Private menopause & perimenopause clinic in London, same-day women's health.
The menopause and the years leading up to it (perimenopause) can cause hot flushes, poor sleep, mood changes, brain fog and more — and the right support, including HRT, makes a real difference. Our private women's health clinic in East London offers same-day menopause & perimenopause assessment with a private women's health specialist, diagnosis and a clear treatment plan — usually without a referral and often the same day.
The condition
What is menopause & perimenopause?
The menopause and the years leading up to it (perimenopause) can cause hot flushes, poor sleep, mood changes, brain fog and more — and the right support, including HRT, makes a real difference.
- Perimenopause symptoms
- Hot flushes & night sweats
- HRT assessment & review
- Low mood & brain fog
- Vaginal & urinary symptoms
- Bone & heart health
Understanding menopause & perimenopause
Menopause & Perimenopause: symptoms, causes, tests & treatment
Arrange assessment promptly for
- any bleeding after 12 months without a period — this always needs investigating urgently
- bleeding between periods, or after sex
- periods becoming very heavy, prolonged, or coming more often than every 21 days
- unexplained weight loss, abdominal bloating or pelvic pain
- menopausal symptoms under the age of 45, and particularly under 40
Postmenopausal bleeding is the symptom that must never be put down to hormones without being investigated. Menopause before 40 — premature ovarian insufficiency — needs diagnosing and treating, because the long-term bone and heart consequences of going untreated are significant.
It is not only hot flushes
- changes to periods — usually the first sign, becoming irregular, heavier or lighter
- hot flushes and night sweats, disturbed sleep, and fatigue that sleep does not fix
- low mood, anxiety, irritability, and a distinct loss of confidence
- brain fog, difficulty concentrating, and word-finding problems
- joint and muscle aches, headaches, palpitations
- vaginal dryness, discomfort during sex, urinary urgency and recurrent urine infections
- reduced libido, and skin and hair changes
Many women are treated for depression or referred for other investigations before anyone asks about periods. If you are in your forties with several of these together, perimenopause is worth considering first.
Blood tests are usually not needed
Over the age of 45, menopause is diagnosed from symptoms — hormone levels fluctuate so much in perimenopause that a single test is often misleading and can be falsely reassuring. Testing is appropriate under 45, and particularly under 40. Do not let a normal blood test at 47 close the conversation.
HRT: the honest position
Hormone replacement therapy is the most effective treatment for hot flushes, night sweats and many other symptoms. For most women starting it under the age of 60, or within ten years of their last period, the benefits outweigh the risks.
- Oestrogen through the skin — patch, gel or spray — does not carry the small clot risk associated with tablets, and is preferred for many women.
- If you still have a womb you also need a progestogen to protect the lining.
- The breast cancer risk is real but small and depends on the type and duration. For context, it is of a similar order to the effect of drinking a couple of units of alcohol a day or being overweight. It is not increased by oestrogen-only HRT in women without a womb.
- HRT reduces the risk of osteoporosis and fractures, and started early does not increase heart disease risk.
- There is no arbitrary time limit. Continuing is a decision reviewed periodically, not something to be stopped at five years by rule.
Vaginal and urinary symptoms
These affect the majority of women, worsen over time without treatment, and are the symptoms women are least likely to raise. Vaginal oestrogen — a cream, pessary or ring — is highly effective, works locally with negligible absorption, can be used long term, can be used alongside systemic HRT, and is suitable for most women including many who cannot take other hormones. It also substantially reduces recurrent urine infections.
If HRT is not for you
- Cognitive behavioural therapy has good evidence for flushes, sleep and mood.
- Certain non-hormonal prescription medicines reduce flushes, and a newer class specifically licensed for vasomotor symptoms is now available.
- Regular exercise, particularly weight-bearing and resistance work, protects bone and helps mood and sleep.
- Reducing alcohol, caffeine and spicy food helps flushes for some; layered clothing and a cool bedroom help more.
- Isoflavones and black cohosh have weak and inconsistent evidence, and interact with some medicines — tell us if you take them.
