Private GP-led menopause care

Understanding perimenopause symptoms and getting the help you need

Perimenopause symptoms can be confusing and disruptive. Our experienced GPs understand what you're experiencing and can help with an assessment and personalised treatment plan without the lengthy NHS waiting times.

Expert assessment of irregular periods and hormone changes
Same-day GP consultations available by video or phone
Personalised treatment plans including HRT where suitable

Start 2-minute symptom check

Not suitable for emergencies. If you are in immediate danger, call 999.

What are the main perimenopause symptoms?

Perimenopause symptoms typically begin in your 40s as hormone levels start to fluctuate. Common early signs include irregular periods, hot flushes, night sweats, mood changes and difficulty sleeping. Many women also experience anxiety, brain fog, joint aches and changes in skin and hair.

The perimenopause phase can last several years before your periods stop completely. Our GPs specialise in identifying these symptoms early and creating treatment plans that help you feel more like yourself again. We offer comprehensive online menopause care with same-day appointments and personalised support.

This service is not suitable if you're under 40 with possible early menopause, have unexplained vaginal bleeding or a history of breast cancer, blood clots or stroke.

Last reviewed: May 2026 · GP-led clinical content

Is online perimenopause care right for you?

We can help if you're experiencing symptoms and need expert guidance on managing this transition.

May be suitable if you

Our GPs can assess and support you through perimenopause symptoms.

Have irregular periods or cycle changes in your 40s
Experience hot flushes, night sweats or mood swings
Want to explore HRT or lifestyle interventions
Need ongoing support and symptom monitoring

When online care may not be suitable

Some situations require face-to-face assessment or specialist referral.

Under 40 with possible POI — needs specialist referral
Unexplained vaginal bleeding
History of breast cancer, blood clot or stroke
Severe mental health symptoms needing urgent care

Your options for perimenopause symptom support

Different approaches can help manage perimenopause symptoms effectively.

Option	What it may help with	Important notes
tapMenopause (online GP)	Comprehensive symptom assessment, HRT guidance, lifestyle advice	Same-day appointments available. Specialist menopause care from £65.
NHS GP	Initial assessment, basic treatment options	May have waiting times. Referral to specialist clinic if needed.
Menopause specialist	Complex cases, second opinions, detailed hormone analysis	Long NHS waiting lists. Private consultations from £200+.
Urgent care	Severe symptoms or immediate danger	Call 999 or go to A&E immediately.

Start 2-minute symptom check A GP will advise on the most appropriate treatment for your symptoms.

How to get perimenopause support online

Our specialist menopause pathway makes it simple to get expert help with perimenopause symptoms.

Book online in minutes Speak by secure video or phone Prescription sent to your phone

Woman completing perimenopause symptom assessment

Complete symptom assessment

Tell us about your periods, symptoms and health history through our secure online questionnaire.

2-minute check

Happy woman after perimenopause consultation

Video consultation with GP

Discuss your symptoms and concerns with a menopause-trained doctor at a time that suits you.

GP-led assessment

Woman receiving perimenopause treatment plan

Get your treatment plan

Receive personalised recommendations including HRT options, lifestyle advice and ongoing support.

Personalised care plan

Safe, regulated perimenopause care you can trust

We're committed to providing the highest standards of menopause healthcare.

CQC-regulated servicetapMenopause is provided by tapGP — registered and regulated by the Care Quality Commission.

Same-day appointmentsMost patients can book and speak to a GP on the same day they apply.

NHS-trained GPsEvery consultation is with a GMC-registered doctor trained in the NHS with a specialist interest in menopause and women's health.

Not a crisis serviceIf you are in immediate danger, call 999 or go to A&E.

Frequently asked questions about perimenopause symptoms

Get answers to common questions about recognising and managing perimenopause.

At what age do perimenopause symptoms typically start?+

Most women begin experiencing perimenopause symptoms in their 40s, though it can start in the late 30s or early 50s. The average age is around 47, with symptoms typically lasting 4-8 years before periods stop completely.

How can I tell if my symptoms are perimenopause or something else?+

Perimenopause symptoms often include irregular periods, hot flushes, mood changes and sleep problems. However, these can overlap with other conditions. A GP assessment can help determine if your symptoms are hormone-related and rule out other causes.

Can I still get pregnant during perimenopause?+

Yes, you can still get pregnant during perimenopause as ovulation may still occur irregularly. Contraception is recommended until you've had no periods for 12 months if you're over 50, or 24 months if you're under 50.

Will HRT help with all my perimenopause symptoms?+

HRT can effectively treat many perimenopause symptoms including hot flushes, night sweats, mood changes and vaginal dryness. However, not all symptoms may improve and HRT isn't suitable for everyone. Your GP can discuss whether it's appropriate for you.

How long do perimenopause symptoms last?+

Perimenopause typically lasts 4-8 years, though this varies significantly between women. Some experience symptoms for just a few months while others may have them for over 10 years. Symptoms usually peak in the year before your final period.

Can lifestyle changes help manage perimenopause symptoms?+

Yes, lifestyle changes can significantly help manage symptoms. Regular exercise, a balanced diet, stress management, good sleep hygiene and limiting caffeine and alcohol can all reduce symptom severity. Your GP can provide personalised lifestyle advice.

When should I seek urgent help?+

If you have severe symptoms, feel unsafe or are in immediate danger, call 999 or go to A&E.

Start 2-minute symptom check Treatment is recommended only where clinically appropriate.

Get the perimenopause support you deserve

You don't have to navigate perimenopause symptoms alone. Our experienced GPs understand what you're going through and can provide the expert guidance and treatment options you need. Start your journey to feeling more like yourself again with our comprehensive online menopause care.

Start 2-minute symptom check Treatment is recommended only where clinically appropriate.

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