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Menopause symptoms and treatments.

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If you have any questions or concerns about menopause, please book a consultation.

Don’t worry alone, we’re here to help.

Are you experiencing menopause symptoms?

Take our free, online menopause assessment to help identify your symptoms and where you might be on your menopause journey.

Menopause Assessment


With all types of HRT and vaginal treatments, it can take 2-3 months before you start to feel the full benefits, so it’s always worth taking time with new medications to see if they’re going to work for you. And it’s common to need to alter the dose after an initial trial period.

You would usually have a review appointment after approximately 3 months to see how you’re getting on and adjust your dose if needed. After this, if you are well and happy with your regime, you can continue with a review of your HRT every 12 months.

Although HRT can seem complicated at first, Dr Natalie Summerhill will take the time to explain your options thoroughly and look to find a treatment regime that works for you. She will explain clearly when, how, and how often you need to take any medication prescribed for you.

Frequently asked questions and answers.

The list below contains some frequently asked questions and answers relating to menopause. If you would like to talk to a menopause expert about your own questions or concerns, please book a consultation so we can create a personalised care plan and discuss any recommendations for treatment.

The definition of menopause is when you haven’t had a period for 12 consecutive months (and there’s no other reason for this like weight loss, illness, the type of contraception used, or medical treatment or surgery). On average, a natural menopause happens around the age of 51 but it can happen earlier or later than […] Read more
For most women, HRT is safe and is the most effective way to treat menopause symptoms. If you’re under 51 years, there are no known associated risks with taking oestrogen through the skin (via a patch, gel or spray) and micronised progesterone (if you have a womb). These are the safest types of hormones and […] Read more
Perimenopause is the time before menopause when you still have periods (even if they’re very light or irregular). Menopause is not medically diagnosed until it has been 12 months with no periods. Perimenopause is caused by fluctuations in hormone levels before they steadily decline going into and after menopause. Perimenopause lasts on average between 4-10 […] Read more
HRT is the most effective way to relieve symptoms caused by perimenopause and menopause. Once you’ve taken HRT for 3 months or more, you will usually notice an improvement in many symptoms including, mood, anxiety, sleep, joint aches and pains, headache or migraine, hot flushes, and night sweats. HRT doesn’t only bring symptom relief, it […] Read more
More than one in 100 women have menopause before they are 40 years old, one in 1000 before the age of 30, so it is not so rare. When your ovaries stop producing eggs and hormones at this earlier age, it is diagnosed as Premature Ovarian Insufficiency or POI. The process of menopause is different […] Read more
If you’re thinking of starting HRT, it’s best to see a healthcare professional that is experienced in managing menopause and they can clearly explain the different options and types of HRT, as well as outlining the pros and cons of the medication regimes for you. They will also consider your personal history, lifestyle and preferences. […] Read more
Women are 3x more likely to have migraine than men and they can start at peri/menopause or get worse at this time if you’ve not had them for many years. Migraines may be triggered when oestrogen is low, or it can be caused when levels are too high or shifting. The good news is that, […] Read more
It can be confusing to know what type of HRT is best as the words used to describe it sound similar and are sometimes used interchangeably. Body identical HRT is the safest and most regulated type, and the type that is provided on the NHS. This is because it’s regulated and has decades of research […] Read more
There are no hard and fast rules to answer this question, as every person’s menopause is unique to them. On average, perimenopause lasts around 4-10 years and then after menopause (12 months with no periods), you may get symptoms for another 5 years or so. It is common for women to experience symptoms for a […] Read more
There are plenty of other ways to help your menopause apart from taking HRT. Lifestyle changes and talking therapies can be very beneficial and will be recommended by menopause specialists.  Lifestyle measures – for example healthy nutrition, exercise, improving sleep, reducing stress, and self-care measures, not just for managing your menopause, but staying healthy in […] Read more
When you’ve been through the emotional and uncertain time of having breast cancer and treatments, it’s very important that your menopause is addressed and cared for in the best possible way. Some women feel they do not receive adequate information about their options for improving menopause symptoms and are simply told that HRT is not […] Read more
If you’re having penis-vagina sex, it is still possible to get pregnant even if you haven’t had a period for many months. If you want to avoid a pregnancy, here are the recommendations for when it is safe to stop contraception around the time of menopause: For under 50 year olds: Use contraception for at […] Read more
The short answer is yes. Oestrogen in the form of the patch, gel or spray does not raise your risk of blood clot. (Don’t take oestrogen in tablet form as this does have a slight increased risk of clot). And micronised progesterone (Utrogestan) and testosterone are also safe to take if you’ve had a clot […] Read more
If you want to stay healthy and enjoying life to the full for as long as possible, a healthy diet and regular exercise is essential. Here are some healthy eating tips for any time of life: Eat 3 meals per day, at regular times and avoid skipping meals Eat a variety of foods at each […] Read more
Yes, it does if no treatment is taken. The main two diseases that have an increased risk after menopause are the bone weakening condition; osteoporosis, and cardiovascular disease, which includes any disease of the heart and blood vessels such as heart attack and stroke. Taking HRT can reduce the risk of both developing in later […] Read more
Book a TRUE full body cryotherapy treatments with chillglow Relief from Hot Flashes: Hot flashes, which are sudden and intense feelings of heat, are a common symptom of menopause in women. WBC entails exposure to extremely cold, which could perhaps offer momentary relief from hot flashes by lowering heat-related symptoms and cooling the body. Reduced […] Read more
A menopause specialist is not a protected term so in theory anyone could call themselves a menopause specialist, so it is good to be aware of the professionals usually involved and what qualifications are needed. Doctors that choose to specialise in menopause often have a background either as a GP, or as a gynaecologist, and […] Read more

Useful Links

Information/support about menopause


Information/support about PMS/PMDD

Information/support about POI (menopause below the age of 40)

Information/support about subfertility:

Find a pelvic floor physiotherapist:

Support for endometriosis/pelvic pain:


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