Private menopause clinic - is it worth it?

[Libre2]

Hi, I am beyond exhausted at the moment, anxious the entire time and have no libido. I know that I am horrible to live with and whilst DH is understanding and kind, if I were him, I'd be off. I am assuming (hoping?) that I'm not just an arsehole but that it is perimenopause - I am 50.

I did have a call with a GP about a year ago now who prescribed me iron and propranolol but said that I wasn't in menopause. I am considering going to a menopause specialist clinic as a. I still feel like I am wasting GP time on this and b. they won't have time to give me and I would like a proper conversation.

I have looked and they are about £290 for the first consultation. Is it worth it and if so, how do you choose which one?

If you have no contra indications to HRT and are happy trying off the shelf HRT first what about using an online service (Superdrug online Drs is what I've used). I was able to get HRT / vaginal oestrogen and have a testosterone blood test very easily and far less cost than private clinic. I appreciate that you don't get the tailored regimen or advice you would from a specialist clinic so it may not be for everyone, but worth a try perhaps?