Perimenopause and Menopause Consultation

Personalised, evidence-based menopause care from Dr Rebecca Jacques, GP and British Menopause Society (BMS) Registered Menopause Specialist

Every woman’s menopause journey is unique.

Whether you’re experiencing anxiety, brain fog, poor sleep, hot flushes, irregular periods, low mood or simply don’t feel like yourself anymore, my aim is to help you understand what’s happening and work with you to develop a treatment plan that feels right for you.

At Time to Pause, appointments are never rushed. I take time to listen to your story, understand how your symptoms are affecting your life, and provide clear, evidence-based advice tailored to your individual needs.

Consultations are available both in person at Stockton House, Southam, Warwickshire, and online throughout the UK.

Is Perimenopause and Menopause Consultation right for me?

This appointment is suitable if you are experiencing symptoms of:

  • Perimenopause 
  • Menopause 
  • Early menopause 
  • Surgical menopause 
  • Premature Ovarian Insufficiency (POI)

You may be struggling with symptoms such as: 

  • Hot flushes or night sweats 
  • Anxiety or panic attacks 
  • Brain fog and poor concentration 
  • Sleep problems 
  • Fatigue 
  • Mood changes 
  • Low libido 
  • Joint aches 
  • Heart palpitations 
  • Vaginal dryness 
  • Irregular or heavy periods 
  • Headaches or migraines 

You may also wish to book if: 

  • You’re wondering whether you’re in perimenopause. 
  • You’d like advice about Hormone Replacement Therapy (HRT). 
  • You’d like a review of your current HRT. 
  • You’re looking for a second opinion. 
  • You have a more complex menopause history. 
  • You’d like a personalised plan to improve your long-term health. 

What happens during the Perimenopause and Menopause Consultation appointment?

Before your consultation, you’ll be asked to complete a detailed health questionnaire. This allows me to understand your symptoms, medical history and goals before we meet. 

During your appointment we’ll discuss: 

  • Your current symptoms 
  • Your menstrual history 
  • Your past medical history 
  • Current medications 
  • Lifestyle factors 
  • Family history 
  • Any previous menopause treatment 
  • Your concerns and priorities 

Where appropriate, we’ll also discuss: 

  • Hormone Replacement Therapy (HRT) 
  • Testosterone 
  • Non-hormonal treatment options 
  • Lifestyle and nutrition 
  • Exercise 
  • Sleep 
  • Mental wellbeing 
  • Cardiovascular health 
  • Bone health 
  • Blood tests or further investigations if needed 

Together we’ll agree a personalised treatment plan based on the latest evidence and your individual circumstances. 

My aim is that you leave your appointment understanding your options and feeling confident about your next steps. 

Perimenopause and Menopause Consultation Fees

Initial Consultation

In Person

(up to 45 minutes)

£230

Online

(up to 45 minutes)

£220

Your initial consultation includes: 

  • A comprehensive menopause assessment 
  • Up to 45 minutes with Dr Rebecca Jacques 
  • A detailed personalised treatment plan 
  • A clinic letter summarising your consultation 
  • A copy of your letter sent to your GP (with your consent) 
  • One follow-up email for any additional questions within eight weeks of your appointment 

Follow-up Consultation

In Person

(up to 30 minutes)

£160

Online

(up to 30 minutes)

£150

Follow-up appointments include: 

  • Review of your symptoms and progress 
  • Review of any treatment started 
  • Adjustments to your treatment plan if required 
  • A further clinic letter summarising your consultation 
  • Copy of your clinic letter sent to your GP (with your consent) 

What’s included?

Every consultation includes: 

✔ A thorough, unhurried assessment
✔ Evidence-based advice tailored to you
✔ Shared decision-making
✔ Individualised treatment planning
✔ A comprehensive clinic letter
✔ GP communication (with your permission)
✔ Ongoing support throughout your menopause journey 

Frequently asked questions

Do I need blood tests before my appointment?

Not usually. Most women over the age of 45 are diagnosed based on their symptoms and menstrual history rather than hormone blood tests. If additional investigations are needed, we'll discuss these together.

Can I book if I'm not sure I'm in perimenopause?

Absolutely. Many women seek advice before they know whether their symptoms are hormone related.

Can I have an online appointment?

Yes. Online consultations are available throughout the UK and are suitable for most menopause consultations.

Will my GP be informed?

Yes, if you would like them to be. With your consent, I'll send a copy of your clinic letter to your GP so they can support your ongoing care.

Can you prescribe HRT?

Yes. If appropriate, we can discuss HRT and other treatment options during your consultation.

Do you see women with complex menopause problems?

Yes. I regularly support women with more complex menopause histories, including early menopause, surgical menopause, previous breast cancer treatment (where appropriate), multiple medical conditions and women who are seeking a second opinion.

Why choose Time to Pause?

British Menopause Society Registered Specialist

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Longer appointments, always with the same clinician

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Personalised treatment plans

Evidence-based care, with a CQC registered clinic

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In-person and online appointments

GP with extensive NHS experience


Book your Perimenopause and Menopause Consultation appointment