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Woman consulting a GP online about perimenopause treatment
Private GP-led menopause care

Perimenopause treatment that actually works for you

Getting the right perimenopause treatment shouldn't take months of waiting or dismissive consultations. Our specialist GPs understand your symptoms and can prescribe effective treatment from your first appointment.

  • Hormone replacement therapy prescribed where suitable
  • Non-hormonal options for those who cannot take HRT
  • Book today, speak to a specialist GP tomorrow
Start 2-minute symptom check
Rated 4.8 out of 5 on Trustpilot
Not suitable for emergencies. If you are in immediate danger, call 999.

What are the most effective perimenopause treatments?

The most effective perimenopause treatments include hormone replacement therapy (HRT), which can dramatically reduce hot flushes, night sweats and mood changes. Body-identical HRT using estradiol gel and micronised progesterone is usually the first choice for women who can safely take hormones. For those who cannot use HRT, non-hormonal options like gabapentin, clonidine or certain antidepressants can provide significant relief.

The key to successful treatment is finding the right approach for your individual symptoms and health history. Our online menopause care pathway ensures you receive evidence-based treatment tailored to your specific needs, often within 24 hours of booking.

Important: Not suitable if you're under 40 years old, have unexplained vaginal bleeding, current breast cancer or history of blood clots or stroke. These conditions require specialist assessment.
Last reviewed: May 2026 · GP-led clinical content

Is online perimenopause treatment right for you?

Our specialist menopause GPs can help many women manage their perimenopause symptoms effectively through secure video consultations.

When online care may not be suitable

Certain conditions require face-to-face assessment or specialist referral before starting perimenopause treatment.

  • Under 40 with possible POI – needs specialist referral
  • Unexplained vaginal bleeding
  • History of breast cancer, blood clot or stroke
  • Severe migraines with aura requiring specialist input

Perimenopause treatment options compared

Understanding your treatment choices helps you make informed decisions about managing your perimenopause symptoms.

OptionWhat it may help withImportant notes
tapMenopause (online GP)HRT prescriptions, non-hormonal treatments, ongoing monitoring and supportSpecialist menopause GPs available same day. Complete menopause care pathway with follow-up included.
NHS GPBasic HRT prescriptions, referrals to menopause clinicOften long waits for appointments. May lack specialist menopause training.
NHS menopause clinicComplex cases, specialist HRT formulationsWaiting times often 3-6 months. Usually requires GP referral first.
Urgent careSevere symptoms or immediate dangerCall 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 treatment online

Our streamlined menopause care pathway connects you with specialist GPs who understand perimenopause and can prescribe effective treatments quickly.

Book online in minutes Speak by secure video or phone Prescription sent to your phone
1Woman completing online perimenopause symptom assessment

Complete symptom assessment

Tell us about your periods, symptoms and health history through our secure online form. This helps our GPs understand your individual situation.

2-minute check
2Confident woman after receiving effective perimenopause treatment

Video consultation with specialist GP

Speak with a menopause-trained GP who will discuss your symptoms, treatment options and create a personalised care plan.

GP-led assessment
3Happy woman receiving prescription and ongoing support

Prescription and ongoing support

Receive your prescription digitally and access continued care including treatment adjustments and regular check-ins as needed.

Personalised care plan

Why choose tapMenopause for perimenopause treatment?

Our regulated service combines clinical excellence with convenience, ensuring you receive safe and effective treatment.

CQC-regulated servicetapMenopause is provided by tapGP – registered and regulated by the Care Quality Commission.
Same-day appointments availableBook today and speak with a specialist menopause GP as early as tomorrow morning.
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 treatment

Get answers to common questions about managing perimenopause symptoms and accessing treatment online.

What is the best treatment for perimenopause symptoms?+
The most effective treatment for perimenopause is usually hormone replacement therapy (HRT), particularly body-identical formulations using estradiol gel or patches plus micronised progesterone. This can significantly reduce hot flushes, night sweats, mood changes and other symptoms. For women who cannot take HRT, non-hormonal options like gabapentin, clonidine or certain antidepressants can be effective alternatives.
Can I get HRT prescribed online for perimenopause?+
Yes, our specialist menopause GPs can prescribe HRT online where clinically appropriate. After assessing your symptoms, health history and any risk factors, they will discuss whether HRT is suitable for you and prescribe the most appropriate type and dose. All prescriptions are sent electronically to your chosen pharmacy.
How quickly can I start perimenopause treatment?+
With tapMenopause, you can often start treatment within 24-48 hours. Complete our online assessment, book a same-day or next-day consultation with a specialist GP, and if treatment is appropriate, receive your prescription immediately. This is much faster than typical NHS waiting times.
What if HRT isn't suitable for me?+
If HRT isn't appropriate due to your medical history, our GPs can discuss non-hormonal alternatives. These might include gabapentin for hot flushes, clonidine for vasomotor symptoms, or certain antidepressants. Lifestyle modifications and cognitive behavioural therapy can also be helpful for managing symptoms.
Will I need regular monitoring while on perimenopause treatment?+
Yes, ongoing monitoring is important with any perimenopause treatment. Our GPs will schedule appropriate follow-up appointments to check how you're responding to treatment, adjust doses if needed and monitor for any side effects. The frequency depends on your individual treatment plan.
Is online perimenopause treatment as effective as seeing a GP in person?+
For most women with typical perimenopause symptoms, online consultations with specialist menopause GPs can be just as effective as face-to-face appointments. Our doctors are specifically trained in menopause care and can assess symptoms, prescribe treatment and provide ongoing monitoring through secure video consultations.
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.

Ready to find the right perimenopause treatment for you?

Don't let perimenopause symptoms control your life. Our specialist GPs understand what you're going through and can provide effective online menopause care tailored to your individual needs – often with same-day appointments available.

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