Menopause Care in both peri and post menopause - don't do it alone!!!
Menopause is a major biological transition, and understanding it can make the whole experience feel far less mysterious. Here’s a clear, grounded overview based on trusted medical sources like the NHS and the British Menopause Society (https://thebms.org.uk/)
What Menopause Actually Is
Menopause marks the point when periods stop permanently because the ovaries have reduced hormone production — mainly oestrogen and progesterone. It’s officially diagnosed after 12 consecutive months without a period.
There are three key stages:
Perimenopause — hormone levels fluctuate, and symptoms begin even though periods continue.
Menopause — the moment you reach 12 months without a period.
Postmenopause — the years after menopause, when symptoms may continue or change.
Why It Happens?
As the ovaries run out of eggs, hormone levels fluctuate and eventually fall.
Hormones such as estrogen and progesterone play vital roles in regulating multiple bodily functions. As these hormones decrease, women may experience a variety of symptoms including hot flashes, mood swings, and memory lapses.
Because hormone receptors exist throughout the body, the effects can be physical, emotional, and cognitive.
During perimenopause, women may notice irregular periods, increased PMS symptoms, and changes in sexual function, all of which can contribute to feelings of confusion and frustration.
What Helps?
There are several evidence‑based options:
Lifestyle changes — sleep routines, exercise, diet, stress management
Hormone replacement therapy (HRT) — replaces declining hormones and can relieve many symptoms
Non‑hormonal medications — for those who can’t or prefer not to take HRT
Local oestrogen treatments — for vaginal or urinary symptoms
Support groups and counselling — helpful for emotional and social impact
If symptoms are affecting daily life, the NHS recommends speaking with a healthcare professional for personalised guidance
Menopause Consultations
What we offer
We offer an individualised consultation for your perimenopause and menopause with a menopause nurse specialist. Treatment options, both Hormone Replacement Therapy (HRT) and non-hormonal treatments relevant to you, will be discussed that can help your symptoms and your future health.
Follow up appointment
A three‑month follow‑up after an initial menopause consultation is actually very typical. It gives the clinician enough time to see how your symptoms are evolving and—if you started any treatment—how your body is responding.
Reviewing symptoms — what’s improved, what’s new, what’s still difficult
Checking response to treatment — especially if you started HRT or a non‑hormonal option
Adjusting doses — many people need tweaks at the 3‑month mark
Discussing side effects — to decide whether to continue, change, or switch treatments
Planning next steps — lifestyle support, further tests, or longer‑term management
Testosterone
Our testosterone consultation is a shorter, more focused and lower cost appointment with a clinician to discuss your suitability for testosterone and the likely benefits of adding testosterone to your HRT regime. Find out more about the benefits of testosterone for women and how it can compliment your existing treatment plan.
A testosterone baseline blood level will be needed prior to commencing testosterone.
Follow up appointment
A testosterone follow‑up within menopause care is a very normal and important part of treatment. Testosterone is sometimes prescribed for menopausal symptoms—most commonly low libido, but also occasionally for low energy, brain fog, or reduced motivation.
Symptom review How you’ve been feeling since starting testosterone: libido, energy, mood, concentration, strength, or any ongoing menopause symptoms.
Side‑effect check We will ask about acne, hair changes, skin changes, weight changes, or anything unexpected.
Blood test discussion If bloods were done, they may look at testosterone levels to ensure they’re in a safe female physiological range.
Long‑term plan How often you’ll need monitoring, whether to continue, and what improvements to expect over time.