How Much Does Private HRT Cost in the UK? Service-Level Cost Guide (2026)
Private HRT service-level costs in the UK: consultations from £49, follow-up reviews and blood tests. UK regulations restrict advertising prescription medicines to the public, so medicine-brand 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.
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 medicine cost
- Reporting period
- 2026-05-13
- Last updated
- 2026-05-13
- Figure type
- Mixed sources
- Use
- Research and comparison only
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If you believe information on this page is inaccurate, out of date, incomplete or presented without necessary context, contact us with the page URL and supporting evidence. We review correction requests promptly, but they are not automatically accepted.
How this guide was checked
TreatCompare uses published provider fees, official regulator registers, NHS/PBS/Medicare references where relevant, and the methodology described on our methodology page. If a clinic, provider or reader spots information that is out of date, they can use our corrections page. Prices are point-in-time and can change before booking.
Most useful next step
Compare current HRT options
This guide explains the costs. The live comparison pages show the current prices, providers and next actions.
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Article visitors often need one of three routes next: provider prices, a calculator, or a related guide that narrows the decision.
Going private for HRT is increasingly common in the UK. NHS waiting times for menopause specialists can stretch to 12+ months, and many women find their GP unwilling or unable to prescribe the specific HRT they need.
But how much does private HRT actually cost? Here's a realistic breakdown.
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 specific medicine brand. 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's made up of several components:
- Initial consultation — the specialist assessment
- Follow-up consultations — typically 2–3 per year
- Medication — the HRT itself (patches, gel, tablets, etc.)
- Blood tests — hormone levels, usually 1–2 per year
- Prescription charges — if dispensed via the provider's pharmacy
Consultation costs
| Type | Typical range | Notes |
|---|---|---|
| Initial consultation | £150–465 | 30–60 minutes, full assessment |
| Follow-up | £85–250 | 15–30 minutes, review and adjust |
Some providers include the prescription in their consultation fee. Others charge separately for issuing a private prescription (typically £15–30).
The initial consultation is the biggest single cost. It typically includes:
- Full menopause symptom assessment
- Review of medical history
- Discussion of treatment options
- Initial prescription
Compare initial and follow-up consultation prices from verified UK menopause specialists.
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-brand 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
Most menopause specialists recommend baseline blood tests and periodic monitoring:
| Test | Typical cost | Frequency |
|---|---|---|
| Hormone panel (baseline) | £80–150 | Once before starting |
| Follow-up hormone levels | £50–100 | Every 6–12 months |
| Full blood count + thyroid | £80–120 | Annually |
Some consultation packages include blood tests. Check what's included before booking.
Total first-year estimate
Here's a realistic estimate for the first year of private HRT:
| Service component | Low estimate | Mid estimate | High estimate |
|---|---|---|---|
| Initial consultation | £150 | £250 | £400 |
| Follow-ups (x2) | £170 | £300 | £500 |
| Blood tests (x2) | £100 | £200 | £300 |
| Service-cost subtotal | £420 | £750 | £1,200 |
| Medicine cost (set by dispensing pharmacy) | priced separately | priced separately | priced separately |
| Year-one service total | £620 | £1,110 | £1,800 (estimate excluding the dispensing-pharmacy medicine cost, which is not displayed under UK rules) |
Year 2+ is typically 30-40% lower-cost than year 1, as you only need follow-up consultations (no initial assessment) and your medication is usually stable.
Private vs NHS: cost comparison
On the NHS, HRT medication costs a standard prescription charge (£9.90 per item in England). A Prepayment Certificate (PPC) caps this at £31.25/quarter or £111.60/year regardless of how many items you need.
The NHS route is dramatically lower-cost if you can access it — but many women struggle to get the specific HRT they need from their GP, or face long waits for specialist referral.
Our NHS vs Private HRT calculator can help you estimate the comparison for your specific situation.
How to reduce private HRT costs
- Compare consultation prices — there's a 3x difference between the lower-cost and most expensive providers
- Ask about package deals — some clinics offer annual packages including consultations, blood tests, and prescriptions
- Use NHS prescriptions where possible — some private menopause specialists will write an NHS prescription for standard HRT, which your GP can continue
- Check if blood tests are included — some consultations include bloods, saving £80–150
- Look for providers that include prescriptions — marked as "Prescription included" in our comparison
Compare HRT consultation and prescription costs from regulated UK menopause specialists.
Compare HRT providers pricesGetting started
The first step is booking an initial consultation with a menopause specialist. All providers on TreatCompare are GMC, GPhC, or CQC regulated.
Use our estimated first-year cost calculator on the HRT consultations page to see the full picture before you book.
Related guides
- Types of HRT Available in the UK — patches, gels, tablets, and sprays explained
- Testosterone for Women — why it is prescribed, cost, and where to get it
- NHS vs private HRT - compare 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
Frequently asked questions
How much does private HRT cost in the first year?
A realistic first-year estimate is £620 (low) to £1,800 (high), with a mid estimate of £1,110. This includes initial consultation (£150–£400), two follow-ups (£170–£500), 12 months of medication (£200–£600), and two blood tests (£100–£300). Year 2 onwards is typically 30–40% lower-cost because you only need follow-ups and stable medication.
How much do private menopause consultations cost?
Initial consultations typically cost £150–£465 (30–60 minutes for full assessment), and follow-ups £85–£250 (15–30 minutes). Some providers include the prescription in the consultation fee; others charge separately for issuing a private prescription, typically £15–£30. There's roughly a 3x difference between the lower-cost and most expensive providers.
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-brand prices. The total a patient pays each month is a function of the licensed product the prescriber recommends, the dose, the supply length and the pharmacy's dispensing fee. Ask the pharmacy for an itemised dispensing receipt.
Is private HRT lower-cost than NHS HRT?
No — NHS HRT is dramatically lower-cost if you can access it. NHS HRT costs the standard prescription charge (£9.90 per item in England), capped via a Prepayment Certificate at £31.25/quarter or £111.60/year regardless of how many items. Private is the route many women take because GPs may be unwilling or unable to prescribe their preferred HRT, or due to long waits for NHS specialist referral.
Are blood tests included in private HRT costs?
Not always. Baseline hormone panels typically cost £80–£150, follow-up hormone levels £50–£100 every 6–12 months, and full blood count plus thyroid £80–£120 annually. Some consultation packages include bloods — check what's included before booking, as this can save £80–£150.
How can I reduce the cost of private HRT?
Compare consultation prices (3x range between providers), ask about annual packages bundling consultations, blood tests and prescriptions, look for specialists who write NHS prescriptions for standard HRT (your GP can continue these), check if blood tests are included, and choose providers that include the prescription in the consultation fee. All TreatCompare providers are GMC, GPhC, or CQC regulated.
Sources & further reading
- NHS HRT medicine cost — 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
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