Services

• Hormonal coil insertion- £445 
• Hormonal coil removal and insertion £545
• Copper coil insertion- £345
• Copper coil removal and insertion £445
• Removal of a coil -£245

This includes an initial consultation (up to 20 minutes, either in person, via video link or by phone), the cost of the device, an appointment to fit the device with  your specialist.

If you have the coil prescribed and in your posession already then the cost of the device will be deducted from the above prices.

(If for any reason the device cannot be fitted during the appointment there will be a charge of £195 for the time and expertise of the doctor.) 

All appointments for either a contraception implant intrauterine device will be with myself and a health care assistant (HCA) who also acts as a chaperone. (See our chaperone policy) 

A detailed consent form will be sent to you following the initial consultation and once signed it will be saved onto your notes.  

These appointments cannot be made online, but please do email the clinic if you would like to book a device fitting and we can arrange a suitable appointment for you.  

Contact: info@timetopause.co.uk

ADDITIONAL INFORMATION

Contraception is usually needed up until the age of 55. 

There are two main types of coils: 

Hormonal coil:  

• Most types work for 5 years or more.  

• As well as providing contraception, an IUS is good if you have heavy or painful periods as it usually lightens or stops your period. 

Copper coil:  

• This coil can be used for emergency contraception as well as ongoing contraception. 

• Most types work for 5 or 10 years. 

• There are absolutely no hormones, so your periods will continue (they may become longer, a little more heavy and painful). 

For more information on your contraception choices and when you should stop taking contraception please see below and the following websites:  

 https://www.contraceptionchoices.org/ 

 https://patient.info/sexual-health/contraception-methods/contraception-for-the-mature-woman 

•  Implant insertion – £295

This includes an initial consultation (up to 10 minutes via video link or telephone call), to discuss the procedure, the cost of the device and an appointment to fit the device with the doctor.

• Implant removal – £195

This includes an initial consultation  (up to 10 mins via video link or telehone call) to discuss the procedure and an appointment to remove the implant with the doctor.

• Implant removal and insertion- £365

This includes an initial consultation (up to 10 minutes via video link or telephone call), to discuss the procedure, the cost of the device and an appointment to remove and fit the device with the doctor.

These appointments cannot be made online, but please do email the clinic if you would like to book a private smear and we can arrange a suitable appointment for you.  

Contact: info@timetopause.co.uk

• Know your numbers Consultation: £275* In person or online

Have you ever had a NHS health screen at your GP surgery and thought you would like a bit more time to go over what the results really mean? This is an opportunity to discuss your exisiting blood tests** in detail, as well as exploring your risk of osteoporosis, any indication of declining kidney function, diabetes and lifetime risk of cardiovascular disease.

I’ll also discuss what the normal targets are and  what can be done to improve your targets or reduce your indivual risk.

The consultation includes:

• A Pre-Appointment Questionnaire 
• Up to 40 minute consultation
• Full discussion of your blood results** which must have been taken within 3 months and include the following: Full blood count (FBC), kidney function (U&E’s) , liver function (LFT’s) , bone profile ( calcium ) diabetes test (HbA1c) , lipid (cholesterol profile).
• Discussion of what your urinary ACR means ( urine test for looking for protein) if you have had one. 
• FRAX Score ( risk of osteoporosis)
• Kidney Risk score
• Lifetime cardiovascular risk 
• What your target value’s should be
• Detailed report sent to you

I don’t always check a patients’ BP in the clinic as it can be falsely raised. I do ask that you take some readings before you see me. If you don’t have a machine this will be clarified in the pre appointment questionnaire. 

You will also receive a detailed report with individualised advice and information on how to improve your health – and any other actions that need to be taken. This may include medication that would be of benefit to you.*** 

Depending on your individual history I may ask for further investigations to be done after I have seen you. These would incur an additional charge. These may include:  

• Apolipoprotein B (apoB) 
• Lipoprotein a (Lp a) 
• ACR (to check if your kidneys are leaking)
• BNP (may indicate heart failure)
• ECG   (tracing of your heart)
• Echocardiogram  ( scan of your heart)
• DEXA scan (scan of your bones)

Alternatively:

• Know your numbers Consultation and comprehensive screening package. £475 In person or online

This includes comprehensive blood tests (including blood tests not routinely available on the NHS) and 2 urine samples to look for blood in the urine and how the kidney’s are working. 

• A Pre-Appointment Questionnaire 
• Up to 40 minute consultation
• Full discussion of your blood results   -see below
• FRAX Score ( risk of osteoporosis)
• Kidney Risk score
• Lifetime cardiovascular risk 
• What your target value’s should be
• Detailed report sent to you

Bloods included: Full blood count, Kidney function, liver function, lipids ( cholesterol), bone profile and diabetes, Iron / ferritin, thyroid, Vit B12 and folate, Vit D, CRP as well as Lpa, ApoB (the latter are NOT available routinely on the NHS and elevated levels are an independent risk factor for cardiovascular disease.)

If you need any further information on these tests, please don’t hesitate to get in touch by emailing info@timetopause.co.uk 

*Assuming no additional bloods have been requested by Time to Pause in the first place. 

** Recent bloods must have been taken within 3 months by your GP and must include as a minimum: Full blood count, bone profile, cholesterol, diabetes check and kidney function. Ideally a urine test called ACR if you have had one ( This checks for protein in your urine).

***Any medication prescribed would incur a private prescription cost. 

These appointments cannot be made online, but please do email me if you would like to book into this clinic and I can arrange a suitable appointment for you.