You can still get pregnant
Fertility falls but does not vanish. Contraception is needed for two years after your last period if you are under 50, and one year if you are over 50. HRT is not contraception. This catches people out every year.
Book an appointment if you think you may be perimenopausal, you want to discuss HRT or review what you are on, you have vaginal or urinary symptoms, or you need a bone health assessment. We offer women's health consultations and blood testing 7 days a week, and arrange DEXA scanning through our CQC-registered partners.
Women's health services we offer
Complete women's health care under one roof
From same-day GP care to gynaecology, scans, screening and menopause — private, discreet and often the same day.
Women's Health Clinic
Private gynaecology & women's health.
Menopause & HRT Clinic
Assessment, HRT and follow-up.
Pelvic Ultrasound
Scans for pain, bleeding and cysts.
Cervical Screening
Private smear tests & HPV testing.
Private GP
Same-day GP to start your care.
Blood & Hormone Tests
Hormone, thyroid and health checks.
Simple & reassuring
Seen today, in three easy steps
Book in a minute
Book online any time or call reception — no GP referral needed for most appointments.
Seen discreetly, quickly
A female GP or women's health specialist assesses you, with scans and tests arranged in-house where possible.
Diagnosis & plan
You leave with a clear diagnosis, treatment and any scan, screening or specialist care arranged.
Private assessment
See a private women's health specialist for menopause & perimenopause in London
At our private women's health clinic on Whitechapel Road in East London, you can see a private women's health specialist or menopause & perimenopause doctor without a referral — most days, often the same day. A private GP in East London or consultant women's health specialist will assess you, arrange the right tests and explain your diagnosis and treatment options clearly. We help patients across East London, Canary Wharf, the City, Docklands and Aldgate who want fast, private answers about menopause & perimenopause.
Local, private, fast
A private women's health clinic for East London & Canary Wharf
Tower Bridge Hospital is on Whitechapel Road in the heart of East London — minutes from Canary Wharf, the City of London, Docklands and Aldgate. Patients across Tower Hamlets, Wapping, Limehouse and Bethnal Green choose us for a fast, private menopause & perimenopause appointment with a women's health specialist, without the wait or the referral.
Why choose us
Why choose our East London private women's health clinic
- Same-day, no referral — private GP and women's health under one roof
- Discreet, specialist-led care with GMC-registered clinicians
- Scans & screening on site — pelvic ultrasound, smears and blood tests
- Minutes from Canary Wharf & the City of London
- Menopause to pregnancy — care across every stage
- Transparent pricing and a clear plan
Ready when you are
See a private women's health specialist for menopause & perimenopause — the same day.
Book a private menopause & perimenopause assessment in East London: same-day appointments, women's health specialist-led care and a clear plan. No referral needed.
Common questions
Menopause & Perimenopause in London: your questions answered
Where can I find a private menopause & perimenopause specialist near me in East London?
Our private women's health clinic is on Whitechapel Road in East London, minutes from Canary Wharf and the City. You can see a private women's health specialist or menopause & perimenopause doctor for assessment and treatment, usually the same day and without a referral.
Can I see a private women's health specialist for menopause & perimenopause the same day?
Yes. We hold same-day private appointments most days, including Saturdays, so you can be assessed by a women's health specialist or GP quickly, with tests done in-house where possible.
How much does a private menopause & perimenopause appointment cost in London?
We keep pricing transparent — see our fees page or call 020 7916 0029, and we will explain the cost of the menopause & perimenopause assessment and any tests before you book.
Do I need a referral to see a private women's health specialist for menopause & perimenopause?
No. You can book directly with our clinic. If you are unsure whether to start with a private GP or a women's health specialist, we will guide you.
Which areas do you serve for private menopause & perimenopause care?
We see private patients from across East London, Canary Wharf, the City of London, Docklands, Aldgate, Wapping, Limehouse and Tower Hamlets.
Medically reviewed by Dr Haydar Bolat — Clinical Director, GMC 7138332. Last reviewed August 2026 · next review August 2027. Written in line with our editorial & content-review policy, using guidance from the NHS, NICE and the relevant royal colleges. This information is general and does not replace personal medical advice.