Menopause Clinic

The Female Health Clinic is accredited by

The British Menopause Society

Led by Dr Helen Fawcett, Specialist Menopause Consultant accredited by the British Menopause Society, The Female Health Clinic is also accredited by The British Menopause Society

Dr Fawcett has been treating patients for menopause and hormone imbalance symptoms for over 16 years and is a *level three Menopause Specialist.

Not all menopause clinics and doctors have accreditation from The British Menopause Society (BMS), the specialist authority for menopause and post-menopausal health in the UK. The BMS classify the expected levels of complexity and practice as follows:

Level one – A health care professional with some understanding of the impact of menopause and know where to signpost women for support and advice since women can present in a range of healthcare services.

Level two – A health care professional with a special interest in menopause (will see women for menopause-specific consultations). NICE guidelines will be followed and discussions will include symptoms, medication and non-prescribed therapies.

Level three – Menopause specialist – will have additional knowledge and skills as outlined above, assessing and treating women with complex needs such as multiple treatment failures, premature ovarian insufficiency, complex medical problems, high-risk cancer genes or hormone dependant cancer. Management as recommended by NICE Quality standards 3 and 5 would be included at this level.

What happens at the Menopause Clinic?

We will ask you to complete an online symptom questionnaire. This is confidential and will be stored in your patient notes for the doctor to review.

You may be asked to have some blood tests so that a baseline hormone profile can be reviewed and future improvements monitored along with symptom control.

Your symptoms will be assessed and your previous medical history will be discussed and noted.

You may require an examination and we may need your blood pressure, height and weight.

An individual treatment plan will be developed specifically for your symptoms offering tailored HRT where appropriate. This may include oestrogen, testosterone and progesterone.

We can prescribe your medications via our online Pharmacy or you may wish for your GP to be approached to prescribe for you.

Dr Fawcett’s lead of the Menopause Clinic provides a blended approach of hormone replacement therapy, nutritional guidance and lifestyle.

Our patients come from all across the country to seek our specialist advice.

We can offer remote consultations, on-going in clinic assessments and have recently introduced our budget service Menopause Triage for patients with less complex needs who have already researched their options and simply wish to start HRT or wish for access to testosterone replacement therapy, currently unavailable from GP’s.

Common symptoms of Perimenopause and Menopause

  • Hot flushes and sweats
  • Aching joints
  • Irregular periods
  • Vaginal dryness
  • Painful sex
  • Lack of libido
  • Low mood and depression
  • Weight gain
  • Irritability
  • Mood swings
  • Insomnia
  • Loss of collagen (dry hair, nails and skin)

Our Menopause Team

Dr Sophie Hulme

Local GP

With a special interest in Post Reproductive Health and Menopause

MBChB MRCGP DRCOG DFFP

GMC 4278784

Member of The British Menopause Society

Dr Helen Duff

Local GP

With a special interest in Menopause, Sexual and Reproductive Health

MBBS, RCGP,

GMC 7278614

Member of The British Menopause Society

Dr Rebecca Boreham

GP

With a special interest in Menopause

MBBS BSc MRCGP

Member of The British Menopause Society

Lou Hawkings Byass

Registered Nurse

With a special interest in Menopause

Member of The British Menopause Society

About Hormone Replacement Therapy

It is generally accepted that oestrogens abolish menopausal symptoms, increase bone density, reduce the incidence of heart attacks, strokes and Alzheimer’s disease and improve sexuality.

Oestrogen users also live about 1.5 years longer than non-users. If that is the case acceptance of oestrogen therapy should be simple but it is not. Only about 15% of women at risk take oestrogens and the vast majority abandon HRT within a year. This lack of continuity is due to a combination of things including breast cancer, fear of weight gain, reluctance to have periods or the PMS type symptoms that occur with cyclical progestogen. Also many women taking low does oestrogens do not feel any better and are therefore reluctant to take long-term therapy to prevent a fracture at the age of 85 which may not occur anyway.

There are many new formulations with using various routes of administration, various combinations which attempt to improve the well-being of menopausal women without side-effects or problems of bleeding. Thus therapy is becoming more complicated rather than more simple as we tailor treatment to the needs and response of the individual woman.

Oestrogen therapy for the over 60s is a very important area as these are often neglected in the belief that older osteoporotic bones do not respond to oestrogens. They do and they respond even better than the bones of younger postmenopausal women. In fact the lower the bone density the greater the increase with hormone therapy. It is these women which value low dose oestrogens and no-bleeding regimens. There is a view disputed by many, that oestrogen therapy should only be on ten years’ duration. If this is so it is possible that maximum cardiovascular and skeletal benefits with least side-effects would accrue by starting aged 60 rather than aged 50, but the 50 year old usually requires symptom relief during this decade.

Similarly, HRT for the peri-menopausal woman who is still having periods but suffering from depression, tiredness and loss of libido is another neglected area. These patients often have a long past history of hormone related depression i.e. postnatal depression or pre-menstrual depression.

Such patients suffer their worst depression in the one or two years before their periods stop but often need oestrogens instead of, or as well as, anti-depressant therapy.

Ten good reasons to love HRT by Professor John Studd

Chairman of The British Menopause Society 2005 – 2007

Click here to find out more about menopause

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