Question 1

Do I need a blood test to confirm menopause?

Accepted Answer

Often not. For women over 45, menopause is usually diagnosed based on symptoms and menstrual history. Blood tests may be helpful in specific situations - for example, early menopause or abrupt symptom onset.

Question 2

What is MHT and is it different to the old “HRT”?

Accepted Answer

Yes. What used to be known as Hormone Replacement Therapy is now referred to as Menopausal Hormone Therapy (MHT). The shift in terminology reflects a better understanding of menopause as a natural life stage rather than a deficiency. MHT aims to ease symptoms, protect long-term health and support quality of life - not “replace” anything that’s missing.

Question 3

Is MHT safe and how long will I need it for?

Accepted Answer

For many women, MHT can be a safe and effective way to relieve menopausal symptoms - but it’s a personal decision that depends on your history, risk factors and lifestyle. Some continue HRT for several years; others prefer shorter courses. We’ll discuss what’s right for you, and review regularly.

Question 4

How do I know if MHT is right for me?

Accepted Answer

MHT is tailored specifically to your symptoms, medical history and personal preferences. During your Menopause Advice consult, your GP will talk through the benefits, risks and different formulations to help you make a choice that feels comfortable and informed.

Question 5

What are the different types of MHT?

Accepted Answer

Your doctor may recommend oestrogen alone or a combination of oestrogen and progesterone, depending on whether you’ve had a hysterectomy. MHT can be delivered in several forms including patches, gels, oral tablets or localised vaginal treatments. Together, we’ll choose the option that best suits your lifestyle and goals.

Question 6

What if I don’t want hormones?

Accepted Answer

That’s perfectly fine. We support non-hormonal strategies - and many women benefit greatly from lifestyle changes, non-hormonal therapies, and symptom-based treatments.

Question 7

When should I start MHT?

Accepted Answer

Many women benefit most when MHT is started during perimenopause or within 10 years of their final period, but timing is flexible and based entirely on your individual situation. If you’re unsure whether you’re a candidate, a consultation is the best first step.

Question 8

Will menopause affect my long-term health?

Accepted Answer

For some, menopause may increase risks related to bone density, cardiovascular health and metabolic changes. We provide personalised screening, preventative support and practical steps to help protect your long-term wellbeing as your body transitions.

Question 9

Can menopause impact my mental health?

Accepted Answer

Yes, hormonal fluctuation can contribute to anxiety, low mood, irritability and sleep disruption. You’re not imagining it - and you’re not alone. We offer support for both the physical and emotional impacts of menopause, and can help you explore strategies that genuinely improve your daily wellbeing.

Question 10

What if I think I’m going through menopause earlier than expected?

Accepted Answer

Early or premature menopause can be caused by natural factors, medical conditions or treatments such as surgery or chemotherapy. If you’re under 45 and experiencing symptoms, it’s important to book a review so we can assess what’s happening and support you appropriately.

Question 11

Do I need to stop using contraception during perimenopause?

Accepted Answer

Not immediately. Fertility declines with age, but pregnancy can still occur during perimenopause. We’ll help you choose contraception that supports both symptom management and safety - and guide you on when it’s appropriate to stop.

Question 12

What should I bring to a Menopause Advice appointment?

Accepted Answer

If possible, bring a list of your symptoms, any menstrual changes you’ve noticed and a summary of your medical history or medications. This helps your GP build a complete picture and tailor your care from the very first visit.

Fertility advice

Menopause Advice

UNDERSTANDING MENOPAUSE (AND PERIMENOPAUSE)

Hot flushes and night sweats

Irregular periods or changes in menstrual cycle

Mood changes, anxiety, irritability, sleep difficulties

Vaginal dryness, discomfort, changes in libido

Changes in bone density and increased risk of bone loss

Cardiovascular changes and increased long-term risk of heart disease

Changes in skin, hair, weight and energy levels

OUR APPROACH: EDUCATION, EMPOWERMENT & WHOLE-PERSON CARE

TREATMENTS & SUPPORT WE OFFER

Lifestyle modifications - nutrition, exercise (especially weight-bearing for bone health), stress management, sleep hygiene, and smoking/alcohol counselling.

Symptom-targeted treatments - for example, vaginal moisturisers or local therapies for vaginal dryness, sleep and mood support, and guidance around sexual wellbeing

Health screening and prevention - regular reviews of bone density, cardiovascular risk, and general health as you age.

Holistic, Individualised Care

Because menopause affects more than just hormones, we take a broad approach - considering physical health, mental wellbeing, lifestyle, and long-term health goals. You’ll always be treated as a whole person, not just a checklist of symptoms.