MENOPAUSE & HRT
Private menopause clinic in London
Basuto Medical Centre provides private menopause and perimenopause appointments in Fulham, London. Consultations last 30 minutes, cost £160 and are led by Dr Nora Al-Saraf, with HRT prescribed where clinically appropriate and review appointments built into the plan.
The practice is at 29 Basuto Road, SW6 4BJ, 3 minutes’ walk from Parsons Green.
CONSULTATION
30 min – £160
Never rushed
TREATMENT
HRT
Where clinically appropriate
Exceptional private GP care, with continuity since 1990
At a glance
Key details before you book
Assessment
A 30-minute consultation with a specialist menopause doctor, giving you time to talk properly and leave with a clear plan.
Cost
£160, including any prescription and referral letters.
Treatment
HRT and non-hormonal options discussed and prescribed where clinically appropriate.
Follow-up
Review appointments are part of the plan, not an afterthought.
Led by
Dr Nora Al-Saraf, MB BS MRCGP, GMC 6149057.
Format
In person at 29 Basuto Road, or by video where clinically appropriate.
Understanding menopause
Menopause and perimenopause are not always straightforward
Perimenopause is the stage leading up to menopause, when hormone levels begin to fluctuate. Menopause itself is confirmed once 12 months have passed without a period.
Most women seek help during perimenopause, when symptoms can be changeable and harder to interpret. For some, the pattern is familiar: cycle changes, disturbed sleep, flushes or night sweats. For others, it is less obvious: anxiety, poor concentration, joint aches, low mood, changes in weight, or a sense that they no longer feel like themselves.
Hormones may be part of the picture, but they are not always the whole answer. Similar symptoms can also relate to thyroid function, iron levels, stress, sleep or mood. A 30-minute appointment gives your GP time to understand the pattern properly, decide what is worth checking, and help you make sense of what is happening.
Your assessment
What a menopause assessment covers
A menopause appointment is a careful review of what has changed: your cycle, symptoms, medical background, medication, contraception, previous hormone treatment and what you most want help with.
Dr Al-Saraf, or one of our GPs, will usually ask about:
- Cycle regularity and any change in bleeding pattern.
- Vasomotor symptoms such as flushing and night sweats.
- Sleep quality, mood, anxiety and cognitive symptoms such as poor concentration.
- Vaginal and urinary symptoms, and effects on libido.
- Current medication, contraception and any previous hormone treatment.
- Personal and family history relevant to treatment decisions, including cardiovascular and cancer risk factors.
By the end of the appointment, you should understand what may be happening, whether any tests are useful, and which treatment options are appropriate for you, with the reasoning explained clearly.
Blood tests
Are blood tests always needed?
For many women over 45, perimenopause and menopause can be assessed from symptoms and menstrual history.
Testing can be useful when symptoms start earlier, the pattern is unclear, or another cause needs to be considered. Thyroid changes, iron deficiency and other health factors can produce similar symptoms or sit alongside hormonal change.
If blood tests are arranged, they carry an additional fee and are interpreted in context, alongside your symptoms and cycle history. Your GP will go through the results with you.
Treatment
When HRT may be prescribed
HRT can be an effective treatment for menopausal symptoms, and where it is clinically appropriate your GP can prescribe it and send the prescription to your preferred pharmacy or dispense it in-house. The decision is made after a careful assessment of your symptoms, medical history, stage of menopause and preferences.
Your GP will talk through whether HRT is likely to help, which type and route may suit you, and any risks or side effects that are relevant to your situation. This may include:
- Which type and route of preparation may suit you – tablets, patches or gels.
- Whether combined treatment is needed to protect the womb lining.
- What side effects or bleeding changes to watch for, and when to get in touch.
- When your first review should take place.
If HRT is not suitable or not wanted, that is a respectable outcome too – non-hormonal treatments, lifestyle measures and symptom-specific options all have a place.
