HRT built around you. Never off a template.
Most women are started on the same first product and left to see how it goes. At Arc, a doctor builds your plan around your symptoms, history and stage of menopause, then keeps adjusting it as your body changes.
- GMC-registered doctors
- Guided by NICE
- Reviewed four times a year
Example written plan
Perimenopause, age 47
- Oestrogen
- Body-identical estradiol
- How you take it
- Gel, through the skin
- Starting dose
- Set for your symptoms
- Progestogen
- Micronised progesterone, cyclical
- Also discussed
- Vaginal oestrogen, testosterone
- First review
- At three months
The usual route versus the Arc way.
HRT works best when it fits. Too often it does not, and women give up on treatment that could have helped. Here is what is different about how we do it.
Six decisions, made for you.
Tell us a little about you and watch how a plan changes. This is what a template can't do.
Tap what applies to see how your plan changes.
An illustration, not medical advice. Your doctor makes every decision with you, based on your full history.
Get your real plan · £99- 01
Which oestrogen
Likely for you Body-identical estradiol, for most womenBody-identical estradiol, the same hormone your ovaries make, is the starting point for most women. Your doctor explains why, and when something else makes sense.
- 02
How you take it
Likely for you Patch, gel, spray or tablet: whichever suits youOestrogen through the skin does not raise clot risk the way tablets can, which matters if you have migraines, a higher BMI or a family history of clots.
- 03
The right dose
Likely for you Set for your symptoms, then adjusted at three monthsStarted at the dose your symptoms need, then adjusted at review. Not left on a starter dose because that is what everyone gets.
- 04
Your progestogen
Likely for you Depends on whether you still have periodsIf you have a womb you need one to protect it. Which one, and whether you have a monthly bleed or none, depends on your stage and what suits you.
- 05
Testosterone, where it helps
Likely for you Only if low libido persists on HRTIf low libido persists once HRT is settled, your doctor can discuss testosterone, then monitor it with blood tests.
- 06
Everything else
Likely for you Vaginal oestrogen or non-hormonal options, if you need themVaginal oestrogen for dryness and urinary symptoms, and non-hormonal options if HRT is not right for you. You hear all of it, not just the prescription.
Your plan keeps changing because you do.
Perimenopause is years, not weeks. A plan that was right at 46 may not be right at 49. That is why reviews are built into the membership, not sold as extras.
- Before
Health questionnaire
Symptoms, cycle, medical and family history. Your doctor reads it before you meet.
- Day one
60-minute consultation
Your priorities, your options and your risks, talked through properly. You decide together.
- After
Your written plan
What you are taking, how, why, and what to expect in the first weeks. Delivered to your door.
- Month three
First review
What is working, what is not. Dose, route or progestogen adjusted if needed.
- Ongoing
Four reviews a year
Your plan keeps pace as perimenopause becomes menopause and your needs change.
Personalised care, without a premium.
Every patient gets a personalised plan. There is no basic tier.
- 1 Doctor consultation £99
£150one-off, by video. No commitment. - 2 Membership, only if you start treatment £69 a month. Four reviews a year, prescriptions and the clinical team. Cancel any time.
- 3 Medication and tests Pay as you go, at cost plus a small margin.
Personalised HRT, your questions answered.
What does personalised HRT actually mean?
Your doctor chooses the type of oestrogen, the way you take it, the dose, and whether and how you need a progestogen, based on your symptoms, history and stage of menopause. Then it is reviewed and adjusted over time. Every Arc HRT patient gets this. It is not an upgrade.
Is personalised HRT more expensive?
No. The medicines cost much the same wherever you get them, and we charge them at what they cost us plus a small margin. You pay £99 for your consultation, then £69 a month for your doctor and reviews only if you start treatment. See full pricing.
How long before I know if it is working?
Many women notice changes within a few weeks. It can take up to three months to feel the full effect, which is why your first review is at three months.
I am already on HRT. Can you personalise what I take?
Yes. A doctor reviews your current treatment and how it is working, then adjusts it if needed. Read about switching to Arc HRT.
Do I need a blood test first?
Usually not if you are over 45. Under 45, or if testosterone is being considered, a test helps. Find out if you need one.
What if HRT is not right for me?
Your doctor will say so, explain why, and go through the alternatives. There is nothing further to pay unless you decide to start treatment.
Hormones matter.
Let's treat them properly.
Medical care that puts you back in control, with a doctor who listens, clear options and treatment tailored to you.
