
Private Hormone Replacement Therapy (HRT) Clinic Birmingham
If you’re experiencing symptoms of perimenopause or menopause, you don’t have to struggle alone.
At Midlands Women’s Health, our consultant-led menopause specialists provide personalised Hormone Replacement Therapy (HRT) and evidence-based alternatives to help relieve symptoms, improve quality of life and protect your long-term health.
Whether you’re considering HRT for the first time, need a review of your current treatment, or have been told HRT may not be suitable, we offer expert advice tailored to your individual needs.
We welcome women from Birmingham, Solihull, Sutton Coldfield, Wolverhampton and across the Midlands
What is Hormone Replacement Therapy (HRT)?
Hormone Replacement Therapy (HRT) replaces hormones that naturally decline during perimenopause and menopause, particularly oestrogen, and in some women, progesterone and testosterone.
HRT is considered the most effective treatment for many menopausal symptoms and, for many women under 60 years of age or within 10 years of menopause, the benefits often outweigh the risks when treatment is appropriately prescribed and monitored.

What Symptoms Can HRT Help?
If you are experiencing any of the following symptoms, Hormone Replacement Therapy (HRT) may help improve your quality of life.
| Hot Flushes | Night Sweats | Poor Sleep | Anxiety | Mood Swings |
| Memory Problems | Low Libido | Vaginal Dryness | Pain during Sex | Frequent UTIs |
| Fatigue | Palpitations | Mood Swings | Frequent UTIs | Brain Fog |
Joint aches and a loss of confidence are often overlooked, but they can be symptoms of perimenopause and menopause.
What are the benefits of HRT?
Patients often ask us the same question “Why should I consider HRT?”

Relief from menopausal symptoms
HRT significantly reduces hot flushes, night sweats, mood changes and sleep disturbances.

Better bone health
HRT helps reduce bone loss and lowers the risk of osteoporosis.

Cardiovascular health
For suitable women who start treatment around the time of menopause, HRT may have cardiovascular benefits.

Improved vaginal and bladder health
Many women notice improvements in vaginal dryness, bladder symptoms and sexual comfort.

Better quality of life
Many women report:
– Improved confidence
– Improved sleep
– Increased energy
– Improved concentration
– Better mood
Types of HRT
HRT is not one-size-fits-all. There are several types available, and the most suitable option depends on your symptoms, medical history and stage of menopause.
Our specialists will help you find the treatment that’s right for you.
Oestrogen-only HRT
Suitable for women who have had a hysterectomy.
Available as:
Tablets
Skin Patches
Gels
Sprays
Combined HRT
Contains both oestrogen and progesterone.
Usually recommended for women who still have their uterus to protect the womb lining.
Continuous Combined HRT
Often used after menopause when periods have stopped.
Sequential (Cyclical) HRT
Often prescribed during perimenopause while periods continue.
Body Identical (Bioidentical) HRT
Body identical HRT uses hormones that have the same chemical structure as those naturally produced by your body. These are regulated, licensed medicines that are prescribed according to UK clinical guidelines and are widely used in menopause care.
Body identical HRT is different from compounded bioidentical hormones, which are custom-made products that are not routinely recommended because they are not regulated or licensed in the same way.
Vaginal Oestrogen
Ideal for women with:
Vaginal Dryness
Recurrent UTIs
Discomfort During Intercourse
Urinary Urgency
Often used alongside systemic HRT or on its own.
Testosterone Therapy
Many women are surprised to learn that testosterone can play an important role in women’s health. Following a specialist assessment, testosterone may be recommended for women who continue to experience low sexual desire despite being on adequate oestrogen therapy.
Potential benefits of testosterone therapy may include:
Improved Libido
Increased Energy
Enhance Wellbeing
Our menopause specialist will discuss whether testosterone therapy is appropriate for you based on your symptoms and medical history.
Which Type of HRT is Right for Me?
Choosing the right type of HRT is a personal decision, and there is no single treatment that is right for everyone. Your menopause specialist will recommend the most suitable option based on a range of factors, including:
- Your age and stage of menopause
- Your symptoms and how they affect your daily life
- Your medical and family history
- Whether you are still having periods
- Whether you have had a hysterectomy
- A history of migraines or blood clots
- Your breast cancer risk
- Your lifestyle and personal preferences
Together, we’ll create a personalised treatment plan that is safe, effective and tailored to your individual needs.
Is HRT Safe?