Ongoing review
Menopause care means follow-up, not a one-off appointment
Menopause care often works best with review over time. Some women only need one detailed consultation and a clear plan. Others benefit from follow-up to see how treatment is working, adjust a dose or preparation, review bleeding changes or side effects, or go through blood results if tests were arranged.
Because Basuto is a GP practice, that review can sit alongside the rest of your health. Sleep, weight, mood, cardiovascular risk and screening often come up around the same time, and it helps when your GP understands the wider picture as well as the menopause symptoms.
If you expect regular appointments, Memberships may make ongoing review more beneficial.
Wider health
Related services many menopause patients use
Pricing
What private menopause care costs
Menopause consultation
£160
30 minutes, first assessment or follow-up. Prescription and referral letters included.
Blood tests, where clinically indicated, are charged separately, with costs explained before anything is arranged.
A typical pathway is an initial assessment, blood tests only where they add useful information, and a review appointment if needed. If you expect several appointments across the year, Memberships can make ongoing care more predictable and cost-effective.
Your doctor
Led by Dr Nora Al-Saraf
Dr Nora Al-Saraf
MB BS MRCGP – Lead GP and owner
Special interest in women’s health. You can request a female GP when booking.
Common Questions
Menopause and HRT FAQs
Can I get HRT from a private GP?
Yes, where clinically appropriate. After a full assessment, your GP can prescribe HRT and send the prescription to your preferred pharmacy. The prescription is included in the £160 consultation fee; you pay the pharmacy for the medication itself.
Do I need blood tests to diagnose menopause?
For most women over 45, menopause and perimenopause can be assessed from symptoms and menstrual history alone. Blood tests are arranged where the picture is unclear, symptoms start early, or another cause needs excluding.
How much does a private menopause consultation cost?
£160 for 30 minutes, including any prescription and referral letters. Blood tests carry separate fees, explained in advance. Follow-up appointments are the same price, or £80 with Access membership.
Is there an HRT doctor near Fulham?
Yes. Dr Nora Al-Saraf leads menopause and HRT care at Basuto Medical Centre, 29 Basuto Road, SW6 4BJ – three minutes’ walk from Parsons Green. Patients also visit from Chelsea, Putney, Hammersmith and Battersea.
Can you help with perimenopause, not just menopause?
Yes. Most patients we see are perimenopausal, when symptoms are most variable. Assessment and treatment, including HRT where clinically appropriate, do not require you to have reached menopause itself.
What if my symptoms are not hormonal?
If your symptoms may have another cause, your GP will explain this and investigate appropriately. Thyroid problems, low iron, stress and depression can all overlap with menopausal symptoms. As a general practice, we can arrange tests and treatment where needed, rather than separating menopause care from the rest of your health.
How often will my HRT be reviewed?
An initial review is usually arranged within the first few months of starting or changing treatment, then at least annually once settled – your GP will agree the right interval with you. Reviews cover symptom response, side effects, bleeding changes and whether the dose or preparation still suits.
Can I have a menopause appointment by video?
Yes, where clinically appropriate – the assessment is history-led, so video works well for many patients. If an examination or blood tests are needed, we will arrange an in-person visit.
Will this affect my NHS GP or NHS prescriptions?
No. You keep your NHS GP, and with your consent we can write to them so your records stay complete. Some patients later ask their NHS GP to continue prescribing; we will provide the clinical information to support that conversation.
Find us
Visit us in Parsons Green
Basuto Medical Centre is at 29 Basuto Road, London SW6 4BJ – three minutes’ walk from Parsons Green and five minutes from Parsons Green station on the District line. Open Monday to Friday, 9am-6pm.
Book a private menopause appointment and take 30 minutes to get properly assessed – with treatment where clinically appropriate and a review plan you can rely on.
Booking
Book a menopause appointment
Book a private menopause appointment and take 30 minutes to get properly assessed – with treatment where clinically appropriate and a review plan you can rely on.
Medically reviewed by Dr Nora Al-Saraf, MB BS MRCGP, GMC 6149057 · 23 July 2026