UPDATE JANUARY 2021

Welcome. I’m currently doing all menopause consultations via a secure video link. I can then write to your GP to suggest suitable HRT preparations that can be prescribed on the NHS. Alternatively I can prescribe HRT on a private prescription initially which can then be continued on the NHS via your GP once you are on the right combination and dose for you. Medication via private prescription can be paid for electronically and posted to you or you can use your local pharmacy. If you have any recent weight, height and blood pressure readings please have them available. PLEASE SCROLL DOWN TO THE BOTTOM OF THIS PAGE FOR APPOINTMENT DETAILS AND TO BOOK ONLINE.

Face to face consultations will restart when the Covid-19 situation allows. I really miss seeing patients face to face but I plan to continue providing video consultations too as they are working very well and many patients prefer the convenience of them. It also means I am able to help women from all over the UK.

Current patients can continue to email me for advice as usual.

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Dr Juliet Balfour BSc MBBS MRCGP DRCOG DFSRH

I have been working as a GP with a special interest in women’s health in Somerset since 1991.

I am passionate about giving evidence based and up to date information on how you can optimise your health around the time of the menopause and beyond. This includes the option of hormone replacement therapy (HRT) for both short- term symptom control and the significant long-term health benefits for your heart, brain and bones. For the majority of women the benefits far outweigh any risks, especially if HRT is started below the age of 60 or within 10 years of your last period. There are so many myths and misconceptions about HRT in the media and even from some health professionals. I can help you make an informed decision on what is right for you.

I appreciate that not everyone wants or can take HRT so I can discuss other medical treatment options if menopausal symptoms are affecting your quality of life.

Whether on HRT or not, the menopause is a good time to assess your lifestyle and make changes now to benefit your health in the long-term. Nowadays women can spend a third or more of their life after the menopause so looking at how you can improve your lifestyle at this stage is really important. It can be much easier to make lifestyle changes once HRT gives you relief from what can be debilitating menopausal symptoms .

The services I provide

I have set up the Wells Menopause Clinic as a private service to give individualised and holistic advice in a longer consultation than your NHS GP can offer. Sadly there is no funding for me to offer this on the NHS at present. Due to NHS rules I’m unable to see anyone who is registered as a patient at Glastonbury Surgery.

I offer a 1 hour initial consultation to discuss your experience of the menopause, medical history and how symptoms can be improved. I can advise on starting HRT or trying different HRT preparations if you are not getting on well with your current regime. I can also assess your general health and lifestyle and offer advice on improving your health and wellbeing going forward.

Everyone responds differently to HRT and there may need to be several adjustments in type and dosage over the first year or so. You can email me with any questions after your appointment or once you have started HRT and I offer a review after about 3 months to see if any changes need to be made. With your permission I will write to your GP with all the relevant information from your consultations, with a copy to you.

Who can come to the clinic

I can see any woman residing in the UK (apart from Glastonbury Surgery patients) who wants to know more about managing the menopause and improving health and lifestyle. Perimenopausal symptoms can start in your 40s or sometimes even earlier so I can see younger women but not anyone under the age of 18. You do not have to have stopped your periods before you start HRT.

If you decide that HRT is not for you it is still important for every woman to consider the option of long-term vaginal oestrogen to reduce the risks of vaginal atrophy which can lead to many symptoms that worsen as you get older, including vaginal dryness and discomfort, painful sex, urinary frequency and recurrent urinary tract infections.

If you have been diagnosed with a hormone dependent cancer (breast, uterine or one type of ovarian cancer) I’m afraid I will not be able to prescribe HRT to you at this clinic without written information from your oncologist. We can discuss other non hormonal treatment options and lifestyle measures to help with your menopausal symptoms. Long-term vaginal oestrogen is still a very safe option for most women. Cervical, vaginal and vulval cancers are not hormone dependent so HRT can be prescribed.

Fees from 1.1.2021

New patient video consultation – 1 hour (includes letter to GP and follow-up emails if you have any questions) £200

Follow-up video consultation after 3 months (sooner if needed) or annual follow-up – 20 minutes £80

No extra charge for issuing a private prescription during a consultation but pharmacists will charge for the cost of the medication plus their dispensing fee.

Charge for issuing a private repeat prescription when not part of a consultation £20

Blood test prices – see FAQs. Only available when seen in clinic. You may be able to ask your GP for NHS blood tests if needed.

Prescriptions

I can issue private prescriptions for HRT, vaginal oestrogen, contraception and other related medication with advice on HRT prices and current availability. I’m not able to issue any NHS prescriptions at this clinic.

To get your medication issued you can use a private online service such as the Independent Pharmacy who can post your medication to you (see link below) or your local pharmacy. If you prefer, you can see if your GP is happy to issue an NHS prescription. Not all GPs are able to prescribe testosterone so you might need an ongoing private review and prescription for this.

PLEASE CLICK ON LINK BELOW TO FIND OUT MORE ABOUT THE INDEPENDENT PHARMACY

Link

How to book or cancel a private appointment

APPOINTMENTS CAN BE MADE EASILY AT THE BOTTOM OF THIS PAGE VIA A SECURE ONLINE MEDICAL SYSTEM CALLED HEYDOC. I AM CURRENTLY RUNNING VIDEO CONSULTATION CLINICS ON MONDAY AFTERNOONS AND OCCASIONALLY OTHER DAYS TOO. ONCE YOU HAVE MADE AN APPOINTMENT YOU WILL BE SENT A CONFIRMATION EMAIL WITH A LINK TO CLICK ON AT THE AGREED TIME. IF YOU DON’T RECEIVE THIS WITHIN A FEW MINUTES PLEASE DO CHECK IN YOUR JUNK MAIL AND EMAIL THE CLINIC IF YOU CAN’T FIND IT (there seems to be an issue with hotmail emails). IN THE VERY UNLIKELY EVENT OF THE TECHNOLOGY NOT WORKING AT THE TIME OF THE CONSULTATION, I WILL TELEPHONE YOU INSTEAD.

Payment will be requested via the payment processor STRIPE at the time of booking. If you prefer to pay by a different method, or would like a telephone call instead of a video consultation, you will need to email the clinic BEFORE booking via info@wellsmenopauseclinic.co.uk

Please note that cancellations with more than 48 hours notice will be fully refunded. If cancelled within 48 hours of your appointment time you will only be refunded 50% of the fee.

PLEASE CLICK ON LINK BELOW TO BOOK YOUR APPOINTMENT