Before recommending HRT, your consultant will carry out a thorough assessment, including your:
- Individual risk factors
- Medical history
- Family history
- Blood pressure
- Weight
- Current medications
For most women, HRT is considered a safe and effective treatment when prescribed appropriately by a menopause specialist.
Many concerns about HRT stem from older studies that have since been re-evaluated. Today, HRT is prescribed using the latest evidence-based guidance, often with lower doses and safer delivery methods, such as skin patches, gels or sprays, where appropriate.
Your specialist will discuss the benefits and any potential risks with you, helping you make an informed decision about the treatment that’s right for you.
Who May Not Be Suitable for HRT?
HRT is safe and effective for many women, but it may not be suitable for everyone. You may require further assessment or an alternative treatment if you have:
- Unexplained vaginal bleeding
- Active liver disease
- A history of certain hormone-sensitive cancers
- A history of blood clots
- Certain heart or cardiovascular conditions
Having one of these conditions does not always mean you cannot have HRT. Your menopause specialist will carefully assess your individual circumstances, discuss the potential benefits and risks, and recommend the safest treatment option for you.
Alternatives to HRT
HRT is the most effective treatment for many menopause symptoms, but it may not be suitable for everyone.
If HRT isn’t right for you, there are several effective alternatives that can help manage your symptoms and support your overall health.
Lifestyle Changes
Simple lifestyle changes can make a significant difference to menopause symptoms, including:
- Regular exercise
- Maintaining a healthy weight
- Eating a balanced, Mediterranean-style diet
- Reducing alcohol intake
- Stopping smoking
- Improving sleep habits
Non-Hormonal Prescription Medicines
For women who cannot take HRT or choose not to, several non-hormonal medicines may help relieve symptoms, including:
- SSRIs and SNRIs
- Gabapentin
- Clonidine
- Fezolinetant (where appropriate)
Cognitive Behavioural Therapy (CBT)
CBT is an evidence-based therapy that can help improve:
- Sleep quality
- Anxiety and low mood
- Coping with hot flushes and night sweats
Vaginal Moisturisers and Lubricants
These can help relieve vaginal dryness and discomfort, particularly for women who do not need or cannot use systemic HRT.
Supporting Bone Health
Looking after your bones becomes increasingly important during and after menopause. Your specialist may recommend:
- Adequate calcium intake
- Vitamin D supplementation
- Regular weight-bearing exercise
Our menopause specialists will discuss all available treatment options and help you choose the approach that best suits your symptoms, health and personal preferences.
Why Choose Our HRT Clinic in Birmingham & the Midlands
Patients across Birmingham and the Midlands choose Midlands Women’s Health for specialist gynaecological care because we provide:
- Consultant-Led Private Care: Specialist gynaecologists experienced in adolescent health.
- Supportive, Confidential Environment: Age-appropriate care that respects privacy and comfort.
- Comprehensive Assessment & Imaging: Access to advanced diagnostic services if required.
- Remote Consultation Options: Virtual appointments for convenience and safety.
- Collaborative Care: Working closely with families and primary care providers where appropriate.
Our goal is to provide safe, effective treatment and expert advice to support your pelvic health and wellbeing

Frequently Asked Questions
Many women begin to notice an improvement in their symptoms within a few weeks, although it can take up to three months to experience the full benefits. Your treatment may be adjusted during follow-up appointments to ensure it is working effectively.
Some women experience mild side effects when starting HRT, such as breast tenderness, headaches, bloating or irregular bleeding. These are often temporary and usually improve as your body adjusts to the treatment.
There is no strong evidence that HRT causes weight gain. Weight changes are common during menopause due to hormonal changes and ageing, but HRT may help improve symptoms that make it easier to maintain a healthy lifestyle.
Yes. Many women begin HRT during perimenopause if they are experiencing troublesome symptoms. Your specialist will recommend the most appropriate type of HRT depending on whether you are still having periods.
Yes. We offer secure video consultations for assessment, advice, and follow-up, ensuring expert care from home.
Yes. If you have had a hysterectomy, you will usually only need oestrogen-only HRT, as progesterone is generally not required.
There is no fixed limit on how long you can take HRT. The decision is based on your symptoms, health and personal preferences. Your treatment will be reviewed regularly to ensure the benefits continue to outweigh any potential risks.
Yes. Regular follow-up appointments allow your specialist to monitor your symptoms, review your treatment and make any adjustments needed to ensure you continue to receive the maximum benefit from HRT.
Book Your Private HRT Consultation in Birmingham & the Midlands
If menopause symptoms are affecting your daily life, we’re here to help. Our specialist-led HRT consultations provide a thorough assessment of your symptoms, medical history and treatment options, allowing us to create a personalised care plan that’s right for you.
Book your appointment today and take the first step towards feeling like yourself again.
Our Charges
| Appointment Type | Pricing |
| Initial Consultation | £240.00 |
| Follow-up | £150.00 |
Have Questions? Contact Us
Not sure which women’s health or gynaecology service is right for you?
Our friendly team at Midlands Women’s Health, a private women’s health clinic in Birmingham, is here to help
Get in Touch With Us
Phone
Address
Kat and Co, 20 Calthorpe Road, Edgbaston, B15 1RP
We provide fast, confidential, and patient-centered care to women across Birmingham and the Midlands.
Let us help you take the next step towards better pelvic health, personalised gynaecology care, and improved quality of life.




