Private Menopause Clinic in Surbiton & Surrey

Comprehensive perimenopause assessment, GP-led HRT prescriptions, hormone blood testing, and personalised treatment plans. Expert support from qualified GPs who understand what you're going through.

CQC Registered
GMC Doctors
5.0 Google Rating
3,000+ Patients

Understanding Perimenopause and Menopause

Menopause is a natural transition, not a disease. Understanding what's happening in your body is the first step to taking control.

What is Perimenopause?

Perimenopause is the transition phase leading to menopause, typically lasting between 4 and 10 years. During this time, your ovaries gradually produce less oestrogen and progesterone, causing fluctuating hormone levels. Your menstrual cycle becomes irregular — periods may become heavier, lighter, closer together, or further apart — until eventually they stop altogether.

Perimenopause can begin in your 30s or 40s, though it most commonly occurs in your mid-40s. Many women don't realise they are in perimenopause because the symptoms are attributed to stress, aging, or other causes.

What is Menopause?

Menopause is defined as 12 consecutive months without a menstrual period. This marks the end of your reproductive years. The average age of menopause is 51 in the UK, though it can occur earlier or later. Menopause is a natural biological process, not a medical condition that needs to be "treated" — but the symptoms associated with it often benefit from support.

What is Postmenopause?

Postmenopause refers to the years after your final menstrual period. You are postmenopausal for the rest of your life. Whilst hot flushes and night sweats typically resolve within a few years, other health considerations become important, including bone health, cardiovascular health, and weight management.

Typical Timeline

Perimenopause

4-10 years before final period

Menopause

12 consecutive months without a period

Postmenopause

All years after final period

Common Perimenopause & Menopause Symptoms

Do you experience any of these? You're not alone — and help is available.

Hot Flushes & Night Sweats

Sudden intense heat, sweating that disrupts sleep and daily activities.

Brain Fog & Memory Issues

Difficulty concentrating, forgetfulness, mental cloudiness.

Mood Changes & Anxiety

Irritability, emotional fluctuations, anxiety, or depression.

Sleep Problems

Insomnia, early waking, frequent night-time disturbances.

Low Libido & Vaginal Dryness

Decreased sexual desire, discomfort during intercourse.

Joint & Muscle Aches

Stiffness, pain, or swelling in joints and muscles.

Weight Gain

Increased difficulty maintaining weight despite unchanged diet and exercise.

Irregular Periods

Unpredictable cycle, heavier or lighter bleeding, longer intervals.

Headaches & Migraines

Increased frequency or severity of headaches.

How Our Menopause Clinic Works

A structured, evidence-based approach to your menopause journey

1

Hormone Blood Test

We take a comprehensive hormone panel measuring FSH, LH, oestradiol, progesterone, testosterone, and thyroid function. This confirms your menopausal status and guides treatment.

2

GP Consultation

Our experienced GPs discuss your symptoms, medical history, family history, and lifestyle. We explore your concerns and explain all available treatment options in detail.

3

Personalised HRT Prescription

If HRT is appropriate, we prescribe a tailored treatment plan based on your needs. You choose the delivery method: tablets, patches, gels, or other options.

4

Ongoing Monitoring

We schedule follow-up appointments to monitor your response, manage any side effects, and adjust your treatment as needed for optimal symptom relief.

HRT Options Available

Modern HRT offers flexible, personalised solutions

Body-Identical HRT

Hormones that chemically match what your body produces naturally. Available as tablets, patches, gels, and other formulations.

  • Natural hormone structure
  • Excellent symptom relief
  • Flexible dosing
Patches & Gels

Transdermal delivery bypasses the digestive system, providing stable hormone levels. Applied to skin daily or weekly.

  • Stable hormone absorption
  • Lower risk of blood clots
  • Ideal for digestive issues
Mirena Coil (IUS)

Releases progesterone directly into your uterus. Lasts 5 years. Perfect when combined with oestrogen-only HRT.

