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Who we can, and cannot, treat

Most private clinics are vague about this. We would rather be specific, so you do not pay for an appointment that was never going to help.

We can help with

  • Perimenopause and menopause symptoms, whatever your age over 40
  • Starting HRT for the first time
  • Reviewing HRT that is not working well enough
  • Transferring your care from another clinic or your GP
  • Testosterone assessment, prescribing and monitoring where appropriate
  • Vaginal and urinary symptoms of menopause
  • Non-hormonal options where HRT is not suitable or not wanted

We will refer you for

Periods stopping before 40
This is premature ovarian insufficiency and needs gynaecology or endocrinology assessment, because of what it means for bone, heart and fertility health. We will refer you.
Any bleeding after the menopause
This needs urgent assessment through your GP, usually on a two-week pathway. We will not treat around it, and neither should anyone else.
Suspected gynaecological or pituitary conditions
Heavy or unusual bleeding needing investigation, suspected endometriosis or fibroids, or symptoms suggesting a pituitary problem all need the right specialist first.
Complex or treatment-resistant cases
Where symptoms have not responded to well-managed treatment, a British Menopause Society accredited specialist or gynaecologist is the right next step.
Fertility treatment
If you are trying to conceive, or want to preserve fertility, you need specialist advice before any hormone decision.

Do not wait for an appointment with us

If any of these apply, get seen now rather than booking a menopause consultation.

  • Bleeding after the menopauseContact your GP promptly. Ask for an urgent appointment.
  • A new breast lump, or a change to the skin or nippleContact your GP promptly for breast clinic referral.
  • Chest pain or sudden breathlessnessCall 999.
  • Thoughts of harming yourselfCall your GP urgently, NHS 111, or Samaritans on 116 123. In an emergency, call 999.
  • Sudden severe headache with visual changesSeek emergency assessment.
Scope

Questions about this

Why would a clinic turn patients away?

Because prescribing around a symptom that needs investigating is how things get missed. A clinic that will treat anyone is not being generous with you, it is being careless.

Will you tell me where to go instead?

Yes. If we are not the right service for you, we will say so and point you to the one that is. If you have already paid for a consultation and we cannot help, we will tell you at that appointment.

Can I come back later?

Of course. Plenty of women are referred out, get the assessment they need, and come back to us for their ongoing menopause care.

Hormones matter.
Let's treat them properly.

Medical care that puts you back in control, with a doctor who listens, clear options and treatment tailored to you.