A referral is not needed from your GP . However, if you have complex medical problems or have been seen in a family history breast cancer clinic please request your GP for a summary letter regarding this and send this information by e mail to [email protected]

The initial consultation will be done virtually via a video link or telephone call and lasts up to 1 hour. Please provide a telephone number for phone consultation.

You will be asked to enter payment details to confirm your consultation booking . Your personal details will be held securely in an encrypted form by clinic software provider Semble.

If you wish to receive a telephone call instead of having a video consultation ,this option is available when you book your appointment.

Following booking and payment you will receive a confirmation e mail with a secure video link which is encrypted for the video consultation at your appointment time from Semble.

If you have made a telephone appointment Dr Navani will phone you on the phone number provided.

Use the link inside your booking confirmation e mail to complete A SYMPTOM CHART and PRE- CONSULTATION HEALTH QUESTIONNAIRE and provide up to date weight, height and blood pressure.

On completion of the above information, it will automatically go into your electronic health records.

Dr Navani will decide if she has adequate information to recommend treatment safely. Please bear in mind she reserves the right to refuse a video consultation if information is not available or she will e mail you to gather additional information from your GP.

This can be gathered at the first consultation but may involve you having an additional appointment to discuss treatment (charges will apply for this).

A full range of treatments will be offered for menopause including HRT and non-hormonal treatment options depending on your medical and family history. Treatments for other gynaecological conditions such as painful heavy periods, Premenstrual syndrome and Polycystic Ovarian Syndrome can also be discussed.

A summary letter of your consultation and treatment plan will be e mailed to you via secure e mail link and a copy of this will be sent to your GP with your consent. This summary letter will have details of HRT treatment advised which your GP can prescribe or you can request a private prescription from me. Your medication will be dispensed by a registered online pharmacy Pharmacierge, who will contact you by e mail or phone to take payment for your medication before it is posted to you.

Follow up appointments are for existing patients only.

This will be a 30 minute appointment at 3 months follow up to assess your response to treatment, manage side effects if any, and arrange a repeat prescription. This will be held virtually by video link or telephone depending on your preference.

Thereafter follow ups are arranged annually, unless there are concerns regarding symptom control, medication or side effects.

You also have the option to see your NHS GP for follow up appointments and repeat prescriptions.

If you cancel your appointment 48 hrs before you will receive a full refund.

Appointments cancelled after 48 hrs will be charged at 50% of the consultation fee.

You can cancel your appointment directly by clicking the link sent out with your confirmation email.

The first query by e mail up to 6 weeks from your appointment will be free of charge , and contact can be made by sending an email to [email protected].

I aim to respond to e mails within 3 business days.

You may have queries between appointments and for this a telephone consultation can be booked.
Please note there will be a charge of £100 for a telephone appointment.
These appointments are offered only to existing patients.

This clinic does not provide any out of hours service. If you feel your problem is urgent please contact your GP or call 111 or where appropriate call 999.

All personal and medical information is encrypted and stored remotely in a secure cloud based patient management system called Heydoc, which is rebranded as Semble

Most women do not require hormonal blood tests to diagnose menopause , however in some cases blood tests are required to confirm a diagnosis of Premature ovarian insufficiency (POI - menopause under age 40) or Early menopause (age 40-45).

A blood test for serum oestradiol can be checked if there is poor response to treatment.

If you are taking testosterone replacement you will need regular blood tests to monitor levels.

Occasionally checking full blood count and serum iron levels if you have heavy periods, thyroid function tests, cholesterol, diabetes and Vitamin D levels may be advised.

If an ultrasound scan is required for investigating bleeding problems on HRT or contraceptives , heavy periods or Polycystic ovarian disease these can be arranged via the NHS or privately (at additional costs).

Blood tests can be arranged via your GP on the NHS or privately with Nationwide or Medichecks. They have several centres nationwide and they can directly arrange with you to do the blood tests.