AutumnWeek 0
We listen
A 45-minute consultation with one doctor. Bring your Symptom Diary. We start with your story, not a checklist, and you leave with a written summary of what we heard and what we suggest.
Initial consultation, £245
Private menopause clinic · Didsbury and online
Seasons,notsymptoms.
Doctor-led care for perimenopause, menopause and early menopause. One doctor, 45 minutes, and someone who believes you. In Didsbury, or by video from anywhere in the UK.
What is going on
You are not imagining it. The sleep, the fog, the temper that is not yours, the periods that will not behave. Something is changing, and it has a name.
51
is the average age of menopause in the UK. Perimenopause, the years before, can begin in your early 40s.
45
is the line for early menopause. Before it, symptoms deserve a proper investigation, not reassurance.
10
minutes is a standard GP slot. Your first appointment here is 45, with the same doctor throughout.
How it works
Your first year, by season.
No rush, no jargon, and every price named before you book.
WinterWeeks 1 to 2
We look closer
If your doctor thinks blood tests are clinically needed, we arrange them. Many women over 45 with typical symptoms do not need them: NICE guideline NG23 says the picture can be clear without. You only pay for what is needed.
Blood tests if needed, £95
SpringWeeks 3 to 6
We agree a plan
A 20-minute follow-up to talk through your options, hormonal and non-hormonal, alongside lifestyle and talking support. Benefits and risks are explained plainly, and the decision is yours.
Follow-up, £145
SummerMonth 12
We keep tending
A yearly review of how you are, what has changed, and whether your plan still fits. You can come back sooner whenever something shifts, and your doctor will write to your GP if you ask.
Annual review, £195
Why women come to us
Care that starts with listening.
One doctor, every time
You meet your doctor at the first appointment and see the same person after that. No retelling your story.
A written plan
You leave with a summary of your symptoms and the options discussed, which you can share with your GP.
Honest about the evidence
We follow NICE guideline NG23, and we tell you what is well known, what is not, and what the risks are.
Fees on the page
Every price is published on our fees page. If something is not needed, it is not on your bill.
In their words
Patient comments
I had been to my GP four times in two years. In forty-five minutes someone finally put it all together.
She asked about my sleep before she asked about my periods. That told me she was listening.
A video appointment from my kitchen on a Tuesday evening made it possible at all.
Fictional patient comments for this demonstration, written as they would be shared with permission.
Fees
Every price, before you book.
The full price is the price. No booking fee, no card fee, no prescription fee from us.
Initial consultation£245
45 minutes with your doctor, in Didsbury or by video.
Follow-up£145
20 minutes, to review and agree your plan.
Blood tests£95
Only if clinically needed. Many women do not need them.
Annual review£195
A yearly check that your plan still fits.
Clinicians
Doctors who do this every day.
Our doctors are GMC registered, and our menopause specialists are BMS accredited.
Dr Imogen Ashby
Founder and lead doctor. GP and BMS accredited menopause specialist.
Dr Nadia Rahman
Consultant gynaecologist. Early menopause and problem bleeding.
Dr Chloe Brannigan
GP and BMS accredited menopause specialist. Mood, anxiety and brain fog.
Questions
What women ask before they book.
Not here? Call 0161 496 0142 and a member of the team will talk it through. There is no charge for asking.
Do I need a referral from my GP?
No. You can book directly. If you would like us to, we will write to your GP after your appointment, with your consent, so your records stay in step.
Can I see a doctor by video if I live outside Manchester?
Yes. Video consultations are available anywhere in the UK, including evenings on Tuesdays and Wednesdays. They last as long as in-person appointments and cost the same.
Will I need blood tests?
Often not. NICE guideline NG23 says that for women over 45 with typical symptoms, perimenopause or menopause can be diagnosed from the symptoms alone. Your doctor will only suggest blood tests when they are clinically useful, for example if you are under 45.
What happens about prescriptions?
If your doctor recommends a prescribed treatment, they issue a private prescription to the pharmacy of your choice. We charge no prescription fee. The pharmacy sets its own charge for dispensing, and we cannot tell you that price in advance.
I am under 45. Can you still help?
Yes. We see women from 35 who have symptoms or whose periods have changed. Menopause before 45 is called early menopause, and it is worth a proper investigation and a plan.
What if I need to cancel?
Free up to 48 hours before your appointment. Inside 48 hours we keep half the fee. We always refund in full if we have to cancel.
Our approach follows NICE guideline NG23, Menopause: identification and management. Treatment, where it is right for you, is a decision made with your doctor after benefits and risks have been explained.
Your second spring can begin with one conversation.
Appointments in Didsbury and by video, most weeks within five working days.