How Much Does Private HRT Cost in the UK? Service-Level Cost Guide (2026)
What private HRT costs are made of in the UK: consultations, follow-up reviews, blood tests and prescription fees, and where named providers' published fees are listed. UK regulations restrict advertising prescription medicines to the public, so medicine prices are not displayed.
10-second answer
- Private HRT cost is usually consultation plus prescription plus monthly medicine cost.
- Check whether follow-ups, blood tests and prescription issuing fees are included.
- NHS HRT is much lower-cost where accessible, so compare private speed and choice against NHS cost.
Going private for HRT is common in the UK. Some women wait for a referral to an NHS menopause specialist, and some want more time to discuss their options than a GP appointment allows.
This guide sets out what a private HRT cost is made of. The fees named providers publish are listed, each with its source, on our HRT consultations page.
Important information for UK consumers. HRT products are prescription-only medicines (POMs) in the UK. UK Human Medicines Regulations 2012 restrict the advertising of prescription medicines to the public, so this article describes the service-cost framework of a UK private HRT consultation, not the price of any medicine. Whether any HRT product is clinically appropriate for you is a decision for a UK-registered prescriber following an assessment.
The components of HRT cost
Private HRT isn't a single fee. It is made up of several components:
- Initial consultation: the specialist assessment
- Follow-up consultations: usually one or more a year
- Medication: the HRT itself, priced by the dispensing pharmacy
- Blood tests: if the clinician recommends them
- Prescription fee: some providers charge separately for issuing a private prescription
Consultation costs
Initial and follow-up consultations are priced separately, and providers differ on appointment length and on what the fee includes. The fees named providers publish are listed on the HRT consultations page, each with the page it was read from.
Some providers include the prescription in their consultation fee. Others charge separately for issuing a private prescription. Ask before booking.
The initial consultation usually includes:
- Full menopause symptom assessment
- Review of medical history
- Discussion of treatment options
- Initial prescription, where appropriate
See the initial and follow-up consultation fees UK menopause providers publish.
Compare HRT consultations pricesMedicine cost structure
HRT medicines are prescription-only in the UK and are priced by the dispensing pharmacy at the point of dispensing. UK Human Medicines Regulations 2012 restrict the advertising of prescription medicines to the public, so this page does not list medicine prices. The structure looks like this:
| Pharmacological category | Delivery format | What drives cost |
|---|---|---|
| Oestrogen | Transdermal gel, patch or spray; or oral tablet | Dose, supply length, pharmacy dispensing fee |
| Progestogen | Body-identical micronised capsule or synthetic combined product | Dose, supply length, combined-vs-separate prescribing |
| Intrauterine progesterone system | Fitted device | One-off fitting fee, lasts several years |
| Testosterone (off-label) | Transdermal application | Availability and prescribing pattern |
| Vaginal oestrogen | Pessary, cream or ring | Local treatment, minimal systemic absorption |
The specific licensed product within each category is a clinical decision for the prescriber. Ask the dispensing pharmacy for an itemised receipt showing the medicine cost and any dispensing fee separately.
Patient information on UK HRT delivery formats (transdermal, oral, vaginal) and the service-cost components around them.
Compare HRT delivery formats pricesBlood tests
Some menopause specialists recommend baseline blood tests and periodic monitoring; others do not routinely test. Some consultation packages include blood tests. Check what is included before booking.
Year one and after
The first year usually costs the most, because it includes the initial assessment. After that, most people need only follow-up reviews and repeat prescriptions. No total is given here: it would need the medicine cost, which is not displayed under UK rules, and each provider's mix of fees differs.
Private vs NHS
On the NHS in England, HRT items carry the standard prescription charge unless you are exempt. The NHS HRT prescription prepayment certificate covers eligible HRT items for 12 months for one fixed charge; NHS.uk publishes the current amount. Prescriptions are free in Scotland, Wales and Northern Ireland.
Our HRT page sets out the NHS and private routes side by side.
How to keep private HRT costs down
- Compare what each fee includes: appointment length, prescription and blood tests
- Ask about packages: some clinics bundle consultations, blood tests and prescriptions
- Ask about NHS prescribing: some private menopause specialists recommend a treatment your GP can continue prescribing on the NHS
- Check whether blood tests are included
- Check whether the prescription is in the consultation fee
See consultation and prescription fees published by regulated UK menopause providers.
Compare HRT providers pricesRelated guides
- Types of HRT Available in the UK: patches, gels, tablets, and sprays explained
- Testosterone for Women: why it is prescribed and where to get it
- NHS vs private HRT: route, cost and access differences
- Menopause clinic cost UK: private consultation and follow-up fees
- HRT prescription cost UK: NHS and private repeat-prescription costs
Healthcare data note
Sources, review and limits
Main sources
- NHS HRT prescription charge information
- British Menopause Society information
- GMC registration checks
- TreatCompare HRT provider price tracking
Methodology: We compare published consultation, prescription, medicine and monitoring prices from private menopause and HRT providers. Costs vary by medicine, route, follow-up schedule and whether NHS prescribing is possible.
Important context
TreatCompare uses public data, provider-published information, official datasets, structured research and analysis. Figures can change and may not be complete in real time. Use this page for research and comparison only, then verify directly with the relevant provider.
- Source type
- Named public and provider sources
- Primary source
- NHS HRT prescription prepayment certificate
- Reporting period
- 2026-10-26
- Last updated
- 2026-10-26
- Figure type
- Mixed sources
- Use
- Research and comparison only
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Frequently asked questions
How much does private HRT cost in the first year?
It depends on the provider's model: an initial consultation, usually one or two follow-up reviews, any blood tests, and sometimes a separate prescription fee, plus the medicine, which the dispensing pharmacy prices. Our HRT consultations page lists the fees named providers publish, each with its source. No first-year total is given here, because the medicine cost is not displayed under UK rules and the other components vary by provider.
How much do private menopause consultations cost?
Our HRT consultations page lists the initial and follow-up consultation fees named UK menopause providers publish on their own pages. Check how long the appointment is, whether the prescription is included in the fee, and whether blood tests are included.
How are HRT medicine costs structured privately each month?
The medicine itself is priced by the dispensing pharmacy at the point of dispensing. UK Human Medicines Regulations 2012 restrict the advertising of prescription-only medicines to the public, so TreatCompare does not display medicine prices. The monthly total depends on the product the prescriber recommends, the dose, the supply length and the pharmacy's dispensing fee. Ask the pharmacy for an itemised receipt.
How does NHS HRT compare with private HRT on cost?
On the NHS in England, HRT items carry the standard prescription charge unless you are exempt, and the NHS HRT prescription prepayment certificate covers eligible HRT items for 12 months for one fixed charge. NHS.uk publishes the current charges. Prescriptions are free in Scotland, Wales and Northern Ireland. Some women go private because of waits for specialist referral or to discuss options in more depth.
Are blood tests included in private HRT costs?
Not always. Some consultation packages include blood tests and some charge for them separately. Check what is included before booking.
How can I reduce the cost of private HRT?
Compare what each provider's consultation fee includes, ask about packages that bundle consultations, blood tests and prescriptions, ask whether the specialist will recommend a treatment your NHS GP can continue prescribing, and check whether blood tests and the prescription are in the fee.
Sources & further reading
- NHS HRT prescription prepayment certificate — NHS HRT prescription prepayment certificate
- British Menopause Society — UK menopause and HRT clinical context
- General Medical Council — Doctor registration checks
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Private HRT Prices
Compare consultation and prescription costs from UK menopause specialists.
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