PERIMENOPAUSE
Perimenopause Symptoms
Assessment of perimenopausal symptoms with time to review cycle changes, associated symptoms, and whether treatment or investigation may be appropriate.
SYMPTOMS
Variable
Pattern differs between women
GP
30 min
Full clinical assessment
Perimenopause is the stage preceding menopause, and for many women it is the most difficult phase to interpret.
Periods may still be occurring, but the cycle becomes less predictable. Sleep may become more disrupted. Mood may feel less stable. Some women experience flushing, night sweats, anxiety, reduced concentration, headaches, fatigue or vaginal dryness. Others report a general sense that they do not feel as well as they did previously, without being sure why.
Because symptoms can develop gradually and may fluctuate from month to month, perimenopause is often less obvious than patients expect. It sits within the broader scope of women’s health assessment at Basuto. For broader menopause care, investigation and treatment, see menopause and HRT.
Common Symptoms
Symptoms that may indicate perimenopause
- Irregular periods, heavier or lighter bleeding, skipped periods
- Hot flushes and night sweats
- Sleep disturbance
- Anxiety, irritability and low mood
- Reduced concentration and fatigue
- Headaches and joint aches
- Vaginal dryness and reduced libido
- A general decline in resilience or wellbeing
Not all women experience the same pattern. In some, the main issue is menstrual change. In others, sleep, mood or cognitive symptoms are more significant.
PRICING
Simple, Transparent Pricing
Pay as you go at £150 per consultation, or save with a membership plan. Prescriptions, referral letters and sick notes are always included — no hidden fees.
For patients who expect to use the practice regularly, membership includes priority booking, included prescriptions and referrals, and continuity with a named GP.
Pay As You Go
£150
per consultation
✓ 30-minute GP consultation
✓ Prescription included
✓ Referral letter included
✓ No commitment
Adult Membership
£85/month
per month
✓ 10 GP appointments/year
✓ Priority same-day booking
✓ All prescriptions included
✓ Named doctor continuity
Diagnosis
Why perimenopause can be difficult to recognise
Symptoms of perimenopause overlap with many other common issues, including stress, poor sleep, thyroid dysfunction, anaemia and depression. This means a symptom list alone is not enough.
A proper assessment helps establish whether the pattern is likely to be hormonal, whether another cause should be considered, and whether tests or treatment are appropriate.
Investigation
Is blood testing always necessary?
Not always. In some women, the history strongly suggests perimenopause. In others, blood tests may help clarify the picture or exclude another cause.
Where testing is relevant, this may include hormone blood tests or thyroid blood tests.
When to Book
When to book an appointment
It is usually worth arranging assessment if symptoms are affecting:
- Sleep
- Work
- Concentration
- Confidence
- Exercise tolerance
- Daily functioning
If cycle change is the main concern, see irregular periods and perimenopause. For a broader symptom list, see 34 symptoms of perimenopause.
Same-day appointments available. Book online or call 020 7736 7557.
Patient Reviews
Patient Feedback
★★★★★
“It’s a great friendly practice and the GP has an extremely friendly approach and gives you plenty of her time and is excellent with diagnosis. It has a warm friendly atmosphere.”
Verified Patient
GP Consultation · Doctify Verified
★★★★★
“Thorough and considered consultation with the doctor who gave me plenty of time and attention and treated a number of different ailments. I was phoned back later the same day by the doctor as a follow-up. I have been using Basuto Medical Centre for years, they are an excellent medical practice.”
Verified Patient
Women’s Health · Doctify Verified
★★★★★
“I called at 5.15pm, in pain and knowing that I needed antibiotics. In five minutes the receptionist had spoken to the doctor and she called me back for a telephone consultation. By 6pm I had picked up my filled prescription. I simply could not have asked for better service.”
Verified Patient
Same-Day Care · Doctify Verified
YOUR DOCTORS
Clinical Team
Care led by experienced GMC-registered GPs. Committed to provide thorough care and clear clinical decision-making.
How to Book
Book a perimenopause assessment
Basuto Medical Centre provides private perimenopause assessment in Fulham, with time to review your symptoms properly, consider whether investigation is needed, and discuss treatment options including HRT where appropriate. You can also visit our main menopause and HRT page or the broader women’s health hub.
CONDITIONS & CONCERNS
What we can help with
Private GP appointments cover the full range of general practice. You do not need to know what is wrong — if something is worrying you, that is reason enough to book.
Women’s Health
Menopause and HRT, contraception, cervical screening, fertility, pregnancy.
Men’s Health
Testosterone, erectile dysfunction, cardiovascular risk, prostate symptoms.
Children & Families
Paediatric consultations, vaccines, childhood infections, newborn checks.
Mental Health
Anxiety, depression, stress, burnout — GP assessment with integrated counselling.
Travel & Vaccines
Travel health, vaccinations, antimalarial prescriptions, fit-to-fly letters.
FIND US
Basuto Medical Centre
29 Basuto Road, London, SW6 4BJ
3-minute walk from Parsons Green station (District line)
Mon–Fri: 9am–6pm
Ready to discuss your symptoms?
Book an appointment to review perimenopause symptoms, consider whether investigation is needed, and discuss what may help.