Specialist BHRT Consultationfor Women.
A 50-minute, doctor-led consultation focused entirely on your hormones — what they are doing, what they should be doing, and whether bioidentical hormone replacement therapy is the right pathway for you.
Book Your BHRT Initial Consultation01
Panel
What's Covered
Bioidentical hormone replacement therapy (BHRT) uses hormones that are molecularly identical to those your body produces naturally — oestradiol, progesterone, and testosterone. At EGA, every protocol is built around your individual hormone levels, symptom picture, medical history, and goals — assessed in full before any treatment decision is made.
01Full hormonal symptom review
Your doctor will take a detailed account of your current symptoms — hot flushes, night sweats, disrupted sleep, mood changes, anxiety, brain fog, fatigue, low libido, vaginal dryness, joint pain, weight changes, and others. Many women present with symptoms across multiple systems that, together, form a clear hormonal picture.
02Comprehensive medical and gynaecological history
Your full personal and family medical history is reviewed — including any history of breast cancer, cardiovascular disease, blood clots, or osteoporosis — as these are clinically relevant to BHRT prescribing decisions. Your menstrual history, contraceptive history, and any previous hormonal treatment are also discussed.
03Review of previous blood results and treatments
If you have had prior hormone testing, HRT prescriptions, or other treatments — whether through your NHS GP, another private clinic, or EGA — your doctor will review these in context. If results are incomplete or out of date, appropriate testing will be recommended.
04Discussion of BHRT options
Your doctor will explain the available BHRT formulations — oestradiol, progesterone, and testosterone — and the different routes of administration (transdermal gels, patches, oral micronised progesterone, topical testosterone, and others). The relative benefits and considerations of each will be discussed in relation to your specific situation.
05Personalised treatment recommendation
At the end of the consultation, your doctor will make a clear recommendation — whether that is to proceed with a BHRT protocol, undertake further testing first, or explore other interventions. EGA takes an evidence-informed approach to BHRT prescribing in line with current British Menopause Society guidance.
Any prescription decision is made on clinical grounds. In some cases, blood testing will be recommended before a prescription is issued. Your doctor will be clear about the recommended sequence at the end of your appointment.
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Audience
Who It's For
This consultation is appropriate for women who:
- Are experiencing symptoms of perimenopause or menopause and want a specialist assessment
- Have been told their hormone levels are 'normal' but continue to experience significant symptoms
- Are considering HRT or BHRT and want a thorough clinical assessment before starting
- Are currently on NHS-prescribed HRT and feel it is not adequately addressing their symptoms
- Have been declined HRT by their GP and want a second opinion from a specialist
- Have experienced surgical menopause (following hysterectomy or oophorectomy) and require assessment for hormone replacement
- Are under 45 and experiencing symptoms that may indicate early menopause or premature ovarian insufficiency
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Deliverable
What You Leave With
A defined hormonal assessment pathway and, where appropriate, a treatment plan.
- A written clinical summary and personalised hormonal plan
- Recommendations on which investigations to undertake
- Where clinically appropriate, a proposed BHRT regimen and monitoring schedule
- Clear next steps for follow-up review approximately 6–8 weeks after starting treatment
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Difference
The EGA Approach to BHRT
NICE guidelines (NG23, updated 2024) recommend HRT as the first-line treatment for menopausal symptoms. At EGA, we assess your hormone status in the context of your long-term health — bone density, cardiovascular risk, cognitive function, and metabolic health.
Comprehensive assessment before any prescription
No BHRT protocol is initiated at EGA without a full assessment. BHRT is guided by blood test data, not symptoms alone, and prescribed within evidence-based parameters.
Individualised protocol
50 minutes allows detailed symptom review, history, and discussion of treatment options. BHRT regimens are tailored to your hormone levels, symptom picture, medical history, and goals.
Structured monitoring
All BHRT at EGA is subject to structured monitoring and follow-up. This consultation begins a clinical relationship that continues through treatment and review.
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Questions
Common Questions
What is the difference between BHRT and standard HRT?
Standard NHS HRT uses hormones that may be synthetic or derived from non-human sources, prescribed in fixed formulations. BHRT uses hormones molecularly identical to those your body produces — oestradiol, progesterone, and testosterone. At EGA, we prescribe regulated, licensed bioidentical preparations (such as body-identical oestradiol and micronised progesterone) rather than compounded preparations, in line with British Menopause Society guidance.
Do I need blood tests before this consultation?
Not necessarily. Your doctor will assess what testing is appropriate during the consultation. If you have recent hormone blood results — from your GP or elsewhere — please bring them. If testing is needed, this can be arranged at EGA following the consultation or, where possible, at the same visit.
I am in my 40s and my GP says my hormone levels are normal. Could I still be perimenopausal?
Yes. Perimenopause is primarily a clinical diagnosis — made on the basis of symptoms and history, not blood test results alone. FSH and oestradiol levels fluctuate significantly throughout perimenopause, and a single 'normal' result does not exclude hormonal change as the cause of your symptoms. NICE guidelines specifically note that blood tests should not be used in isolation to diagnose perimenopause in women over 45.
Is BHRT well tolerated?
BHRT using licensed body-identical hormones — particularly transdermal oestradiol and oral micronised progesterone — has an established safety profile. Transdermal oestradiol does not carry the increased VTE (blood clot) risk associated with oral oestrogen preparations. The risk profile of any hormonal treatment is individual and will be discussed in full during your consultation.
Will I leave this consultation with a prescription?
Your doctor may initiate a BHRT prescription at the end of the consultation if assessment supports this and no further investigation is required first. In some cases, blood testing will be recommended before a prescription is issued. Your doctor will be clear about the recommended sequence at the end of your appointment.
I have a family history of breast cancer. Can I still consider BHRT?
A family history of breast cancer is a relevant consideration in BHRT prescribing, not an automatic contraindication. Your doctor will assess your individual risk profile — including the nature of the family history, your own risk factors, and the specific hormones and formulations being considered — and discuss this with you openly.
Do I need a GP referral?
No. You can book directly online or by phone.
Is follow-up included?
No. A separate BHRT Follow-up Consultation (£•••) is used for review and refinement, or the Comprehensive Pack (£•••) bundles both at a reduced price.
06 · Next Step
Ready to book?
Specialist BHRT Consultation
- 01Book online or by phoneNo referral needed. A £100 deposit secures your appointment and is deducted from the consultation fee.
- 02Attend your 50-minute consultationIn clinic at EGA Clinic, London. Bring any previous blood results or medical letters.
- 03Receive your written clinical summaryYour doctor's recommendation — whether that is a BHRT protocol, further testing, or an alternative plan.
- 04Plan next stepsIf a prescription is issued, your follow-up will be scheduled approximately 6–8 weeks after starting treatment.