Contact: info@timetopause.co.uk

ADDITIONAL INFORMATION

At Time to Pause I want women to feel empowered about all aspects of their health. I passionately believe in preventative medicine. Knowledge is power and understanding your own individual risks is key in trying to keep fit and healthy as we age. 

Cardiovascular Disease (CVD) which includes heart disease and stroke is the leading cause of death in women. The number of women with CVD is increasing due to the pandemic of obesity and associated cardiovascular risk factors such as diabetes, high cholesterol and blood pressure.  

We know there are clear differences between men and women such as age of onset, risk factors, diagnosis and treatment of CVD. 

The diagnosis of heart attacks and strokes are often delayed or missed in women. Early warning signs present differently in women than men. In fact, we know that standard angiograms that look for blocked vessels often do not pick up the smaller microvascular changes that occur in women. Unfortunately, too many women are falsely reassured. 

Even universal risk factors such as smoking, high blood pressure and diabetes have more of an impact on women’s cardiovascular health than in men. 

Women also have sex specific cardiovascular risk factors which include a past medical history of PCOS, endometriosis, gestational diabetes, hypertension disorders of pregnancy such as pre-eclampsia. 

As women age, they can experience weight again, this can lead to insulin resistance and diabetes, cholesterol can rise and women tend to find their systolic blood pressure increases (that’s the number on the top). Women often won’t have any physical symptoms to indicate these changes. 

So, know your numbers and get checked. 

At Time to Pause, I am aware that women are already feeling vulnerable. Therefore it is important to know that NHS health checks are available for women between 40-75 years old.  (https://www.nhs.uk/conditions/nhs-health-check/)  

However, having worked in the NHS for 17 years I know that NHS health checks do not answer all the questions that patients have. Screening is very basic and information is far too generic. More importantly a woman’s CVD risk is often under estimated and I feel strongly that the time given to explain your individual results is lacking hence the need for  these Know your numbers Clinics.

Pricing: £195

This includes the cost of the 20 minute appointment and the laboroatory processing fee.

These appointments cannot be made online, but please do email the clinic if you would like to book a private smear and we can arrange a suitable appointment for you.

Contact: info@timetopause.co.uk

ADDITIONAL INFORMATION

There are around 3,300 new cervical cancer cases in the UK every year, that’s around 9 every day (2017-2019). 

Cervical screening (a smear) helps prevent cervical cancer. In England cervical screening currently prevents 70% of cervical cancer deaths. If everyone attended screening regularly, 83% could be prevented. 

Cervical screening is for women and people with a cervix, the cervix is the entrance to your womb (inside your body at the top of your vagina). Having cervical screening lowers your chances of getting cervical cancer. Screening finds abnormal cells so they can be removed before they become cancerous. 

What happens at a smear test?  

At your screen a female nurse or doctor will insert a speculum, check that your cervix looks healthy and take a sample of cells from your cervix; these are then sent to the lab to check for HPV, the virus that causes cervical cancer. If the result is negative, it is highly unlikely you have any abnormal cervical cells and we advise you to be rescreened in 3-5 years. If HPV is found then the lab will look at the sample for abnormal cells (cytology). If there are no abnormal cells you should have another screen in 12 months. If there are abnormal cells we will advise you how to be referred to gynaecology for further investigation and treatment called a colposcopy.  

Isn’t a cervical smear available on the NHS? 

While cervical screening is available on the NHS, we know that for many midlife women particularly, this can be an uncomfortable experience. While the actual test only takes about 10 minutes, our appointments are 20 minutes long, to allow you plenty of time for questions, to feel prepared, and to recover afterwards. Women find that this helps to make this test much more comfortable. 

How often should I be screened? 

The NHS offers screening every 3 years from age 25 to 49 and every 5 years from age 50 to 64. This is because most cervical cancers occur in women between these ages. Some people are screened more often due to a previous screening result.  

At Time to Pause we are happy to screen women >25 years annually. We would not recommend that women <25 are screened as rates of cervical cancer are low in this age group and it is common to pick up minor abnormalities that clear up on their own. Women under 25 years who have symptoms they are concerned about should see a doctor and be examined.  

You should consider having screening regardless of your sexual orientation, sexual history, or whether you have had the human papillomavirus (HPV) vaccination. 

Having a cervical screen privately will not affect your eligibility for your next NHS screening test when it is due. 

Sadly screening cannot prevent every cervical cancer so if you have any symptoms such as unusual bleeding between periods, after sex or after the menopause, or unusual vaginal discharge, please speak with your GP as soon as possible.  

For patient information leaflet on Cervical Screening at Time to Pause, (click here for PDF). 

Or visit https://www.cancerresearchuk.org/about-cancer/cervical-cancer

• Private prescription fee – £30

Medication costs are not included in this fee and are paid to the pharmacy directly.

Example costs of some HRT preparations include:

• Letter charge – £30

If you require a referral for onward investigations, referral to external hospital specialists or a private letter for another reason, this charge will be applied.

• Email correspondence – £30

Your first consultation fee includes one follow-up email if you have any additional questions within eight weeks of your initial consultation. Further email communication incurs a fee. If you have lots of additional questions, I may suggest scheduling a follow-up consultation to address any queries with you in detail. We aim to respond to any email queries as quickly as possible, please allow up to 5 working days for a response.

Payment for consultations must be received in full prior to your appointment.

Charges for prescriptions, letters or blood tests should be paid in full on the day of your appointment. Medication costs are payable directly to the pharmacy.