What to expect from your consultation.
How I can help.
Are you wondering if you you are entering the peri menopause but not sure what the typical symptoms are?
Are you feeling increasingly anxious, depressed, worried about memory loss and wondering if you need HRT.
Are you suffering hot flushes, night sweats, weight gain, palpitations, chest pain, acne or low libido.
Have you been told by your GP that you are 'too young' or that your blood results are 'normal' but you aren't convinced and don't feel yourself?
If any these are your symptoms, the likelihood is that the menopause is playing a considerable part
I can help. I run private menopause clinics where we can explore your symptoms and how you are feeling.
This is a 45 minute consultation exploring what your symptoms and concerns are.
I will take a careful history exploring your symptoms, concerns, personal medical history, family history and what preferences you have.
We will discuss all options available at length in a warm, sensitive, supportive environment.
I often arrange for you to have some blood tests (at home if you prefer to avoid a clinical setting) and possibly other investigations and will arrange a follow up consultation to finalise a management plan.
I believe in the advantages of preventative medicine so we will also discuss screening (cervical, mammography, osteoporosis) lifestyle and wellbeing.
At the end of each consultation you will receive a clinic letter for files and to forward to your own GP. Click here to book now.
Follow up Consultation
Menopause can be a challenging time for a woman, especially as the nature of the symptoms can be frightening, personal and even embarrassing. We book a 30 min follow up session to discuss further symptoms and expectations and then discuss a management plan.
If a woman is keen to pursue HRT, I use body identical HRT in a bespoke prescription tailoring a woman's individual requirements.
I use formulary, transdermal (though the skin) estrogens, because of their reduced risk profile, tailored to the individual's requirements .
I also use testosterone if required and desired. We discuss and put into perspective the risks and benefits of HRT and potential side effects.
If HRT is not for you, because there is a medical contraindication or for personal preference, I offer alternative medical treatment and /or natural alternatives to HRT.
Click here to book a follow up consultation.
I would normally arrange for review after three months to see how you are.
I can always see you sooner should you wish or if there is a new issue or problem.
I offer support via email but this cannot be on a continuous basis and if you are requiring more than one or two emails I will direct you either to your GP or to a further consultation so we can take the time to discuss appropriately.
I cant conduct a follow up safely or effectively over email and this approach is against guidelines.
The likelihood is after a few months on HRT you will feel much, much better.
Symptoms eg hot flushes and night sweats disappear quickly and 'brain fog' lifts , anxiety dissipates and energy returns. Weight can also reduce.
There can be side effects with HRT but these tend to be mild and settle in the first few months.
These can include nausea, bleeding and breast tenderness.
Following on from this I would see you on an annual basis unless you required as appointment sooner. Click here to book your review.
Menopause and HRT
Primary Ovarian Failure
Alternatives to HRT
Please see links below to useful information on all things menopause related.
Breast & Cervical Screening
Ultra Sound Scanning
DEXA Bone Scanning