older oral forms rather than the patches and gels we usually use. We go through your personal risk with you.

We will not prescribe in pregnancy, in an active hormone-sensitive cancer, in active liver disease, or where there is unexplained vaginal bleeding until it has been looked into, and the assessment checks for these. If anything troubles you between reviews, you can message the clinical team.

For typical menopausal symptoms, a blood test is often unnecessary because the diagnosis is clinical. We do recommend baseline bloods if you are under 45, if your symptoms are atypical, or before starting testosterone for women, and to confirm early menopause or premature ovarian insufficiency.

You choose how: a finger-prick kit at home, a phlebotomy appointment near you or a home visit, or here at our Westfield clinic.

Blood tests are priced separately, the same as the medication. If you have recent results from your NHS GP or another provider, we can use those.

HRT is not the only option, and sometimes it is not the right one. Where oestrogen does not suit you, where you would rather not take it, or where it is not enough on its own, we can prescribe the newer treatments below. Each needs a proper assessment, and some need ongoing monitoring, which is the part a form on its own cannot do.