Perimenopause Clinic

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Perimenopause Clinic in London

Expert Perimenopause Care from Experienced Consultant Gynaecologists

Perimenopause is the transitional stage before menopause when fluctuating hormone levels can cause a wide range of physical, emotional, and psychological symptoms. For many women, these changes can affect daily life, relationships, work performance, sleep, confidence, and overall wellbeing.

At Gynaecology Clinic London, our experienced consultant gynaecologists provide expert assessment and treatment for women experiencing perimenopausal symptoms in a professional, supportive, and discreet environment. We understand that every woman’s experience is different and are committed to providing personalised care tailored to your symptoms, lifestyle, and individual needs.

Whether you are experiencing irregular periods, hot flushes, night sweats, mood changes, anxiety, sleep disturbances, brain fog, or simply feel that something is not quite right, our specialists provide prompt access to expert advice, comprehensive assessment, and effective treatment options. Our aim is to help you understand what is happening, manage your symptoms effectively, and improve your quality of life.

Dr Luxmi Velauthar
MBChB, MRCOG, MD

Why Choose Gynaecology Clinic London for Perimenopause Care?

Consultant-Led Care

Your assessment and treatment are provided by experienced consultant gynaecologists with expertise in menopause and hormonal health, ensuring the highest standards of care throughout your journey.

Personalised Treatment Plans

We tailor recommendations around your symptoms, medical history, lifestyle, and personal preferences, helping provide the most appropriate care for your individual needs and treatment goals.

Comprehensive Menopause Care

From diagnosis and hormone assessments to HRT management and ongoing support, we provide a complete range of menopause services under one roof.

Clear Explanations and Expert Advice

We understand that hormonal symptoms can feel confusing and are committed to ensuring that you fully understand your diagnosis, treatment options, and available support.

Accepted by Major Health Insurers

We welcome both self-pay and insured patients and work with all major private health insurers where appropriate, helping make access to specialist care as straightforward as possible.

Fast Access to Appointments

Private care provides prompt access to consultations and investigations, allowing you to receive expert advice, timely answers, and effective treatment without unnecessary delays.

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Expert gynaecological care tailored to your individual needs.

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Book Your Consultation

Expert gynaecological care tailored to your individual needs.

Book a Consultation

Fees and Pricing

Clear and transparent pricing is an important part of planning your care. The following guide outlines our consultation fees. If further investigations, procedures, or treatments are recommended, these will be discussed with you in advance so that you fully understand the costs involved.

Initial
Consultation

£250

Your initial consultation includes a comprehensive assessment of your symptoms and medical history, along with any appropriate examinations, investigations, and treatment options. A personalised care plan will be developed based on your individual needs.

Follow-Up
Consultation

£200

Follow-up consultations provide an opportunity to review your progress, discuss investigation results, assess your response to treatment, and ensure your care plan continues to meet your needs.

Dr Luxmi Velauthar, Consultant Gynaecologist, in consultation

What Is Perimenopause?

Perimenopause is the natural transitional stage before menopause, during which hormone levels begin to fluctuate as the ovaries gradually produce lower levels of oestrogen and progesterone. It commonly begins in a woman’s 40s, although some women experience symptoms in their late 30s or earlier. During this time, menstrual periods often become irregular and hormone fluctuations can cause a wide range of physical, emotional, and psychological symptoms.

Woman experiencing perimenopausal symptoms

Common symptoms include hot flushes, night sweats, mood changes, anxiety, sleep disturbances, brain fog, vaginal dryness, and changes in sexual wellbeing. Symptoms may develop gradually or fluctuate over time, and their severity can vary significantly from one woman to another. The duration of perimenopause also varies considerably and may last for several years before menopause occurs. Understanding whether your symptoms are related to perimenopause is an important first step towards accessing appropriate advice, treatment, and support.

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Common Symptoms of Perimenopause

Perimenopause can cause a wide range of symptoms, some of which may not immediately be recognised as being related to hormonal changes. Symptoms can vary significantly between women and may fluctuate over time, making the perimenopause difficult to recognise and manage without specialist advice.

Woman experiencing fatigue and poor sleep

Common symptoms include irregular periods, hot flushes, night sweats, mood changes, anxiety, low mood, sleep disturbances, fatigue, brain fog, reduced concentration, low libido, vaginal dryness, joint aches, headaches, and weight changes. Some women experience only mild symptoms, while others find that symptoms have a significant impact on their confidence, relationships, work performance, and overall quality of life.

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When Should You Seek Specialist Advice?

Many women assume that symptoms are simply something they have to tolerate, but effective treatment is available. Early assessment can help determine whether your symptoms are related to perimenopause, exclude other potential causes, and identify the most appropriate treatment options.

Consultant gynaecologist reviewing results with a patient

You may benefit from specialist assessment if symptoms are affecting your work, relationships, confidence, sleep, emotional wellbeing, or overall quality of life. Women experiencing severe symptoms, symptoms at a younger age than expected, or uncertainty regarding their diagnosis may particularly benefit from expert advice. Prompt assessment and treatment can often help improve symptoms and restore quality of life.

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Consultant reviewing a patient's assessment

What Does Assessment Involve?

