Menopause & HRT
Hot flushes, sleep and mood changes, brain fog. Support and treatment that helps.
In short
Menopause and perimenopause symptoms are very treatable. A GP can assess you, explain the benefits and risks of HRT, prescribe the right type, and review it over time, as well as offer non-hormonal options.
Overview
What is menopause & hrt?
The menopause is when periods stop permanently, usually around age 51, with perimenopause the years of changing hormones leading up to it. Falling oestrogen causes symptoms such as hot flushes, sleep and mood changes, brain fog, and vaginal dryness. Hormone replacement therapy (HRT) replaces oestrogen (with progesterone if you still have a womb) and is the most effective treatment for most women.
Symptoms
Common symptoms
- Hot flushes and night sweats
- Irregular or stopping periods
- Sleep problems
- Mood changes, anxiety, or low mood
- Brain fog and poor concentration
- Vaginal dryness and reduced libido
- Joint aches
When to act
When to see a doctor
Book a GP if menopause or perimenopause symptoms are affecting your life, you want to discuss HRT, or you need a review of treatment you're already on. Any bleeding after 12 months without periods needs prompt assessment.
When to seek urgent help
Seek urgent help if
- Bleeding after your periods have stopped for 12 months (postmenopausal bleeding, always needs prompt assessment)
- New breast lump or changes
- Calf pain or swelling, chest pain, or breathlessness on HRT (possible clot, call 111 or 999)
- Very low mood or thoughts of self-harm (please use crisis resources)
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- A thorough assessment of your symptoms and medical history
- A discussion of the benefits and risks of hormone replacement therapy (HRT) for you
- Prescription of HRT (patches, gels, sprays, or tablets, plus progesterone where needed)
- Vaginal oestrogen for dryness and urinary symptoms
- Non-hormonal options where HRT isn't suitable or wanted
- Lifestyle advice and follow-up reviews to fine-tune treatment
What we don't do
- Investigation of postmenopausal bleeding (urgent referral to NHS gynaecology)
- Specialist menopause clinic care for complex cases (we can refer)
Pricing
What it costs
An online consultation about menopause and HRT starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about menopause & hrt
Do I need a blood test to diagnose menopause?
Is HRT safe?
Can HRT help perimenopause?
What if I can't or don't want to take HRT?
Ready to talk to a GP about menopause and HRT?
Message Emily on WhatsApp or book online in under 90 seconds. UK-registered doctors, available today.
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