Women's health — private GP service

Dr Natasha Thandrayen is a private GP with specialist expertise in women's health. She holds the DFSRH (Diploma of the Faculty of Sexual and Reproductive Health) and has additional training in psychosexual medicine, making her well placed to provide a broad range of women's health services in a private, unhurried setting at Harley Street.

Menopause and HRT

Dr Natasha provides comprehensive menopause assessment and management. She takes a full clinical history and discusses your symptoms in detail, giving you the time and space to explain how the perimenopause or menopause is affecting your life. She then discusses all available management options, including body-identical HRT, traditional HRT preparations, non-hormonal alternatives such as SSRIs and gabapentin where appropriate, and lifestyle approaches including sleep hygiene, nutrition, and exercise.

Appointments are genuinely unhurried — there is time to discuss your symptoms fully, understand the current evidence, and decide together on a management plan that suits you. Dr Natasha will follow up blood tests or investigations where needed, and ongoing menopause care can be managed as part of a continuing GP relationship.

Contraception

As a DFSRH-qualified doctor, Dr Natasha can provide the full range of contraception advice and management. This includes combined oral contraceptive pill counselling and prescribing, the progestogen-only pill, the contraceptive injection (Depo-Provera), contraceptive implant fitting and removal, and IUS (Mirena, Kyleena) and IUD (copper coil) fitting and removal. She also provides emergency contraception advice and, where appropriate, prescribing.

Whether you are starting contraception for the first time, reconsidering your current method, or managing a problem with an existing form of contraception, Dr Natasha will review your full medical history and help you find the approach that works best for you.

Sexual health

Confidential sexual health consultations are available at Harley Street. These include comprehensive STI testing, full sexual health screens, and advice on all aspects of sexual wellbeing. Dr Natasha has training in psychosexual medicine and is well placed to discuss sensitive topics in a private, non-judgemental setting. All consultations are strictly confidential.

Blood tests and swabs can be arranged at the same appointment, with results usually available within 24 to 48 hours. Dr Natasha reviews every result personally and contacts you directly with a clear explanation and any recommended next steps.

Cervical smear tests

Cervical screening (smear tests) can be performed as part of a consultation or as a standalone appointment. This is particularly useful for patients who have missed NHS cervical screening or who would prefer to have their smear test carried out privately in a comfortable, unhurried environment. Results are usually available within a few weeks and are communicated to you directly by Dr Natasha.

Breast health concerns

Dr Natasha assesses breast concerns including lumps, nipple changes, breast pain, and skin changes. A thorough clinical history and examination is conducted at the appointment. If further investigation or specialist review is required, Dr Natasha arranges prompt referral to a breast surgeon or specialist through her network of Harley Street consultants, ensuring that any concern is followed up efficiently and without delay.

Fertility concerns

An initial private fertility assessment with Dr Natasha includes a detailed clinical history covering menstrual cycle, previous pregnancies, contraceptive history, and any underlying medical conditions. She arranges relevant blood tests at the same appointment — including AMH (anti-Müllerian hormone), FSH, LH, thyroid function, and prolactin — and provides a clinical examination where appropriate. Following the assessment, she provides a clear summary of findings and arranges onward referral to a fertility specialist or reproductive medicine unit where this is needed.

PCOS and endometriosis

Polycystic ovary syndrome (PCOS) and endometriosis are two of the most common — and most underdiagnosed — conditions affecting women of reproductive age. Dr Natasha provides comprehensive assessment and initial management of both conditions. For PCOS, this includes blood tests, clinical review, and discussion of management options including lifestyle, medication, and fertility implications. For endometriosis, she provides a thorough clinical assessment and, where the presentation suggests specialist-level care is needed, coordinates referral to a gynaecologist with a particular interest in endometriosis surgery or medical management.