Menopause Specialist London
Menopause is a significant transition that affects women differently. Some experience a relatively straightforward passage; others find that symptoms substantially affect daily life, sleep, relationships, and wellbeing. At AristoGp in London EC1, consultant gynaecologist Dr Anastasia Mermigka offers thorough, personalised menopause assessments — taking the time to understand your individual situation and discuss all appropriate management options, including HRT.
Understanding Menopause
Menopause is defined as the point at which a woman has not had a menstrual period for 12 consecutive months, typically occurring between the ages of 45 and 55. The average age in the UK is 51. The transition period leading up to this point — known as perimenopause — can last several years and is often when symptoms are most pronounced.
Premature ovarian insufficiency (POI) affects a small number of women under 40 and carries its own specific considerations, including implications for bone health and cardiovascular risk. Early specialist assessment is particularly important in this group.
Common Symptoms of Menopause and Perimenopause
Symptoms vary considerably between individuals. Common experiences include:
- Hot flushes and night sweats
- Disrupted sleep
- Irregular or heavy periods (in perimenopause)
- Low mood or changes in mood
- Anxiety or increased irritability
- Brain fog or difficulty concentrating
- Fatigue
- Vaginal dryness or discomfort
- Reduced libido
- Joint aches and muscle discomfort
- Changes in skin, hair, or bladder function
- Palpitations
Not all of these will affect every woman, and their severity varies widely. A thorough assessment helps to identify which symptoms are present and which management approaches are most relevant for you.
Perimenopause vs Menopause
Perimenopause refers to the years leading up to the final menstrual period. Oestrogen levels fluctuate and gradually decline, and periods may become irregular. Many women first notice symptoms during this phase.
Menopause itself is a single point in time — the 12-month anniversary of your last period. The years following are called postmenopause.
Symptoms can be present across all of these phases. Diagnosis is primarily clinical — based on age, menstrual history, and symptom pattern — though blood tests may be used in certain circumstances, such as in women under 45 or those who have had a hysterectomy.
How AristoGp Can Help
Dr Anastasia Mermigka (GMC 7640566) takes an unhurried approach to menopause consultations. A typical appointment will include:
- A detailed review of your symptoms and their impact on daily life
- Full medical and gynaecological history
- Discussion of your periods and any relevant changes
- Consideration of blood tests if clinically indicated
- A thorough discussion of management options, including HRT and non-hormonal approaches
- A written plan or letter summarising the consultation and recommendations
HRT — What You Need to Know
Hormone replacement therapy (HRT) is an effective treatment for many menopausal symptoms. It works by supplementing the hormones — principally oestrogen, and progesterone where the uterus is present — that decline during the menopause transition.
For many women, the benefits of HRT include relief from vasomotor symptoms (hot flushes and night sweats), improved sleep, mood, and concentration, and support for vaginal and urinary health. There is also evidence for benefits related to bone density and, for women who begin HRT around the time of menopause, cardiovascular health.
HRT is not suitable for everyone, and a careful assessment of your medical history is an important part of any consultation. The decision about whether to take HRT, and which type to use, is one that you and your clinician make together based on your individual circumstances. Non-hormonal options and lifestyle measures are also discussed where relevant.
When to See a Menopause Specialist
It may be helpful to see a specialist if:
- Your symptoms are significantly affecting your quality of life or daily functioning
- You have questions about HRT that have not been fully addressed
- You have a complex medical history (e.g. previous breast cancer, cardiovascular conditions, clotting disorders)
- You are experiencing symptoms at an unusually early age
- You have been on HRT but your symptoms are not well controlled
- You would like a thorough review with adequate time for discussion
Related Services
You may also find the following pages helpful: all gynaecology services, private pelvic ultrasound scan, and information about Dr Anastasia Mermigka.
Pricing
| Appointment | Fee |
|---|---|
| Menopause Consultation | £200 |
| Menopause Plus (consultation + blood tests) | £300 |
| Follow-up Consultation | £100 |
Fees are payable at the time of appointment. Any additional investigations recommended will be quoted in advance.
You’re welcome to message us on WhatsApp or call the clinic and a member of our team will help you choose the right appointment. There’s no obligation.
Frequently Asked Questions
When should I see a menopause specialist?
Consider seeing a specialist if your symptoms are affecting your quality of life, if you have questions about HRT or its suitability for you, if your GP has been unable to provide the level of review you need, if you have a complex medical history, or if you are experiencing symptoms that do not fit a straightforward picture. A consultant gynaecologist can take time to conduct a thorough assessment and discuss all available options.
Can I get HRT from a private gynaecologist?
Yes. A consultant gynaecologist in private practice can assess your symptoms, review your medical history, discuss whether HRT is appropriate for you, and prescribe it if clinically indicated. They can also discuss the different types, routes, and regimens available. Any prescription will be discussed in detail, including relevant benefits and considerations, so that you can make an informed decision.
What happens at a menopause consultation?
Your consultation will typically include a review of your symptoms and their impact on daily life, a full medical and gynaecological history, discussion of your periods and any recent changes, consideration of relevant investigations, discussion of management options — including HRT, non-hormonal treatments, and lifestyle measures — and a written summary or plan to take away.
How much does a private menopause consultation cost in London?
At AristoGp, a menopause consultation with a consultant gynaecologist is priced at £200. The Menopause Plus package, which includes relevant blood tests, is £300. Follow-up appointments are £100.
Location & Contact
AristoGp
1–5 Portpool Lane
London EC1N 7UU
3 minutes’ walk from Chancery Lane Underground Station (Central line).
To book or enquire: WhatsApp us or use the booking button above.
