Arc HRT vs Voy: an honest comparison for women considering HRT
If you are choosing between private menopause clinics, Voy will be on your list. It is well marketed, the service is straightforward, and the pricing is clearer than most.
This is a fair comparison of the two, written by the clinic you would be choosing instead. Take it in that spirit, check the figures yourself before you decide, and know that prices change.
The headline difference
Voy charges around £99 for an initial 45-minute appointment, then from £89 a month for a treatment plan that bundles in three months of medication, messaging access and a monitoring blood test.
Arc HRT charges £99 for your initial consultation (currently reduced from £150). If you and your doctor decide to start treatment, it is then £69 a month. The membership covers your doctor: four scheduled reviews a year with your specialist, access to the clinical team in between, and prescriptions issued as part of your care. It does not cover your medication, which is pay as you go, at what it costs us plus a small margin. A full female hormone blood test, where you need one, is £110.
If you have the consultation and decide against treatment, that is where it ends. There is no monthly fee for a plan you are not on.
So we are more expensive to start with and less expensive to stay with. Over a year at list prices, Voy comes to roughly £1,167 and Arc to roughly £978.
That is not a like-for-like figure, and we are not going to pretend it is. Voy’s monthly fee includes your medication and a monitoring blood test; ours does not. Whether £978 plus your medication beats £1,167 with it included depends entirely on what you end up taking. For a woman on a low-cost regime it will. For a woman on an expensive one it may not.
Bundled or separate: which is better for you?
Bundling looks simpler. The catch is that everyone pays the same whether or not they need everything in the bundle.
If you need three months of medication and a monitoring test in your first quarter, a bundle can work out well. If you are settled on a treatment that costs very little, or you do not need a blood test this quarter, you are paying for things you are not using.
We would rather show you both numbers and let you decide. Ask any clinic you are considering to break a bundle down into the doctor’s time, the medication and the tests. If they will not, that tells you something.
The bit we think is indefensible
Voy currently prices a female testosterone blood test at around £69. Its testosterone test for men is around £35.
It is the same hormone, measured on the same analyser, from the same tube of blood.
Women’s testosterone circulates at much lower levels, and some laboratories charge more for the more sensitive assay used to measure it accurately. That is a real cost difference in some cases. But it does not account for a price close to double, and it is not explained anywhere a patient would see it.
We do not charge women more than men for the same test. Our £110 female hormone blood test is a full panel, covering oestradiol, FSH, LH, testosterone, SHBG and thyroid function, rather than a single hormone sold as an add-on.
This matters more than a few pounds. Testosterone is the part of HRT women most often struggle to get. Pricing it as a premium add-on, on top of a monthly fee, when the same clinic sells it to men for half, discourages exactly the women who most need the conversation.
Where we agree with Voy
- A proper appointment matters. Both services give you a real consultation with a clinician, not a questionnaire and a prescription.
- You should not need a blood test to start. If you are over 45 with typical symptoms, NICE guidance supports diagnosing menopause on symptoms alone.
- Ongoing review matters more than the first appointment. Getting HRT right takes adjustment.
Where we are different
Testosterone is central to what we do, not an upsell. Most women who come to us already have oestrogen and progesterone. What they do not have is testosterone, and often nobody has explained why. Read what we actually do about that.
We tell you when we are not the right service. If your periods stopped before 40, if you have bleeding after the menopause, or if something needs investigating first, we refer you. Here is exactly where that line sits.
We are part of a group that already does this. Arc HRT sits alongside Arc TRT, a doctor-led testosterone clinic with several years of experience in hormone therapy and monitoring. Female and male hormone care are not the same, but the discipline of testing properly, prescribing carefully and reviewing regularly transfers directly.
How to choose
Ask any clinic you are considering:
- What does the monthly fee actually buy, in appointments, and when does it start?
- What do medication and blood tests cost on top?
- Do you prescribe testosterone for women, and what do you charge to test it?
- Who will I see at my reviews, and how often?
- What would make you refer me elsewhere?
The last one is the most revealing. A clinic that cannot tell you when it would turn you away has not thought hard enough about when it should.
Prices quoted for Voy were checked in September 2026 from its public website and may have changed. Nothing here is a criticism of the clinical care Voy provides, which we are not in a position to judge.