Your appointment will begin with a detailed discussion about your symptoms, menstrual cycle, medical history, lifestyle, and any concerns you may have. We will take the time to understand how your symptoms are affecting your daily life, emotional wellbeing, sleep, work, and overall quality of life. Understanding these factors helps ensure that investigations and recommendations are tailored to your individual circumstances and treatment goals.

Ultrasound machine used for pelvic assessment

Depending on your symptoms and age, investigations may include hormone blood tests, thyroid function tests, pelvic ultrasound scans, or other tests where appropriate. Our aim is to identify any contributing factors, explain your findings clearly, and develop a personalised treatment plan designed to help you manage your symptoms and improve your overall wellbeing.

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Consultant discussing treatment options with a patient

Treatment for Perimenopause

Treatment depends on your symptoms, medical history, and personal preferences. Many women benefit from lifestyle modifications and supportive measures, while others may benefit from hormonal or non-hormonal treatments. The most appropriate approach will depend on the nature and severity of your symptoms, as well as your individual health needs and treatment goals.

Consultant assessing a patient during her appointment

Treatment options may include hormone replacement therapy (HRT), management of specific symptoms, vaginal oestrogen, lifestyle advice, nutritional guidance, and other specialist interventions where appropriate. Our experienced consultant gynaecologists will discuss the benefits and risks of each option and help you choose a personalised treatment plan designed to improve your symptoms, wellbeing, and quality of life.

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Perimenopause and Hormone Replacement Therapy (HRT)

Hormone replacement therapy (HRT) is one of the most effective treatments for many perimenopausal symptoms. By replacing declining hormone levels, HRT can help improve hot flushes, night sweats, sleep quality, mood changes, vaginal symptoms, brain fog, and overall wellbeing. For many women, appropriate treatment can have a significant positive impact on quality of life.

Dr Luxmi Velauthar discussing HRT with a patient

At Gynaecology Clinic London, we provide personalised HRT assessments and ongoing menopause care tailored to your individual symptoms, medical history, and treatment goals. Our specialists take the time to discuss the benefits, risks, and suitability of treatment, helping you make informed decisions and feel confident about your care.

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Woman experiencing changes in emotional wellbeing

Perimenopause and Emotional Wellbeing

Hormonal fluctuations during perimenopause can affect mood, confidence, concentration, and emotional wellbeing. Many women experience anxiety, irritability, low mood, brain fog, reduced resilience, or feelings of being overwhelmed during this stage of life. These symptoms can affect relationships, work performance, sleep, and overall quality of life.

Consultant performing an ultrasound assessment

Our experienced consultant gynaecologists understand the significant impact these changes can have and provide compassionate, personalised care aimed at supporting both your physical and emotional wellbeing. By identifying contributing factors and recommending appropriate treatment, we can help you manage symptoms more effectively and improve your overall quality of life.

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Frequently Asked Questions

How do I know if I am experiencing perimenopause?

Common signs of perimenopause include changes to your menstrual cycle, hot flushes, night sweats, sleep disturbances, mood changes, anxiety, brain fog, and fatigue. Symptoms can vary significantly between women and may fluctuate over time.

What is the difference between perimenopause and menopause?

Perimenopause is the transitional stage before menopause when hormone levels begin to fluctuate and symptoms develop. Menopause is confirmed when a woman has gone 12 consecutive months without a menstrual period.

Calendar used to track menstrual cycle changes

At what age does perimenopause usually start?

Perimenopause most commonly begins during a woman's 40s, although some women may experience symptoms in their late 30s or earlier.

How long does perimenopause last?

The duration varies considerably between women. For some, symptoms last a few years, while others may experience perimenopause for longer before reaching menopause.

Can I still get pregnant during perimenopause?

Yes. Pregnancy is still possible during perimenopause, even if periods become irregular. Effective contraception may still be required if pregnancy is not desired.

Will I need hormone blood tests?

Not always. Perimenopause is often diagnosed based on symptoms and menstrual history, although investigations may sometimes be recommended to exclude other causes or guide treatment.

Consultation about fertility during perimenopause

Can HRT help perimenopause symptoms?

Yes. Hormone replacement therapy (HRT) is one of the most effective treatments for many perimenopausal symptoms and can significantly improve quality of life for suitable women.

Can perimenopause affect mood and anxiety?

Yes. Hormonal fluctuations during perimenopause can contribute to anxiety, irritability, low mood, reduced confidence, and other changes in emotional wellbeing.

Are there non-hormonal treatments available?

Yes. Depending on your symptoms and medical history, non-hormonal treatments, lifestyle changes, and supportive measures may help improve symptoms. Your consultant can discuss the most appropriate options for you.

Do I need a GP referral?

No. Many women choose to self-refer for private perimenopause assessment. Referrals from GPs and other healthcare professionals are also welcome, and appointments can usually be arranged promptly.

Patient attending a follow-up appointment over time

Our Locations

Our consultants at Gynaecology Clinic London see patients across leading private hospitals and clinics in London, including Harley Street, Canary Wharf, The Portland Hospital and Syon Clinic. These locations provide access to high-quality facilities, advanced diagnostics, and specialist women’s healthcare within comfortable and modern clinical settings.

Perimenopause Clinic