  • 5-year protection
  • Reduces heavy bleeding
  • No daily medication
Progesterone Therapy

Essential if you still have your uterus. Available as tablets, patches, vaginal preparations, or via Mirena coil.

  • Protects uterine lining
  • Cyclical or continuous
  • Multiple options
Testosterone Therapy

Often overlooked but vital for libido, energy, and bone health. Available as patches or gels.

  • Improves libido & energy
  • Bone health support
  • Mood enhancement
Non-Hormonal Options

For women who can't take HRT, we discuss alternatives including lifestyle changes, certain medications, and natural remedies.

  • Antidepressants
  • Lifestyle modifications
  • Herbal support

Why Choose Lambert Medical Practice?

Expert menopause care with a personal touch

CQC Registered Clinic

Regulated to the highest standards of care and patient safety.

GMC-Registered Doctors

All our GPs are fully qualified and registered with the General Medical Council.

5.0 Google Rating

Consistent five-star reviews from hundreds of satisfied patients.

3,000+ Active Patients

Trusted by thousands of patients across Surrey and beyond.

Specialist Menopause Knowledge

Our GPs have extensive training in menopause management and hormone therapy.

Same-Week Appointments

We understand the urgency of menopause symptoms — we offer rapid access to consultations.

ALEX3 Allergy Testing

Comprehensive allergy testing available if you have concerns about HRT ingredients or tolerability.

Holistic Support

We address menopause holistically, including lifestyle, nutrition, and mental wellbeing.

Frequently Asked Questions

Perimenopause is the transition period before your final menstrual period, typically lasting 4-10 years. During this time, hormone levels fluctuate, causing irregular periods and symptoms like hot flushes and mood changes. Menopause is defined as 12 consecutive months without a menstrual period. Postmenopause refers to all the years after your final period.

You may benefit from HRT if you experience moderate to severe menopausal symptoms that affect your quality of life, such as hot flushes, night sweats, sleep disruption, mood changes, or vaginal dryness. Our GPs conduct a thorough assessment of your symptoms, medical history, and personal preferences to determine whether HRT is appropriate for you.

Modern HRT is safe for most women when prescribed and monitored by a qualified GP. We conduct a comprehensive medical history and risk assessment before starting treatment. Current evidence shows that body-identical HRT carries minimal increased risk of breast cancer, particularly when using transdermal (patch) oestrogen. We discuss all benefits and risks with you individually.

Most patients notice improvements in hot flushes and night sweats within 2-4 weeks. Sleep typically improves within 1-2 weeks, whilst mood and cognitive symptoms may take 6-12 weeks. Results vary depending on the type of HRT and individual factors. Our GPs monitor your progress and adjust treatment as needed.

We recommend the Lambert HRT Baseline Panel to measure key hormones (FSH, LH, oestradiol, progesterone, testosterone) and thyroid function. This helps confirm your menopausal status, guide optimal HRT dosing, and exclude other conditions mimicking menopause symptoms. The panel costs £89-£99 and provides results within 24-48 hours.

Our initial menopause consultation costs £65.98-£95. The Lambert HRT Baseline Panel costs £89-£99. HRT prescriptions vary depending on the type and formulation you choose, ranging from £8-£20 monthly for most medications. Follow-up consultations cost £65-£95. We provide transparent pricing with no hidden charges.

Related Women's Health Services

HRT for Women

Comprehensive HRT assessment and prescription service.

Learn More
Hormone Testing

Comprehensive hormone panels for menopause and general health.

Learn More
Women's Health

Full-spectrum women's health services from GPs.

Learn More
Blood Tests

Wide range of blood tests for health assessment.

Learn More
Allergy Testing (ALEX3)

Comprehensive allergy assessment for HRT tolerability.

Learn More

Ready to Take Control of Your Menopause?

Our experienced GPs are here to listen, assess, and support you. Book your menopause consultation today and start your journey to symptom relief and better quality of life.