What actually changes when a specialist takes your case.
This is not about criticism of GPs — they operate under time and resource constraints that make depth impossible. This is about what depth looks like when it isn't constrained.
Here is exactly what happens,
step by step.
We show you the machinery because we believe understanding your own care is part of getting better. Every appointment has a defined purpose, a stated cost, and a measurable outcome.
We draw a 17-marker panel: FSH, LH, oestradiol, AMH, DHEAS, testosterone (total and free), SHBG, free androgen index, fasting insulin, HbA1c, TSH, prolactin, 17-OHP, cortisol, and a full lipid screen. Results are processed within 48 hours.
Cost
Included in consultation package · No extra charge
What to bring
Day 2–5 of your cycle if possible (we'll advise). No fasting required unless insulin testing is flagged.
We use high-frequency transvaginal ultrasound to count antral follicles in each ovary (2–9mm range), measure ovarian volume, and screen for endometrial thickness. The 2023 ESHRE guideline sets the diagnostic threshold at ≥20 follicles per ovary — a standard most GP-referred scans don't reach.
Cost
Included in consultation package
What to bring
Comfortable clothing. You may bring a support person. Results discussed same day.
This is the appointment where everything is named. We apply Rotterdam Criteria to determine your phenotype (A through D), explain what each hormone result means in plain language, and identify any mimicking conditions (thyroid, hyperprolactinaemia, CAH) that have been excluded.
Cost
£285 initial consultation · GP-referral discount available
What to bring
Any previous blood results, pill history, symptom diary if you have one. Questions written down.
Your protocol covers: insulin-indexed nutrition guidance (if insulin resistance is present), movement prescription, pharmacotherapy pathway (metformin, hormonal contraception, or clomiphene depending on goal), mental health referral if PHQ-9 indicates, and a supplement protocol based on evidence for your specific phenotype.
Cost
Included in initial consultation fee
What to bring
Your primary concern priority (fertility, cycles, weight, skin/hair, metabolic health) — we'll have asked in advance.
At 60 days we re-run the key markers that respond to intervention (fasting insulin, LH:FSH ratio, free androgen index) to confirm the protocol is working. If not, we escalate — never just wait. Most patients see measurable hormonal change within this window.
Cost
£120 follow-up · Fortnightly check-ins included between visits
What to bring
Symptom diary, any new cycle data, questions that have emerged.
Women who walked in with questions.
Women who walked out with answers.
Every story here includes the specific phenotype diagnosed, the protocol applied, and the measurable outcome. Because vague reassurance isn't good enough.
"I was told for six years that my bloods were 'borderline normal.' Balance ran seventeen markers, identified Phenotype A with insulin resistance, and handed me a protocol within the same week. I've had a regular cycle for the first time since I was sixteen."
Priya Sharma
Software engineer, London · Age 29
"We'd been trying to conceive for fourteen months. My GP said to 'give it more time.' Balance identified elevated LH:FSH ratio and low AMH, mapped a clomiphene pathway, and I was pregnant four months later. I wish we hadn't waited."
Caitlin O'Brien
Teacher, Manchester · Age 31
"My daughter was fifteen with dark patches on her neck and no period for nine months. Three GPs said it was 'just puberty.' Balance used the adolescent-specific criteria, confirmed PCOS at sixteen, and she's now on a monitored protocol. The relief of finally being believed."
Diane Kowalczyk
Mother of teen patient, Leeds · Age 44
"I gained 18 pounds in a year with no dietary change. Every doctor told me to eat less. Balance found fasting insulin at 24 mIU/L — twice the upper limit — prescribed metformin and an insulin-indexed protocol. I've lost 11 pounds in three months without counting a single calorie."
Amara Nwosu
Marketing director, Birmingham · Age 33
Ready for answers that are
actually yours?
Book your 90-minute diagnostic consultation. No referral required, though GP letters are welcomed.
Book Your Diagnostic Consultation
90 minutes · Comprehensive hormone panel included · £285
Reply within 24 hours
Usually same business day
Two clinic locations
Harley Street & Deansgate · Video available
Full fee transparency
£285 initial · All tests included · No surprises
Clinical confidentiality
GDPR compliant · Never shared with employers
No GP referral required
Self-refer directly · GP letters welcomed
Not ready to book?
Download our Pre-Visit Hormone Checklist — a 12-point symptom tracker that helps you understand what your body may already be telling you.
2,400+ women diagnosed
4.9 / 5 patient satisfaction