Fees and costsfor private hormone therapy & bio-identical HRT
To get the best outcomes from hormone supplementation and replacement, it is important to assess your symptoms and identify what the imbalance is likely to involve, before commencing a treatment programme. A medical consultation for hormone replacement usually takes 45 minutes to 1 hour.
Follow up appointments are usually at 8 weeks, 3 months (optional), 6 months, and annually. They can sometimes be carried out virtually.
Your hormonal requirements change over time, so monitoring with investigations needs to be done at baseline and then regularly. Lab tests may be required annually.
Depending on your smear, bone density (DEXA) scan, and mammogram history, your doctor may recommend that you get referred for these during the course of your review for BHRT.
And in order to protect you from the risks associated with hormones, screening tests including pelvic scans, prostate specific antigen and breast screening will be needed.
Our goal is to provide you with transparent, affordable pricing that will allow you to understand and plan for your treatment.
This page should help explain the details of the process: how you may book a consultation, what happens at the appointment, how you obtain your personal prescription and products and follow up (what happens next).
While the aim is to keep treatment cost affordable, it’s important to know the costs involved in order to make an informed decision.
Insurance currently does not cover the cost of hormone replacement and bio-identical HRT, so treatment is self-funded.
Hormonal health consultation (initial – 1 hour): £200
During the initial consultation with Dr Narayan-Denning, you will be taken through a comprehensive set of questions covering the following areas:
- your health and medical history in general
- hormone-related symptoms in particular
- medications you take
- family history and potential risk factors you may have for hormone therapy
- lifestyle factors specific to you – diet, weight, sleep, exercise, stress
You will have the opportunity to discuss with Dr Narayan-Denning about the different types of hormones, bioidentical or conventional that may be suitable for your case.
You will be asked to bring reports of recent (within 2 months) blood tests. If not, you will be advised on what tests are needed to safely prescribe hormone therapy.
Follow up consultation (30 minutes): £115
This follow up meeting is to review your case with the doctor once the results of the lab tests are received, or interpreted. At this appointment, you will be able to discuss your lab reports, ask questions, and be issued with a bespoke prescription for hormone therapy.
If you are starting hormone therapy for the first time during the perimenopause, your body’s needs will change constantly and the prescription will need to be adjusted from time to time in order to keep up.
Review appointments (45 minutes): £150
Review appointments are scheduled periodically once you have started hormone treatment. The first review appointment will be between 6 to 8 weeks after starting treatment.
Depending on how you are faring with the treatment, subsequent review appointments will be arranged every 3 months or 6 months as required. At these meetings, Dr Narayan-Denning would like to know how you are getting on with your treatment, any changes to symptoms or new risk factors that may have come up in your family history.
Some of the blood tests that are needed before setting up personalised hormone prescriptions are:
Female hormone package: from £150
- FSH Follicle Stimulating Hormone
- DHEA Dehydroepiandrosterone
- Testosterone / Free Androgen Index
- Vitamin D
- Thyroid Stimulating Hormone, Free T4, T3, thyroid antibodies
Thyroid function assessment: from £47
- Thyroid Stimulating Hormone, Free T4
- further thyroid tests as required
Hormones for men – from £150
- Vitamin D
- Prostate specific antigen
Once the results of the blood tests are in, the doctor has to spend time in interpreting the results in the context of your symptoms.
Blood tests are also needed for monitoring treatment, but will not usually be as extensive as the initial tests.
Pelvic scan of the uterus
If you are having this via well-woman checks, you will be requested to please forward/ bring to appointment the results/ report for your clinical record. If you are not having these by any other sources, you will need to have this test privately. This is to monitor the health of the lining of the womb (uterus), and is required when oestrogen replacement is prescribed.
You can book online at https://www.ultrasound-direct.com/women-ultrasound-scans/pelvic-scan-well-woman/
Cost – from £99
Cost of the medication
The cost of bio-identical hormone replacement therapy is usually between £1-£3 per day (comparable to a cup of coffee!)
As an indication here are some of the commonest prescriptions that I am likely to prescribe:
Hormone creams £65-£125 for 50ml which will last for for 80-160 days
Lozenges £85-£105 per tray which will last 2-4 months depending on dose.
Remember – it can take several months and “tweaking” prescriptions to get to the optimum combination.
How payment is taken
Payment for the medication is made directly to the pharmacy, and is not part of the doctor’s fee.
Unfortunately any cancellations within 48 hours before any appointment, and no-shows will not receive a refund.