HRT & Menopause Clinic in Surbiton

Expert perimenopause assessment, individualised HRT prescriptions, and comprehensive hormone testing from experienced GPs. Take control of your menopause journey.

CQC Registered
Expert GPs
Holistic Care
Individualised Plans

What is HRT?

Hormone Replacement Therapy (HRT) replaces the hormones your body stops producing as you transition through menopause.

During perimenopause and menopause, levels of oestrogen and progesterone decline naturally. This hormonal shift triggers the symptoms many women experience: hot flushes, night sweats, mood changes, sleep disturbance, brain fog, joint aches, and reduced libido.

HRT works by replacing these declining hormones to alleviate symptoms and protect long-term health. Modern HRT is available in multiple forms, allowing personalisation based on your preferences and medical history.

At Lambert Medical Practice, our GPs take a thorough, evidence-based approach to HRT. We assess your individual risk factors, discuss the benefits and any concerns, and help you find the right formulation and dose to restore your quality of life.

Perimenopause Signs

HRT may help if you experience:

  • Hot flushes and night sweats
  • Vaginal dryness
  • Mood swings and anxiety
  • Sleep disturbance
  • Joint and muscle aches
  • Brain fog and concentration issues
  • Low libido
  • Irregular periods

Types of HRT Available

Multiple options to suit your lifestyle and preferences

HRT Tablets (Oral)

Tablets taken daily, allowing easy dose adjustment. Suitable for most women.

  • Easy to adjust dosage
  • Familiar route of administration
  • Predictable absorption

From £15/month

HRT Patches

Applied to skin, replaced weekly or twice-weekly. Ideal for those with digestive issues.

  • Bypass digestive system
  • Stable hormone levels
  • Lower thrombotic risk

From £12/month

HRT Gels & Sprays

Applied topically to skin daily. Provides precise dose control.

  • Fine dose control
  • Easily adjustable
  • Quick absorption

From £10/month

Mirena Coil (IUS)

Releases progesterone, inserted by GP. Lasts 5 years. Perfect with oestrogen-only HRT.

  • 5-year protection
  • Hormone-free contraception
  • Reduces bleeding

£250-£350 insertion

Oestrogen Implants

Inserted under skin, lasting 6-9 months. For women wanting maximum symptom relief.

  • Consistent hormone levels
  • 6-9 month protection
  • No daily administration

£200-£400 per insertion

Progesterone Therapy

Tablets, patches, or vaginal preparations. Essential if you have a uterus.

  • Protects uterine lining
  • Cyclical or continuous
  • Multiple formulations

From £8/month

Lambert HRT Baseline Panel

Before starting HRT, we recommend a comprehensive hormone assessment to understand your baseline and guide treatment.

Our HRT Baseline Panel measures 7 key biomarkers essential for personalised HRT prescribing:

  • FSH (Follicle-Stimulating Hormone) – Indicates menopausal status
  • LH (Luteinizing Hormone) – Confirms hormone changes
  • Oestradiol – Your current oestrogen level
  • Progesterone – Baseline progesterone assessment
  • Testosterone – Often overlooked but important for libido and energy
  • TSH & Free T4 – Rule out thyroid disorder mimicking menopause symptoms

£89-£99

Full Panel

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What the Panel Reveals

Hormonal Status

Confirms whether you're in perimenopause or menopause

Baseline Levels

Guides optimal HRT starting dose and type

Thyroid Function

Excludes thyroid disorder as symptom cause

Follow-Up Monitoring

Allows tracking of response to HRT over time

HRT Pricing & Packages

Transparent pricing with no hidden charges

Initial Consultation

Comprehensive HRT assessment and discussion of options

  • Full menopause history
  • Health risk assessment
  • Treatment options discussion
  • Prescription if indicated

£95-£145

HRT Monitoring Review

Follow-up consultation (typically 6-8 weeks after starting)

  • Symptom review
  • Side effect assessment
  • Dose adjustment if needed
  • Ongoing support

£65-£95

HRT Baseline Panel

Hormone testing to guide treatment

  • 7 key biomarkers
  • FSH, LH, oestradiol, progesterone
  • Testosterone & thyroid function
  • Results in 24-48 hours

£89-£99

Perimenopause vs Menopause: What's the Difference?

Perimenopause

The transition years (typically 4-10 years)

Perimenopause is the transition phase leading up to menopause. During this time, your ovaries gradually produce less oestrogen and progesterone, but you may still have periods (though they may become irregular).

Common Perimenopause Symptoms:
  • Irregular periods (heavy, light, or skipped)
  • Hot flushes and night sweats
  • Sleep disturbances and insomnia
  • Mood changes and anxiety
  • Vaginal dryness and reduced libido
  • Brain fog and concentration issues
  • Joint and muscle aches

Menopause

Defined as 12 months without a period

Menopause is officially diagnosed once you have not had a period for 12 consecutive months. The average age of menopause in the UK is 51, but it can occur earlier or later.

What Changes at Menopause:
  • Periods stop completely
  • Hot flushes and sweats often improve slightly
  • Oestrogen levels remain very low
  • Increased risk of osteoporosis
  • Ongoing vaginal dryness
  • Cardiovascular risks may increase
  • HRT remains beneficial for symptom relief

The Lambert HRT Process

A structured, evidence-based approach to personalised hormone replacement therapy

1
Initial Consultation

Comprehensive assessment of your menopause symptoms, medical history, risk factors, and treatment preferences. We listen to your concerns and discuss all available options.

2
Hormone Blood Tests

If needed, we arrange the Lambert HRT Baseline Panel to measure FSH, LH, oestradiol, progesterone, testosterone, and thyroid function to guide your personalised prescription.

3
Personalised Prescription

We prescribe the right HRT type and dose for you — whether that's patches, tablets, gels, or other options — tailored to your preferences, lifestyle, and medical history.

4
3-Month Review & Monitoring

Follow-up consultation at 6-8 weeks, then 3-month review. We monitor your symptom improvement, check for side effects, and adjust your dose if needed.

Ongoing Support

After the initial review period, we provide annual monitoring appointments and are always available for urgent concerns. Your HRT is regularly reviewed to ensure it remains the right choice for you, and we can adjust or stop treatment at any time.

HRT Services Across Surrey & South West London

Expert menopause care in your area

Frequently Asked Questions

Most women take HRT for 5-10 years, though duration varies. Our GPs will discuss with you what's appropriate based on symptom severity and personal preference. HRT is not a lifelong commitment — you can stop whenever you feel ready.

Most women tolerate HRT well. Some experience mild side effects initially (breast tenderness, nausea, mood changes) which usually resolve within 3 months. Our GPs monitor you closely and can adjust your dose or type to minimise any effects.

HRT is generally not recommended for women with a history of oestrogen-receptor-positive breast cancer. However, our GPs can discuss with your oncologist, and alternatives like vaginal oestrogen or non-hormonal options may be suitable. Each case is individual.

Hot flushes and night sweats typically improve within 2-4 weeks. Sleep and mood often improve within 1-2 weeks. Some symptoms like brain fog may take 6-12 weeks. Most women see significant relief within 12 weeks of starting HRT.

Many women try herbal remedies like black cohosh, sage, or red clover first. Evidence for these is limited but some women find them helpful. We can discuss all options — HRT, alternatives, and lifestyle changes — to find what suits you best.

Ready to Take Control of Your Menopause?

Our experienced GPs are here to listen, assess, and support you. Book an HRT consultation today and start your journey to symptom relief.