Private menopause treatment in the UK usually has three parts: the consultation, the prescription, and the medication. Pay-as-you-go consultations commonly range from around £85 to £175 or more for nurse-led care, and £250 or more for a specialist doctor, with the medication on top. Some services instead charge a monthly membership that bundles consultations, prescribing and follow-up. The NHS route is far cheaper, but access and waiting times vary.
What you are actually paying for
- •The consultation: the prescriber's time to assess you and decide on treatment.
- •The prescription or admin fee: issuing and managing your private prescription.
- •The medication itself: the cost of the HRT or testosterone, dispensed by a pharmacy.
- •Follow-up: reviews and dose adjustments, included in some memberships and charged separately in others.
Typical private costs
Nurse-led consultations are usually the more affordable option; specialist doctor consultations cost more. Medication is a separate, ongoing cost. Because these add up, many women prefer a clear monthly membership so they know what they are paying rather than being billed per appointment and per prescription.
The NHS route and how to keep it cheap
On the NHS, HRT is prescribed by your GP. In England there is a standard charge per prescribed item, but an HRT prescription prepayment certificate covers your HRT for a fixed cost of around £20 for a year, however many HRT items you need. In Scotland, Wales and Northern Ireland NHS prescriptions are free. The NHS route is the cheapest by far; the trade-off is that access and appointment times depend on your surgery.
Membership vs pay-as-you-go
Pay-as-you-go suits a one-off review. A membership tends to make sense if you want ongoing management: your levels checked, your dose adjusted, and someone following up rather than a single prescription and no aftercare. Compare the all-in yearly figure, not just the headline consultation price.
How Solene fits
Solene is a nurse-led menopause service built around ongoing management rather than one-off appointments. A nurse prescriber working through a CQC-registered practice looks after your care over time, with no GP referral and no waiting list. Solene is the platform, not the clinical provider. The free online check gives you personalised advice before you pay for anything.
This article is general information, not medical or financial advice. Prices vary between services.
Frequently asked questions
How much is a private menopause consultation in the UK?
It varies widely: roughly £85 to £175 or more for nurse-led care, and £250 or more for a specialist doctor, with medication charged separately.
How much does HRT cost privately?
The medication is a separate ongoing cost on top of the consultation and any prescription fee. Exact amounts depend on the HRT prescribed.
Is HRT free on the NHS?
In England there is a per-item charge, but an HRT prescription prepayment certificate covers your HRT for about £20 a year. In Scotland, Wales and Northern Ireland NHS prescriptions are free.
What is the cheapest way to get HRT in the UK?
The NHS via your GP, using an HRT prepayment certificate in England, is the cheapest. Private care costs more but can be faster and offer more time and ongoing management.
Is private menopause treatment worth it?
It depends on your GP access and what you need. Private care buys speed, longer appointments and ongoing management; the NHS is cheaper if your surgery is confident with HRT.
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