Menopause can present with a wide range of symptoms affecting daily life, confidence and overall health. Support is available for concerns including:

• Hot flushes and night sweats

• Sleep disturbance and fatigue

• Mood changes, anxiety and low mood

• Brain fog and reduced concentration

• Vaginal dryness and discomfort

• Reduced libido

• Urinary symptoms

• Skin and hair changes

• Joint pain and musculoskeletal discomfort

Treatment is tailored to the individual and may include a combination of hormonal, non hormonal and supportive approaches, depending on symptoms, medical history and personal preference.

Options may include:

• Bioidentical (natural) hormone replacement and licensed HRT (NHS approved) preparations

• Non hormonal treatment options

• Lifestyle and nutritional guidance

• Ongoing monitoring and review

Where appropriate, additional support for specific symptoms, particularly those affecting vaginal or vulval health, may be recommended within the Women’s Intimate Health services.

Menopause care is delivered through structured consultations designed to provide ongoing, personalised support.

Initial Consultation
A one hour consultation to assess symptoms, medical history and overall health, forming a clear and tailored treatment plan. This is dedicated time for you to be heard fully and discuss your symptoms in an empathetic and supportive setting.

Follow up Appointments
Follow up is recommended after the initial assessment, often around 4 weeks later where appropriate, to review progress and any blood test results. Further follow up may take place at intervals such as 2 months to assess symptom improvement and overall quality of life, with treatment adjusted as needed.

Ongoing Care
Management is tailored over time, with adjustments made based on symptoms and response to treatment, ensuring care remains appropriate and effective.

In some cases, further investigations may be recommended prior to starting treatment. A baseline pelvic ultrasound may be advised, particularly for women with a uterus, to assess pelvic health and identify any underlying conditions. Ongoing monitoring may also be recommended as part of long term preventative care.